Breast Cancer Screening and Management (BCSM) Clinical Decision Support (CDS) Implementation Guide
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: GeneticRiskReferral_eve-fhxgeneinherited_no_eve-brcageneancestry_yes_act-geneticreferral - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id
      value="GeneticRiskReferral_eve-fhxgeneinherited_no_eve-brcageneancestry_yes_act-geneticreferral"/>
  <type value="collection"/>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/402"/>
    <resource>
      <CarePlan>
        <id value="402"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="CarePlan_402"> </a><p class="res-header-id"><b>Generated Narrative: CarePlan 402</b></p><a name="402"> </a><a name="hc402"> </a><a name="402-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-eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#Patient_defaultPatient">Jane Doe</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_eve-fhxgeneinherited_no_eve-brcageneancestry_yes_act-geneticreferral.html#RequestGroup_403">Bundle: type = collection</a></td></tr></table></div>
        </text>
        <instantiatesCanonical
                               value="http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-GeneticRiskReferral"/>
        <status value="draft"/>
        <intent value="proposal"/>
        <subject>
          <reference value="Patient/defaultPatient"/>
          <display value="Jane Doe"/>
        </subject>
        <created value="2024-12-10T00:00:00.0Z"/>
        <activity>
          <reference>
            <reference value="RequestGroup/403"/>
          </reference>
        </activity>
      </CarePlan>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/403"/>
    <resource>
      <RequestGroup>
        <id value="403"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="RequestGroup_403"> </a><p class="res-header-id"><b>Generated Narrative: RequestGroup 403</b></p><a name="403"> </a><a name="hc403"> </a><a name="403-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-eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#Patient_defaultPatient">Jane Doe</a></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>GeneticReferralAncestry</blockquote><p><b>title</b>: Referral for genetic risk counseling</p><p><b>description</b>: Referral for genetic counseling if not previously consulted, or if limited panel was done and additional testing may be warranted.

Can offer referral to individuals who have one grandparent identified as of Ashkenazi Jewish ancestry, irrespective of cancer history in the family and without additional risk factors.</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>
</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>resource</b>: <a href="Bundle-GeneticRiskReferral_eve-fhxgeneinherited_no_eve-brcageneancestry_yes_act-geneticreferral.html#ServiceRequest_404">Bundle: type = collection</a></p></blockquote></div>
        </text>
        <instantiatesCanonical
                               value="http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-GeneticRiskReferral"/>
        <status value="draft"/>
        <intent value="proposal"/>
        <subject>
          <reference value="Patient/defaultPatient"/>
          <display value="Jane Doe"/>
        </subject>
        <action id="GeneticReferralAncestry">
          <title value="Referral for genetic risk counseling"/>
          <description
                       value="Referral for genetic counseling if not previously consulted, or if limited panel was done and additional testing may be warranted.

Can offer referral to individuals who have one grandparent identified as of Ashkenazi Jewish ancestry, irrespective of cancer history in the family and without additional risk factors."/>
          <documentation>
            <type value="citation"/>
            <label value="USPSTF"/>
            <display
                     value="BRCA-Related Cancer: Risk Assessment, Genetic Counseling, and Genetic Testing"/>
            <citation
                      value="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
                 value="https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/brca-related-cancer-risk-assessment-genetic-counseling-and-genetic-testing"/>
          </documentation>
          <resource>
            <reference value="ServiceRequest/404"/>
          </resource>
        </action>
      </RequestGroup>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/404"/>
    <resource>
      <ServiceRequest>
        <id value="404"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_404"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest 404</b></p><a name="404"> </a><a name="hc404"> </a><a name="404-en-US"> </a><p><b>basedOn</b>: <a href="ActivityDefinition-GeneticCounselingReferralRequest.html">Genetic Counseling Referral 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 geneticriskreferral}">Genetic risk referral</span></p><p><b>subject</b>: <a href="Bundle-eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#Patient_defaultPatient">Jane Doe</a></p><p><b>reasonCode</b>: <span title="Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system brcageneancestry}">Ancestry associated with BRCA1/2 gene mutations</span></p></div>
        </text>
        <basedOn>🔗 
          <reference
                     value="http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/GeneticCounselingReferralRequest"/>
        </basedOn>
        <status value="option"/>
        <intent value="proposal"/>
        <code>
          <coding>
            <system
                    value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system"/>
            <code value="geneticriskreferral"/>
            <display value="Genetic risk referral"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/defaultPatient"/>
          <display value="Jane Doe"/>
        </subject>
        <reasonCode>
          <coding>
            <system
                    value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"/>
            <code value="brcageneancestry"/>
            <display value="Ancestry associated with BRCA1/2 gene mutations"/>
          </coding>
        </reasonCode>
      </ServiceRequest>
    </resource>
  </entry>
</Bundle>