Cancer screening adherence audit + scheduling nudge (breast/colorectal/cervical/lung) — telehealth / national.

Missed cancer screening is one of the highest-leverage, best-evidenced preventive gaps in US healthcare, yet nobody tracks it the way a lab value gets tracked -- there is no dashboard, just a vague sense of 'I'm probably due for something.' Four cancer screenings carry a USPSTF Grade A or B recommendation for average-risk adults (breast, colorectal, cervical, lung); most private insurance plans must cover them with no cost-sharing under the Affordable Care Act (Section 2713) precisely because they are Grade A/B. This packet is an adherence audit and scheduling nudge, never a screening test itself: it checks age/sex/risk-factor eligibility against the current guideline interval for each, flags what's due or overdue, and coaches the person to book it -- it never performs, interprets, or substitutes for the actual test.

Where

Telehealth / national (adherence audit over the person's own screening history) · Open the map

Pay

$80 proposed

This packet is not funded yet, so this figure is a proposed price and not money waiting in escrow. If a buyer funds it, approved proof settles that price onchain. If nobody funds it, approved proof earns provable credit toward the work instead of cash — recorded, and readable any time at vealth.net/labor/credit/(your wallet). You see which before you claim, never after.

Proof

A personal/family cancer-risk questionnaire completed first (elevated risk routes that cancer type to a clinician for a personalized plan) + each of the four applicable cancer types checked for age/sex eligibility against the current USPSTF interval for the test type on file + a due/overdue/not-yet-eligible/not-applicable scorecard recorded + a concrete next step (named clinician/facility + the ACA no-cost-sharing note) for anything overdue

This is exactly what gets it approved. Nothing settles without it.

Level

entry

Open until

2027-09-01

Posted by

0x034F…6c89

The creator wallet. Its signature is what approves proof and settles the wage.

How this work is done

A documented method, so this packet comes out the same whoever does it.

Bring

• a private space for a health-history conversation
• the person's age, sex, and smoking pack-year history if applicable
• a personal and family cancer-history questionnaire
• prior screening test dates, types, and results if available (portal, records, or self-report)
• a phone or portal to schedule the identified overdue test

Steps

1. 1. Complete a personal and family cancer-history questionnaire first: hereditary cancer syndromes (BRCA1/2, Lynch syndrome), a prior high-grade lesion, inflammatory bowel disease, chest radiation history. Any positive flag routes that specific cancer type to a clinician for a personalized, risk-adjusted plan -- do not apply the average-risk interval below for that type.
2. 2. Ask about any CURRENT symptom (new breast lump/change, rectal bleeding or bowel-habit change, abnormal vaginal bleeding, persistent cough/hemoptysis/unexplained weight loss). Any positive routes to a clinician immediately, independent of and before continuing the due-date audit for that cancer type.
3. 3. Breast (average-risk women 40-74): record the date of the most recent mammogram; mark overdue if more than 2 years have passed (Grade B, biennial). Under 40 or over 74: not yet eligible / route to a clinician for an individualized decision.
4. 4. Colorectal (average-risk adults 45-75): record the most recent test type and date; compare to that test's own interval (colonoscopy 10y, FIT 1y, FIT-DNA 1-3y, CT colonography 5y, flexible sigmoidoscopy 5y or 10y+annual FIT). Ages 76-85: route to a clinician for a selective, shared decision; over 85: not applicable per guideline.
5. 5. Cervical (individuals with a cervix, 21-65): record the most recent test type, date, and result; compare to the type-specific interval (cytology alone 3y; from 30, hrHPV alone 5y or co-testing 5y as alternatives). Confirm the current live USPSTF page before applying this interval, since an update is in progress. A prior total hysterectomy is confirmed to carry NO history of a high-grade lesion or cervical cancer before marking not-applicable; if that history exists, route to a clinician instead.
6. 6. Lung (adults 50-80 with >=20 pack-year smoking history, currently smoking or quit within 15 years): record pack-years, quit date if applicable, and the most recent low-dose CT date; mark overdue if more than 1 year has passed. Note explicitly if the person has aged out of eligibility (>80) or exceeded the 15-year quit window -- screening exits per guideline, this is not a failure to record.
7. 7. If PSA/prostate screening comes up, do not score it due/overdue -- route to a clinician for the shared decision-making conversation USPSTF itself calls for (Grade C, individual preference-sensitive decision for men 55-69).
8. 8. Compile a scorecard across all four types: due / overdue / not-yet-eligible / not-applicable / needs-personalized-plan. For anything overdue, name a concrete next step (a specific clinician or facility) and note that most private insurance must cover USPSTF Grade A/B screenings with no cost-sharing under the ACA (Section 2713) -- cost is rarely the real barrier once a person knows this.
9. 9. Set the next audit date to the shortest remaining interval among items still open; log the scorecard and sign it.

What counts as done

• Personal and family cancer-history questionnaire completed BEFORE scoring; any elevated-risk flag (hereditary cancer syndrome, prior high-grade lesion, IBD, chest radiation) routes that cancer type to a clinician for a personalized plan instead of the average-risk interval
• Breast (if applicable): most recent mammogram date recorded, compared to the 2-year Grade B interval for ages 40-74
• Colorectal (if applicable): most recent test type and date recorded, compared to that test's own USPSTF-specified interval (colonoscopy 10y / FIT 1y / FIT-DNA 1-3y / CT colonography 5y / flexible sigmoidoscopy 5y or 10y+annual FIT) for ages 45-75; ages 76-85 routed to a clinician for a selective/shared decision
• Cervical (if applicable): most recent test type/date/result recorded, compared to the type-specific interval for ages 21-65; a prior total hysterectomy is confirmed to carry no history of a high-grade lesion or cervical cancer before being marked not-applicable
• Lung (if applicable): pack-year history and quit date (if applicable) recorded, current eligibility (ages 50-80, >=20 pack-years, current smoker or quit <=15 years) confirmed, and most recent LDCT date compared to the annual interval
• Any current symptom (new breast lump/change, rectal bleeding/bowel-habit change, abnormal vaginal bleeding, persistent cough/hemoptysis/unexplained weight loss) routed to a clinician immediately, separate from and regardless of screening due-dates
• A scorecard recorded (due / overdue / not-yet-eligible / not-applicable / needs-personalized-plan) per cancer type, with a concrete next step named for anything overdue

Proof is measured against these, not judged by taste.