Cervical Cancer Screening CDS for OpenMRS
0.1.0 - ci-build
Cervical Cancer Screening CDS for OpenMRS
0.1.0 - ci-build
Cervical Cancer Screening CDS for OpenMRS, published by Hopena Health. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/dhes/cervical-cancer-cds/tree/main and changes regularly. See the Directory of published versions
| Draft as of 2026-03-08 |
{
"resourceType" : "PlanDefinition",
"id" : "CervicalCancerFollowUp",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b style=\"color: maroon\">Exception generating Narrative: unexpected non-end of element null::a at line 166 column 55</b></p></div>"
},
"url" : "https://hopenahealth.com/fhir/cervical-cancer-cds/PlanDefinition/CervicalCancerFollowUp",
"version" : "0.1.0",
"name" : "CervicalCancerFollowUp",
"title" : "Cervical Cancer Follow-Up — Post-Treatment and Post-Triage Scheduling",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
"code" : "eca-rule",
"display" : "ECA Rule"
}
]
},
"status" : "draft",
"experimental" : true,
"date" : "2026-03-08",
"publisher" : "Hopena Health",
"contact" : [
{
"name" : "Hopena Health",
"telecom" : [
{
"system" : "url",
"value" : "https://hopenahealth.com"
}
]
},
{
"name" : "Dan Heslinga",
"telecom" : [
{
"system" : "url",
"value" : "https://hopenahealth.com"
}
]
}
],
"description" : "Clinical decision support rule for follow-up scheduling after cervical cancer treatment or triage-negative result. Manages post-treatment HPV DNA retest timing (12 months for both populations), post-triage-negative retest timing (12 months WLHIV, 24 months general), WLHIV double follow-up tracking (two consecutive negative HPV retests), return-to-routine-screening criteria, and re-entry to triage/treatment when follow-up HPV retest is positive.",
"useContext" : [
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "focus",
"display" : "Clinical Focus"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "243877001",
"display" : "Cancer cervix screening"
}
]
}
}
],
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001"
}
]
}
],
"purpose" : "To ensure timely follow-up after cervical cancer treatment or triage-negative results, preventing loss to follow-up in the screening cascade. Manages population-specific follow-up intervals and tracks WLHIV double follow-up requirements.",
"copyright" : "Copyright 2026 Hopena Health. License: Apache 2.0",
"relatedArtifact" : [
{
"type" : "derived-from",
"label" : "WHO Guideline",
"display" : "WHO guideline for screening and treatment of cervical pre-cancer lesions for cervical cancer prevention, 2nd edition (2021)",
"url" : "https://www.who.int/publications/i/item/9789240030824",
"document" : {
"url" : "https://www.who.int/publications/i/item/9789240030824"
}
},
{
"type" : "citation",
"label" : "WHO Recommendations",
"display" : "General: Recs 11 (post-triage-neg 24mo), 12 (post-colp-normal), 13 (post-treatment 12mo). WLHIV: Recs 31 (post-triage-neg 12mo), 32 (post-colp-normal), 33 (post-treatment double follow-up).",
"url" : "https://www.who.int/publications/i/item/9789240030824",
"document" : {
"url" : "https://www.who.int/publications/i/item/9789240030824"
}
},
{
"type" : "composed-of",
"display" : "Upstream: Treated patients enter post-treatment follow-up",
"resource" : "https://hopenahealth.com/fhir/cervical-cancer-cds/PlanDefinition/CervicalCancerTreatment|0.1.0"
},
{
"type" : "composed-of",
"display" : "Upstream: Triage-negative patients enter post-triage follow-up",
"resource" : "https://hopenahealth.com/fhir/cervical-cancer-cds/PlanDefinition/CervicalCancerTriage|0.1.0"
}
],
"library" : [
🔗 "https://hopenahealth.com/fhir/cervical-cancer-cds/Library/CervicalCancerFollowUpDecision|0.1.0"
],
"action" : [
{
"title" : "Follow-Up Assessment",
"description" : "Evaluate follow-up status for women with active post-treatment or post-triage-negative follow-up",
"trigger" : [
{
"type" : "named-event",
"name" : "patient-view"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "Has Active Follow Up",
"reference" : "Library/CervicalCancerFollowUpDecision"
}
}
],
"action" : [
{
"id" : "retest-positive-reenter",
"title" : "Follow-Up HPV Retest Positive — Re-enter Cascade",
"description" : "Post-treatment or post-triage HPV retest is positive — patient must re-enter the triage/treatment pathway",
"priority" : "urgent",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "Post Treatment Retest Is Positive",
"reference" : "Library/CervicalCancerFollowUpDecision"
}
}
],
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/action-type",
"code" : "create"
}
]
},
"dynamicValue" : [
{
"path" : "payload[0].contentString",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "Follow Up Recommended Action",
"reference" : "Library/CervicalCancerFollowUpDecision"
}
}
]
},
{
"id" : "post-treatment-retest-due",
"title" : "Post-Treatment HPV Retest Due",
"description" : "12 months have elapsed since treatment — HPV DNA retest is now due",
"priority" : "routine",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "Post Treatment Retest Is Due",
"reference" : "Library/CervicalCancerFollowUpDecision"
}
}
],
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/action-type",
"code" : "create"
}
]
},
"dynamicValue" : [
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"path" : "payload[0].contentString",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "Follow Up Recommended Action",
"reference" : "Library/CervicalCancerFollowUpDecision"
}
}
]
},
{
"id" : "post-treatment-retest-approaching",
"title" : "Post-Treatment HPV Retest Approaching",
"description" : "Post-treatment retest is approaching (within 2 months) — schedule the follow-up visit",
"priority" : "routine",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "Post Treatment Retest Is Approaching",
"reference" : "Library/CervicalCancerFollowUpDecision"
}
}
],
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/action-type",
"code" : "create"
}
]
},
"dynamicValue" : [
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"path" : "payload[0].contentString",
"expression" : {
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"expression" : "Follow Up Recommended Action",
"reference" : "Library/CervicalCancerFollowUpDecision"
}
}
]
},
{
"id" : "wlhiv-second-retest",
"title" : "WLHIV Double Follow-Up — Second Retest Needed",
"description" : "WLHIV patient had first negative post-treatment HPV retest — second retest at 12 months required before return to routine screening (WHO Rec 33)",
"priority" : "routine",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "WLHIV Needs Second Follow Up Test",
"reference" : "Library/CervicalCancerFollowUpDecision"
}
}
],
"type" : {
"coding" : [
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"system" : "http://terminology.hl7.org/CodeSystem/action-type",
"code" : "create"
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"expression" : {
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"expression" : "Follow Up Recommended Action",
"reference" : "Library/CervicalCancerFollowUpDecision"
}
}
]
},
{
"id" : "post-triage-negative-retest-due",
"title" : "Post-Triage-Negative HPV Retest Due",
"description" : "HPV+/VIA- patient's follow-up interval has elapsed — HPV DNA retest is due (12 months WLHIV, 24 months general)",
"priority" : "routine",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "Post Triage Negative Retest Is Due",
"reference" : "Library/CervicalCancerFollowUpDecision"
}
}
],
"type" : {
"coding" : [
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"code" : "create"
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"expression" : "Follow Up Recommended Action",
"reference" : "Library/CervicalCancerFollowUpDecision"
}
}
]
},
{
"id" : "post-triage-negative-waiting",
"title" : "Post-Triage-Negative — Awaiting Retest Interval",
"description" : "HPV+/VIA- patient is in the waiting period before follow-up HPV retest is due",
"priority" : "routine",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "Is Post Triage Negative",
"reference" : "Library/CervicalCancerFollowUpDecision"
}
}
],
"type" : {
"coding" : [
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"system" : "http://terminology.hl7.org/CodeSystem/action-type",
"code" : "create"
}
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"path" : "payload[0].contentString",
"expression" : {
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"expression" : "Follow Up Recommended Action",
"reference" : "Library/CervicalCancerFollowUpDecision"
}
}
]
},
{
"id" : "return-to-routine",
"title" : "Return to Routine Screening",
"description" : "Follow-up complete — patient can return to routine screening interval",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "Can Return To Routine Screening",
"reference" : "Library/CervicalCancerFollowUpDecision"
}
}
],
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}
]
}
]
}