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="CervicalCancerTriage"/>
<text>
<status value="extensions"/>
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</text>
<url
value="https://hopenahealth.com/fhir/cervical-cancer-cds/PlanDefinition/CervicalCancerTriage"/>
<version value="0.1.0"/>
<name value="CervicalCancerTriage"/>
<title value="Cervical Cancer Triage — HPV-Positive VIA Assessment"/>
<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 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
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="35904009"/>
<display value="HPV DNA detection"/>
</coding>
</valueCodeableConcept>
</useContext>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
</coding>
</jurisdiction>
<purpose
value="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 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 population: Recs 3b, 11. WLHIV: Recs 22, 23, 31. Algorithm 5: HPV DNA + VIA Triage."/>
<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: Screening determines cascade position and routes HPV+ patients to triage"/>
<resource
value="https://hopenahealth.com/fhir/cervical-cancer-cds/PlanDefinition/CervicalCancerScreening|0.1.0"/>
</relatedArtifact>
<relatedArtifact>
<type value="composed-of"/>
<display
value="Downstream: VIA+ patients are routed to treatment assessment"/>
<resource
value="https://hopenahealth.com/fhir/cervical-cancer-cds/PlanDefinition/CervicalCancerTreatment|0.1.0"/>
</relatedArtifact>
<library
value="https://hopenahealth.com/fhir/cervical-cancer-cds/Library/CervicalCancerTriageDecision|0.1.0"/>
<action>
<title value="HPV-Positive Triage Assessment"/>
<description
value="Evaluate triage status for women with positive HPV DNA test results"/>
<trigger>
<type value="named-event"/>
<name value="patient-view"/>
</trigger>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="Triage Is Indicated"/>
<reference value="Library/CervicalCancerTriageDecision"/>
</expression>
</condition>
<action id="perform-via">
<title value="Perform VIA Triage"/>
<description
value="HPV DNA test is positive — perform VIA (visual inspection with acetic acid) to determine treatment pathway"/>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="Triage Is Indicated"/>
<reference value="Library/CervicalCancerTriageDecision"/>
</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="Triage Recommended Action"/>
<reference value="Library/CervicalCancerTriageDecision"/>
</expression>
</dynamicValue>
</action>
<action id="via-positive-treat">
<title value="VIA Positive — Proceed to Treatment"/>
<description
value="VIA triage is positive — assess ablation eligibility and treat"/>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="Proceed To Treatment"/>
<reference value="Library/CervicalCancerTriageDecision"/>
</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="Triage Recommended Action"/>
<reference value="Library/CervicalCancerTriageDecision"/>
</expression>
</dynamicValue>
</action>
<action id="via-negative-followup">
<title value="VIA Negative — Schedule Follow-Up HPV Retest"/>
<description
value="VIA triage is negative — schedule HPV DNA retest at 12 months (WLHIV) or 24 months (general population)"/>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="Proceed To Follow Up Retest"/>
<reference value="Library/CervicalCancerTriageDecision"/>
</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="Triage Recommended Action"/>
<reference value="Library/CervicalCancerTriageDecision"/>
</expression>
</dynamicValue>
</action>
<action id="suspicious-refer">
<title value="Suspicious for Cancer — Refer to Oncology"/>
<description
value="Findings are suspicious for invasive cancer — refer for definitive diagnosis and staging"/>
<priority value="urgent"/>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/cql-identifier"/>
<expression value="Needs Referral"/>
<reference value="Library/CervicalCancerTriageDecision"/>
</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="Triage Recommended Action"/>
<reference value="Library/CervicalCancerTriageDecision"/>
</expression>
</dynamicValue>
</action>
</action>
</PlanDefinition>