Follow-up Screening Result Actions - Breast Cancer Screening and Management (BCSM) Clinical Decision Support (CDS) Implementation Guide v1.0.0

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

Library: Follow-up Screening Result Actions

Official URL: http://cancerscreeningcds.github.io/bcsm-cds/Library/FollowupScreeningResultActions				Version: 1.0.0
Draft as of 2025-02-28				Computable Name: FollowupScreeningResultActions

Title: Follow-up Screening Result Actions

Id: FollowupScreeningResultActions

Version: 1.0.0

Url: Follow-up Screening Result Actions

Status: draft

Type:

system: http://terminology.hl7.org/CodeSystem/library-type

code: logic-library

Date: 2025-02-28 23:16:14+0000

Publisher: MITRE

Related Artifacts:

Dependencies

http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1
http://cancerscreeningcds.github.io/bcsm-cds/Library/FHIRHelpers|4.0.1
DataElementsversion: null1.0.0)
BCSM Common Functionsversion: null1.0.0)
Follow-up Screening Result Eventsversion: null1.0.0)
CSM Common Functionsversion: null1.0.0)
Plan Definition Action Code System
Screening Observation Code System
SNOMED CT (all versions)
Biopsy Result Observation Code System
Logical Observation Identifiers, Names and Codes (LOINC)
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.394

Parameters:

Name	Type	Max	In/Out
Patient	Patient	1	Out
act-incompletescreen	Resource	1	Out
act-intervalscreen	Resource	1	Out
act-biopsy4	Resource	1	Out
act-biopsy5	Resource	1	Out
act-benignbiopsy	Resource	1	Out
act-highriskreferral	Resource	1	Out
act-indeterminatebiopsy	Resource	1	Out
act-discordantbiopsy	Resource	1	Out
act-oncreferral	Resource	1	Out

Data Requirements:

Type

Profile

MS

Code Filter

Patient

http://hl7.org/fhir/StructureDefinition/Patient

DiagnosticReport

http://hl7.org/fhir/StructureDefinition/DiagnosticReport

;;;;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.394

DiagnosticReport

http://hl7.org/fhir/StructureDefinition/DiagnosticReport

;;;;

code filter:
path: code

system: http://loinc.org

code: 66110-8

display: Breast Pathology biopsy report

DiagnosticReport

http://hl7.org/fhir/StructureDefinition/DiagnosticReport

;;;

Observation

http://hl7.org/fhir/StructureDefinition/Observation

;;;;

code filter:
path: code

system: http://loinc.org

code: 10193-1

display: Physical findings of Breasts Narrative

Observation

http://hl7.org/fhir/StructureDefinition/Observation

;;;;

code filter:
path: code

system: http://loinc.org

code: 66110-8

display: Breast Pathology biopsy report

Content: text/cql

/*  
  Author: CMS Alliance to Modernize Healthcare, operated by THE MITRE Corporation.

  (C) 2024 The MITRE Corporation. All Rights Reserved. 
  Approved for Public Release: 24-2711. 
  Distribution Unlimited.

  Unless otherwise noted, this work is available under an Apache 2.0 license. 
  It was produced by the MITRE Corporation for the Division of Cancer Prevention 
  and Control, Centers for Disease Control and Prevention in accordance with the 
  Statement of Work, contract number 75FCMC18D0047, task order number 75D30123F17931.
*/

library FollowupScreeningResultActions version '1.0.0'

using FHIR version '4.0.1'

include FHIRHelpers  version '4.0.1' called FHIRHelpers
include DataElements version '1.0.0' called DataElements
include BCSMCommonFunctions version '1.0.0' called BCSMCommon
include FollowupScreeningResultEvents version '1.0.0' called Events

codesystem "ActCode": 'http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system'
codesystem "LOCAL": 'http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system'
codesystem "SNOMED-CT": 'http://snomed.info/sct'
codesystem "BiopsyResultCS": 'http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/biopsy-result-observation-code-system'

// Act Codes
code "Determine next due date": 'determinenextdue' from "ActCode" display 'Determine next due date'
code "Follow-up radiologist recommendations": 'radiologyrecs' from "ActCode" display 'Follow-up radiologist recommendations'
code "Order interval imaging": 'intervalscreen' from "ActCode" display 'Order interval imaging'
code "Breast biopsy": 'breastbiopsy' from  "ActCode" display 'Breast biopsy'
code "Breast surgeon referral": 'surgicalreferral' from  "ActCode" display 'Breast surgeon referral'
code "Oncologic referral": 'oncreferral' from  "ActCode" display 'Oncologic referral'
// Reason Codes
code "Category0": '397138000' from "SNOMED-CT" display 'Mammography assessment (Category 0) - Need additional imaging evaluation (finding)'
code "Category3": '397143007' from "SNOMED-CT" display 'Mammography assessment (Category 3) - Probably benign finding, short interval follow-up (finding)'
code "Category4": '397144001' from "SNOMED-CT" display 'Mammography assessment (Category 4) - Suspicious abnormality, biopsy should be considered (finding)'
code "Category5": '397145000' from "SNOMED-CT" display 'Mammography assessment (Category 5) - Highly suggestive of malignancy (finding)'
code "Negative": 'Negative' from BiopsyResultCS display 'Normal breast tissue'
code "Benign": 'Benign' from BiopsyResultCS display 'Benign breast finding'
code "Atypical": 'Atypical' from BiopsyResultCS display 'Atypical breast finding'
code "Malignant": 'Malignant' from BiopsyResultCS display 'Malignant breast finding'
code "Indeterminate": 'Indeterminate' from BiopsyResultCS display 'Indeterminate breast finding'
code "Discordant": 'Discordant' from BiopsyResultCS display 'Discordant breast finding'

context Patient

define "act-incompletescreen":
  BCSMCommon.SetFollowupRecommendation(
    "Follow-up radiologist recommendations", 
    "Category0", 
    BCSMCommon.SourceDocumentationOther, 
    Events.LatestTest.date)     

define "act-intervalscreen":
  BCSMCommon.SetFollowupRecommendation(
    "Order interval imaging", 
    "Category3", 
    BCSMCommon.SourceDocumentationOther, 
    Events.LatestTest.date)  

define "act-biopsy4": 
  BCSMCommon.SetFollowupRecommendation(
    "Breast biopsy", 
    "Category4", 
    BCSMCommon.SourceDocumentationOther, 
    Events.LatestTest.date)    

define "act-biopsy5":
  BCSMCommon.SetFollowupRecommendation(
    "Breast biopsy", 
    "Category5", 
    BCSMCommon.SourceDocumentationOther, 
    Events.LatestTest.date)      

define "act-benignbiopsy":
  BCSMCommon.SetFollowupRecommendation(
    "Determine next due date", 
    "Benign", 
    BCSMCommon.SourceDocumentationOther, 
    Events.LatestTest.date)    

define "act-highriskreferral":
  BCSMCommon.SetFollowupRecommendation(
    "Breast surgeon referral", 
    "Atypical", 
    BCSMCommon.SourceDocumentationOther, 
    Events.LatestTest.date)    

define "act-indeterminatebiopsy":
  BCSMCommon.SetFollowupRecommendation(
    "Breast surgeon referral", 
    "Indeterminate", 
    BCSMCommon.SourceDocumentationOther, 
    Events.LatestTest.date)    

define "act-discordantbiopsy":
  BCSMCommon.SetFollowupRecommendation(
    "Breast surgeon referral", 
    "Discordant", 
    BCSMCommon.SourceDocumentationOther, 
    Events.LatestTest.date)    

define "act-oncreferral": 
  BCSMCommon.SetFollowupRecommendation(
    "Oncologic referral", 
    "Malignant", 
    BCSMCommon.SourceDocumentationOther, 
    Events.LatestTest.date)

Content: application/elm+xml
`Encoded data (53516 characters)`

Content: application/elm+json
`Encoded data (90520 characters)`

IG © 2025+ MITRE. Package cancerscreeningcds.fhir.us.bcsm-cds#1.0.0 based on FHIR 4.0.1. Generated 2025-02-28
Links: Table of Contents | QA Report