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Exposition professionnelle historique documentée aux fibres d'amiante (chrysotile, amosite, crocodile...

Vue déterministe de l'entité source de la LJAM. L'autorité clinique demeure avec les ID de la source cités et l'état d'approbation de l ́examinateur.

IDRF-OCC-ASBESTOS-MALIGNANCY-PREVENTION
TypeSignal d’alerte
Étatreviewed 2026-05-18 | pending_clinical_signoff
MaladiesDIS-MESOTHELIOMA DIS-NSCLC DIS-OVARIAN DIS-SCLC
SourcesSRC-ESMO-NSCLC-EARLY-2024 SRC-NCCN-NSCLC-2025 SRC-NCCN-SCLC-2025

Origine du drapeau rouge

DéfinitionDocumented historical occupational exposure to asbestos fibres (chrysotile, amosite, crocidolite, anthophyllite, tremolite, actinolite) in an individual without a current asbestos-associated malignancy diagnosis. Classic high-risk occupations: shipyard workers, insulators, boilermakers, pipefitters, asbestos-cement manufacture / installation, brake-lining manufacture / repair, demolition / construction trades pre-regulation, miners and millers of asbestos ore. Asbestos is an IARC Group 1 carcinogen — established etiological driver of malignant mesothelioma (pleural and peritoneal), lung cancer (synergistic with tobacco — multiplicative risk), and (per the 2012 IARC Monograph 100C update) ovarian and laryngeal cancer. Latency from first exposure to mesothelioma is typically 20-50 years; lung-cancer latency is shorter (10-30 years) and cumulative-dose- and smoking-dependent. There is NO c...
Direction cliniqueenquêter
Catégorieautres

Logique de déclenchement

{
  "any_of": [
    {
      "finding": "occupational_asbestos_exposure_documented",
      "value": true
    },
    {
      "finding": "occupational_asbestos_exposure_years_ge_5",
      "value": true
    }
  ],
  "type": "lab_value"
}

Notes

Prevention-persona RedFlag — v0.3 occupational/environmental pilot starter (CHARTER §3 prevention scope, ratified 2026-05-18 Path A, HCP-mediated). Fires when patient profile carries documented prior occupational asbestos exposure AND no confirmed asbestos-associated malignancy diagnosis. Engine routes such patients to a 2-track PreventionPlan: (a) IND-OCC-ASBESTOS-PREVENTION-INTENSIFIED-SURVEILLANCE (standard) — counseling on exposure cessation (typically irrelevant for retired / non-active workers), smoking- cessation counseling (paramount due to multiplicative lung- cancer synergy), annual LDCT chest from 10-20 years post first exposure adjusted by smoking status, discussion of pleural surveillance. (b) IND-OCC-ASBESTOS-PREVENTION-OBSERVATION (surveillance) — routine general-population screening only; patient declines intensified imaging surveillance for any reason (cost, radiation concerns, anxiety, preference). Trigger findings are computed booleans from occupational-history intake at the patient-profile layer (FHIR Patient + Observation / Condition extensions; computation pipeline downstream of KB and not yet implemented). Evidence base (IARC Monograph 100C 2012; LeMasters e...

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