<description value="A 5 year risk assessment, either informal or formal using a validated instrument, will help determine if the patient may benefit from referral for high risk breast specialty evaluation. Women at higher than average 5 year risk may be candidates for referral to breast specialist to discuss primary risk reduction interventions. These may include medications to reduce risk (chemoprevention), risk reducing surgery or enhanced surveillance."/> <documentation> <type value="citation"/> <label value="USPSTF"/> <display value="Breast Cancer: Medication Use to Reduce Risk"/> <citation value="US Preventive Services Task Force. Medication Use to Reduce Risk of Breast Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. 2019;322(9):857–867."/> <url value="https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-medications-for-risk-reduction"/> </documentation> <selectionBehavior value="any"/> <action id="5YRiskAssessment"> <title value="Informal 5 year risk assessment"/> <description value="Perform assessment based on personal risk factors conferring increased risk of breast cancer. These may include: increasing age, younger age at menarche, older age at first live birth, nulliparity/lower parity, number of prior breast biopsies, heterogeneously and/or extremely dense breasts."/> <resource> <reference value="ServiceRequest/467"/> </resource> </action> <action id="5YRiskAssessmentTool"> <title value="5 year risk assessment instrument"/> <description value="The NCI Breast Cancer Risk Assessment Tool and the Breast Cancer Surveillance Consortium Risk Calculator are based on models tested in US populations and are publicly available for clinicians and patients to use."/> <documentation> <type value="documentation"/> <label value="NCI Breast Cancer Risk Assessment Tool"/> <display value="National Cancer Institute (NCI) Breast Cancer Risk Assessment Tool"/> <url value="https://bcrisktool.cancer.gov/"/> </documentation> <documentation> <type value="documentation"/> <label value="BCSC Risk Calculator"/> <display value="Breast Cancer Surveillance Consortium (BCSC) Risk Calculator"/> <url value="https://tools.bcsc-scc.ucdavis.edu/BC5yearRisk"/> </documentation> <resource> <reference value="ServiceRequest/468"/> </resource> </action> </action> </RequestGroup> </resource> </entry> <entry> <fullUrl value="http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/467"/> <resource> <ServiceRequest> <id value="467"/> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_467"> </a>Generated Narrative: ServiceRequest 467<a name="467"> </a><a name="hc467"> </a><a name="467-en-US"> </a>basedOn: <a href="ActivityDefinition-5YearRiskAssessmentRequest.html">5 Year Risk Assessment Request</a>status: optionintent: Proposalcode: Perform informal 5 year risk assessmentsubject: <a href="Bundle-eve-fhxbrca_eve-ageAtLeast35_act-HighRiskAssessment.html#Patient_fff3889e-0e7f-48cc-9f1d-8fd485f1aded">Jane Doe</a>reasonCode: Personal or family history risk factors</div> </text> <basedOn> <reference value="http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/5YearRiskAssessmentRequest"/> </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="5YRiskAssess"/> <display value="Perform informal 5 year risk assessment"/> </coding> </code> <subject> <reference value="Patient/fff3889e-0e7f-48cc-9f1d-8fd485f1aded"/> <display value="Jane Doe"/> </subject> <reasonCode> <coding> <system value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"/> <code value="riskfactors"/> <display value="Personal or family history risk factors"/> </coding> </reasonCode> </ServiceRequest> </resource> </entry> <entry> <fullUrl value="http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/468"/> <resource> <ServiceRequest> <id value="468"/> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_468"> </a>Generated Narrative: ServiceRequest 468<a name="468"> </a><a name="hc468"> </a><a name="468-en-US"> </a>basedOn: <a href="ActivityDefinition-5YearRiskAssessmentRequest.html">5 Year Risk Assessment Request</a>status: optionintent: Proposalcode: 5 year risk assessment toolsubject: <a href="Bundle-eve-fhxbrca_eve-ageAtLeast35_act-HighRiskAssessment.html#Patient_fff3889e-0e7f-48cc-9f1d-8fd485f1aded">Jane Doe</a>reasonCode: Personal or family history risk factors</div> </text> <basedOn> <reference value="http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/5YearRiskAssessmentRequest"/> </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="5yrisktool"/> <display value="5 year risk assessment tool"/> </coding> </code> <subject> <reference value="Patient/fff3889e-0e7f-48cc-9f1d-8fd485f1aded"/> <display value="Jane Doe"/> </subject> <reasonCode> <coding> <system value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"/> <code value="riskfactors"/> <display value="Personal or family history risk factors"/> </coding> </reasonCode> </ServiceRequest> </resource> </entry> </Bundle>

Generated Narrative: RequestGroup 466

instantiatesCanonical: High Risk Referral

status: Draft

intent: Proposal

subject: Jane Doe

action
id
HighRiskAssessment
title: Perform 5 year risk assessment
description: A 5 year risk assessment, either informal or formal using a validated instrument, will help determine if the patient may benefit from referral for high risk breast specialty evaluation. Women at higher than average 5 year risk may be candidates for referral to breast specialist to discuss primary risk reduction interventions. These may include medications to reduce risk (chemoprevention), risk reducing surgery or enhanced surveillance.
Documentations
- Type Label Display Citation Url
* Citation USPSTF Breast Cancer: Medication Use to Reduce Risk
US Preventive Services Task Force. Medication Use to Reduce Risk of Breast Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. 2019;322(9):857–867.

https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-medications-for-risk-reduction
selectionBehavior: Any
action
id
5YRiskAssessment
title: Informal 5 year risk assessment
description: Perform assessment based on personal risk factors conferring increased risk of breast cancer. These may include: increasing age, younger age at menarche, older age at first live birth, nulliparity/lower parity, number of prior breast biopsies, heterogeneously and/or extremely dense breasts.
resource: Bundle: type = collection
action
id
5YRiskAssessmentTool
title: 5 year risk assessment instrument
description: The NCI Breast Cancer Risk Assessment Tool and the Breast Cancer Surveillance Consortium Risk Calculator are based on models tested in US populations and are publicly available for clinicians and patients to use.
Documentations
- Type Label Display Url
* Documentation NCI Breast Cancer Risk Assessment Tool National Cancer Institute (NCI) Breast Cancer Risk Assessment Tool https://bcrisktool.cancer.gov/
* Documentation BCSC Risk Calculator Breast Cancer Surveillance Consortium (BCSC) Risk Calculator https://tools.bcsc-scc.ucdavis.edu/BC5yearRisk
resource: Bundle: type = collection

Activities

Documentations

Documentations