High Risk Exclusions Events - 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: High Risk Exclusions Events

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

Title: High Risk Exclusions Events

Id: HighRiskExclusionsEvents

Version: 1.0.0

Url: High Risk Exclusions Events

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)
CSM Common Functionsversion: null1.0.0)
CDS Connect Commons for FHIRv401version: null1.0.0)
BCSM Common Functionsversion: null1.0.0)
Screening Observation Code System
ConditionVerificationStatus
Condition Clinical Status Codes
Logical Observation Identifiers, Names and Codes (LOINC)
Biopsy Result Observation Code System
Plan Definition Action Code System
SNOMED CT (all versions)
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.367
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.383
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.392
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.379
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.380

Parameters:

Name	Type	Max	In/Out
encounter	string	1	In
ObservationLookbackPeriod	Quantity	1	In
Patient	Patient	1	Out
eve-geneticrisk	boolean	1	Out
eve-chestxrt	boolean	1	Out
eve-hxbreastca	boolean	1	Out
eve-hxbreastcawithin5y	boolean	1	Out
eve-atypicalbx	boolean	1	Out
eve-nolifetimerisk	boolean	1	Out
eve-highlifetimerisk	boolean	1	Out
eve-acsgeneticrisk	boolean	1	Out

Data Requirements:

Type

Profile

MS

Code Filter

Patient

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

Condition

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

;;;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.383

Condition

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

;;;;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.367

Condition

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

;;;;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.383 code filter:
path: clinicalStatus

Condition

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

;;;;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.367 code filter:
path: clinicalStatus code filter:
path: clinicalStatus code filter:
path: clinicalStatus

Condition

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

;;;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.392

Condition

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

;;;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.379

Condition

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

;;;

code filter:
path: code
value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.380

Condition

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

;;;

code filter:
path: code

system: http://snomed.info/sct

code: 428850001

display: Li-Fraumeni syndrome (disorder)

Condition

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

;;;

code filter:
path: code

system: http://snomed.info/sct

code: 58037000

display: Cowden syndrome (disorder)

Condition

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

;;;

code filter:
path: code

system: http://snomed.info/sct

code: 234138005

display: Bannayan syndrome (disorder)

Observation

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

;;;;;;;;;;

code filter:
path: code

system: http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system

code: hxbreastcawithin5y

display: Breast cancer within 5 years

code filter:
path: encounter.reference

Observation

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

;;;;;;;;

code filter:
path: code

system: http://loinc.org

code: 66110-8

display: Breast Pathology biopsy report

Observation

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

;;;;;;;;

code filter:
path: code

system: http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system

code: lifetimeriskassessment

display: Lifetime risk assessment

Observation

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

;;;;;;;;

code filter:
path: code

system: http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system

code: hxbreastcawithin5y

display: Breast cancer within 5 years

DiagnosticReport

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

;;;

DiagnosticReport

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

;;;;

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 HighRiskExclusionsEvents 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 CSMCommonFunctions version '1.0.0' called Common
include CDSConnectCommonsforFHIRv401 version '1.0.0' called C3F

codesystem "LOCAL": 'http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system'

parameter encounter String default null
parameter ObservationLookbackPeriod default 14 days

context Patient

define "eve-geneticrisk":
  DataElements."de-geneticrisk"

define "eve-chestxrt":
  DataElements."de-chestxrtage10to30"

define "eve-hxbreastca":
  exists DataElements."de-hxbreastca"

define "eve-hxbreastcawithin5y":
  DataElements."de-hxbreastcawithin5y"

define "eve-atypicalbx":
  DataElements."de-atypicalbx"

define "eve-nolifetimerisk":
  DataElements."MostRecentLifetimeRiskAssessment" is null or
  DataElements."MostRecentAtypicalBiopsyDate" after Common.ObservationDate(DataElements."MostRecentLifetimeRiskAssessment")

define "eve-highlifetimerisk":
  DataElements."de-highlifetimerisk"

define "eve-acsgeneticrisk":
  DataElements."de-acsgeneticrisk"

Content: application/elm+xml
`Encoded data (19528 characters)`

Content: application/elm+json
`Encoded data (32228 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