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_eve-breastdensitycord_act-performriskassessment
Bundle PrimaryScreeningDecision_eve-breastdensitycord_act-performriskassessment of type collection
Entry 1 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/155
Resource CarePlan:
Generated Narrative: CarePlan 155
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/156
Resource RequestGroup:
Generated Narrative: RequestGroup 156
instantiatesCanonical: Primary Screening Decision
status: Draft
intent: Proposal
subject: Jane Doe
action
id
BreastImagingHeterogenouslyOrExtremelyDensetitle: Perform lifetime risk assessment
description: Consider performing assessment of lifetime risk, as defined by models largely dependent on family history. If estimated lifetime risk is >20%, based on informal assessment or assessment using validated risk model, then patient is eligible for annual screening mammogram starting at age 30 and supplemental screening with annual screening MRI. Otherwise, patient can be offered annual screening mammogram starting at age 40. Validated tools include BRCAPRO, Claus, BOADICEA [Breast and Ovarian Analysis of Disease Incidence and Carrier Estimation Algorithm], and Tyrer-Cuzick.
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 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/ServiceRequest/157
Resource ServiceRequest:
Generated Narrative: ServiceRequest 157
basedOn: Breast Cancer Screening Service Request
status: option
intent: Proposal
subject: Jane Doe
reasonCode: BI-RADS breast density category C or D
Entry 4 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/158
Resource ServiceRequest:
Generated Narrative: ServiceRequest 158
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