<description value="An annual screening mammogram starting at age 30 is recommended. Women who are at higher than average risk for breast cancer based on past atypical biopsy should get a mammogram every year, typically starting at age 30. "/> <code> <coding> <system value="http://loinc.org"/> <code value="24606-6"/> <display value="MG Breast Screening"/> </coding> </code> <documentation> <type value="citation"/> <label value="ACS"/> <display value="American Cancer Society Recommendations for the Early Detection of Breast Cancer"/> <url value="https://www.cancer.org/cancer/types/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html"/> </documentation> <timingTiming> <event value="2025-11-15"/> <repeat> <boundsPeriod> <start value="2024-10-10"/> </boundsPeriod> <frequency value="1"/> <period value="1"/> <periodUnit value="a"/> </repeat> </timingTiming> <resource> <reference value="ServiceRequest/16"/> </resource> </action> <action id="ACSAtypicalBiopsy"> <title value="Perform lifetime risk assessment"/> <description value="Consider performing assessment of lifetime risk. If estimated lifetime risk is >20%, patient may be eligible for supplemental screening with annual screening MRI."/> <code> <coding> <system value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system"/> <code value="lifetimeriskassessment"/> <display value="Perform lifetime risk assessment"/> </coding> </code> <documentation> <type value="citation"/> <label value="ACS"/> <display value="American Cancer Society Guidelines for Breast Screening with MRI as an Adjunct to Mammography"/> <citation value="Oeffinger KC, Fontham ETH, Etzioni R, et al. Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society. JAMA. 2015;314(15):1599–1614."/> <url value="https://acsjournals.onlinelibrary.wiley.com/doi/full/10.3322/canjclin.57.2.75"/> </documentation> <resource> <reference value="ServiceRequest/17"/> </resource> </action> </RequestGroup> </resource> </entry> <entry> <fullUrl value="http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/16"/> <resource> <ServiceRequest> <id value="16"/> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_16"> </a>Generated Narrative: ServiceRequest 16<a name="16"> </a><a name="hc16"> </a><a name="16-en-US"> </a>basedOn: <a href="ActivityDefinition-BreastCancerScreeningServiceRequest.html">Breast Cancer Screening Service Request</a>status: optionintent: Proposalcode: MG Breast Screeningsubject: <a href="Bundle-JosephineGreene-past-breast-pain-adh-biopsy.html#Patient_JosephineGreene">Josephine38 Greene57</a>occurrence: 2025-11-15reasonCode: Atypical biopsy</div> </text> <basedOn> <reference value="http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest"/> </basedOn> <status value="option"/> <intent value="proposal"/> <code> <coding> <system value="http://loinc.org"/> <code value="24606-6"/> <display value="MG Breast Screening"/> </coding> </code> <subject> <reference value="Patient/JosephineGreene"/> <display value="Josephine38 Greene57"/> </subject> <occurrenceDateTime value="2025-11-15"/> <reasonCode> <coding> <system value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"/> <code value="atypicalbx"/> <display value="Atypical biopsy"/> </coding> </reasonCode> </ServiceRequest> </resource> </entry> <entry> <fullUrl value="http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/17"/> <resource> <ServiceRequest> <id value="17"/> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_17"> </a>Generated Narrative: ServiceRequest 17<a name="17"> </a><a name="hc17"> </a><a name="17-en-US"> </a>basedOn: <a href="ActivityDefinition-BreastCancerScreeningServiceRequest.html">Breast Cancer Screening Service Request</a>status: optionintent: Proposalcode: Perform lifetime risk assessmentsubject: <a href="Bundle-JosephineGreene-past-breast-pain-adh-biopsy.html#Patient_JosephineGreene">Josephine38 Greene57</a>reasonCode: Atypical biopsy</div> </text> <basedOn> <reference value="http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest"/> </basedOn> <status value="option"/> <intent value="proposal"/> <code> <coding> <system value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system"/> <code value="lifetimeriskassessment"/> <display value="Perform lifetime risk assessment"/> </coding> </code> <subject> <reference value="Patient/JosephineGreene"/> <display value="Josephine38 Greene57"/> </subject> <reasonCode> <coding> <system value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"/> <code value="atypicalbx"/> <display value="Atypical biopsy"/> </coding> </reasonCode> </ServiceRequest> </resource> </entry> </Bundle>

Generated Narrative: RequestGroup 15

instantiatesCanonical: Primary Screening Decision

status: Draft

intent: Proposal

action
id
ACSMammoAtypicalBiopsy
Recommendation Flag Extension: Not due
title: Annual screening mammogram starting age 30
description: An annual screening mammogram starting at age 30 is recommended. Women who are at higher than average risk for breast cancer based on past atypical biopsy should get a mammogram every year, typically starting at age 30.
code: MG Breast Screening
Documentations
- Type Label Display Url
* Citation ACS American Cancer Society Recommendations for the Early Detection of Breast Cancer https://www.cancer.org/cancer/types/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html
timing: Events: 2025-11-15 , Once per 1 year
resource: Bundle: type = collection

action
id
ACSAtypicalBiopsy
title: Perform lifetime risk assessment
description: Consider performing assessment of lifetime risk. If estimated lifetime risk is >20%, patient may be eligible for supplemental screening with annual screening MRI.
code: Perform lifetime risk assessment
Documentations
- Type Label Display Citation Url
* Citation ACS American Cancer Society Guidelines for Breast Screening with MRI as an Adjunct to Mammography
Oeffinger KC, Fontham ETH, Etzioni R, et al. Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society. JAMA. 2015;314(15):1599–1614.

https://acsjournals.onlinelibrary.wiley.com/doi/full/10.3322/canjclin.57.2.75
resource: Bundle: type = collection

Activities

Documentations

Documentations