Breast Cancer Screening and Management (BCSM) Clinical Decision Support (CDS) Implementation Guide
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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

: GeneticRiskReferral_eve-fhxgeneinherited_no_eve-brcageneancestry_no_eve-fhxbrcaovcatubalperit_yes_eve-preferredfhxriskmethod_informal_act-fhxriskassess__eve-fhxriskresult_positive_act-geneticreferral - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "GeneticRiskReferral_eve-fhxgeneinherited_no_eve-brcageneancestry_no_eve-fhxbrcaovcatubalperit_yes_eve-preferredfhxriskmethod_informal_act-fhxriskassess__eve-fhxriskresult_positive_act-geneticreferral"] ; # 
  fhir:type [ fhir:v "collection"] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/399"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/399> )
  ] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/400"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/400> )
  ] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/401"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/401> )
  ] ) . # 

<http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/399> a fhir:CarePlan ;
  fhir:id [ fhir:v "399"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_399\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan 399</b></p><a name=\"399\"> </a><a name=\"hc399\"> </a><a name=\"399-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-flow-GeneticRiskReferral.html\">Genetic 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-GeneticRiskReferral_eve-fhxgeneinherited_no_eve-brcageneancestry_no_eve-fhxbrcaovcatubalperit_yes_eve-preferredfhxriskmethod_informal_act-fhxriskassess__eve-fhxriskresult_positive_act-geneticreferral.html#RequestGroup_400\">Bundle: type = collection</a></td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:instantiatesCanonical ( [
fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-GeneticRiskReferral"^^xsd:anyURI ;
fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-GeneticRiskReferral>
  ] ) ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:intent [ fhir:v "proposal"] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/defaultPatient" ] ;
fhir:display [ fhir:v "Jane Doe" ]
  ] ; # 
  fhir:created [ fhir:v "2024-12-10T00:00:00.0Z"^^xsd:dateTime] ; # 
  fhir:activity ( [
fhir:reference [
fhir:reference [ fhir:v "RequestGroup/400" ]     ]
  ] ) . # 

<http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/400> a fhir:RequestGroup ;
  fhir:id [ fhir:v "400"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RequestGroup_400\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup 400</b></p><a name=\"400\"> </a><a name=\"hc400\"> </a><a name=\"400-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-flow-GeneticRiskReferral.html\">Genetic 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>GeneticReferralRisk</blockquote><p><b>title</b>: Referral for genetic risk counseling</p><p><b>description</b>: Referral for genetic counseling if not previously consulted, or if limited panel was done and additional testing may be warranted.\n\nWomen with a positive result on family history based risk assessment should receive genetic counseling and, if indicated after counseling, genetic testing.</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>BRCA-Related Cancer: Risk Assessment, Genetic Counseling, and Genetic Testing</td><td><div><p>US Preventive Services Task Force. Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. 2019;322(7):652–665.</p>\n</div></td><td><a href=\"https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/brca-related-cancer-risk-assessment-genetic-counseling-and-genetic-testing\">https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/brca-related-cancer-risk-assessment-genetic-counseling-and-genetic-testing</a></td></tr></table><p><b>resource</b>: <a href=\"Bundle-GeneticRiskReferral_eve-fhxgeneinherited_no_eve-brcageneancestry_no_eve-fhxbrcaovcatubalperit_yes_eve-preferredfhxriskmethod_informal_act-fhxriskassess__eve-fhxriskresult_positive_act-geneticreferral.html#ServiceRequest_401\">Bundle: type = collection</a></p></blockquote></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:instantiatesCanonical ( [
fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-GeneticRiskReferral"^^xsd:anyURI ;
fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-GeneticRiskReferral>
  ] ) ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:intent [ fhir:v "proposal"] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/defaultPatient" ] ;
fhir:display [ fhir:v "Jane Doe" ]
  ] ; # 
  fhir:action ( [
fhir:id [ fhir:v "GeneticReferralRisk" ] ;
fhir:title [ fhir:v "Referral for genetic risk counseling" ] ;
fhir:description [ fhir:v "Referral for genetic counseling if not previously consulted, or if limited panel was done and additional testing may be warranted.\n\nWomen with a positive result on family history based risk assessment should receive genetic counseling and, if indicated after counseling, genetic testing." ] ;
    ( fhir:documentation [
fhir:type [ fhir:v "citation" ] ;
fhir:label [ fhir:v "USPSTF" ] ;
fhir:display [ fhir:v "BRCA-Related Cancer: Risk Assessment, Genetic Counseling, and Genetic Testing" ] ;
fhir:citation [ fhir:v "US Preventive Services Task Force. Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. 2019;322(7):652–665." ] ;
fhir:url [ fhir:v "https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/brca-related-cancer-risk-assessment-genetic-counseling-and-genetic-testing"^^xsd:anyURI ]     ] ) ;
fhir:resource [
fhir:reference [ fhir:v "ServiceRequest/401" ]     ]
  ] ) . # 

<http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/401> a fhir:ServiceRequest ;
  fhir:id [ fhir:v "401"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_401\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 401</b></p><a name=\"401\"> </a><a name=\"hc401\"> </a><a name=\"401-en-US\"> </a><p><b>basedOn</b>: <a href=\"ActivityDefinition-GeneticCounselingReferralRequest.html\">Genetic Counseling 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 geneticriskreferral}\">Genetic 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>"^^rdf:XMLLiteral
  ] ; # 
  fhir:basedOn ( [
fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/GeneticCounselingReferralRequest> ;
fhir:reference [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/GeneticCounselingReferralRequest" ]
  ] ) ; # 
  fhir:status [ fhir:v "option"] ; # 
  fhir:intent [ fhir:v "proposal"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system"^^xsd:anyURI ] ;
fhir:code [ fhir:v "geneticriskreferral" ] ;
fhir:display [ fhir:v "Genetic risk referral" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/defaultPatient" ] ;
fhir:display [ fhir:v "Jane Doe" ]
  ] ; # 
  fhir:reasonCode ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"^^xsd:anyURI ] ;
fhir:code [ fhir:v "highfamilialrisk" ] ;
fhir:display [ fhir:v "High familial risk" ]     ] )
  ] ) . #