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 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="screening-observation-code-system"/>
<text>
<status value="generated"/>
<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>
</text>
<url
value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"/>
<version value="1.0.0"/>
<name value="ScreeningObservationCodeSystem"/>
<title value="Screening Observation Code System"/>
<status value="draft"/>
<experimental value="true"/>
<date value="2025-02-28T23:16:14+00:00"/>
<publisher value="MITRE"/>
<contact>
<name value="MITRE"/>
<telecom>
<system value="url"/>
<value value="https://www.mitre.org/"/>
</telecom>
</contact>
<description
value="Code representing breast cancer screening related observations"/>
<content value="complete"/>
<count value="35"/>
<concept>
<code value="eligibleforscreening"/>
<display value="Eligible for screening"/>
</concept>
<concept>
<code value="missingageorbirthdate"/>
<display value="Missing patient age in years or birth date"/>
</concept>
<concept>
<code value="notassignedfemaleatbirth"/>
<display value="Not assigned female at birth"/>
</concept>
<concept>
<code value="screeningcomplete"/>
<display value="Screening complete"/>
</concept>
<concept>
<code value="USPSTFaveragerisk"/>
<display value="USPSTF average risk"/>
</concept>
<concept>
<code value="ACSaveragerisk"/>
<display value="ACS average risk"/>
</concept>
<concept>
<code value="currentbreastcancer"/>
<display value="Current breast cancer"/>
</concept>
<concept>
<code value="bilatmastectomy"/>
<display value="Bilateral mastectomy"/>
</concept>
<concept>
<code value="breastsymptomsorfindings"/>
<display value="New or worsening breast symptoms or findings"/>
</concept>
<concept>
<code value="ageover74"/>
<display value="Age over 74 years"/>
</concept>
<concept>
<code value="lifeexp"/>
<display value="Reduced life expectancy indicator"/>
</concept>
<concept>
<code value="currentlylactating"/>
<display value="Currently lactating"/>
</concept>
<concept>
<code value="othergeneticrisk"/>
<display
value="Other genetic marker or syndrome associated with breast cancer"/>
</concept>
<concept>
<code value="hxbreastca"/>
<display value="Previous breast cancer"/>
</concept>
<concept>
<code value="hxbreastcawithin5y"/>
<display value="Breast cancer within 5 years"/>
</concept>
<concept>
<code value="geneticriskexclusion"/>
<display value="Genetic risk exclusion"/>
</concept>
<concept>
<code value="chestxrt"/>
<display value="History of chest radiation ages 10-30 y"/>
</concept>
<concept>
<code value="atypicalbx"/>
<display value="Atypical biopsy"/>
</concept>
<concept>
<code value="atypicalbxhighlifetimerisk"/>
<display value="Atypical biopsy high lifetime risk"/>
</concept>
<concept>
<code value="highlifetimerisk"/>
<display value="High lifetime risk"/>
</concept>
<concept>
<code value="firstdeggenetic"/>
<display value="First degree relative with genetic marker or syndrome"/>
</concept>
<concept>
<code value="breastdensitycord"/>
<display value="BI-RADS breast density category C or D"/>
</concept>
<concept>
<code value="fhxbreastcarisk"/>
<display value="Compelling family history of breast cancer"/>
</concept>
<concept>
<code value="fhxgenetic"/>
<display value="Family history of inherited cancer susceptibility"/>
</concept>
<concept>
<code value="brcageneancestry"/>
<display value="Ancestry associated with BRCA1/2 gene mutations"/>
</concept>
<concept>
<code value="fhxbrcaovcatubalperit"/>
<display
value="Family history of breast, ovarian, tubal, or peritoneal cancer"/>
</concept>
<concept>
<code value="highfamilialrisk"/>
<display value="High familial risk"/>
</concept>
<concept>
<code value="high5yrisk"/>
<display value="High 5 year risk"/>
</concept>
<concept>
<code value="higherthanaverage5yrisk"/>
<display value="5 year risk at least 1.67%"/>
</concept>
<concept>
<code value="riskfactors"/>
<display value="Personal or family history risk factors"/>
</concept>
<concept>
<code value="BreastSymptoms"/>
<display value="New or worsening breast symptoms"/>
</concept>
<concept>
<code value="BreastFindings"/>
<display value="New or worsening breast exam findings"/>
</concept>
<concept>
<code value="GeneticMarkerOrSyndrome"/>
<display
value="Genetic marker or syndrome associated with breast cancer"/>
</concept>
<concept>
<code value="KnownVariantStatus"/>
<display value="Known breast cancer variant status"/>
</concept>
<concept>
<code value="PersonalRiskFactors"/>
<display
value="Personal risk factors conferring increased risk of breast cancer"/>
</concept>
</CodeSystem>