<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 certain risk factors 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="2011-01-01"/> <repeat> <boundsPeriod> <start value="2011-01-01"/> </boundsPeriod> <frequency value="1"/> <period value="1"/> <periodUnit value="a"/> </repeat> </timingTiming> <resource> <reference value="ServiceRequest/547"/> </resource> </action> <action id="ACSFirstDegGeneticMri"> <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 MRI starting age 30"/> <description value="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> <coding> <system value="http://loinc.org"/> <code value="30794-2"/> <display value="MR Breast"/> </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> <timingTiming> <event value="2011-01-01"/> <repeat> <boundsPeriod> <start value="2011-01-01"/> </boundsPeriod> <frequency value="1"/> <period value="1"/> <periodUnit value="a"/> </repeat> </timingTiming> <resource> <reference value="ServiceRequest/548"/> </resource> </action> <action id="USPSTFRecommendation"> <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="Biennial screening mammo starting age 40"/> <description value="Biennial screening mammogram starting at age 40"/> <code> <coding> <system value="http://loinc.org"/> <code value="24606-6"/> <display value="MG Breast 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> <timingTiming> <event value="2021-01-01"/> <repeat> <boundsPeriod> <start value="2021-01-01"/> </boundsPeriod> <frequency value="1"/> <period value="2"/> <periodUnit value="a"/> </repeat> </timingTiming> <resource> <reference value="ServiceRequest/549"/> </resource> </action> </RequestGroup> </resource> </entry> <entry> <fullUrl value="http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/547"/> <resource> <ServiceRequest> <id value="547"/> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_547"> </a>Generated Narrative: ServiceRequest 547<a name="547"> </a><a name="hc547"> </a><a name="547-en-US"> </a>basedOn: <a href="ActivityDefinition-BreastCancerScreeningServiceRequest.html">Breast Cancer Screening Service Request</a>status: optionintent: Proposalcode: MG Breast Screeningsubject: <a href="Bundle-eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#Patient_defaultPatient">Jane Doe</a>occurrence: 2011-01-01reasonCode: First degree relative with genetic marker or syndrome</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/defaultPatient"/> <display value="Jane Doe"/> </subject> <occurrenceDateTime value="2011-01-01"/> <reasonCode> <coding> <system value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"/> <code value="firstdeggenetic"/> <display value="First degree relative with genetic marker or syndrome"/> </coding> </reasonCode> </ServiceRequest> </resource> </entry> <entry> <fullUrl value="http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/548"/> <resource> <ServiceRequest> <id value="548"/> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_548"> </a>Generated Narrative: ServiceRequest 548<a name="548"> </a><a name="hc548"> </a><a name="548-en-US"> </a>basedOn: <a href="ActivityDefinition-BreastCancerScreeningServiceRequest.html">Breast Cancer Screening Service Request</a>status: optionintent: Proposalcode: MR Breastsubject: <a href="Bundle-eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#Patient_defaultPatient">Jane Doe</a>occurrence: 2011-01-01reasonCode: First degree relative with genetic marker or syndrome</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="30794-2"/> <display value="MR Breast"/> </coding> </code> <subject> <reference value="Patient/defaultPatient"/> <display value="Jane Doe"/> </subject> <occurrenceDateTime value="2011-01-01"/> <reasonCode> <coding> <system value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"/> <code value="firstdeggenetic"/> <display value="First degree relative with genetic marker or syndrome"/> </coding> </reasonCode> </ServiceRequest> </resource> </entry> <entry> <fullUrl value="http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/549"/> <resource> <ServiceRequest> <id value="549"/> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_549"> </a>Generated Narrative: ServiceRequest 549<a name="549"> </a><a name="hc549"> </a><a name="549-en-US"> </a>basedOn: <a href="ActivityDefinition-BreastCancerScreeningServiceRequest.html">Breast Cancer Screening Service Request</a>status: optionintent: Proposalcode: MG Breast Screeningsubject: <a href="Bundle-eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#Patient_defaultPatient">Jane Doe</a>occurrence: 2021-01-01reasonCode: USPSTF average risk</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/defaultPatient"/> <display value="Jane Doe"/> </subject> <occurrenceDateTime value="2021-01-01"/> <reasonCode> <coding> <system value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"/> <code value="USPSTFaveragerisk"/> <display value="USPSTF average risk"/> </coding> </reasonCode> </ServiceRequest> </resource> </entry> </Bundle>

Generated Narrative: RequestGroup 546

instantiatesCanonical: Special Populations

status: Draft

intent: Proposal

subject: Jane Doe

action
id
ACSFirstDegGeneticMammo
Recommendation Flag Extension: Overdue
title: Annual screening mammo 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
ACSFirstDegGeneticMri
Recommendation 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
USPSTFRecommendation
Recommendation 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

Activities

Documentations

Documentations

Documentations