Breast Cancer Screening and Management (BCSM) Clinical Decision Support (CDS) Implementation Guide
1.0.0 - ci-build
Breast Cancer Screening and Management (BCSM) Clinical Decision Support (CDS) Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Bundle ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "DecisionToScreen_eve-AgeOver74__act-sdmcontinueage__eve-highriskexclusions__end-decisionhighrisk"] ; #
fhir:type [ fhir:v "collection"] ; #
fhir:entry ( [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/301"^^xsd:anyURI ] ;
( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/301> )
] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/302"^^xsd:anyURI ] ;
( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/302> )
] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/303"^^xsd:anyURI ] ;
( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/303> )
] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/304"^^xsd:anyURI ] ;
( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/304> )
] ) . #
<http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/301> a fhir:CarePlan ;
fhir:id [ fhir:v "301"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_301\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan 301</b></p><a name=\"301\"> </a><a name=\"hc301\"> </a><a name=\"301-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-flow-DecisionToScreen.html\">Decision to Screen</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href=\"Bundle-eve-AgeOver74__act-sdmcontinueage__eve-highriskexclusions__end-decisionhighrisk.html#Patient_6c04b9d7-f2ff-4748-8f18-3ba0ae8cfd30\">Jane Doe</a></p><p><b>created</b>: 2024-12-10 00:00:00+0000</p><h3>Activities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-DecisionToScreen_eve-AgeOver74__act-sdmcontinueage__eve-highriskexclusions__end-decisionhighrisk.html#RequestGroup_302\">Bundle: type = collection</a></td></tr></table></div>"^^rdf:XMLLiteral
] ; #
fhir:instantiatesCanonical ( [
fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-DecisionToScreen"^^xsd:anyURI ;
fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-DecisionToScreen>
] ) ; #
fhir:status [ fhir:v "draft"] ; #
fhir:intent [ fhir:v "proposal"] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/6c04b9d7-f2ff-4748-8f18-3ba0ae8cfd30" ] ;
fhir:display [ fhir:v "Jane Doe" ]
] ; #
fhir:created [ fhir:v "2024-12-10T00:00:00.0Z"^^xsd:dateTime] ; #
fhir:activity ( [
fhir:reference [
fhir:reference [ fhir:v "RequestGroup/302" ] ]
] ) . #
<http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/302> a fhir:RequestGroup ;
fhir:id [ fhir:v "302"] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RequestGroup_302\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup 302</b></p><a name=\"302\"> </a><a name=\"hc302\"> </a><a name=\"302-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-flow-DecisionToScreen.html\">Decision to Screen</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href=\"Bundle-eve-AgeOver74__act-sdmcontinueage__eve-highriskexclusions__end-decisionhighrisk.html#Patient_6c04b9d7-f2ff-4748-8f18-3ba0ae8cfd30\">Jane Doe</a></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>SDMContinueScreeningAge</blockquote><p><b>title</b>: Shared decision making to continue screening based on age</p><p><b>description</b>: Decision to continue screening mammography in average risk women age 75 years or older should be based on shared decision-making.\n\nThe USPSTF concludes that the evidence is insufficient to determine the balance of benefits and harms of screening mammography in women 75 years or older.</p><p><b>code</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system sdmcontinue}\">Shared decision making to continue screening</span></p><h3>Documentations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Label</b></td><td><b>Display</b></td><td><b>Citation</b></td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td>Citation</td><td>USPSTF</td><td>Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement</td><td><div><p>US Preventive Services Task Force. Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. Published online April 30, 2024.</p>\n</div></td><td><a href=\"https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening\">https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening</a></td></tr></table><p><b>resource</b>: <a href=\"Bundle-DecisionToScreen_eve-AgeOver74__act-sdmcontinueage__eve-highriskexclusions__end-decisionhighrisk.html#CommunicationRequest_303\">Bundle: type = collection</a></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>ACSMammoAfterBrca</blockquote><p><b>Recommendation Flag Extension</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system overdue}\">Overdue</span></p><p><b>title</b>: Annual screening mammogram</p><p><b>description</b>: Annual screening mammogram after 5 years from breast cancer onset is recomended.</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 24606-6}\">MG Breast Screening</span></p><h3>Documentations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Label</b></td><td><b>Display</b></td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td>Citation</td><td>ACS</td><td>American Cancer Society Recommendations for the Early Detection of Breast Cancer</td><td><a href=\"https://www.cancer.org/cancer/types/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html\">https://www.cancer.org/cancer/types/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html</a></td></tr></table><p><b>timing</b>: Events: 2024-01-01 , Once per 1 year</p><p><b>resource</b>: <a href=\"Bundle-DecisionToScreen_eve-AgeOver74__act-sdmcontinueage__eve-highriskexclusions__end-decisionhighrisk.html#ServiceRequest_304\">Bundle: type = collection</a></p></blockquote></div>"^^rdf:XMLLiteral
] ; #
fhir:instantiatesCanonical ( [
fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-DecisionToScreen"^^xsd:anyURI ;
fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-DecisionToScreen>
] ) ; #
fhir:status [ fhir:v "draft"] ; #
fhir:intent [ fhir:v "proposal"] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/6c04b9d7-f2ff-4748-8f18-3ba0ae8cfd30" ] ;
fhir:display [ fhir:v "Jane Doe" ]
] ; #
fhir:action ( [
fhir:id [ fhir:v "SDMContinueScreeningAge" ] ;
fhir:title [ fhir:v "Shared decision making to continue screening based on age" ] ;
fhir:description [ fhir:v "Decision to continue screening mammography in average risk women age 75 years or older should be based on shared decision-making.\n\nThe USPSTF concludes that the evidence is insufficient to determine the balance of benefits and harms of screening mammography in women 75 years or older." ] ;
( fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system"^^xsd:anyURI ] ;
fhir:code [ fhir:v "sdmcontinue" ] ;
fhir:display [ fhir:v "Shared decision making to continue screening" ] ] ) ] ) ;
( fhir:documentation [
fhir:type [ fhir:v "citation" ] ;
fhir:label [ fhir:v "USPSTF" ] ;
fhir:display [ fhir:v "Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement" ] ;
fhir:citation [ fhir:v "US Preventive Services Task Force. Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. Published online April 30, 2024." ] ;
fhir:url [ fhir:v "https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening"^^xsd:anyURI ] ] ) ;
fhir:resource [
fhir:reference [ fhir:v "CommunicationRequest/303" ] ]
] [
fhir:id [ fhir:v "ACSMammoAfterBrca" ] ;
( fhir:extension [
fhir:url [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/StructureDefinition/csm-recommendation-flag"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system"^^xsd:anyURI ] ;
fhir:code [ fhir:v "overdue" ] ;
fhir:display [ fhir:v "Overdue" ] ] ) ] ] ) ;
fhir:title [ fhir:v "Annual screening mammogram" ] ;
fhir:description [ fhir:v "Annual screening mammogram after 5 years from breast cancer onset is recomended." ] ;
( fhir:code [
( fhir:coding [
a loinc:24606-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "24606-6" ] ;
fhir:display [ fhir:v "MG Breast Screening" ] ] ) ] ) ;
( fhir:documentation [
fhir:type [ fhir:v "citation" ] ;
fhir:label [ fhir:v "ACS" ] ;
fhir:display [ fhir:v "American Cancer Society Recommendations for the Early Detection of Breast Cancer" ] ;
fhir:url [ fhir:v "https://www.cancer.org/cancer/types/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html"^^xsd:anyURI ] ] ) ;
fhir:timing [
a fhir:Timing ;
( fhir:event [ fhir:v "2024-01-01"^^xsd:date ] ) ;
fhir:repeat [
fhir:bounds [
a fhir:Period ;
fhir:start [ fhir:v "2024-01-01"^^xsd:date ] ] ;
fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:period [ fhir:v "1"^^xsd:decimal ] ;
fhir:periodUnit [ fhir:v "a" ] ] ] ;
fhir:resource [
fhir:reference [ fhir:v "ServiceRequest/304" ] ]
] ) . #
<http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/303> a fhir:CommunicationRequest ;
fhir:id [ fhir:v "303"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CommunicationRequest_303\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CommunicationRequest 303</b></p><a name=\"303\"> </a><a name=\"hc303\"> </a><a name=\"303-en-US\"> </a><p><b>basedOn</b>: <a href=\"ActivityDefinition-CommunicateSDMContinueScreening.html\">Communicate Shared Decision Making to Continue Screening</a></p><p><b>status</b>: option</p><p><b>subject</b>: <a href=\"Bundle-eve-AgeOver74__act-sdmcontinueage__eve-highriskexclusions__end-decisionhighrisk.html#Patient_6c04b9d7-f2ff-4748-8f18-3ba0ae8cfd30\">Jane Doe</a></p><h3>Payloads</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Content[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>Shared decision making to continue screening</td></tr></table><p><b>reasonCode</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system ageover74}\">Age over 74 years</span></p></div>"^^rdf:XMLLiteral
] ; #
fhir:basedOn ( [
fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/CommunicateSDMContinueScreening> ;
fhir:reference [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/CommunicateSDMContinueScreening" ]
] ) ; #
fhir:status [ fhir:v "option"] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/6c04b9d7-f2ff-4748-8f18-3ba0ae8cfd30" ] ;
fhir:display [ fhir:v "Jane Doe" ]
] ; #
fhir:payload ( [
fhir:content [
a fhir:string ;
fhir:v "Shared decision making to continue screening" ]
] ) ; #
fhir:reasonCode ( [
( fhir:coding [
fhir:system [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ageover74" ] ;
fhir:display [ fhir:v "Age over 74 years" ] ] )
] ) . #
<http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/304> a fhir:ServiceRequest ;
fhir:id [ fhir:v "304"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_304\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 304</b></p><a name=\"304\"> </a><a name=\"hc304\"> </a><a name=\"304-en-US\"> </a><p><b>basedOn</b>: <a href=\"ActivityDefinition-BreastCancerScreeningServiceRequest.html\">Breast Cancer Screening Service Request</a></p><p><b>status</b>: option</p><p><b>intent</b>: Proposal</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 24606-6}\">MG Breast Screening</span></p><p><b>subject</b>: <a href=\"Bundle-eve-AgeOver74__act-sdmcontinueage__eve-highriskexclusions__end-decisionhighrisk.html#Patient_6c04b9d7-f2ff-4748-8f18-3ba0ae8cfd30\">Jane Doe</a></p><p><b>occurrence</b>: 2024-01-01</p><p><b>reasonCode</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system hxbreastca}\">Previous breast cancer</span></p></div>"^^rdf:XMLLiteral
] ; #
fhir:basedOn ( [
fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest> ;
fhir:reference [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest" ]
] ) ; #
fhir:status [ fhir:v "option"] ; #
fhir:intent [ fhir:v "proposal"] ; #
fhir:code [
( fhir:coding [
a loinc:24606-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "24606-6" ] ;
fhir:display [ fhir:v "MG Breast Screening" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/6c04b9d7-f2ff-4748-8f18-3ba0ae8cfd30" ] ;
fhir:display [ fhir:v "Jane Doe" ]
] ; #
fhir:occurrence [
a fhir:dateTime ;
fhir:v "2024-01-01"^^xsd:date
] ; #
fhir:reasonCode ( [
( fhir:coding [
fhir:system [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"^^xsd:anyURI ] ;
fhir:code [ fhir:v "hxbreastca" ] ;
fhir:display [ fhir:v "Previous breast cancer" ] ] )
] ) . #
IG © 2025+ MITRE. Package cancerscreeningcds.fhir.us.bcsm-cds#1.0.0 based on FHIR 4.0.1. Generated 2025-02-28
Links: Table of Contents |
QA Report