Breast Cancer Screening and Management (BCSM) Clinical Decision Support (CDS) Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Questionnaire: Breast Cancer High Risk Referral Questionnaire
| Official URL: http://cancerscreeningcds.github.io/bcsm-cds/Questionnaire/BreastCancerHighRiskReferralQuestionnaire | Version: 1.0.0 | |||
| Draft as of 2025-02-28 | Computable Name: BreastCancerHighRiskReferralQuestionnaire | |||
A questionnaire to assess risk factors related to breast cancer.
Generated Narrative: Questionnaire BreastCancerHighRiskReferralQuestionnaire
Profile: Questionnaire
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  BreastCancerHighRiskReferralQuestionnaire | A questionnaire to assess risk factors related to breast cancer. | Questionnaire | http://cancerscreeningcds.github.io/bcsm-cds/Questionnaire/BreastCancerHighRiskReferralQuestionnaire#1.0.0 | |
  GeneticMarkerOrSyndrome | Genetic marker or syndrome associated with breast cancer | 0..1 | boolean | |
| chestxrt | History of chest radiation ages 10-30 y | 0..1 | boolean | |
| fhxbreastcarisk | Compelling family history of breast cancer | 0..1 | boolean | |
| PersonalRiskFactors | Personal risk factors conferring increased risk of breast cancer | 0..1 | boolean | |
  5yriskassessment | 5 year risk assessment | 0..1 | choice | Options: 2 options |
| Documentation for this format | ||||
Options Sets
Answer options for 5yriskassessment
- http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system#high5yrisk ("High 5 year risk")
- http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system#higherthanaverage5yrisk ("5 year risk at least 1.67%")