Generated Narrative: Bundle PrimaryScreeningDecision_JaniceMedford_fdr_breastca_age_45

Bundle PrimaryScreeningDecision_JaniceMedford_fdr_breastca_age_45 of type collection

Entry 1 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/10

Resource CarePlan:

Generated Narrative: CarePlan 10

instantiatesCanonical: Primary Screening Decision

status: Draft

intent: Proposal

subject: Janice32 Medford87

created: 2024-12-10 00:00:00+0000

Activities

-	Reference
*	Bundle: type = collection

Entry 2 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/11

Resource RequestGroup:

Generated Narrative: RequestGroup 11

instantiatesCanonical: Primary Screening Decision

status: Draft

intent: Proposal

subject: Janice32 Medford87

action

id

CompellingFamilyHistory

title: Perform lifetime risk assessment

description: Consider performing assessment of lifetime risk, as defined by models largely dependent on family history. If estimated lifetime risk is >20%, based on informal assessment or assessment using validated risk model, then patient is eligible for annual screening mammogram starting at age 30 and supplemental screening with annual screening MRI. Otherwise, patient can be offered annual screening mammogram starting at age 40. Validated tools include BRCAPRO, Claus, BOADICEA [Breast and Ovarian Analysis of Disease Incidence and Carrier Estimation Algorithm], and Tyrer-Cuzick.

code: Perform lifetime risk assessment

Documentations

-	Type	Label	Display	Url
*	Citation	ACS	American Cancer Society Recommendations for the Early Detection of Breast Cancer	https://www.cancer.org/cancer/types/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html

resource: Bundle: type = collection

action

id

USPSTFRecommendation

Recommendation Flag Extension: Not due

title: Biennial screening mammo starting age 40

description: Biennial screening mammogram starting at age 40

code: MG Breast Screening

Documentations

-	Type	Label	Display	Citation	Url
*	Citation	USPSTF	Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement	US Preventive Services Task Force. Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. Published online April 30, 2024.	https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening

timing: Events: 2029-03-09 , Once per 2 years

resource: Bundle: type = collection

Entry 3 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/12

Resource ServiceRequest:

Generated Narrative: ServiceRequest 12

basedOn: Breast Cancer Screening Service Request

status: option

intent: Proposal

code: Perform lifetime risk assessment

subject: Janice32 Medford87

reasonCode: Compelling family history of breast cancer

Entry 4 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/13

Resource ServiceRequest:

Generated Narrative: ServiceRequest 13

basedOn: Breast Cancer Screening Service Request

status: option

intent: Proposal

code: MG Breast Screening

subject: Janice32 Medford87

occurrence: 2029-03-09

reasonCode: USPSTF average risk