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

<Bundle xmlns="http://hl7.org/fhir">
  <id value="HighRiskReferral_eve-fiveyrriskpop_eve-ageAtLeast35_act-HighRiskReferral"/>
  <type value="collection"/>
  <entry>
    <fullUrl value="http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/476"/>
    <resource>
      <CarePlan>
        <id value="476"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="CarePlan_476"> </a><p class="res-header-id"><b>Generated Narrative: CarePlan 476</b></p><a name="476"> </a><a name="hc476"> </a><a name="476-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-fiveyrriskpop_eve-ageAtLeast35_act-HighRiskReferral.html#Patient_e62c8256-911a-43a5-9879-37f69e25d95a">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-fiveyrriskpop_eve-ageAtLeast35_act-HighRiskReferral.html#RequestGroup_477">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/e62c8256-911a-43a5-9879-37f69e25d95a"/>
          <display value="Jane Doe"/>
        </subject>
        <created value="2024-12-10T00:00:00.0Z"/>
        <activity>
          <reference>
            <reference value="RequestGroup/477"/>
          </reference>
        </activity>
      </CarePlan>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/477"/>
    <resource>
      <RequestGroup>
        <id value="477"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="RequestGroup_477"> </a><p class="res-header-id"><b>Generated Narrative: RequestGroup 477</b></p><a name="477"> </a><a name="hc477"> </a><a name="477-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-fiveyrriskpop_eve-ageAtLeast35_act-HighRiskReferral.html#Patient_e62c8256-911a-43a5-9879-37f69e25d95a">Jane Doe</a></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>HighRiskReferral5YRiskHigh</blockquote><p><b>title</b>: Referral for high risk breast specialty evaluation</p><p><b>description</b>: Refer to high risk breast specialist to discuss primary risk reduction interventions.

These may include medications to reduce risk (chemoprevention), risk reducing surgery or enhanced surveillance. Women at greater risk, such as those with at least a 3% risk for breast cancer in the next 5 years, are likely to derive more benefit than harm from risk-reducing medications.</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-fiveyrriskpop_eve-ageAtLeast35_act-HighRiskReferral.html#ServiceRequest_478">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/e62c8256-911a-43a5-9879-37f69e25d95a"/>
          <display value="Jane Doe"/>
        </subject>
        <action id="HighRiskReferral5YRiskHigh">
          <title value="Referral for high risk breast specialty evaluation"/>
          <description value="Refer to high risk breast specialist to discuss primary risk reduction interventions.&#xA;&#xA;These may include medications to reduce risk (chemoprevention), risk reducing surgery or enhanced surveillance. Women at greater risk, such as those with at least a 3% risk for breast cancer in the next 5 years, are likely to derive more benefit than harm from risk-reducing medications."/>
          <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/478"/>
          </resource>
        </action>
      </RequestGroup>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/478"/>
    <resource>
      <ServiceRequest>
        <id value="478"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_478"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest 478</b></p><a name="478"> </a><a name="hc478"> </a><a name="478-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-fiveyrriskpop_eve-ageAtLeast35_act-HighRiskReferral.html#Patient_e62c8256-911a-43a5-9879-37f69e25d95a">Jane Doe</a></p><p><b>reasonCode</b>: <span title="Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system high5yrisk}">High 5 year risk</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/e62c8256-911a-43a5-9879-37f69e25d95a"/>
          <display value="Jane Doe"/>
        </subject>
        <reasonCode>
          <coding>
            <system value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"/>
            <code value="high5yrisk"/>
            <display value="High 5 year risk"/>
          </coding>
        </reasonCode>
      </ServiceRequest>
    </resource>
  </entry>
</Bundle>