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 |
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:PlanDefinition ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "CervicalCancerTreatment"] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
] ; #
fhir:url [
fhir:v "https://hopenahealth.com/fhir/cervical-cancer-cds/PlanDefinition/CervicalCancerTreatment"^^xsd:anyURI ;
fhir:l <https://hopenahealth.com/fhir/cervical-cancer-cds/PlanDefinition/CervicalCancerTreatment>
] ; #
fhir:version [ fhir:v "0.1.0"] ; #
fhir:name [ fhir:v "CervicalCancerTreatment"] ; #
fhir:title [ fhir:v "Cervical Cancer Treatment — Ablation Eligibility and Modality Selection"] ; #
fhir:type [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/plan-definition-type"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/plan-definition-type> ] ;
fhir:code [ fhir:v "eca-rule" ] ;
fhir:display [ fhir:v "ECA Rule" ] ] )
] ; #
fhir:status [ fhir:v "draft"] ; #
fhir:experimental [ fhir:v true] ; #
fhir:date [ fhir:v "2026-03-08"^^xsd:date] ; #
fhir:publisher [ fhir:v "Hopena Health"] ; #
fhir:contact ( [
fhir:name [ fhir:v "Hopena Health" ] ;
( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://hopenahealth.com" ] ] )
] [
fhir:name [ fhir:v "Dan Heslinga" ] ;
( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://hopenahealth.com" ] ] )
] ) ; #
fhir:description [ fhir:v "Clinical decision support rule for treatment of cervical pre-cancer lesions. Implements WHO ablation eligibility criteria and treatment modality selection. Presents the clinician with a point-of-care ablation eligibility checklist (transformation zone type, lesion extent, suspicion of cancer) and recommends thermal ablation, cryotherapy, or excision (LEEP/LLETZ) based on eligibility and available data."] ; #
fhir:useContext ( [
fhir:code [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/usage-context-type> ] ;
fhir:code [ fhir:v "focus" ] ;
fhir:display [ fhir:v "Clinical Focus" ] ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a sct:1287592000 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct> ] ;
fhir:code [ fhir:v "1287592000" ] ;
fhir:display [ fhir:v "Thermocauterization of cervix" ] ] ) ]
] ) ; #
fhir:jurisdiction ( [
( fhir:coding [
fhir:system [
fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ;
fhir:l <http://unstats.un.org/unsd/methods/m49/m49.htm> ] ;
fhir:code [ fhir:v "001" ] ] )
] ) ; #
fhir:purpose [ fhir:v "To guide treatment modality selection for women with HPV-positive, VIA-positive cervical pre-cancer, ensuring appropriate assessment of ablation eligibility and selection of the most suitable treatment method for the clinical setting."] ; #
fhir:copyright [ fhir:v "Copyright 2026 Hopena Health. License: Apache 2.0"] ; #
fhir:relatedArtifact ( [
fhir:type [ fhir:v "derived-from" ] ;
fhir:label [ fhir:v "WHO Guideline" ] ;
fhir:display [ fhir:v "WHO guideline for screening and treatment of cervical pre-cancer lesions for cervical cancer prevention, 2nd edition (2021)" ] ;
fhir:url [
fhir:v "https://www.who.int/publications/i/item/9789240030824"^^xsd:anyURI ;
fhir:l <https://www.who.int/publications/i/item/9789240030824> ] ;
fhir:document [
fhir:url [
fhir:v "https://www.who.int/publications/i/item/9789240030824"^^xsd:anyURI ;
fhir:l <https://www.who.int/publications/i/item/9789240030824> ] ]
] [
fhir:type [ fhir:v "citation" ] ;
fhir:label [ fhir:v "WHO Guidance" ] ;
fhir:display [ fhir:v "Ablation eligibility criteria: TZ type assessment, lesion extent, suspicion of cancer. Treatment preference: thermal ablation > cryotherapy > LEEP/LLETZ." ] ;
fhir:url [
fhir:v "https://www.who.int/publications/i/item/9789240030824"^^xsd:anyURI ;
fhir:l <https://www.who.int/publications/i/item/9789240030824> ] ;
fhir:document [
fhir:url [
fhir:v "https://www.who.int/publications/i/item/9789240030824"^^xsd:anyURI ;
fhir:l <https://www.who.int/publications/i/item/9789240030824> ] ]
] [
fhir:type [ fhir:v "composed-of" ] ;
fhir:display [ fhir:v "Upstream: Triage routes VIA+ patients to treatment assessment" ] ;
fhir:resource [
fhir:v "https://hopenahealth.com/fhir/cervical-cancer-cds/PlanDefinition/CervicalCancerTriage|0.1.0"^^xsd:anyURI ;
fhir:l <https://hopenahealth.com/fhir/cervical-cancer-cds/PlanDefinition/CervicalCancerTriage?version=0.1.0> ]
] [
fhir:type [ fhir:v "composed-of" ] ;
fhir:display [ fhir:v "Downstream: Treated patients enter post-treatment follow-up" ] ;
fhir:resource [
fhir:v "https://hopenahealth.com/fhir/cervical-cancer-cds/PlanDefinition/CervicalCancerFollowUp|0.1.0"^^xsd:anyURI ;
fhir:l <https://hopenahealth.com/fhir/cervical-cancer-cds/PlanDefinition/CervicalCancerFollowUp?version=0.1.0> ]
] ) ; #
fhir:library ( [
fhir:v "https://hopenahealth.com/fhir/cervical-cancer-cds/Library/CervicalCancerTreatmentDecision|0.1.0"^^xsd:anyURI ;
fhir:l <https://hopenahealth.com/fhir/cervical-cancer-cds/Library/CervicalCancerTreatmentDecision?version=0.1.0>
] ) ; #
fhir:action ( [
fhir:title [ fhir:v "Treatment Assessment" ] ;
fhir:description [ fhir:v "Evaluate treatment indication and determine appropriate modality for cervical pre-cancer" ] ;
( fhir:trigger [
fhir:type [ fhir:v "named-event" ] ;
fhir:name [ fhir:v "patient-view" ] ] ) ;
( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Treatment Is Indicated" ] ;
fhir:reference [
fhir:v "Library/CervicalCancerTreatmentDecision"^^xsd:anyURI ;
fhir:l fhir:Library/CervicalCancerTreatmentDecision ] ] ] ) ;
( fhir:action [
fhir:id [ fhir:v "ablation-assessment" ] ;
fhir:title [ fhir:v "Assess Ablation Eligibility" ] ;
fhir:description [ fhir:v "Present ablation eligibility checklist for point-of-care clinical assessment. Ablation eligibility requires: (1) no suspicion of invasive/glandular disease, (2) TZ fully visible (Type 1 or 2), (3) lesion within probe reach." ] ;
( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Treatment Is Indicated" ] ;
fhir:reference [
fhir:v "Library/CervicalCancerTreatmentDecision"^^xsd:anyURI ;
fhir:l fhir:Library/CervicalCancerTreatmentDecision ] ] ] ) ;
fhir:type [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/action-type"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/action-type> ] ;
fhir:code [ fhir:v "create" ] ] ) ] ;
( fhir:dynamicValue [
fhir:path [ fhir:v "payload[0].contentString" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Ablation Eligibility Checklist" ] ;
fhir:reference [
fhir:v "Library/CervicalCancerTreatmentDecision"^^xsd:anyURI ;
fhir:l fhir:Library/CervicalCancerTreatmentDecision ] ] ] [
fhir:path [ fhir:v "payload[1].contentString" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Treatment Recommendation" ] ;
fhir:reference [
fhir:v "Library/CervicalCancerTreatmentDecision"^^xsd:anyURI ;
fhir:l fhir:Library/CervicalCancerTreatmentDecision ] ] ] ) ] [
fhir:id [ fhir:v "contraindication-alert" ] ;
fhir:title [ fhir:v "Ablation Contraindicated" ] ;
fhir:description [ fhir:v "Known contraindication to ablation — recommend excision (LEEP/LLETZ)" ] ;
fhir:priority [ fhir:v "urgent" ] ;
( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Has Known Contraindication To Ablation" ] ;
fhir:reference [
fhir:v "Library/CervicalCancerTreatmentDecision"^^xsd:anyURI ;
fhir:l fhir:Library/CervicalCancerTreatmentDecision ] ] ] ) ;
fhir:type [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/action-type"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/action-type> ] ;
fhir:code [ fhir:v "create" ] ] ) ] ;
( fhir:dynamicValue [
fhir:path [ fhir:v "payload[0].contentString" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Treatment Recommendation" ] ;
fhir:reference [
fhir:v "Library/CervicalCancerTreatmentDecision"^^xsd:anyURI ;
fhir:l fhir:Library/CervicalCancerTreatmentDecision ] ] ] ) ] [
fhir:id [ fhir:v "cin2-consideration" ] ;
fhir:title [ fhir:v "CIN2+ Diagnosed — Consider Excision" ] ;
fhir:description [ fhir:v "Patient has CIN2 or higher diagnosis — excision may be preferred even if TZ is ablation-eligible" ] ;
( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Has CIN2 Or Higher Diagnosis" ] ;
fhir:reference [
fhir:v "Library/CervicalCancerTreatmentDecision"^^xsd:anyURI ;
fhir:l fhir:Library/CervicalCancerTreatmentDecision ] ] ] ) ;
fhir:type [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/action-type"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/action-type> ] ;
fhir:code [ fhir:v "create" ] ] ) ] ;
( fhir:dynamicValue [
fhir:path [ fhir:v "payload[0].contentString" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Treatment Recommendation" ] ;
fhir:reference [
fhir:v "Library/CervicalCancerTreatmentDecision"^^xsd:anyURI ;
fhir:l fhir:Library/CervicalCancerTreatmentDecision ] ] ] ) ] [
fhir:id [ fhir:v "refer-oncology" ] ;
fhir:title [ fhir:v "Cervical Cancer — Refer to Oncology" ] ;
fhir:description [ fhir:v "Patient has cervical cancer diagnosis — refer for oncology management, not screening pathway treatment" ] ;
fhir:priority [ fhir:v "urgent" ] ;
( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Has Known Contraindication To Ablation" ] ;
fhir:reference [
fhir:v "Library/CervicalCancerTreatmentDecision"^^xsd:anyURI ;
fhir:l fhir:Library/CervicalCancerTreatmentDecision ] ] ] ) ;
fhir:type [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/action-type"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/action-type> ] ;
fhir:code [ fhir:v "create" ] ] ) ] ;
( fhir:dynamicValue [
fhir:path [ fhir:v "payload[0].contentString" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Treatment Recommendation" ] ;
fhir:reference [
fhir:v "Library/CervicalCancerTreatmentDecision"^^xsd:anyURI ;
fhir:l fhir:Library/CervicalCancerTreatmentDecision ] ] ] ) ] )
] ) . #
IG © 2026+ Hopena Health. Package hopena.cervical-cancer-cds#0.1.0 based on FHIR 4.0.1. Generated 2026-04-21
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