Breast Cancer Screening and Management (BCSM) Clinical Decision Support (CDS) Implementation Guide
1.0.0 - ci-build
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
Generated Narrative: Bundle HighRiskReferral_eve-personalriskfactors__act-HighRiskAssessment
Bundle HighRiskReferral_eve-personalriskfactors__act-HighRiskAssessment of type collection
Entry 1 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/482
Resource CarePlan:
Generated Narrative: CarePlan 482
instantiatesCanonical: High Risk Referral
status: Draft
intent: Proposal
subject: Jane Doe
created: 2024-12-10 00:00:00+0000
Activities
Reference Bundle: type = collection
Entry 2 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/483
Resource RequestGroup:
Generated Narrative: RequestGroup 483
instantiatesCanonical: High Risk Referral
status: Draft
intent: Proposal
subject: Jane Doe
action
id
HighRiskAssessmenttitle: Perform 5 year risk assessment
description: A 5 year risk assessment, either informal or formal using a validated instrument, will help determine if the patient may benefit from referral for high risk breast specialty evaluation. Women at higher than average 5 year risk may be candidates for referral to breast specialist to discuss primary risk reduction interventions. These may include medications to reduce risk (chemoprevention), risk reducing surgery or enhanced surveillance.
Documentations
Type Label Display Citation Url Citation USPSTF Breast Cancer: Medication Use to Reduce Risk 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.
https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-medications-for-risk-reduction selectionBehavior: Any
action
id
5YRiskAssessmenttitle: Informal 5 year risk assessment
description: Perform assessment based on personal risk factors conferring increased risk of breast cancer. These may include: increasing age, younger age at menarche, older age at first live birth, nulliparity/lower parity, number of prior breast biopsies, heterogeneously and/or extremely dense breasts.
resource: Bundle: type = collection
action
id
5YRiskAssessmentTooltitle: 5 year risk assessment instrument
description: The NCI Breast Cancer Risk Assessment Tool and the Breast Cancer Surveillance Consortium Risk Calculator are based on models tested in US populations and are publicly available for clinicians and patients to use.
Documentations
Type Label Display Url Documentation NCI Breast Cancer Risk Assessment Tool National Cancer Institute (NCI) Breast Cancer Risk Assessment Tool https://bcrisktool.cancer.gov/ Documentation BCSC Risk Calculator Breast Cancer Surveillance Consortium (BCSC) Risk Calculator https://tools.bcsc-scc.ucdavis.edu/BC5yearRisk resource: Bundle: type = collection
Entry 3 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/484
Resource ServiceRequest:
Generated Narrative: ServiceRequest 484
basedOn: 5 Year Risk Assessment Request
status: option
intent: Proposal
code: Perform informal 5 year risk assessment
subject: Jane Doe
reasonCode: Personal or family history risk factors
Entry 4 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/485
Resource ServiceRequest:
Generated Narrative: ServiceRequest 485
basedOn: 5 Year Risk Assessment Request
status: option
intent: Proposal
code: 5 year risk assessment tool
subject: Jane Doe
reasonCode: Personal or family history risk factors