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
| Draft as of 2025-02-28 |
{
"resourceType" : "CodeSystem",
"id" : "screening-observation-code-system",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem screening-observation-code-system</b></p><a name=\"screening-observation-code-system\"> </a><a name=\"hcscreening-observation-code-system\"> </a><a name=\"screening-observation-code-system-en-US\"> </a><p>This code system <code>http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\">eligibleforscreening<a name=\"screening-observation-code-system-eligibleforscreening\"> </a></td><td>Eligible for screening</td></tr><tr><td style=\"white-space:nowrap\">missingageorbirthdate<a name=\"screening-observation-code-system-missingageorbirthdate\"> </a></td><td>Missing patient age in years or birth date</td></tr><tr><td style=\"white-space:nowrap\">notassignedfemaleatbirth<a name=\"screening-observation-code-system-notassignedfemaleatbirth\"> </a></td><td>Not assigned female at birth</td></tr><tr><td style=\"white-space:nowrap\">screeningcomplete<a name=\"screening-observation-code-system-screeningcomplete\"> </a></td><td>Screening complete</td></tr><tr><td style=\"white-space:nowrap\">USPSTFaveragerisk<a name=\"screening-observation-code-system-USPSTFaveragerisk\"> </a></td><td>USPSTF average risk</td></tr><tr><td style=\"white-space:nowrap\">ACSaveragerisk<a name=\"screening-observation-code-system-ACSaveragerisk\"> </a></td><td>ACS average risk</td></tr><tr><td style=\"white-space:nowrap\">currentbreastcancer<a name=\"screening-observation-code-system-currentbreastcancer\"> </a></td><td>Current breast cancer</td></tr><tr><td style=\"white-space:nowrap\">bilatmastectomy<a name=\"screening-observation-code-system-bilatmastectomy\"> </a></td><td>Bilateral mastectomy</td></tr><tr><td style=\"white-space:nowrap\">breastsymptomsorfindings<a name=\"screening-observation-code-system-breastsymptomsorfindings\"> </a></td><td>New or worsening breast symptoms or findings</td></tr><tr><td style=\"white-space:nowrap\">ageover74<a name=\"screening-observation-code-system-ageover74\"> </a></td><td>Age over 74 years</td></tr><tr><td style=\"white-space:nowrap\">lifeexp<a name=\"screening-observation-code-system-lifeexp\"> </a></td><td>Reduced life expectancy indicator</td></tr><tr><td style=\"white-space:nowrap\">currentlylactating<a name=\"screening-observation-code-system-currentlylactating\"> </a></td><td>Currently lactating</td></tr><tr><td style=\"white-space:nowrap\">othergeneticrisk<a name=\"screening-observation-code-system-othergeneticrisk\"> </a></td><td>Other genetic marker or syndrome associated with breast cancer</td></tr><tr><td style=\"white-space:nowrap\">hxbreastca<a name=\"screening-observation-code-system-hxbreastca\"> </a></td><td>Previous breast cancer</td></tr><tr><td style=\"white-space:nowrap\">hxbreastcawithin5y<a name=\"screening-observation-code-system-hxbreastcawithin5y\"> </a></td><td>Breast cancer within 5 years</td></tr><tr><td style=\"white-space:nowrap\">geneticriskexclusion<a name=\"screening-observation-code-system-geneticriskexclusion\"> </a></td><td>Genetic risk exclusion</td></tr><tr><td style=\"white-space:nowrap\">chestxrt<a name=\"screening-observation-code-system-chestxrt\"> </a></td><td>History of chest radiation ages 10-30 y</td></tr><tr><td style=\"white-space:nowrap\">atypicalbx<a name=\"screening-observation-code-system-atypicalbx\"> </a></td><td>Atypical biopsy</td></tr><tr><td style=\"white-space:nowrap\">atypicalbxhighlifetimerisk<a name=\"screening-observation-code-system-atypicalbxhighlifetimerisk\"> </a></td><td>Atypical biopsy high lifetime risk</td></tr><tr><td style=\"white-space:nowrap\">highlifetimerisk<a name=\"screening-observation-code-system-highlifetimerisk\"> </a></td><td>High lifetime risk</td></tr><tr><td style=\"white-space:nowrap\">firstdeggenetic<a name=\"screening-observation-code-system-firstdeggenetic\"> </a></td><td>First degree relative with genetic marker or syndrome</td></tr><tr><td style=\"white-space:nowrap\">breastdensitycord<a name=\"screening-observation-code-system-breastdensitycord\"> </a></td><td>BI-RADS breast density category C or D</td></tr><tr><td style=\"white-space:nowrap\">fhxbreastcarisk<a name=\"screening-observation-code-system-fhxbreastcarisk\"> </a></td><td>Compelling family history of breast cancer</td></tr><tr><td style=\"white-space:nowrap\">fhxgenetic<a name=\"screening-observation-code-system-fhxgenetic\"> </a></td><td>Family history of inherited cancer susceptibility</td></tr><tr><td style=\"white-space:nowrap\">brcageneancestry<a name=\"screening-observation-code-system-brcageneancestry\"> </a></td><td>Ancestry associated with BRCA1/2 gene mutations</td></tr><tr><td style=\"white-space:nowrap\">fhxbrcaovcatubalperit<a name=\"screening-observation-code-system-fhxbrcaovcatubalperit\"> </a></td><td>Family history of breast, ovarian, tubal, or peritoneal cancer</td></tr><tr><td style=\"white-space:nowrap\">highfamilialrisk<a name=\"screening-observation-code-system-highfamilialrisk\"> </a></td><td>High familial risk</td></tr><tr><td style=\"white-space:nowrap\">high5yrisk<a name=\"screening-observation-code-system-high5yrisk\"> </a></td><td>High 5 year risk</td></tr><tr><td style=\"white-space:nowrap\">higherthanaverage5yrisk<a name=\"screening-observation-code-system-higherthanaverage5yrisk\"> </a></td><td>5 year risk at least 1.67%</td></tr><tr><td style=\"white-space:nowrap\">riskfactors<a name=\"screening-observation-code-system-riskfactors\"> </a></td><td>Personal or family history risk factors</td></tr><tr><td style=\"white-space:nowrap\">BreastSymptoms<a name=\"screening-observation-code-system-BreastSymptoms\"> </a></td><td>New or worsening breast symptoms</td></tr><tr><td style=\"white-space:nowrap\">BreastFindings<a name=\"screening-observation-code-system-BreastFindings\"> </a></td><td>New or worsening breast exam findings</td></tr><tr><td style=\"white-space:nowrap\">GeneticMarkerOrSyndrome<a name=\"screening-observation-code-system-GeneticMarkerOrSyndrome\"> </a></td><td>Genetic marker or syndrome associated with breast cancer</td></tr><tr><td style=\"white-space:nowrap\">KnownVariantStatus<a name=\"screening-observation-code-system-KnownVariantStatus\"> </a></td><td>Known breast cancer variant status</td></tr><tr><td style=\"white-space:nowrap\">PersonalRiskFactors<a name=\"screening-observation-code-system-PersonalRiskFactors\"> </a></td><td>Personal risk factors conferring increased risk of breast cancer</td></tr></table></div>"
},
"url" : "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system",
"version" : "1.0.0",
"name" : "ScreeningObservationCodeSystem",
"title" : "Screening Observation Code System",
"status" : "draft",
"experimental" : true,
"date" : "2025-02-28T23:16:14+00:00",
"publisher" : "MITRE",
"contact" : [
{
"name" : "MITRE",
"telecom" : [
{
"system" : "url",
"value" : "https://www.mitre.org/"
}
]
}
],
"description" : "Code representing breast cancer screening related observations",
"content" : "complete",
"count" : 35,
"concept" : [
{
"code" : "eligibleforscreening",
"display" : "Eligible for screening"
},
{
"code" : "missingageorbirthdate",
"display" : "Missing patient age in years or birth date"
},
{
"code" : "notassignedfemaleatbirth",
"display" : "Not assigned female at birth"
},
{
"code" : "screeningcomplete",
"display" : "Screening complete"
},
{
"code" : "USPSTFaveragerisk",
"display" : "USPSTF average risk"
},
{
"code" : "ACSaveragerisk",
"display" : "ACS average risk"
},
{
"code" : "currentbreastcancer",
"display" : "Current breast cancer"
},
{
"code" : "bilatmastectomy",
"display" : "Bilateral mastectomy"
},
{
"code" : "breastsymptomsorfindings",
"display" : "New or worsening breast symptoms or findings"
},
{
"code" : "ageover74",
"display" : "Age over 74 years"
},
{
"code" : "lifeexp",
"display" : "Reduced life expectancy indicator"
},
{
"code" : "currentlylactating",
"display" : "Currently lactating"
},
{
"code" : "othergeneticrisk",
"display" : "Other genetic marker or syndrome associated with breast cancer"
},
{
"code" : "hxbreastca",
"display" : "Previous breast cancer"
},
{
"code" : "hxbreastcawithin5y",
"display" : "Breast cancer within 5 years"
},
{
"code" : "geneticriskexclusion",
"display" : "Genetic risk exclusion"
},
{
"code" : "chestxrt",
"display" : "History of chest radiation ages 10-30 y"
},
{
"code" : "atypicalbx",
"display" : "Atypical biopsy"
},
{
"code" : "atypicalbxhighlifetimerisk",
"display" : "Atypical biopsy high lifetime risk"
},
{
"code" : "highlifetimerisk",
"display" : "High lifetime risk"
},
{
"code" : "firstdeggenetic",
"display" : "First degree relative with genetic marker or syndrome"
},
{
"code" : "breastdensitycord",
"display" : "BI-RADS breast density category C or D"
},
{
"code" : "fhxbreastcarisk",
"display" : "Compelling family history of breast cancer"
},
{
"code" : "fhxgenetic",
"display" : "Family history of inherited cancer susceptibility"
},
{
"code" : "brcageneancestry",
"display" : "Ancestry associated with BRCA1/2 gene mutations"
},
{
"code" : "fhxbrcaovcatubalperit",
"display" : "Family history of breast, ovarian, tubal, or peritoneal cancer"
},
{
"code" : "highfamilialrisk",
"display" : "High familial risk"
},
{
"code" : "high5yrisk",
"display" : "High 5 year risk"
},
{
"code" : "higherthanaverage5yrisk",
"display" : "5 year risk at least 1.67%"
},
{
"code" : "riskfactors",
"display" : "Personal or family history risk factors"
},
{
"code" : "BreastSymptoms",
"display" : "New or worsening breast symptoms"
},
{
"code" : "BreastFindings",
"display" : "New or worsening breast exam findings"
},
{
"code" : "GeneticMarkerOrSyndrome",
"display" : "Genetic marker or syndrome associated with breast cancer"
},
{
"code" : "KnownVariantStatus",
"display" : "Known breast cancer variant status"
},
{
"code" : "PersonalRiskFactors",
"display" : "Personal risk factors conferring increased risk of breast cancer"
}
]
}