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 |
<PlanDefinition xmlns="http://hl7.org/fhir">
<id value="CervicalCancerFollowUp"/>
<text>
<status value="extensions"/>
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</text>
<url
value="https://hopenahealth.com/fhir/cervical-cancer-cds/PlanDefinition/CervicalCancerFollowUp"/>
<version value="0.1.0"/>
<name value="CervicalCancerFollowUp"/>
<title
value="Cervical Cancer Follow-Up — Post-Treatment and Post-Triage Scheduling"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
<code value="eca-rule"/>
<display value="ECA Rule"/>
</coding>
</type>
<status value="draft"/>
<experimental value="true"/>
<date value="2026-03-08"/>
<publisher value="Hopena Health"/>
<contact>
<name value="Hopena Health"/>
<telecom>
<system value="url"/>
<value value="https://hopenahealth.com"/>
</telecom>
</contact>
<contact>
<name value="Dan Heslinga"/>
<telecom>
<system value="url"/>
<value value="https://hopenahealth.com"/>
</telecom>
</contact>
<description
value="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
value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
<code value="focus"/>
<display value="Clinical Focus"/>
</code>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="243877001"/>
<display value="Cancer cervix screening"/>
</coding>
</valueCodeableConcept>
</useContext>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
</coding>
</jurisdiction>
<purpose
value="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 value="Copyright 2026 Hopena Health. License: Apache 2.0"/>
<relatedArtifact>
<type value="derived-from"/>
<label value="WHO Guideline"/>
<display
value="WHO guideline for screening and treatment of cervical pre-cancer lesions for cervical cancer prevention, 2nd edition (2021)"/>
<url value="https://www.who.int/publications/i/item/9789240030824"/>
<document>
<url value="https://www.who.int/publications/i/item/9789240030824"/>
</document>
</relatedArtifact>
<relatedArtifact>
<type value="citation"/>
<label value="WHO Recommendations"/>
<display
value="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 value="https://www.who.int/publications/i/item/9789240030824"/>
<document>
<url value="https://www.who.int/publications/i/item/9789240030824"/>
</document>
</relatedArtifact>
<relatedArtifact>
<type value="composed-of"/>
<display
value="Upstream: Treated patients enter post-treatment follow-up"/>
<resource
value="https://hopenahealth.com/fhir/cervical-cancer-cds/PlanDefinition/CervicalCancerTreatment|0.1.0"/>
</relatedArtifact>
<relatedArtifact>
<type value="composed-of"/>
<display
value="Upstream: Triage-negative patients enter post-triage follow-up"/>
<resource
value="https://hopenahealth.com/fhir/cervical-cancer-cds/PlanDefinition/CervicalCancerTriage|0.1.0"/>
</relatedArtifact>
<library
value="https://hopenahealth.com/fhir/cervical-cancer-cds/Library/CervicalCancerFollowUpDecision|0.1.0"/>
<action>
<title value="Follow-Up Assessment"/>
<description
value="Evaluate follow-up status for women with active post-treatment or post-triage-negative follow-up"/>
<trigger>
<type value="named-event"/>
<name value="patient-view"/>
</trigger>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="Has Active Follow Up"/>
<reference value="Library/CervicalCancerFollowUpDecision"/>
</expression>
</condition>
<action id="retest-positive-reenter">
<title value="Follow-Up HPV Retest Positive — Re-enter Cascade"/>
<description
value="Post-treatment or post-triage HPV retest is positive — patient must re-enter the triage/treatment pathway"/>
<priority value="urgent"/>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="Post Treatment Retest Is Positive"/>
<reference value="Library/CervicalCancerFollowUpDecision"/>
</expression>
</condition>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/action-type"/>
<code value="create"/>
</coding>
</type>
<dynamicValue>
<path value="payload[0].contentString"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="Follow Up Recommended Action"/>
<reference value="Library/CervicalCancerFollowUpDecision"/>
</expression>
</dynamicValue>
</action>
<action id="post-treatment-retest-due">
<title value="Post-Treatment HPV Retest Due"/>
<description
value="12 months have elapsed since treatment — HPV DNA retest is now due"/>
<priority value="routine"/>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="Post Treatment Retest Is Due"/>
<reference value="Library/CervicalCancerFollowUpDecision"/>
</expression>
</condition>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/action-type"/>
<code value="create"/>
</coding>
</type>
<dynamicValue>
<path value="payload[0].contentString"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="Follow Up Recommended Action"/>
<reference value="Library/CervicalCancerFollowUpDecision"/>
</expression>
</dynamicValue>
</action>
<action id="post-treatment-retest-approaching">
<title value="Post-Treatment HPV Retest Approaching"/>
<description
value="Post-treatment retest is approaching (within 2 months) — schedule the follow-up visit"/>
<priority value="routine"/>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="Post Treatment Retest Is Approaching"/>
<reference value="Library/CervicalCancerFollowUpDecision"/>
</expression>
</condition>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/action-type"/>
<code value="create"/>
</coding>
</type>
<dynamicValue>
<path value="payload[0].contentString"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="Follow Up Recommended Action"/>
<reference value="Library/CervicalCancerFollowUpDecision"/>
</expression>
</dynamicValue>
</action>
<action id="wlhiv-second-retest">
<title value="WLHIV Double Follow-Up — Second Retest Needed"/>
<description
value="WLHIV patient had first negative post-treatment HPV retest — second retest at 12 months required before return to routine screening (WHO Rec 33)"/>
<priority value="routine"/>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="WLHIV Needs Second Follow Up Test"/>
<reference value="Library/CervicalCancerFollowUpDecision"/>
</expression>
</condition>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/action-type"/>
<code value="create"/>
</coding>
</type>
<dynamicValue>
<path value="payload[0].contentString"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="Follow Up Recommended Action"/>
<reference value="Library/CervicalCancerFollowUpDecision"/>
</expression>
</dynamicValue>
</action>
<action id="post-triage-negative-retest-due">
<title value="Post-Triage-Negative HPV Retest Due"/>
<description
value="HPV+/VIA- patient's follow-up interval has elapsed — HPV DNA retest is due (12 months WLHIV, 24 months general)"/>
<priority value="routine"/>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="Post Triage Negative Retest Is Due"/>
<reference value="Library/CervicalCancerFollowUpDecision"/>
</expression>
</condition>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/action-type"/>
<code value="create"/>
</coding>
</type>
<dynamicValue>
<path value="payload[0].contentString"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="Follow Up Recommended Action"/>
<reference value="Library/CervicalCancerFollowUpDecision"/>
</expression>
</dynamicValue>
</action>
<action id="post-triage-negative-waiting">
<title value="Post-Triage-Negative — Awaiting Retest Interval"/>
<description
value="HPV+/VIA- patient is in the waiting period before follow-up HPV retest is due"/>
<priority value="routine"/>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="Is Post Triage Negative"/>
<reference value="Library/CervicalCancerFollowUpDecision"/>
</expression>
</condition>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/action-type"/>
<code value="create"/>
</coding>
</type>
<dynamicValue>
<path value="payload[0].contentString"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="Follow Up Recommended Action"/>
<reference value="Library/CervicalCancerFollowUpDecision"/>
</expression>
</dynamicValue>
</action>
<action id="return-to-routine">
<title value="Return to Routine Screening"/>
<description
value="Follow-up complete — patient can return to routine screening interval"/>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="Can Return To Routine Screening"/>
<reference value="Library/CervicalCancerFollowUpDecision"/>
</expression>
</condition>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/action-type"/>
<code value="create"/>
</coding>
</type>
<dynamicValue>
<path value="payload[0].contentString"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="Follow Up Recommended Action"/>
<reference value="Library/CervicalCancerFollowUpDecision"/>
</expression>
</dynamicValue>
</action>
</action>
</PlanDefinition>