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-sdmcontinuelifexp__act-lactating__act-avgrisk
Bundle PrimaryScreeningDecision_act-sdmcontinuelifexp__act-lactating__act-avgrisk of type collection
Entry 1 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/94
Resource CarePlan:
Generated Narrative: CarePlan 94
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/95
Resource RequestGroup:
Generated Narrative: RequestGroup 95
instantiatesCanonical: Primary Screening Decision
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
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
ACSMammoAvgRiskAgeUnder45Recommendation 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
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: 2021-01-01 , Once per 2 years
resource: Bundle: type = collection
Entry 3 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/96
Resource CommunicationRequest:
Generated Narrative: CommunicationRequest 96
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/CommunicationRequest/97
Resource CommunicationRequest:
Generated Narrative: CommunicationRequest 97
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/98
Resource ServiceRequest:
Generated Narrative: ServiceRequest 98
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 6 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/99
Resource ServiceRequest:
Generated Narrative: ServiceRequest 99
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