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 Genetic Risk Referral Questionnaire
| Official URL: http://cancerscreeningcds.github.io/bcsm-cds/Questionnaire/BreastCancerGeneticRiskReferralQuestionnaire | Version: 1.0.0 | |||
| Draft as of 2025-02-28 | Computable Name: BreastCancerGeneticRiskReferralQuestionnaire | |||
A questionnaire to assess familial risk factors related to breast cancer.
Generated Narrative: Questionnaire BreastCancerGeneticRiskReferralQuestionnaire
Profile: Questionnaire
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  BreastCancerGeneticRiskReferralQuestionnaire | A questionnaire to assess familial risk factors related to breast cancer. | Questionnaire | http://cancerscreeningcds.github.io/bcsm-cds/Questionnaire/BreastCancerGeneticRiskReferralQuestionnaire#1.0.0 | |
  fhxgenetic | Family history of inherited cancer susceptibility | 0..1 | boolean | |
  KnownVariantStatus | Known personal variant status | 0..1 | boolean | Enable When: fhxgenetic = |
| brcageneancestry | Ancestry associated with BRCA1/2 gene mutations | 0..1 | boolean | |
| fhxbrcaovcatubalperit | Family history of breast, ovarian, tubal, or peritoneal cancer | 0..1 | boolean | |
| familialriskassessment | Familial risk assessment | 0..1 | boolean | |
 fhxrisktool | Brief familial risk assessment tool | 0..1 | choice | Options: 1 option |
| Documentation for this format | ||||
Options Sets
Answer options for fhxrisktool
- http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system#highfamilialrisk ("High familial risk")