<?xml version="1.0" encoding="UTF-8"?>

<Bundle xmlns="http://hl7.org/fhir">
  <id value="HighRiskReferral_eve-fiveyrrisklowpop_eve-ageAtLeast35_act-ConsiderHighRiskReferral"/>
  <type value="collection"/>
  <entry>
    <fullUrl value="http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/473"/>
    <resource>
      <CarePlan>
        <id value="473"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="CarePlan_473"> </a><p class="res-header-id"><b>Generated Narrative: CarePlan 473</b></p><a name="473"> </a><a name="hc473"> </a><a name="473-en-US"> </a><p><b>instantiatesCanonical</b>: <a href="PlanDefinition-flow-HighRiskReferral.html">High Risk Referral</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href="Bundle-eve-fiveyrrisklowpop_eve-ageAtLeast35_act-ConsiderHighRiskReferral.html#Patient_bfea4654-c6cb-4e71-85c4-a4d7de4a1b3d">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-HighRiskReferral_eve-fiveyrrisklowpop_eve-ageAtLeast35_act-ConsiderHighRiskReferral.html#RequestGroup_474">Bundle: type = collection</a></td></tr></table></div>
        </text>
        <instantiatesCanonical value="http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-HighRiskReferral"/>
        <status value="draft"/>
        <intent value="proposal"/>
        <subject>
          <reference value="Patient/bfea4654-c6cb-4e71-85c4-a4d7de4a1b3d"/>
          <display value="Jane Doe"/>
        </subject>
        <created value="2024-12-10T00:00:00.0Z"/>
        <activity>
          <reference>
            <reference value="RequestGroup/474"/>
          </reference>
        </activity>
      </CarePlan>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/474"/>
    <resource>
      <RequestGroup>
        <id value="474"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="RequestGroup_474"> </a><p class="res-header-id"><b>Generated Narrative: RequestGroup 474</b></p><a name="474"> </a><a name="hc474"> </a><a name="474-en-US"> </a><p><b>instantiatesCanonical</b>: <a href="PlanDefinition-flow-HighRiskReferral.html">High Risk Referral</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href="Bundle-eve-fiveyrrisklowpop_eve-ageAtLeast35_act-ConsiderHighRiskReferral.html#Patient_bfea4654-c6cb-4e71-85c4-a4d7de4a1b3d">Jane Doe</a></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>HighRiskReferral5YRiskHigherThanAverage</blockquote><p><b>title</b>: Consider referral for high risk breast specialty evaluation</p><p><b>description</b>: Consider referral to breast specialist to discuss primary risk reduction interventions.

These may include medications to reduce risk (chemoprevention), risk reducing surgery or enhanced surveillance.</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>Breast Cancer: Medication Use to Reduce Risk</td><td><div><p>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.</p>
</div></td><td><a href="https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-medications-for-risk-reduction">https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-medications-for-risk-reduction</a></td></tr></table><p><b>resource</b>: <a href="Bundle-HighRiskReferral_eve-fiveyrrisklowpop_eve-ageAtLeast35_act-ConsiderHighRiskReferral.html#ServiceRequest_475">Bundle: type = collection</a></p></blockquote></div>
        </text>
        <instantiatesCanonical value="http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-HighRiskReferral"/>
        <status value="draft"/>
        <intent value="proposal"/>
        <subject>
          <reference value="Patient/bfea4654-c6cb-4e71-85c4-a4d7de4a1b3d"/>
          <display value="Jane Doe"/>
        </subject>
        <action id="HighRiskReferral5YRiskHigherThanAverage">
          <title value="Consider referral for high risk breast specialty evaluation"/>
          <description value="Consider referral to breast specialist to discuss primary risk reduction interventions.&#xA;&#xA;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>
          <resource>
            <reference value="ServiceRequest/475"/>
          </resource>
        </action>
      </RequestGroup>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/475"/>
    <resource>
      <ServiceRequest>
        <id value="475"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_475"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest 475</b></p><a name="475"> </a><a name="hc475"> </a><a name="475-en-US"> </a><p><b>basedOn</b>: <a href="ActivityDefinition-HighRiskSpecialtyReferralRequest.html">High Risk Specialty 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 highriskreferral}">High risk referral</span></p><p><b>subject</b>: <a href="Bundle-eve-fiveyrrisklowpop_eve-ageAtLeast35_act-ConsiderHighRiskReferral.html#Patient_bfea4654-c6cb-4e71-85c4-a4d7de4a1b3d">Jane Doe</a></p><p><b>reasonCode</b>: <span title="Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system higherthanaverage5yrisk}">5 year risk at least 1.67%</span></p></div>
        </text>
        <basedOn>
          <reference value="http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/HighRiskSpecialtyReferralRequest"/>
        </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="highriskreferral"/>
            <display value="High risk referral"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/bfea4654-c6cb-4e71-85c4-a4d7de4a1b3d"/>
          <display value="Jane Doe"/>
        </subject>
        <reasonCode>
          <coding>
            <system value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"/>
            <code value="higherthanaverage5yrisk"/>
            <display value="5 year risk at least 1.67%"/>
          </coding>
        </reasonCode>
      </ServiceRequest>
    </resource>
  </entry>
</Bundle>