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" : "CervicalCancerTriage",
"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/CervicalCancerTriage",
"version" : "0.1.0",
"name" : "CervicalCancerTriage",
"title" : "Cervical Cancer Triage — HPV-Positive VIA Assessment",
"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 triage of HPV-positive women using VIA (visual inspection with acetic acid). Implements WHO Algorithm 5 triage pathway: HPV+ -> VIA triage -> route to treatment (VIA+), follow-up retest (VIA-), or oncology referral (suspicious for cancer). Applies to both general population and WLHIV with population-specific follow-up intervals.",
"useContext" : [
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "focus",
"display" : "Clinical Focus"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "35904009",
"display" : "HPV DNA detection"
}
]
}
}
],
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001"
}
]
}
],
"purpose" : "To guide clinical decision-making for women with positive HPV DNA test results, ensuring appropriate triage with VIA and correct routing to treatment, follow-up, or referral based on triage outcome.",
"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 population: Recs 3b, 11. WLHIV: Recs 22, 23, 31. Algorithm 5: HPV DNA + VIA Triage.",
"url" : "https://www.who.int/publications/i/item/9789240030824",
"document" : {
"url" : "https://www.who.int/publications/i/item/9789240030824"
}
},
{
"type" : "composed-of",
"display" : "Upstream: Screening determines cascade position and routes HPV+ patients to triage",
"resource" : "https://hopenahealth.com/fhir/cervical-cancer-cds/PlanDefinition/CervicalCancerScreening|0.1.0"
},
{
"type" : "composed-of",
"display" : "Downstream: VIA+ patients are routed to treatment assessment",
"resource" : "https://hopenahealth.com/fhir/cervical-cancer-cds/PlanDefinition/CervicalCancerTreatment|0.1.0"
}
],
"library" : [
🔗 "https://hopenahealth.com/fhir/cervical-cancer-cds/Library/CervicalCancerTriageDecision|0.1.0"
],
"action" : [
{
"title" : "HPV-Positive Triage Assessment",
"description" : "Evaluate triage status for women with positive HPV DNA test results",
"trigger" : [
{
"type" : "named-event",
"name" : "patient-view"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "Triage Is Indicated",
"reference" : "Library/CervicalCancerTriageDecision"
}
}
],
"action" : [
{
"id" : "perform-via",
"title" : "Perform VIA Triage",
"description" : "HPV DNA test is positive — perform VIA (visual inspection with acetic acid) to determine treatment pathway",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "Triage Is Indicated",
"reference" : "Library/CervicalCancerTriageDecision"
}
}
],
"type" : {
"coding" : [
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"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" : "Triage Recommended Action",
"reference" : "Library/CervicalCancerTriageDecision"
}
}
]
},
{
"id" : "via-positive-treat",
"title" : "VIA Positive — Proceed to Treatment",
"description" : "VIA triage is positive — assess ablation eligibility and treat",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "Proceed To Treatment",
"reference" : "Library/CervicalCancerTriageDecision"
}
}
],
"type" : {
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"code" : "create"
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"expression" : "Triage Recommended Action",
"reference" : "Library/CervicalCancerTriageDecision"
}
}
]
},
{
"id" : "via-negative-followup",
"title" : "VIA Negative — Schedule Follow-Up HPV Retest",
"description" : "VIA triage is negative — schedule HPV DNA retest at 12 months (WLHIV) or 24 months (general population)",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "Proceed To Follow Up Retest",
"reference" : "Library/CervicalCancerTriageDecision"
}
}
],
"type" : {
"coding" : [
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"system" : "http://terminology.hl7.org/CodeSystem/action-type",
"code" : "create"
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},
"dynamicValue" : [
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"path" : "payload[0].contentString",
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"expression" : "Triage Recommended Action",
"reference" : "Library/CervicalCancerTriageDecision"
}
}
]
},
{
"id" : "suspicious-refer",
"title" : "Suspicious for Cancer — Refer to Oncology",
"description" : "Findings are suspicious for invasive cancer — refer for definitive diagnosis and staging",
"priority" : "urgent",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "Needs Referral",
"reference" : "Library/CervicalCancerTriageDecision"
}
}
],
"type" : {
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"code" : "create"
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"dynamicValue" : [
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]
}