<description value="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> <coding> <system value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system"/> <code value="sdmcontinue"/> <display value="Shared decision making to continue screening"/> </coding> </code> <documentation> <type value="citation"/> <label value="USPSTF"/> <display value="Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement"/> <citation value="US Preventive Services Task Force. Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. Published online April 30, 2024."/> <url value="https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening"/> </documentation> <resource> <reference value="CommunicationRequest/86"/> </resource> </action> <action id="SDMContinueScreeningLifeExp"> <title value="Shared decision making to continue screening based on life expectancy"/> <description value="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> <coding> <system value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system"/> <code value="sdmcontinue"/> <display value="Shared decision making to continue screening"/> </coding> </code> <documentation> <type value="citation"/> <label value="ACS"/> <display value="Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society"/> <citation value="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."/> <url value="https://jamanetwork.com/journals/jama/fullarticle/2463262"/> </documentation> <resource> <reference value="CommunicationRequest/87"/> </resource> </action> <action id="ACSMammoAfterBrca"> <extension url="http://cancerscreeningcds.github.io/bcsm-cds/StructureDefinition/csm-recommendation-flag"> <valueCodeableConcept> <coding> <system value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system"/> <code value="overdue"/> <display value="Overdue"/> </coding> </valueCodeableConcept> </extension> <title value="Annual screening mammogram"/> <description value="Annual screening mammogram after 5 years from breast cancer onset is recomended."/> <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="2024-01-01"/> <repeat> <boundsPeriod> <start value="2024-01-01"/> </boundsPeriod> <frequency value="1"/> <period value="1"/> <periodUnit value="a"/> </repeat> </timingTiming> <resource> <reference value="ServiceRequest/88"/> </resource> </action> </RequestGroup> </resource> </entry> <entry> <fullUrl value="http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/86"/> <resource> <CommunicationRequest> <id value="86"/> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="CommunicationRequest_86"> </a>Generated Narrative: CommunicationRequest 86<a name="86"> </a><a name="hc86"> </a><a name="86-en-US"> </a>basedOn: <a 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Generated Narrative: RequestGroup 85

instantiatesCanonical: Primary Screening Decision

status: Draft

intent: Proposal

subject: Jane Doe

action
id
SDMContinueScreeningAge
title: 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
SDMContinueScreeningLifeExp
title: 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
ACSMammoAfterBrca
Recommendation 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

Activities

Documentations

Documentations

Documentations