Breast Cancer Screening and Management (BCSM) Clinical Decision Support (CDS) Implementation Guide
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: GeneticRiskReferral_eve-fhxgeneinherited_yes_eve-unkvariantstatus_yes_act-geneticreferral - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id
      value="GeneticRiskReferral_eve-fhxgeneinherited_yes_eve-unkvariantstatus_yes_act-geneticreferral"/>
  <type value="collection"/>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/407"/>
    <resource>
      <CarePlan>
        <id value="407"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="CarePlan_407"> </a><p class="res-header-id"><b>Generated Narrative: CarePlan 407</b></p><a name="407"> </a><a name="hc407"> </a><a name="407-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_yes_eve-unkvariantstatus_yes_act-geneticreferral.html#RequestGroup_408">Bundle: type = collection</a></td></tr></table></div>
        </text>
        <instantiatesCanonical
                               value="http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-GeneticRiskReferral"/>
        <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/408"/>
          </reference>
        </activity>
      </CarePlan>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/408"/>
    <resource>
      <RequestGroup>
        <id value="408"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="RequestGroup_408"> </a><p class="res-header-id"><b>Generated Narrative: RequestGroup 408</b></p><a name="408"> </a><a name="hc408"> </a><a name="408-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>GeneticReferralVariant</blockquote><p><b>title</b>: Referral for genetic risk counseling</p><p><b>description</b>: Referral for genetic counseling if not previously evaluated for variant of concern based on known family history.

Any blood relative with known BRCA1/BRCA2 variants, Li-Fraumeni syndrome (TP53 variant), Cowden or Bannayan-Riley-Ruvalcaba syndromes (PTEN variants), and other variants known to be associated with increased risk of development of breast cancer. Variants may include ATM, BARD1, CDH1, CHEK2, NF1, PALB2, RAD51C, RAD51D, STK11.</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>
</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_yes_eve-unkvariantstatus_yes_act-geneticreferral.html#ServiceRequest_409">Bundle: type = collection</a></p></blockquote></div>
        </text>
        <instantiatesCanonical
                               value="http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-GeneticRiskReferral"/>
        <status value="draft"/>
        <intent value="proposal"/>
        <subject>
          <reference value="Patient/defaultPatient"/>
          <display value="Jane Doe"/>
        </subject>
        <action id="GeneticReferralVariant">
          <title value="Referral for genetic risk counseling"/>
          <description
                       value="Referral for genetic counseling if not previously evaluated for variant of concern based on known family history.

Any blood relative with known BRCA1/BRCA2 variants, Li-Fraumeni syndrome (TP53 variant), Cowden or Bannayan-Riley-Ruvalcaba syndromes (PTEN variants), and other variants known to be associated with increased risk of development of breast cancer. Variants may include ATM, BARD1, CDH1, CHEK2, NF1, PALB2, RAD51C, RAD51D, STK11."/>
          <documentation>
            <type value="citation"/>
            <label value="USPSTF"/>
            <display
                     value="BRCA-Related Cancer: Risk Assessment, Genetic Counseling, and Genetic Testing"/>
            <citation
                      value="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."/>
            <url
                 value="https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/brca-related-cancer-risk-assessment-genetic-counseling-and-genetic-testing"/>
          </documentation>
          <resource>
            <reference value="ServiceRequest/409"/>
          </resource>
        </action>
      </RequestGroup>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/409"/>
    <resource>
      <ServiceRequest>
        <id value="409"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_409"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest 409</b></p><a name="409"> </a><a name="hc409"> </a><a name="409-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 fhxgenetic}">Family history of inherited cancer susceptibility</span></p></div>
        </text>
        <basedOn>🔗 
          <reference
                     value="http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/GeneticCounselingReferralRequest"/>
        </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="geneticriskreferral"/>
            <display value="Genetic 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="fhxgenetic"/>
            <display
                     value="Family history of inherited cancer susceptibility"/>
          </coding>
        </reasonCode>
      </ServiceRequest>
    </resource>
  </entry>
</Bundle>