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 2024-10-22 |
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:PlanDefinition ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "flow-AverageRisk"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-computableplandefinition"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-computableplandefinition> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">flow-AverageRisk</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-flow-AverageRisk.html\">Average Risk</a></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">1.0.0</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">Average Risk</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Status: </b></th>\n <td style=\"padding-left: 4px;\">draft</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Experimental: </b></th>\n <td style=\"padding-left: 4px;\">true</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://terminology.hl7.org/6.2.0/CodeSystem-plan-definition-type.html\">http://terminology.hl7.org/CodeSystem/plan-definition-type</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>eca-rule</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Date: </b></th>\n <td style=\"padding-left: 4px;\">2024-10-22</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">MITRE</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>Patient population identified as average risk. Provides criteria to determine age to start, screening modality, and screening interval for these populations of patients.</p>\n</div></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Knowledge Capability: </b></th>\n <td style=\"padding-left: 4px;\">\n \n executable \n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Knowledge Representation Level: </b></th>\n <td style=\"padding-left: 4px;\">\n \n structured\n </td>\n </tr>\n \n\n \n\n \n\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Copyright: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>(C) 2024 The MITRE Corporation. All Rights Reserved. Approved for Public Release: 24-2711. Distribution Unlimited. Unless otherwise noted, this work is available under an Apache 2.0 license. It was produced by the MITRE Corporation for the Division of Cancer Prevention and Control, Centers for Disease Control and Prevention in accordance with the Statement of Work, contract number 75FCMC18D0047, task order number 75D30123F17931.</p>\n</div></td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Approval Date: </b></th>\n <td style=\"padding-left: 4px;\">2024-10-22</td>\n </tr>\n \n\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Libraries: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td><code>Library/AverageRisk|1.0.0</code></td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Actions: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n \n <tr>\n <td>\n \n <b> Annual screening mammogram starting age 40:</b> Women between 40 and 44 have the option to start screening with a mammogram every year.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n <i>(ExistsACSMammoAvgRiskAgeUnder45)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <code>http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest|1.0.0</code><br/>\n \n <i>Dynamic Values:</i><br/>\n \n %action.code[0].coding[0]: <i>(ACSMammoAvgRiskAgeUnder45Code)</i>\n <br/>\n \n %action.timingTiming: <i>(ACSMammoAvgRiskAgeUnder45Timing)</i>\n <br/>\n \n %action.extension: <i>(ACSMammoAvgRiskAgeUnder45Flag)</i>\n <br/>\n \n code.coding[0]: <i>(ACSMammoAvgRiskAgeUnder45Code)</i>\n <br/>\n \n reasonCode[0].coding[0]: <i>(ACSMammoAvgRiskAgeUnder45Reason)</i>\n <br/>\n \n occurrenceDateTime: <i>(ACSMammoAvgRiskAgeUnder45TimingEvent)</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> Annual screening mammogram starting age 40:</b> Annual screening mammogram is recommended for women 45 to 54.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n <i>(ExistsACSMammoAvgRiskAge45to54)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <code>http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest|1.0.0</code><br/>\n \n <i>Dynamic Values:</i><br/>\n \n %action.code[0].coding[0]: <i>(ACSMammoAvgRiskAge45to54Code)</i>\n <br/>\n \n %action.timingTiming: <i>(ACSMammoAvgRiskAge45to54Timing)</i>\n <br/>\n \n %action.extension: <i>(ACSMammoAvgRiskAge45to54Flag)</i>\n <br/>\n \n code.coding[0]: <i>(ACSMammoAvgRiskAge45to54Code)</i>\n <br/>\n \n reasonCode[0].coding[0]: <i>(ACSMammoAvgRiskAge45to54Reason)</i>\n <br/>\n \n occurrenceDateTime: <i>(ACSMammoAvgRiskAge45to54TimingEvent)</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> Biennial screening mammogram after age 54:</b> Biennial screening mammogram is recommended after age 54.\n\nWomen 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.\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n <i>(ExistsACSMammoAvgRiskAgeOver54)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <code>http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest|1.0.0</code><br/>\n \n <i>Dynamic Values:</i><br/>\n \n %action.code[0].coding[0]: <i>(ACSMammoAvgRiskAgeOver54Code)</i>\n <br/>\n \n %action.timingTiming: <i>(ACSMammoAvgRiskAgeOver54Timing)</i>\n <br/>\n \n %action.extension: <i>(ACSMammoAvgRiskAgeOver54Flag)</i>\n <br/>\n \n code.coding[0]: <i>(ACSMammoAvgRiskAgeOver54Code)</i>\n <br/>\n \n reasonCode[0].coding[0]: <i>(ACSMammoAvgRiskAgeOver54Reason)</i>\n <br/>\n \n occurrenceDateTime: <i>(ACSMammoAvgRiskAgeOver54TimingEvent)</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n <tr>\n <td>\n \n <b> Biennial screening mammogram starting age 40:</b> Biennial screening mammogram starting at age 40\n \n <br/>\n \n \n <b>If:</b>\n \n <i>Applicability:</i>\n \n <i>(ExistsUSPSTFAvgRisk)</i>\n <br/>\n \n \n \n \n <b>Then:</b> <i>Definition:</i> <code>http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest|1.0.0</code><br/>\n \n <i>Dynamic Values:</i><br/>\n \n %action.code[0].coding[0]: <i>(USPSTFAvgRiskCode)</i>\n <br/>\n \n %action.timingTiming: <i>(USPSTFAvgRiskTiming)</i>\n <br/>\n \n %action.extension: <i>(USPSTFAvgRiskFlag)</i>\n <br/>\n \n code.coding[0]: <i>(USPSTFAvgRiskCode)</i>\n <br/>\n \n reasonCode[0].coding[0]: <i>(USPSTFAvgRiskReason)</i>\n <br/>\n \n occurrenceDateTime: <i>(USPSTFAvgRiskTimingEvent)</i>\n <br/>\n \n \n \n \n </td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n </table>\n</div>\n</div>"^^rdf:XMLLiteral ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "executable" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel"^^xsd:anyURI ] ; fhir:value [ a fhir:code ; fhir:v "structured" ] ] ) ; # fhir:url [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-AverageRisk"^^xsd:anyURI] ; # fhir:version [ fhir:v "1.0.0"] ; # fhir:name [ fhir:v "flow-AverageRisk"] ; # fhir:title [ fhir:v "Average Risk"] ; # fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/plan-definition-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "eca-rule" ] ] ) ] ; # fhir:status [ fhir:v "draft"] ; # fhir:experimental [ fhir:v "true"^^xsd:boolean] ; # fhir:date [ fhir:v "2024-10-22"^^xsd:date] ; # fhir:publisher [ fhir:v "MITRE"] ; # fhir:contact ( [ fhir:name [ fhir:v "MITRE" ] ; ( fhir:telecom [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "https://www.mitre.org/" ] ] ) ] ) ; # fhir:description [ fhir:v "Patient population identified as average risk. Provides criteria to determine age to start, screening modality, and screening interval for these populations of patients."] ; # fhir:copyright [ fhir:v "(C) 2024 The MITRE Corporation. All Rights Reserved. Approved for Public Release: 24-2711. Distribution Unlimited. Unless otherwise noted, this work is available under an Apache 2.0 license. It was produced by the MITRE Corporation for the Division of Cancer Prevention and Control, Centers for Disease Control and Prevention in accordance with the Statement of Work, contract number 75FCMC18D0047, task order number 75D30123F17931."] ; # fhir:approvalDate [ fhir:v "2024-10-22"^^xsd:date] ; # fhir:lastReviewDate [ fhir:v "2024-10-22"^^xsd:date] ; # fhir:author ( [ fhir:name [ fhir:v "The Health FFRDC, operated by The MITRE Corporation, in support of the Division of Cancer Prevention and Control, Centers for Disease Control and Prevention." ] ] ) ; # fhir:editor ( [ fhir:name [ fhir:v "Division of Cancer Prevention and Control, Centers for Disease Control and Prevention" ] ] ) ; # fhir:reviewer ( [ fhir:name [ fhir:v "Division of Cancer Prevention and Control, Centers for Disease Control and Prevention" ] ] ) ; # fhir:endorser ( [ fhir:name [ fhir:v "Division of Cancer Prevention and Control, Centers for Disease Control and Prevention" ] ] ) ; # fhir:library ( [ fhir:v "Library/AverageRisk|1.0.0"^^xsd:anyURI] ) ; # fhir:action ( [ fhir:id [ fhir:v "ACSMammoAvgRiskAgeUnder45" ] ; fhir:title [ fhir:v "Annual screening mammogram starting age 40" ] ; fhir:description [ fhir:v "Women between 40 and 44 have the option to start screening with a mammogram every year." ] ; ( fhir:documentation [ fhir:type [ fhir:v "citation" ] ; fhir:label [ fhir:v "ACS" ] ; fhir:display [ fhir:v "Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society" ] ; fhir:citation [ fhir:v "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." ] ; fhir:url [ fhir:v "https://jamanetwork.com/journals/jama/fullarticle/2463262"^^xsd:anyURI ] ; fhir:document [ fhir:url [ fhir:v "https://jamanetwork.com/journals/jama/fullarticle/2463262"^^xsd:anyURI ] ] ] ) ; ( fhir:condition [ fhir:kind [ fhir:v "applicability" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "ExistsACSMammoAvgRiskAgeUnder45" ] ] ] ) ; fhir:definition [ a fhir:canonical ; fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest|1.0.0"^^xsd:anyURI ; fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest|1.0.0> ] ; ( fhir:dynamicValue [ fhir:path [ fhir:v "%action.code[0].coding[0]" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "ACSMammoAvgRiskAgeUnder45Code" ] ] ] [ fhir:path [ fhir:v "%action.timingTiming" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "ACSMammoAvgRiskAgeUnder45Timing" ] ] ] [ fhir:path [ fhir:v "%action.extension" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "ACSMammoAvgRiskAgeUnder45Flag" ] ] ] [ fhir:path [ fhir:v "code.coding[0]" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "ACSMammoAvgRiskAgeUnder45Code" ] ] ] [ fhir:path [ fhir:v "reasonCode[0].coding[0]" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "ACSMammoAvgRiskAgeUnder45Reason" ] ] ] [ fhir:path [ fhir:v "occurrenceDateTime" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "ACSMammoAvgRiskAgeUnder45TimingEvent" ] ] ] ) ] [ fhir:id [ fhir:v "ACSMammoAvgRiskAge45to54" ] ; fhir:title [ fhir:v "Annual screening mammogram starting age 40" ] ; fhir:description [ fhir:v "Annual screening mammogram is recommended for women 45 to 54." ] ; ( fhir:documentation [ fhir:type [ fhir:v "citation" ] ; fhir:label [ fhir:v "ACS" ] ; fhir:display [ fhir:v "Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society" ] ; fhir:citation [ fhir:v "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." ] ; fhir:url [ fhir:v "https://jamanetwork.com/journals/jama/fullarticle/2463262"^^xsd:anyURI ] ; fhir:document [ fhir:url [ fhir:v "https://jamanetwork.com/journals/jama/fullarticle/2463262"^^xsd:anyURI ] ] ] ) ; ( fhir:condition [ fhir:kind [ fhir:v "applicability" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "ExistsACSMammoAvgRiskAge45to54" ] ] ] ) ; fhir:definition [ a fhir:canonical ; fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest|1.0.0"^^xsd:anyURI ; fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest|1.0.0> ] ; ( fhir:dynamicValue [ fhir:path [ fhir:v "%action.code[0].coding[0]" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "ACSMammoAvgRiskAge45to54Code" ] ] ] [ fhir:path [ fhir:v "%action.timingTiming" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "ACSMammoAvgRiskAge45to54Timing" ] ] ] [ fhir:path [ fhir:v "%action.extension" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "ACSMammoAvgRiskAge45to54Flag" ] ] ] [ fhir:path [ fhir:v "code.coding[0]" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "ACSMammoAvgRiskAge45to54Code" ] ] ] [ fhir:path [ fhir:v "reasonCode[0].coding[0]" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "ACSMammoAvgRiskAge45to54Reason" ] ] ] [ fhir:path [ fhir:v "occurrenceDateTime" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "ACSMammoAvgRiskAge45to54TimingEvent" ] ] ] ) ] [ fhir:id [ fhir:v "ACSMammoAvgRiskAgeOver54" ] ; fhir:title [ fhir:v "Biennial screening mammogram after age 54" ] ; fhir:description [ fhir:v "Biennial screening mammogram is recommended after age 54.\n\nWomen 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." ] ; ( fhir:documentation [ fhir:type [ fhir:v "citation" ] ; fhir:label [ fhir:v "ACS" ] ; fhir:display [ fhir:v "Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society" ] ; fhir:citation [ fhir:v "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." ] ; fhir:url [ fhir:v "https://jamanetwork.com/journals/jama/fullarticle/2463262"^^xsd:anyURI ] ; fhir:document [ fhir:url [ fhir:v "https://jamanetwork.com/journals/jama/fullarticle/2463262"^^xsd:anyURI ] ] ] ) ; ( fhir:condition [ fhir:kind [ fhir:v "applicability" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "ExistsACSMammoAvgRiskAgeOver54" ] ] ] ) ; fhir:definition [ a fhir:canonical ; fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest|1.0.0"^^xsd:anyURI ; fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest|1.0.0> ] ; ( fhir:dynamicValue [ fhir:path [ fhir:v "%action.code[0].coding[0]" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "ACSMammoAvgRiskAgeOver54Code" ] ] ] [ fhir:path [ fhir:v "%action.timingTiming" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "ACSMammoAvgRiskAgeOver54Timing" ] ] ] [ fhir:path [ fhir:v "%action.extension" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "ACSMammoAvgRiskAgeOver54Flag" ] ] ] [ fhir:path [ fhir:v "code.coding[0]" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "ACSMammoAvgRiskAgeOver54Code" ] ] ] [ fhir:path [ fhir:v "reasonCode[0].coding[0]" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "ACSMammoAvgRiskAgeOver54Reason" ] ] ] [ fhir:path [ fhir:v "occurrenceDateTime" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "ACSMammoAvgRiskAgeOver54TimingEvent" ] ] ] ) ] [ fhir:id [ fhir:v "USPSTFAvgRisk" ] ; fhir:title [ fhir:v "Biennial screening mammogram starting age 40" ] ; fhir:description [ fhir:v "Biennial screening mammogram starting at age 40" ] ; ( fhir:documentation [ fhir:type [ fhir:v "citation" ] ; fhir:label [ fhir:v "USPSTF" ] ; fhir:display [ fhir:v "Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement" ] ; fhir:citation [ fhir:v "US Preventive Services Task Force. Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. Published online April 30, 2024." ] ; fhir:url [ fhir:v "https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening"^^xsd:anyURI ] ; fhir:document [ fhir:url [ fhir:v "https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening"^^xsd:anyURI ] ] ] ) ; ( fhir:condition [ fhir:kind [ fhir:v "applicability" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "ExistsUSPSTFAvgRisk" ] ] ] ) ; fhir:definition [ a fhir:canonical ; fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest|1.0.0"^^xsd:anyURI ; fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest|1.0.0> ] ; ( fhir:dynamicValue [ fhir:path [ fhir:v "%action.code[0].coding[0]" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "USPSTFAvgRiskCode" ] ] ] [ fhir:path [ fhir:v "%action.timingTiming" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "USPSTFAvgRiskTiming" ] ] ] [ fhir:path [ fhir:v "%action.extension" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "USPSTFAvgRiskFlag" ] ] ] [ fhir:path [ fhir:v "code.coding[0]" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "USPSTFAvgRiskCode" ] ] ] [ fhir:path [ fhir:v "reasonCode[0].coding[0]" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "USPSTFAvgRiskReason" ] ] ] [ fhir:path [ fhir:v "occurrenceDateTime" ] ; fhir:expression [ fhir:language [ fhir:v "text/cql-identifier" ] ; fhir:expression [ fhir:v "USPSTFAvgRiskTimingEvent" ] ] ] ) ] ) . #
IG © 2025+ MITRE. Package cancerscreeningcds.fhir.us.bcsm-cds#1.0.0 based on FHIR 4.0.1. Generated 2025-02-28
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