{
  "resourceType" : "Bundle",
  "id" : "GeneticRiskReferral_JaniceMedford_fdr_breastca_age_45",
  "type" : "collection",
  "entry" : [{
    "fullUrl" : "http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/372",
    "resource" : {
      "resourceType" : "CarePlan",
      "id" : "372",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_372\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan 372</b></p><a name=\"372\"> </a><a name=\"hc372\"> </a><a name=\"372-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-flow-GeneticRiskReferral.html\">Genetic Risk Referral</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href=\"Bundle-JaniceMedford_fdr_breastca_age_45.html#Patient_JaniceMedford\">Janice32 Medford87</a></p><p><b>created</b>: 2024-12-10 00:00:00+0000</p><h3>Activities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-GeneticRiskReferral_JaniceMedford_fdr_breastca_age_45.html#RequestGroup_373\">Bundle: type = collection</a></td></tr></table></div>"
      },
      "instantiatesCanonical" : ["http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-GeneticRiskReferral"],
      "status" : "draft",
      "intent" : "proposal",
      "subject" : {
        "reference" : "Patient/JaniceMedford",
        "display" : "Janice32 Medford87"
      },
      "created" : "2024-12-10T00:00:00.0Z",
      "activity" : [{
        "reference" : {
          "reference" : "RequestGroup/373"
        }
      }]
    }
  },
  {
    "fullUrl" : "http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/373",
    "resource" : {
      "resourceType" : "RequestGroup",
      "id" : "373",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RequestGroup_373\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup 373</b></p><a name=\"373\"> </a><a name=\"hc373\"> </a><a name=\"373-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-flow-GeneticRiskReferral.html\">Genetic Risk Referral</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href=\"Bundle-JaniceMedford_fdr_breastca_age_45.html#Patient_JaniceMedford\">Janice32 Medford87</a></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>GeneticRiskAssessment</blockquote><p><b>title</b>: Perform genetic risk assessment</p><p><b>description</b>: A genetic risk assessment, either informal or formal using a validated instrument, will help determine if the patient may benefit from referral for genetic risk counseling and testing.\n\nWomen with a positive result on the risk assessment tool should receive genetic counseling and, if indicated after counseling, genetic testing.</p><h3>Documentations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Label</b></td><td><b>Display</b></td><td><b>Citation</b></td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td>Citation</td><td>USPSTF</td><td>BRCA-Related Cancer: Risk Assessment, Genetic Counseling, and Genetic Testing</td><td><div><p>US Preventive Services Task Force. Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. 2019;322(7):652–665.</p>\n</div></td><td><a href=\"https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/brca-related-cancer-risk-assessment-genetic-counseling-and-genetic-testing\">https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/brca-related-cancer-risk-assessment-genetic-counseling-and-genetic-testing</a></td></tr></table><p><b>selectionBehavior</b>: Any</p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>FhxGeneticRiskAssessment</blockquote><p><b>title</b>: Informal genetic risk assessment</p><p><b>description</b>: Perform assessment based on criteria in first- or second-degree blood relatives known to be associated with increased risk of inherited breast cancer susceptibility variant.</p><p><b>resource</b>: <a href=\"Bundle-GeneticRiskReferral_JaniceMedford_fdr_breastca_age_45.html#ServiceRequest_374\">Bundle: type = collection</a></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>FhxGeneticRiskAssessmentTool</blockquote><p><b>title</b>: Genetic risk assessment instrument</p><p><b>description</b>: Tools evaluated by the USPSTF include the Ontario Family History Assessment Tool, Manchester Scoring System, Referral Screening Tool, Pedigree Assessment Tool, 7-Question Family History Screening Tool, International Breast Cancer Intervention Study instrument (Tyrer-Cuzick), and brief versions of BRCAPRO. </p><p><b>resource</b>: <a href=\"Bundle-GeneticRiskReferral_JaniceMedford_fdr_breastca_age_45.html#ServiceRequest_375\">Bundle: type = collection</a></p></blockquote></blockquote></div>"
      },
      "instantiatesCanonical" : ["http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-GeneticRiskReferral"],
      "status" : "draft",
      "intent" : "proposal",
      "subject" : {
        "reference" : "Patient/JaniceMedford",
        "display" : "Janice32 Medford87"
      },
      "action" : [{
        "id" : "GeneticRiskAssessment",
        "title" : "Perform genetic risk assessment",
        "description" : "A genetic risk assessment, either informal or formal using a validated instrument, will help determine if the patient may benefit from referral for genetic risk counseling and testing.\n\nWomen with a positive result on the risk assessment tool should receive genetic counseling and, if indicated after counseling, genetic testing.",
        "documentation" : [{
          "type" : "citation",
          "label" : "USPSTF",
          "display" : "BRCA-Related Cancer: Risk Assessment, Genetic Counseling, and Genetic Testing",
          "citation" : "US Preventive Services Task Force. Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. 2019;322(7):652–665.",
          "url" : "https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/brca-related-cancer-risk-assessment-genetic-counseling-and-genetic-testing"
        }],
        "selectionBehavior" : "any",
        "action" : [{
          "id" : "FhxGeneticRiskAssessment",
          "title" : "Informal genetic risk assessment",
          "description" : "Perform assessment based on criteria in first- or second-degree blood relatives known to be associated with increased risk of inherited breast cancer susceptibility variant.",
          "resource" : {
            "reference" : "ServiceRequest/374"
          }
        },
        {
          "id" : "FhxGeneticRiskAssessmentTool",
          "title" : "Genetic risk assessment instrument",
          "description" : "Tools evaluated by the USPSTF include the Ontario Family History Assessment Tool, Manchester Scoring System, Referral Screening Tool, Pedigree Assessment Tool, 7-Question Family History Screening Tool, International Breast Cancer Intervention Study instrument (Tyrer-Cuzick), and brief versions of BRCAPRO. ",
          "resource" : {
            "reference" : "ServiceRequest/375"
          }
        }]
      }]
    }
  },
  {
    "fullUrl" : "http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/374",
    "resource" : {
      "resourceType" : "ServiceRequest",
      "id" : "374",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_374\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 374</b></p><a name=\"374\"> </a><a name=\"hc374\"> </a><a name=\"374-en-US\"> </a><p><b>basedOn</b>: <a href=\"ActivityDefinition-GeneticRiskAssessmentRequest.html\">Genetic Risk Assessment Request</a></p><p><b>status</b>: option</p><p><b>intent</b>: Proposal</p><p><b>code</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system fhxriskassess}\">Informal familial risk assessment</span></p><p><b>subject</b>: <a href=\"Bundle-JaniceMedford_fdr_breastca_age_45.html#Patient_JaniceMedford\">Janice32 Medford87</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system fhxbrcaovcatubalperit}\">Family history of breast, ovarian, tubal, or peritoneal cancer</span></p></div>"
      },
      "basedOn" : [{
        "reference" : "http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/GeneticRiskAssessmentRequest"
      }],
      "status" : "option",
      "intent" : "proposal",
      "code" : {
        "coding" : [{
          "system" : "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system",
          "code" : "fhxriskassess",
          "display" : "Informal familial risk assessment"
        }]
      },
      "subject" : {
        "reference" : "Patient/JaniceMedford",
        "display" : "Janice32 Medford87"
      },
      "reasonCode" : [{
        "coding" : [{
          "system" : "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system",
          "code" : "fhxbrcaovcatubalperit",
          "display" : "Family history of breast, ovarian, tubal, or peritoneal cancer"
        }]
      }]
    }
  },
  {
    "fullUrl" : "http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/375",
    "resource" : {
      "resourceType" : "ServiceRequest",
      "id" : "375",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_375\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 375</b></p><a name=\"375\"> </a><a name=\"hc375\"> </a><a name=\"375-en-US\"> </a><p><b>basedOn</b>: <a href=\"ActivityDefinition-GeneticRiskAssessmentRequest.html\">Genetic Risk Assessment Request</a></p><p><b>status</b>: option</p><p><b>intent</b>: Proposal</p><p><b>code</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system fhxrisktool}\">Brief familial risk assessment tool</span></p><p><b>subject</b>: <a href=\"Bundle-JaniceMedford_fdr_breastca_age_45.html#Patient_JaniceMedford\">Janice32 Medford87</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system fhxbrcaovcatubalperit}\">Family history of breast, ovarian, tubal, or peritoneal cancer</span></p></div>"
      },
      "basedOn" : [{
        "reference" : "http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/GeneticRiskAssessmentRequest"
      }],
      "status" : "option",
      "intent" : "proposal",
      "code" : {
        "coding" : [{
          "system" : "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system",
          "code" : "fhxrisktool",
          "display" : "Brief familial risk assessment tool"
        }]
      },
      "subject" : {
        "reference" : "Patient/JaniceMedford",
        "display" : "Janice32 Medford87"
      },
      "reasonCode" : [{
        "coding" : [{
          "system" : "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system",
          "code" : "fhxbrcaovcatubalperit",
          "display" : "Family history of breast, ovarian, tubal, or peritoneal cancer"
        }]
      }]
    }
  }]
}