{ "resourceType" : "Bundle", "id" : "AverageRisk_eve-age40to44_act-acsavgrecs40_only", "type" : "collection", "entry" : [{ "fullUrl" : "http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/234", "resource" : { "resourceType" : "CarePlan", "id" : "234", "text" : { "status" : "generated", "div" : "

Generated Narrative: CarePlan 234

instantiatesCanonical: Average Risk

status: Draft

intent: Proposal

subject: Jane Doe

created: 2024-12-10 00:00:00+0000

Activities

-Reference
*Bundle: type = collection
" }, "instantiatesCanonical" : ["http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-AverageRisk"], "status" : "draft", "intent" : "proposal", "subject" : { "reference" : "Patient/defaultPatient", "display" : "Jane Doe" }, "created" : "2024-12-10T00:00:00.0Z", "activity" : [{ "reference" : { "reference" : "RequestGroup/235" } }] } }, { "fullUrl" : "http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/235", "resource" : { "resourceType" : "RequestGroup", "id" : "235", "text" : { "status" : "extensions", "div" : "

Generated Narrative: RequestGroup 235

instantiatesCanonical: Average Risk

status: Draft

intent: Proposal

subject: Jane Doe

action

id

ACSMammoAvgRiskAgeUnder45

Recommendation Flag Extension: Overdue

title: Annual screening mammogram starting age 40

description: Women between 40 and 44 have the option to start screening with a mammogram every year.

code: MG Breast Screening

Documentations

-TypeLabelDisplayCitationUrl
*CitationACSBreast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society

Saslow D, Boetes C, Burke W, Harms S, Leach MO, Lehman CD, Morris E, Pisano E, Schnall M, Sener S, Smith RA, Warner E, Yaffe M, Andrews KS, Russell CA; American Cancer Society Breast Cancer Advisory Group. American Cancer Society guidelines for breast screening with MRI as an adjunct to mammography. CA Cancer J Clin. 2007 Mar-Apr;57(2):75-89.

\n
https://jamanetwork.com/journals/jama/fullarticle/2463262

timing: Events: 2021-01-01 , Once per 1 year

resource: Bundle: type = collection

action

id

USPSTFAvgRisk

Recommendation Flag Extension: Overdue

title: Biennial screening mammogram starting age 40

description: Biennial screening mammogram starting at age 40

code: MG Breast Screening

Documentations

-TypeLabelDisplayCitationUrl
*CitationUSPSTFScreening for Breast Cancer: US Preventive Services Task Force Recommendation Statement

US Preventive Services Task Force. Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. Published online April 30, 2024.

\n
https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening

timing: Events: 2021-01-01 , Once per 2 years

resource: Bundle: type = collection

" }, "instantiatesCanonical" : ["http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-AverageRisk"], "status" : "draft", "intent" : "proposal", "subject" : { "reference" : "Patient/defaultPatient", "display" : "Jane Doe" }, "action" : [{ "id" : "ACSMammoAvgRiskAgeUnder45", "extension" : [{ "url" : "http://cancerscreeningcds.github.io/bcsm-cds/StructureDefinition/csm-recommendation-flag", "valueCodeableConcept" : { "coding" : [{ "system" : "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system", "code" : "overdue", "display" : "Overdue" }] } }], "title" : "Annual screening mammogram starting age 40", "description" : "Women between 40 and 44 have the option to start screening with a mammogram every year.", "code" : [{ "coding" : [{ "system" : "http://loinc.org", "code" : "24606-6", "display" : "MG Breast Screening" }] }], "documentation" : [{ "type" : "citation", "label" : "ACS", "display" : "Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society", "citation" : "Saslow D, Boetes C, Burke W, Harms S, Leach MO, Lehman CD, Morris E, Pisano E, Schnall M, Sener S, Smith RA, Warner E, Yaffe M, Andrews KS, Russell CA; American Cancer Society Breast Cancer Advisory Group. American Cancer Society guidelines for breast screening with MRI as an adjunct to mammography. CA Cancer J Clin. 2007 Mar-Apr;57(2):75-89.", "url" : "https://jamanetwork.com/journals/jama/fullarticle/2463262" }], "timingTiming" : { "event" : ["2021-01-01"], "repeat" : { "boundsPeriod" : { "start" : "2021-01-01" }, "frequency" : 1, "period" : 1, "periodUnit" : "a" } }, "resource" : { "reference" : "ServiceRequest/236" } }, { "id" : "USPSTFAvgRisk", "extension" : [{ "url" : "http://cancerscreeningcds.github.io/bcsm-cds/StructureDefinition/csm-recommendation-flag", "valueCodeableConcept" : { "coding" : [{ "system" : "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system", "code" : "overdue", "display" : "Overdue" }] } }], "title" : "Biennial screening mammogram starting age 40", "description" : "Biennial screening mammogram starting at age 40", "code" : [{ "coding" : [{ "system" : "http://loinc.org", "code" : "24606-6", "display" : "MG Breast Screening" }] }], "documentation" : [{ "type" : "citation", "label" : "USPSTF", "display" : "Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement", "citation" : "US Preventive Services Task Force. Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. Published online April 30, 2024.", "url" : "https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening" }], "timingTiming" : { "event" : ["2021-01-01"], "repeat" : { "boundsPeriod" : { "start" : "2021-01-01" }, "frequency" : 1, "period" : 2, "periodUnit" : "a" } }, "resource" : { "reference" : "ServiceRequest/237" } }] } }, { "fullUrl" : "http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/236", "resource" : { "resourceType" : "ServiceRequest", "id" : "236", "text" : { "status" : "generated", "div" : "

Generated Narrative: ServiceRequest 236

basedOn: Breast Cancer Screening Service Request

status: option

intent: Proposal

code: MG Breast Screening

subject: Jane Doe

occurrence: 2021-01-01

reasonCode: ACS average risk

" }, "basedOn" : [{ "reference" : "http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest" }], "status" : "option", "intent" : "proposal", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "24606-6", "display" : "MG Breast Screening" }] }, "subject" : { "reference" : "Patient/defaultPatient", "display" : "Jane Doe" }, "occurrenceDateTime" : "2021-01-01", "reasonCode" : [{ "coding" : [{ "system" : "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system", "code" : "ACSaveragerisk", "display" : "ACS average risk" }] }] } }, { "fullUrl" : "http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/237", "resource" : { "resourceType" : "ServiceRequest", "id" : "237", "text" : { "status" : "generated", "div" : "

Generated Narrative: ServiceRequest 237

basedOn: Breast Cancer Screening Service Request

status: option

intent: Proposal

code: MG Breast Screening

subject: Jane Doe

occurrence: 2021-01-01

reasonCode: USPSTF average risk

" }, "basedOn" : [{ "reference" : "http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest" }], "status" : "option", "intent" : "proposal", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "24606-6", "display" : "MG Breast Screening" }] }, "subject" : { "reference" : "Patient/defaultPatient", "display" : "Jane Doe" }, "occurrenceDateTime" : "2021-01-01", "reasonCode" : [{ "coding" : [{ "system" : "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system", "code" : "USPSTFaveragerisk", "display" : "USPSTF average risk" }] }] } }] }