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 PrimaryScreeningDecision_act-sdmcontinueage__act-lactating__act-avgrisk
Bundle PrimaryScreeningDecision_act-sdmcontinueage__act-lactating__act-avgrisk of type collection
Entry 1 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/65
Resource CarePlan:
Generated Narrative: CarePlan 65
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/66
Resource RequestGroup:
Generated Narrative: RequestGroup 66
instantiatesCanonical: Primary Screening Decision
status: Draft
intent: Proposal
subject: Jane Doe
action
id
SDMContinueScreeningAgetitle: Shared decision making to continue screening based on age
description: Decision to continue screening mammography in average risk women age 75 years or older should be based on shared decision-making. The USPSTF concludes that the evidence is insufficient to determine the balance of benefits and harms of screening mammography in women 75 years or older.
code: Shared decision making to continue 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 resource: Bundle: type = collection
action
id
SDMDelayScreeningLactatingtitle: 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
ACSMammoAvgRiskAgeOver54Recommendation Flag Extension: Overdue
title: Biennial screening mammogram after age 54
description: Biennial screening mammogram is recommended after age 54. Women 55 and older can switch to a mammogram every other year, or they can choose to continue yearly mammograms. Screening should continue as long as a woman is in good health and is expected to live at least 10 more years.
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: 1985-01-01 , Once per 2 years
resource: Bundle: type = collection
action
id
USPSTFAvgRiskRecommendation 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: 1985-01-01 , Once per 2 years
resource: Bundle: type = collection
Entry 3 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/67
Resource CommunicationRequest:
Generated Narrative: CommunicationRequest 67
basedOn: Communicate Shared Decision Making to Continue Screening
status: option
subject: Jane Doe
Payloads
Content[x] Shared decision making to continue screening reasonCode: Age over 74 years
Entry 4 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/68
Resource CommunicationRequest:
Generated Narrative: CommunicationRequest 68
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 5 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/69
Resource ServiceRequest:
Generated Narrative: ServiceRequest 69
basedOn: Breast Cancer Screening Service Request
status: option
intent: Proposal
code: MG Breast Screening
subject: Jane Doe
occurrence: 1985-01-01
reasonCode: ACS average risk
Entry 6 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/70
Resource ServiceRequest:
Generated Narrative: ServiceRequest 70
basedOn: Breast Cancer Screening Service Request
status: option
intent: Proposal
code: MG Breast Screening
subject: Jane Doe
occurrence: 1985-01-01
reasonCode: USPSTF average risk