Breast Cancer Screening and Management (BCSM) Clinical Decision Support (CDS) Implementation Guide
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: HighRiskReferral_eve-geneticriskpop__act-HighRiskReferral - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="HighRiskReferral_eve-geneticriskpop__act-HighRiskReferral"/>
  <type value="collection"/>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/479"/>
    <resource>
      <CarePlan>
        <id value="479"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="CarePlan_479"> </a><p class="res-header-id"><b>Generated Narrative: CarePlan 479</b></p><a name="479"> </a><a name="hc479"> </a><a name="479-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-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-HighRiskReferral_eve-geneticriskpop__act-HighRiskReferral.html#RequestGroup_480">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/defaultPatient"/>
          <display value="Jane Doe"/>
        </subject>
        <created value="2024-12-10T00:00:00.0Z"/>
        <activity>
          <reference>
            <reference value="RequestGroup/480"/>
          </reference>
        </activity>
      </CarePlan>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/480"/>
    <resource>
      <RequestGroup>
        <id value="480"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="RequestGroup_480"> </a><p class="res-header-id"><b>Generated Narrative: RequestGroup 480</b></p><a name="480"> </a><a name="hc480"> </a><a name="480-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-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#Patient_defaultPatient">Jane Doe</a></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>HighRiskReferralGenetic</blockquote><p><b>title</b>: 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. Women at greater risk, such as those with a genetic marker or syndrome associated with increased risk of breast cancer, may 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-geneticriskpop__act-HighRiskReferral.html#ServiceRequest_481">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/defaultPatient"/>
          <display value="Jane Doe"/>
        </subject>
        <action id="HighRiskReferralGenetic">
          <title value="Referral for high risk breast specialty evaluation"/>
          <description
                       value="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. Women at greater risk, such as those with a genetic marker or syndrome associated with increased risk of breast cancer, may 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/481"/>
          </resource>
        </action>
      </RequestGroup>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/481"/>
    <resource>
      <ServiceRequest>
        <id value="481"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_481"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest 481</b></p><a name="481"> </a><a name="hc481"> </a><a name="481-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-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 highfamilialrisk}">High familial 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/defaultPatient"/>
          <display value="Jane Doe"/>
        </subject>
        <reasonCode>
          <coding>
            <system
                    value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"/>
            <code value="highfamilialrisk"/>
            <display value="High familial risk"/>
          </coding>
        </reasonCode>
      </ServiceRequest>
    </resource>
  </entry>
</Bundle>