Colorectal Cancer Screening and Management (CRCSM) Clinical Decision Support (CDS) Implementation Guide
0.1.0 - ci-build

Colorectal Cancer Screening and Management (CRCSM) Clinical Decision Support (CDS) Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

PlanDefinition: Average Risk (Experimental)

Official URL: http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/flow-USPSTFAvgRisk Version: 0.1.0
Draft as of 2025-02-28 Computable Name: flow-USPSTFAvgRisk

Copyright/Legal: (C) 2025 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.

Provides recommendations on the age to start and to stop screening, modalities, and screening intervals for average risk patients, based on U.S. Preventative Services Task Force (USPSTF). It also determines the next due date for screening for average risk patients, based on their age and screening history.

The path is intended for use with either individual patient alerts/flagging or for generating asynchronous reports on a cohort of patients in order to target outreach or escalation.

See here for logic path L2 representation.

Id: flow-USPSTFAvgRisk
Url: Average Risk
Version: 0.1.0
Title: Average Risk
Status: draft
Experimental: true
Type:

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

code: eca-rule

Date: 2025-02-28
Publisher: MITRE
Description:

Provides recommendations on the age to start and to stop screening, modalities, and screening intervals for average risk patients, based on U.S. Preventative Services Task Force (USPSTF). It also determines the next due date for screening for average risk patients, based on their age and screening history.

The path is intended for use with either individual patient alerts/flagging or for generating asynchronous reports on a cohort of patients in order to target outreach or escalation.
Knowledge Capability: executable
Knowledge Representation Level: structured
Copyright:

(C) 2025 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: 2025-02-28
Libraries:
Library/USPSTFAvgRisk|1.0.0
Actions:
Start screening at 45 years old: Patients at average risk for colorectal cancer should start screening at 45 years old.
If: Applicability: (ExistsUSPSTFAvgRiskStartAt45)
Then: Definition: http://cancerscreeningcds.github.io/crcsm-cds/ActivityDefinition/ColorectalCancerScreeningServiceRequest|1.0.0
Dynamic Values:
%action.code[0].coding[0]: (USPSTFAvgRiskCode)
%action.timingTiming: (USPSTFAvgRiskTiming)
code.coding[0]: (USPSTFAvgRiskCode)
reasonCode[0].coding[0]: (USPSTFAvgRiskReason)
occurrenceDateTime: (USPSTFAvgRiskTimingEvent)
Start screening Now: Start screening now. Patients at average risk for colorectal cancer should start screening at 45 years old. Screening strategies and intervals recommended for average risk patients include: * Colonoscopy every 10 years * High-sensitivity gFOBT or FIT every year * sDNA-FIT every 1 to 3 years * CT colonography every 5 years * Flexible sigmoidoscopy every 5 years * Flexible sigmoidoscopy every 10 years + FIT every year
If: Applicability: (ExistsUSPSTFAvgRiskStartNow)
Then: Definition: http://cancerscreeningcds.github.io/crcsm-cds/ActivityDefinition/ColorectalCancerScreeningServiceRequest|1.0.0
Dynamic Values:
%action.code[0].coding[0]: (USPSTFAvgRiskCode)
%action.timingTiming: (USPSTFAvgRiskTiming)
code.coding[0]: (USPSTFAvgRiskCode)
reasonCode[0].coding[0]: (USPSTFAvgRiskReason)
occurrenceDateTime: (USPSTFAvgRiskTimingEvent)
Continue routine screening: Continue routine screening. Screening strategies and intervals recommended for average risk patients include: * Colonoscopy every 10 years * High-sensitivity gFOBT or FIT every year * sDNA-FIT every 1 to 3 years * CT colonography every 5 years * Flexible sigmoidoscopy every 5 years * Flexible sigmoidoscopy every 10 years + FIT every year
If: Applicability: (ExistsUSPSTFAvgRiskNextDue)
Then: Definition: http://cancerscreeningcds.github.io/crcsm-cds/ActivityDefinition/ColorectalCancerScreeningServiceRequest|1.0.0
Dynamic Values:
%action.code[0].coding[0]: (USPSTFAvgRiskCode)
%action.timingTiming: (USPSTFAvgRiskTiming)
code.coding[0]: (USPSTFAvgRiskCode)
reasonCode[0].coding[0]: (USPSTFAvgRiskReason)
occurrenceDateTime: (USPSTFAvgRiskTimingEvent)

Notes: