ccsm-cds-tools / ccsm-cds-with-tests

This repository contains clinical decision support (CDS) which provides recommendations for cervical cancer screening and management (CCSM).
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"Rarely Screened" Logic #62

Open mickohanlon23 opened 1 year ago

mickohanlon23 commented 1 year ago

Discuss whether we need to add logic to specialize recommendation for patients who were "rarely screened".

mickohanlon23 commented 1 year ago

@gmmeadows Can you point me towards the updated L2 logic and recommendation text for the rarely screened case, once it is finalized?

gmmeadows commented 1 year ago

The new logic is on pages 70 – 71 in the L2 in a section under Special Populations called “Guidance for expedited Treatment (Box 1. Essential Changes from Prior Management Guidelines, #3)”. After the discussion with Dr. Guido, I removed the first part of the new logic regarding HPV 16+ and HSIL, since the specific scenarios under which this should be considered are so poorly defined. So now it only includes the logic for Rarely screened, so the issue #62 is fine as is. Let me know if you have any questions on the logic. The recommendation text has now been blessed by both Dr. Guido and Carolann. Carolann is fine with adding this logic versus a toggle switch for UMMC.

mrnosal commented 1 year ago

Just figured out that this causes all kinds of headaches with existing tests. We will need to think about how we want to handle these changes.

mrnosal commented 1 year ago

First pass at rarely screened logic. Some tests fail, and we decide how to handle those. Are they meant to be rarely screened patients?

mrnosal commented 1 year ago

Committed the updated-rarely-screened-logic branch and PR 115.