Margaret Chen
Margaret Chen is 65 years old. • MRN #MK-0147131
High Risk TierElevated cancer risk across 2 cancer types
Next Steps
Discuss genetic counseling referral and escalate to BRCA testing panel.
Protocol Guideline Reference: USPSTF 2024 Systematic Review
Patient Intake Gap
Scoring is currently generated from 63% of optimal input points. Send the customized assessment form to secure complete lifestyle profiles.
Clinical Decision Support Recommendation:
Discuss genetic counseling referral and escalate to BRCA testing panel.
Protocol Guideline Reference: USPSTF 2024 Systematic Review
Breast Cancer Risk
Why High Risk:
- Family history — First-degree relative diagnosed with early onset breast cancer
- Age factor — Above the screening escalation threshold
- Hormonal factors — Late menopause history recorded at age 56
Calculated via Tyrer-Cuzick Model v8.0
Colorectal Cancer Risk
Why High Risk:
- Family history — Father diagnosed with colorectal cancer at age 55
- Lifestyle markers — Recorded low fiber diet and high processed food intake
- Age baseline — Above the initial screening escalation threshold
Calculated via PREMM5 Model
EHR Risk Factor Source Log — Breast Cancer
| Factor Name | Value from EHR | Risk Interpretation | EHR Source |
|---|---|---|---|
| Family History | First-degree relative diagnosed with early onset breast cancer | First-degree, early onset | FamilyMemberHistory |
| Age Profile | 65 years old (above screening escalation threshold) | Above screening baseline | Patient Resource |
| Screening History | Last mammogram was completed 26 months ago | Overdue against the 24-month interval | Procedure Resource |
| Hormonal Factors | Late menopause history recorded at age 56 | Late menopause progression | Observation (EHR) |
| BMI & Metabolic | BMI 24.2 - normal range baseline metrics | Within normal range | Observation (Vitals) |
| Genetic Testing | BRCA1/BRCA2 molecular profile unavailable | No molecular profile on file | Not recorded in Epic |
| Smoking History | Clinical entry is empty / tobacco use unrecorded | No tobacco history on file | Missing Input Point |
| Lifestyle Markers | Exercise & dietary indexes unsubmitted | Not submitted at intake | Missing Intake Point |
Physician Ad-Hoc Adjustments
Audit Log ActiveOverride persistence continues until subsequent cohort screening run is compiled.
Selected Clinical Citations
“First-degree relative diagnosed with early onset breast cancer escalates relative hazard ratio bounds by 1.7–2.5× baseline metrics (USPSTF 2024 Screening Consensus).”