High cumulative ultraviolet radiation exposure — including chronic occupational/recreatio...
Детермінований перегляд YAML-сутності з джерельної бази. Клінічний авторитет лишається за вказаними source ID та статусом клінічного sign-off.
| ID | RF-LIFESTYLE-UV-EXPOSURE-PREVENTION |
|---|---|
| Тип | Тривожна ознака |
| Статус | переглянуто 2026-05-18 | очікує клінічного підпису |
| Хвороби | DIS-BCC DIS-MELANOMA |
| Джерела | SRC-NCCN-MELANOMA-2025 SRC-NCCN-SKIN-2025 |
Походження тривожної ознаки
| Визначення | High cumulative ultraviolet radiation exposure — including chronic occupational/recreational sun exposure (outdoor work, equatorial residence, water/snow sports), indoor tanning-bed use (IARC Group 1 carcinogen since 2009), AND personal history of severe sunburns (especially blistering sunburns in childhood/adolescence; ≥5 lifetime sunburns doubles melanoma risk). UV is the principal modifiable etiologic driver of cutaneous melanoma + basal cell carcinoma (BCC) + squamous cell carcinoma (SCC) of the skin. Tanning-bed use before age 35 increases melanoma risk by ~75%. Fair skin (Fitzpatrick I-II), red/ blond hair, blue eyes, freckles compound risk. Prevention-persona RedFlag (§20 v0.3 lifestyle pilot). |
|---|---|
| Клінічний напрям | investigate |
| Категорія | other |
Логіка спрацьовування
{
"any_of": [
{
"finding": "high_cumulative_uv_exposure",
"value": true
},
{
"finding": "tanning_bed_use_history",
"value": true
},
{
"finding": "history_blistering_sunburn",
"value": true
},
{
"finding": "fair_skin_fitzpatrick_i_ii",
"value": true
},
{
"finding": "occupational_outdoor_uv_exposure",
"value": true
}
],
"type": "lab_value"
}
Нотатки
Prevention-persona RedFlag for high cumulative UV exposure. IARC Group 1 classification for tanning beds (2009). NCCN Melanoma + AAD guidelines support UV-protection counseling + skin self-exam + clinical skin exam cadence. Engine routes to PreventionPlan recommending sun-protection + skin surveillance. STUB pending two-Clinical-Co-Lead signoff per CHARTER §6.1 dev-mode.
Де використовується
Indications
IND-ENVIRONMENTAL-OUTDOOR-UV-SKIN-PREVENTION-PHOTOPROTECTION- IND-ENVIRONMENTAL-OUTDOOR-UV-SKIN-PREVENTION-PHOTOPROTECTIONIND-LIFESTYLE-UV-EXPOSURE-PREVENTION-OBSERVATION- IND-LIFESTYLE-UV-EXPOSURE-PREVENTION-OBSERVATIONIND-LIFESTYLE-UV-EXPOSURE-PREVENTION-PROTECTION- IND-LIFESTYLE-UV-EXPOSURE-PREVENTION-PROTECTION
Тривожна ознака
RF-ENVIRONMENTAL-OUTDOOR-UV-SKIN-PREVENTION- Chronic high cumulative occupational outdoor UV exposure (≥10 years outdoor work in high-...