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 DecisionToScreen_act-sdmcontinuelifexp__end-decisionspecialpop
Bundle DecisionToScreen_act-sdmcontinuelifexp__end-decisionspecialpop of type collection
Entry 1 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/291
Resource CarePlan:
Generated Narrative: CarePlan 291
instantiatesCanonical: Decision to Screen
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/292
Resource RequestGroup:
Generated Narrative: RequestGroup 292
instantiatesCanonical: Decision to Screen
status: Draft
intent: Proposal
subject: Jane Doe
action
id
SDMContinueScreeningLifeExptitle: Shared decision making to continue screening based on life expectancy
description: Decision to continue screening mammography in cases of limited life expectancy should be based on shared decision-making. ACS advises that women should continue screening mammography as long as their overall health is good and they have a life expectancy of 10 years or more. Life expectancy is generally defined as having greater than a 50% probability of surviving 10 years. A validated tool such as www.eprognosis.com can help guide decision making.
code: Shared decision making to continue screening
Documentations
Type Label Display Citation Url Citation ACS Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society Saslow D, Boetes C, Burke W, Harms S, Leach MO, Lehman CD, Morris E, Pisano E, Schnall M, Sener S, Smith RA, Warner E, Yaffe M, Andrews KS, Russell CA; American Cancer Society Breast Cancer Advisory Group. American Cancer Society guidelines for breast screening with MRI as an adjunct to mammography. CA Cancer J Clin. 2007 Mar-Apr;57(2):75-89.
https://jamanetwork.com/journals/jama/fullarticle/2463262 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/CommunicationRequest/293
Resource CommunicationRequest:
Generated Narrative: CommunicationRequest 293
basedOn: Communicate Shared Decision Making to Continue Screening
status: option
subject: Jane Doe
Payloads
Content[x] Shared decision making to continue screening reasonCode: Reduced life expectancy indicator
Entry 4 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/294
Resource ServiceRequest:
Generated Narrative: ServiceRequest 294
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 5 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/295
Resource ServiceRequest:
Generated Narrative: ServiceRequest 295
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 6 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/296
Resource ServiceRequest:
Generated Narrative: ServiceRequest 296
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