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

PlanDefinition: Screening Eligible (Experimental)

Official URL: http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-ScreeningEligible Version: 1.0.0
Draft as of 2024-10-22 Computable Name: flow-ScreeningEligible

Copyright/Legal: (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.

Determines whether a patient is eligible for routine breast cancer screening. This includes absolute exclusion criteria for which routine screening is not indicated in all guidelines and pathways.

Individuals who have certain signs or symptoms concerning for breast cancer or other breast diseases are excluded from routine screening pathways and should have diagnostic testing performed.

See here for logic path L2 representation.

Id: flow-ScreeningEligible
Url: Screening Eligible
Version: 1.0.0
Title: Screening Eligible
Status: draft
Experimental: true
Type:

system: http://terminology.hl7.org/CodeSystem/plan-definition-type

code: eca-rule

Date: 2024-10-22
Publisher: MITRE
Description:

Determines whether a patient is eligible for routine breast cancer screening. This includes absolute exclusion criteria for which routine screening is not indicated in all guidelines and pathways.

Individuals who have certain signs or symptoms concerning for breast cancer or other breast diseases are excluded from routine screening pathways and should have diagnostic testing performed.
Knowledge Capability: executable
Knowledge Representation Level: structured
Copyright:

(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.
Approval Date: 2024-10-22
Libraries:
Library/ScreeningEligible|1.0.0
Actions:
Screening eligible: Patient is eligible for screening
If: Applicability: (CheckIsIncludedAndNotExcluded)
Applicability: (IsScreeningEligible)
Then: Definition: http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/CommunicateEligible|1.0.0
Not eligible for screening: This patient is not eligible for screening. Referenced guidelines apply to individuals assigned female at birth. Routine screening of cis-gender individuals assigned male at birth is not recommended. For transgender women, consider specialist referral. Additional resources: ACR Appropriateness Criteria® Transgender Breast Cancer Screening; UCSF guidelines 'Screening for breast cancer in transgender women'
If: Applicability: (CheckIsIncludedAndNotExcluded)
Applicability: (ExistsNotEligibleNotAssignedFemaleAtBirth)
Then: Definition: http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/CommunicateNotEligible|1.0.0
Dynamic Values:
reasonCode[0].coding[0]: (ScreeningEligibleReason)
Refer to Oncologic care plan: This patient is not eligible for routine screening and should be referred to a specialist for management. Breast cancer within 5 years may require enhanced surveillance including diagnostic mammogram. Refer to patient's Oncologic treatment team or Survivorship Care Plan for patient specific guidance.
If: Applicability: (CheckIsIncludedAndNotExcluded)
Applicability: (ExistsNotEligibleCurrentBreastCancer)
Then: Definition: http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/CommunicateNotEligible|1.0.0
Dynamic Values:
reasonCode[0].coding[0]: (ScreeningEligibleReason)
Not eligible for screening: This patient is not eligible for screening. New breast symptoms or exam findings, or chronic symptoms or findings which have progressively worsened, should undergo diagnostic testing rather than routine screening.
If: Applicability: (CheckIsIncludedAndNotExcluded)
Applicability: (ExistsNotEligibleBreastSymptomsOrFindings)
Then: Definition: http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/CommunicateNotEligible|1.0.0
Dynamic Values:
reasonCode[0].coding[0]: (ScreeningEligibleReason)
Not eligible for screening: This patient is not eligible for screening. This patient has had bilateral mastectomy and does not meet the eligibility requirements for routine breast cancer screening.
If: Applicability: (CheckIsIncludedAndNotExcluded)
Applicability: (ExistsNotEligibleBilateralMastectomy)
Then: Definition: http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/CommunicateNotEligible|1.0.0
Dynamic Values:
reasonCode[0].coding[0]: (ScreeningEligibleReason)
Screening Eligible Missing Data: Error due to missing required data for inclusion and exclusion evaluation.
If: Applicability: (MissingAgeOrBirthdate)
Then: Definition: Screening Eligibleversion: null1.0.0)

Notes: