HighRiskReferral_eve-atypicalbxpop__act-HighRiskReferral_act-estlifexpectancy - XML Representation - Breast Cancer Screening and Management (BCSM) Clinical Decision Support (CDS) Implementation Guide v1.0.0

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
: HighRiskReferral_eve-atypicalbxpop__act-HighRiskReferral_act-estlifexpectancy - XML Representation

Raw xml | Download

<Bundle xmlns="http://hl7.org/fhir">
  <id
      value="HighRiskReferral_eve-atypicalbxpop__act-HighRiskReferral_act-estlifexpectancy"/>
  <type value="collection"/>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/458"/>
    <resource>
      <CarePlan>
        <id value="458"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="CarePlan_458"> </a><p class="res-header-id"><b>Generated Narrative: CarePlan 458</b></p><a name="458"> </a><a name="hc458"> </a><a name="458-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-atypicalbxpop__act-HighRiskReferral_act-estlifexpectancy.html#RequestGroup_459">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/459"/>
          </reference>
        </activity>
      </CarePlan>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/459"/>
    <resource>
      <RequestGroup>
        <id value="459"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="RequestGroup_459"> </a><p class="res-header-id"><b>Generated Narrative: RequestGroup 459</b></p><a name="459"> </a><a name="hc459"> </a><a name="459-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>HighRiskReferralAtypicalBiopsy</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 history of past atypical biopsy results, 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-atypicalbxpop__act-HighRiskReferral_act-estlifexpectancy.html#ServiceRequest_460">Bundle: type = collection</a></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>ConsiderLifeExpectancy</blockquote><p><b>title</b>: Shared decision making for high risk specialty referral based on life expectancy</p><p><b>description</b>: Patient may not be a candidate for chemoprevention if estimated life expectancy is &lt; 10 years.

Factors that may impact this estimation should be considered prior to referral. A validated tool such as www.eprognosis.com can help guide decision making.</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-atypicalbxpop__act-HighRiskReferral_act-estlifexpectancy.html#CommunicationRequest_461">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="HighRiskReferralAtypicalBiopsy">
          <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 history of past atypical biopsy results, 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/460"/>
          </resource>
        </action>
        <action id="ConsiderLifeExpectancy">
          <title
                 value="Shared decision making for high risk specialty referral based on life expectancy"/>
          <description
                       value="Patient may not be a candidate for chemoprevention if estimated life expectancy is &lt; 10 years.

Factors that may impact this estimation should be considered prior to referral. A validated tool such as www.eprognosis.com can help guide decision making."/>
          <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="CommunicationRequest/461"/>
          </resource>
        </action>
      </RequestGroup>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/460"/>
    <resource>
      <ServiceRequest>
        <id value="460"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_460"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest 460</b></p><a name="460"> </a><a name="hc460"> </a><a name="460-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/biopsy-result-observation-code-system Atypical}">Atypical breast finding</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/biopsy-result-observation-code-system"/>
            <code value="Atypical"/>
            <display value="Atypical breast finding"/>
          </coding>
        </reasonCode>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/461"/>
    <resource>
      <CommunicationRequest>
        <id value="461"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="CommunicationRequest_461"> </a><p class="res-header-id"><b>Generated Narrative: CommunicationRequest 461</b></p><a name="461"> </a><a name="hc461"> </a><a name="461-en-US"> </a><p><b>basedOn</b>: <a href="ActivityDefinition-CommunicateSDMConsiderLifeExpectancy.html">Communicate Shared Decision Making to Continue Screening</a></p><p><b>status</b>: option</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>: </p></div>
        </text>
        <basedOn>🔗 
          <reference
                     value="http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/CommunicateSDMConsiderLifeExpectancy"/>
        </basedOn>
        <status value="option"/>
        <subject>
          <reference value="Patient/defaultPatient"/>
          <display value="Jane Doe"/>
        </subject>
        <reasonCode/>
      </CommunicationRequest>
    </resource>
  </entry>
</Bundle>