Generated Narrative: Bundle PrimaryScreeningDecision_act-lactating__act-avgrisk

Bundle PrimaryScreeningDecision_act-lactating__act-avgrisk of type collection

Entry 1 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/51

Resource CarePlan:

Generated Narrative: CarePlan 51

instantiatesCanonical: Primary Screening Decision

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/52

Resource RequestGroup:

Generated Narrative: RequestGroup 52

instantiatesCanonical: Primary Screening Decision

status: Draft

intent: Proposal

subject: Jane Doe

action

id

SDMDelayScreeningLactating

title: Shared decision making to delay screening based on lactation status

description: There is no contraindication to screening mammography during lactation, however sensitivity and specificity are decreased. For average risk patients, consider a short delay in routine breast imaging until after lactation, particularly if they are not planning prolonged breastfeeding.

code: Shared decision making to consider delay in screening

resource: Bundle: type = collection

action

id

ACSMammoAvgRiskAgeUnder45

Recommendation Flag Extension: Overdue

title: Annual screening mammogram starting age 40

description: Women between 40 and 44 have the option to start screening with a mammogram every year.

code: MG Breast 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

timing: Events: 2021-01-01 , Once per 1 year

resource: Bundle: type = collection

action

id

USPSTFAvgRisk

Recommendation Flag Extension: Overdue

title: Biennial screening mammogram 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/53

Resource CommunicationRequest:

Generated Narrative: CommunicationRequest 53

basedOn: Communicate Shared Decision Making to Delay Screening

status: option

subject: Jane Doe

Payloads

-	Content[x]
*	Shared decision making to delay screening

reasonCode: Currently lactating

Entry 4 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/54

Resource ServiceRequest:

Generated Narrative: ServiceRequest 54

basedOn: Breast Cancer Screening Service Request

status: option

intent: Proposal

code: MG Breast Screening

subject: Jane Doe

occurrence: 2021-01-01

reasonCode: ACS average risk

Entry 5 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/55

Resource ServiceRequest:

Generated Narrative: ServiceRequest 55

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