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_eve-atypicalbx__eve-highlifetimerisk__act-acshighriskmammo__act-acshighriskmri
Bundle PrimaryScreeningDecision_eve-atypicalbx__eve-highlifetimerisk__act-acshighriskmammo__act-acshighriskmri of type collection
Entry 1 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/148
Resource CarePlan:
Generated Narrative: CarePlan 148
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/149
Resource RequestGroup:
Generated Narrative: RequestGroup 149
instantiatesCanonical: Primary Screening Decision
status: Draft
intent: Proposal
subject: Jane Doe
action
id
ACSMammoAtypicalBiopsyRecommendation Flag Extension: Overdue
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: 2024-01-01 , Once per 1 year
resource: Bundle: type = collection
action
id
ACSMriAtypicalBiopsyHighRiskRecommendation Flag Extension: Overdue
title: Annual screening MRI starting age 30
description: An annual screening MRI starting at age 30 is recommended in patients with past atypical biopsy and lifetime risk > 20-25%.
code: MR Breast
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 timing: Events: 2024-01-01 , Once per 1 year
resource: Bundle: type = collection
action
id
ACSMammoHighRiskRecommendation Flag Extension: Overdue
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 certain risk factors 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: 2011-01-01 , Once per 1 year
resource: Bundle: type = collection
action
id
ACSMriHighRiskRecommendation Flag Extension: Overdue
title: Annual screening MRI starting age 30
description: An annual screening MRI starting at age 30 is recommended. Women who are at higher than average risk for breast cancer based on certain risk factors should get a breast MRI every year, typically starting at age 30.
code: MR Breast
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 timing: Events: 2011-01-01 , Once per 1 year
resource: Bundle: type = collection
action
id
USPSTFRecommendationRecommendation Flag Extension: Overdue
title: Biennial screening mammo starting age 40
description: Biennial screening mammogram starting at age 40
code: MG Breast 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 timing: Events: 2021-01-01 , Once per 2 years
resource: Bundle: type = collection
Entry 3 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/150
Resource ServiceRequest:
Generated Narrative: ServiceRequest 150
basedOn: Breast Cancer Screening Service Request
status: option
intent: Proposal
code: MG Breast Screening
subject: Jane Doe
occurrence: 2024-01-01
reasonCode: Atypical biopsy
Entry 4 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/151
Resource ServiceRequest:
Generated Narrative: ServiceRequest 151
basedOn: Breast Cancer Screening Service Request
status: option
intent: Proposal
code: MR Breast
subject: Jane Doe
occurrence: 2024-01-01
reasonCode: Atypical biopsy high lifetime risk
Entry 5 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/152
Resource ServiceRequest:
Generated Narrative: ServiceRequest 152
basedOn: Breast Cancer Screening Service Request
status: option
intent: Proposal
code: MG Breast Screening
subject: Jane Doe
occurrence: 2011-01-01
reasonCode: High lifetime risk
Entry 6 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/153
Resource ServiceRequest:
Generated Narrative: ServiceRequest 153
basedOn: Breast Cancer Screening Service Request
status: option
intent: Proposal
code: MR Breast
subject: Jane Doe
occurrence: 2011-01-01
reasonCode: High lifetime risk
Entry 7 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/154
Resource ServiceRequest:
Generated Narrative: ServiceRequest 154
basedOn: Breast Cancer Screening Service Request
status: option
intent: Proposal
code: MG Breast Screening
subject: Jane Doe
occurrence: 2021-01-01
reasonCode: USPSTF average risk