Add USPSTF Grade D recommendation r/t not screening individuals < 21

[ssebast2]

We included the Grade D recommendations in the L2 based on our Advisors feedback and now Dr. Guido's but they may have never been added to the L3. There are two logic clauses r/t screening ind. < 21 on page 29 of the L2 (i.e., LP 4A)

2. GRADE D RECOMMENDATION: Screening is not indicated for individuals < 21 years of age IF Age < 21 years old AND Cervical cytology result NOT FOUND AND hrHPV result NOT FOUND AND NOT ‘symptomatic’ < 3 months ago DISPLAY: Per the USPSTF Grade D Recommendation, cervical cancer screening is not recommended for average-risk, asymptomatic individuals < 21 years of age

3. If an individual < 21 years of age is screened and the results are “negative/NILM”, remind the clinician that screening is not indicated until the individual turns 21 years of age. IF Age < 21 years old AND NOT ‘symptomatic’ < 3 months ago AND MOST RECENT ‘negative cervical cytology’ or ‘negative surveillance test’ AND NOT Cervical cytology result = “ASC-US” or “LSIL” or “ASC-H” or “AGC” or “HSIL+” OR hrHPV result = “Positive” BEFORE the MOST RECENT ‘negative cervical cytology’ or ‘negative surveillance test’ DISPLAY: Per the USPSTF Grade D Recommendation, cervical cancer screening is not recommended for average-risk, asymptomatic individuals < 21 years of age. ELSE insert skip logic to move to Logic Path 4B

[mickohanlon23]

This issue is covered by Issue: https://github.com/ccsm-cds-tools/ccsm-cds-with-tests/issues/37, which had been opened last year. I will close this one, since it is duplicative and the extra detail provided here is documented in the L2. Thanks for bringing this back to our attention @ssebast2!