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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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Update r/t clinical lessons learned from the pilot: Provide care recommendation for an ECC <= CIN3 that occurs outside of an excision or colpo #94

Closed ssebast2 closed 1 year ago

ssebast2 commented 1 year ago

If an ECC procedure is performed alone (i.e., not during a colpo or excision) and the result is <=CIN3, there is not enough evidence to tell the clinician what to do. Dr. Updike said to use clinical judgement.

IF histology test FOUND on the same dateTime as an ECC procedure AND the result = "<CIN1" or "Histologic LSIL (CIN1)" or "Histologic HSIL (CIN2)" or "Histologic HSIL, unspecified" or "Histologic HSIL (CIN3)" AND NOT coloposcopy procedure or 'treatment' on the same dateTime as the ECC procedure THEN DISPLAY "Use clinical judgement to manage care based on a biopsy result obtained during an ECC procedure."

ssebast2 commented 1 year ago

NO!! This is old and is no longer relevant!

This is no longer relevant.

This is the updated logic. Note: We still need to clarify with the doctors what the care recommendation is in this scenario. IF histology test FOUND on the same dateTime as an ECC procedure AND the result = "<CIN1" or "Histologic LSIL (CIN1)" AND NOT colposcopy procedure or 'treatment' on the same dateTime as the ECC procedure THEN DISPLAY xxx

mickohanlon23 commented 1 year ago

This has been updated even further since. We have decided that ECCs are mapped to cervical biopsies the same way as colposcopies are. Therefore, this issue is already resolved.