Breast Cancer Screening and Management (BCSM) Clinical Decision Support (CDS) Implementation Guide
1.0.0 - ci-build
Breast Cancer Screening and Management (BCSM) Clinical Decision Support (CDS) Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Generated Narrative: Bundle PrimaryScreeningDecision_act-sdmcontinueage_act-sdmcontinuelifexp_end-decisionhighrisk
Bundle PrimaryScreeningDecision_act-sdmcontinueage_act-sdmcontinuelifexp_end-decisionhighrisk of type collection
Entry 1 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/84
Resource CarePlan:
Generated Narrative: CarePlan 84
instantiatesCanonical: Primary Screening Decision
status: Draft
intent: Proposal
subject: Jane Doe
created: 2024-12-10 00:00:00+0000
Activities
Reference Bundle: type = collection
Entry 2 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/85
Resource RequestGroup:
Generated Narrative: RequestGroup 85
instantiatesCanonical: Primary Screening Decision
status: Draft
intent: Proposal
subject: Jane Doe
action
id
SDMContinueScreeningAgetitle: Shared decision making to continue screening based on age
description: Decision to continue screening mammography in average risk women age 75 years or older should be based on shared decision-making. The USPSTF concludes that the evidence is insufficient to determine the balance of benefits and harms of screening mammography in women 75 years or older.
code: Shared decision making to continue screening
Documentations
Type Label Display Citation Url Citation USPSTF Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement US Preventive Services Task Force. Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. Published online April 30, 2024.
https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening resource: Bundle: type = collection
action
id
SDMContinueScreeningLifeExptitle: Shared decision making to continue screening based on life expectancy
description: Decision to continue screening mammography in cases of limited life expectancy should be based on shared decision-making. ACS advises that women should continue screening mammography as long as their overall health is good and they have a life expectancy of 10 years or more. Life expectancy is generally defined as having greater than a 50% probability of surviving 10 years. A validated tool such as www.eprognosis.com can help guide decision making.
code: Shared decision making to continue screening
Documentations
Type Label Display Citation Url Citation ACS Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society Saslow D, Boetes C, Burke W, Harms S, Leach MO, Lehman CD, Morris E, Pisano E, Schnall M, Sener S, Smith RA, Warner E, Yaffe M, Andrews KS, Russell CA; American Cancer Society Breast Cancer Advisory Group. American Cancer Society guidelines for breast screening with MRI as an adjunct to mammography. CA Cancer J Clin. 2007 Mar-Apr;57(2):75-89.
https://jamanetwork.com/journals/jama/fullarticle/2463262 resource: Bundle: type = collection
action
id
ACSMammoAfterBrcaRecommendation Flag Extension: Overdue
title: Annual screening mammogram
description: Annual screening mammogram after 5 years from breast cancer onset is recomended.
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: 2024-01-01 , Once per 1 year
resource: Bundle: type = collection
Entry 3 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/86
Resource CommunicationRequest:
Generated Narrative: CommunicationRequest 86
basedOn: Communicate Shared Decision Making to Continue Screening
status: option
subject: Jane Doe
Payloads
Content[x] Shared decision making to continue screening reasonCode: Age over 74 years
Entry 4 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/87
Resource CommunicationRequest:
Generated Narrative: CommunicationRequest 87
basedOn: Communicate Shared Decision Making to Continue Screening
status: option
subject: Jane Doe
Payloads
Content[x] Shared decision making to continue screening reasonCode: Reduced life expectancy indicator
Entry 5 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/88
Resource ServiceRequest:
Generated Narrative: ServiceRequest 88
basedOn: Breast Cancer Screening Service Request
status: option
intent: Proposal
code: MG Breast Screening
subject: Jane Doe
occurrence: 2024-01-01
reasonCode: Previous breast cancer