Margaret Chen
Margaret Chen is 65 years old. • MRN #MK-0147131
High Risk TierScore Composition Summary
Margaret's breast cancer risk is High because: (1) a first-degree relative was diagnosed with early-onset breast cancer, (2) she is above the screening escalation threshold for her age, and (3) late menopause was recorded at age 56. Two inputs the model would normally weigh were unavailable: smoking history and genetic testing results.
Breast Cancer: Risk Factor Analysis
Exact model inputs and relative contribution weights mapped from patient EHR records
| Factor | Value in EHR | Risk Contribution | Source EHR Field | Citation |
|---|---|---|---|---|
| Family History | First-degree relative diagnosed with early onset breast cancer | Very High | FamilyMemberHistory | |
| Age Profile | 65 years old (above screening escalation threshold) | High | Patient Resource | |
| Screening History | Last mammogram was completed 26 months ago | Moderate | Procedure Resource | |
| Hormonal Factors | Late menopause history recorded at age 56 | Moderate | Observation (EHR) | |
| BMI & Metabolic | BMI 24.2 - normal range baseline metrics | Low | Observation (Vitals) | |
| Genetic Testing | BRCA1/BRCA2 molecular profile unavailable | Muted | Not recorded in Epic | |
| Smoking History | Clinical entry is empty / tobacco use unrecorded | Muted | Missing Input Point | N/A |
| Lifestyle Markers | Exercise & dietary indexes unsubmitted | Muted | Missing Intake Point | N/A |
Physician Ad-Hoc Adjustments
Audit Log ActiveOverride persistence continues until subsequent cohort screening run is compiled.
- Risk model:
- Tyrer-Cuzick Model v8.0
- Last scored:
- Aug 14, 2026 09:32 AM
- Clinical sign-off:
- Dr. Alma Reyes, Aug 2026