The EHR Integration That Turns Cancer Risk Assessment Into Action
From comprehensive risk assessment to personalized care management, CancerIQ equips breast programs to efficiently deliver cancer care that’s precise and proactive — helping every patient get ahead of cancer.

The CancerIQ Difference: Embedded At Every Step
Pre-Visit Education
- Capture structured risk data with a short, digital pre-visit survey on personal, family, lifestyle and adherence history
- Engage patients early with preliminary risk reports, personalized digital education, and best next steps
- Streamline outreach and scheduling by enabling patients to indicate interest in follow-up services based on their eligibility.
Genetic Testing Decision Support
- Identify patients eligible for genetic testing based on the latest NCCN guidelines
- Access clinical guidance to choose the appropriate test panel based on patient risk
- Place test orders with leading labs through existing EHR integrations or the CancerIQ app
Tyrer-Cuzick Calculation
- Generate 5-year, 10-year, and lifetime breast cancer risk scores with CancerIQ’s TC8 Calculator — one of few tools licensed to use Tyrer-Cuzick (Version 8), the model most widely recognized by insurance for breast MRI eligibility
- Integrate breast density reporting and TC8 calculations directly into radiology dictation systems and workflows in real-time
- Send results where they matter by filing TC8 scores as discrete lab results, visible to the care team and the patient
Evidence-Based Medical Management
- Access patient risk results and care plans to guide medical management decisions
- Display up-to-date NCCN guidelines alongside in-app education to support non-specialist providers in shared decision-making conversations
- Allow providers to pend orders within the EHR to streamline access to appropriate interventions
Post-Test Education
- Deliver high-impact education that decreases decision fatigue, drives follow-through, and prepares patients for next steps—closing the loop between testing and action
- Equip mutation carriers and high-risk patients with ongoing support for early detection, prevention, and specialist care
- Centralize long-term management in a dynamic registry with automated, personalized outreach to ensure no patient falls through the cracks
Complement Your Epic Investment
CancerIQ stands as a clear leader in the realm of high-risk programs, delivering targeted, patient-centric solutions that complement and enhance the broad capabilities of Epic's EHR. Together, they form a powerful alliance, offering comprehensive, scalable care that addresses the unique needs of patients at risk for hereditary cancer.
INTEGRATION |
HOW IT WORKS |
TECHNICAL STANDARDS |
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Automatically sends personalized risk assessments and educational content via email or SMS after receiving scheduled appointments via HL7 SIU messages to boost pre-visit completion rates. |
HL7 v2 SIU |
Embedded Clinical App |
Launches contextually from within Epic and Oracle Health EHRs using SMART on FHIR. Supports secure, token-based access for writing back inline documentation in real time. |
SMART on FHIR, OAuth 2.0, FHIR APIs (Patient, Practitioner, Encounter, DocumentReference) |
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Transmits structured outputs—such as NCCN eligibility, genetic results, and risk scores—into the EHR using HL7 ORU. |
HL7 v2 ORU |
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Delivers finalized risk scores as discrete lab-style results for tracking, registry inclusion, and maintenance modules. |
HL7 v2 ORU (Lab Results) |
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Calculates Tyrer-Cuzick v8 scores in real time and injects them into radiology templates via dictation system integrations. |
HL7 v2 ORM/ORU (e.g., Nuance) |
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Pushes CancerIQ-generated documentation (e.g., risk reports, clinical notes) into the EHR or document management system automatically, streamlining provider workflows. |
HL7 v2 MDM |
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Integrates into existing patient portal to deliver personalized education and next steps based on the patient’s genetic risk, screening eligibility, and test results. Patients can explore their risk report, learn about recommended interventions, and express interest in follow-up services—all from a secure, familiar platform. |
SMART on FHIR (Patient-facing), FHIR R4, OAuth 2.0 |
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Supports secure file-based and ETL-based data exchange for organizations without live EHR integrations. Ideal for large-scale onboarding, retrospective data ingestion, population outreach, or exporting outcomes to enterprise data warehouses. |
CSV via SFTP, ETL pipelines (custom), HIPAA-compliant processing |
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Retrieves structured genetic test results—such as variant data, gene names, and clinical significance—directly from the EHR using FHIR Genomics APIs. This enables downstream care planning, reclassification tracking, and risk stratification without requiring PDF uploads. |
FHIR R4 Observation (Genomics profile), OAuth 2.0, US Core/GR IG-compatible |
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Uses Epic’s AGL Web Messaging API to seamlessly pend genetic test orders, referrals, and procedures based on patient eligibility criteria. Orders are initiated within the EHR workflow and routed to the provider for review and signature—eliminating manual entry and improving guideline adherence |
Epic AGL Web Messaging API, HL7 InfoButton Standard, SMART on FHIR context launch |
Supports Every Corner of the Health System
CancerIQ brings value across the entire health system:
Identify and engage high-risk patients before cancer develops. CancerIQ helps oncology teams scale access to genetic testing, streamline navigation, and detect more cancers earlier when treatment and surgery are most effective.
Automate Tyrer-Cuzick scoring with breast density directly in dictation systems. Radiology teams can elevate screening-eligible patients without disrupting workflow.
Empower clinicians to identify risk, initiate guideline-based care, and pend orders — no genetics expertise required.
Offload triage, education, and guideline logic. CancerIQ lets genetics teams focus where it matters, doubling reach without doubling staff.
Join the Health Systems Staying Ahead of Cancer
Leading health systems across the country use CancerIQ to scale access to personalized cancer prevention and early detection—right from their EHR.
All without adding burden to providers.
Learn more about how CancerIQ can transform your workflow.