Primary Screening Decision pathway.

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.

Evaluate criteria to determine age to start and age to stop, screening modality, and screening interval.

Clinical characteristics that have been identified in the USPSTF breast screening recommendation statement as indicative of higher than average risk and therefore excluded from recommendation statement patient population. Provides criteria to determine age to start and age to stop, screening modality, and screening interval for these populations of patients.

Patient population that have been identified as higher than average risk or otherwise requiring specific consideration within a particular guideline.

Provides criteria to determine age to start, screening modality, and screening interval for these populations of patients.

Patient population identified as average risk. Provides criteria to determine age to start, screening modality, and screening interval for these populations of patients.

Risk assessment for women who have family history that may be associated with an increased risk for potentially harmful mutations in breast cancer susceptibility genes to determine who should receive referral for genetic counseling and, if indicated after counseling, testing.

Women who are at increased risk for breast cancer without current or previous diagnosis of breast cancer or ductal carcinoma in situ (DCIS) can be referred to a breast specialty clinic to consider risk reduction interventions.

Identifies patient who may be due for screening based on prior assessment and documentation of next due date and flags patient who may be overdue for potential enhanced outreach efforts.

Intended for use with either individual patient alerts, within the context of a clinical encounter or outside an encounter, or for generating asynchronous reports on a cohort/panel of patients in order to target outreach or escalation.

Identifies patients who have been ordered for screening mammography or for follow-up study for abnormal screening mammography but for whom a study report has not been received or documented as received.

Intended for use with either individual patient alerts, within the context of a clinical encounter or outside an encounter, or for generating asynchronous reports on a cohort/panel of patients in order to target outreach or escalation.

Determines next steps, if any, based on result of screening imaging or biopsy. This may be triggered by a diagnostic report being received by the system or an imaging BI-RADS result being documented in a structured manner.

This ActivityDefinition generates a ServiceRequest to perform a 5 year risk assessment.

This ActivityDefinition generates a ServiceRequest for screening study, biopsy procedure or specialty referral.

This ActivityDefinition generates a CommunicationRequest containing information about the patient's ineligibility for screening.

This ActivityDefinition generates a CommunicationRequest containing information about the patient's ineligibility for screening.

This ActivityDefinition generates a CommunicationRequest recommending shared decision making on the decision to refer for high risk evaluation.

This ActivityDefinition generates a CommunicationRequest recommending shared decision making on the decision to continue screening.

This ActivityDefinition generates a CommunicationRequest recommending shared decision making on the decision to delay screening.

This ActivityDefinition generates a ServiceRequest for genetic counseling referral.

This ActivityDefinition generates a ServiceRequest to perform a genetic risk assessment.

This ActivityDefinition generates a ServiceRequest for high risk breast specialty referral.

This ActivityDefinition generates a Questionnaire Task containing a request to complete a questionnaire.

High Level Flow pathway.

A questionnaire to assess factors related to breast cancer routine screening.

A questionnaire to assess familial risk factors related to breast cancer.

A questionnaire to assess risk factors related to breast cancer.

An extension that holds a Due/Overdue flag CodeableConcept value.

This value set includes action codes for Plan Definitions within this implementation guide.

This value set includes action reason codes for Plan Definitions within this implementation guide.

This value set includes flag codes for recommendation actions within this implementation guide.

Code representing breast cancer biopsy result observations

Code representing plan definition action codes

Code representing due/overdue flags

Code representing breast cancer screening related observations