/*
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 HighRiskReferralActions version '1.0.0'
using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1' called FHIRHelpers
include BCSMCommonFunctions version '1.0.0' called BCSMCommon
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 "BiopsyResultCS": 'http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/biopsy-result-observation-code-system'
// Act Codes
code "5 year risk assessment tool": '5yrisktool' from "ActCode" display '5 year risk assessment tool'
code "Perform informal 5 year risk assessment": '5YRiskAssess' from "ActCode" display 'Perform informal 5 year risk assessment'
code "High risk referral": 'highriskreferral' from "ActCode" display 'High risk referral'
code "Consider life expectancy": 'estlifexpectancy' from "ActCode" display 'Consider life expectancy'
// Reason Codes
code "High familial risk": 'highfamilialrisk' from "LOCAL" display 'High familial risk'
code "History of chest radiation ages 10-30 y": 'chestxrt' from "LOCAL" display 'History of chest radiation ages 10-30 y'
code "Atypical breast finding": 'Atypical' from BiopsyResultCS display 'Atypical breast finding'
code "High 5 year risk": 'high5yrisk' from "LOCAL" display 'High 5 year risk'
code "5 year risk at least 1.67%": 'higherthanaverage5yrisk' from "LOCAL" display '5 year risk at least 1.67%'
code "Personal or family history risk factors": 'riskfactors' from "LOCAL" display 'Personal or family history risk factors'
context Patient
define "act-estlifexpectancy":
{
code: "Consider life expectancy",
reason: null,
documentation: BCSMCommon.SourceDocumentationUSPSTF
}
define "act-HighRiskReferralGenetic":
{
code: "High risk referral",
reason: "High familial risk",
documentation: BCSMCommon.SourceDocumentationUSPSTF
}
define "act-HighRiskReferralChestXRT":
{
code: "High risk referral",
reason: "History of chest radiation ages 10-30 y",
documentation: BCSMCommon.SourceDocumentationUSPSTF
}
define "act-HighRiskReferralAtypicalBiopsy":
{
code: "High risk referral",
reason: "Atypical breast finding",
documentation: BCSMCommon.SourceDocumentationUSPSTF
}
define "act-HighRiskReferral":
{
code: "High risk referral",
reason: "High 5 year risk",
documentation: BCSMCommon.SourceDocumentationUSPSTF
}
define "act-ConsiderHighRiskReferral":
{
code: "High risk referral",
reason: "5 year risk at least 1.67%",
documentation: BCSMCommon.SourceDocumentationUSPSTF
}
define "act-5YRiskAssessment":
{
code: "Perform informal 5 year risk assessment",
reason: "Personal or family history risk factors",
documentation: BCSMCommon.SourceDocumentationUSPSTF
}
define "act-5YRiskAssessmentTool":
{
code: "5 year risk assessment tool",
reason: "Personal or family history risk factors",
documentation: BCSMCommon.SourceDocumentationUSPSTF
}
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