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
{
"resourceType" : "Bundle",
"id" : "DecisionToScreen_eve-AgeOver74_yes_eve-LifeExp_yes",
"type" : "collection",
"entry" : [
{
"fullUrl" : "http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/305",
"resource" : {
"resourceType" : "CarePlan",
"id" : "305",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_305\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan 305</b></p><a name=\"305\"> </a><a name=\"hc305\"> </a><a name=\"305-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_yes_eve-LifeExp_yes.html#Patient_b7c6b861-a625-4214-8d94-0620827d7d9d\">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_yes_eve-LifeExp_yes.html#RequestGroup_306\">Bundle: type = collection</a></td></tr></table></div>"
},
"instantiatesCanonical" : [
🔗 "http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-DecisionToScreen"
],
"status" : "draft",
"intent" : "proposal",
"subject" : {
"reference" : "Patient/b7c6b861-a625-4214-8d94-0620827d7d9d",
"display" : "Jane Doe"
},
"created" : "2024-12-10T00:00:00.0Z",
"activity" : [
{
"reference" : {
"reference" : "RequestGroup/306"
}
}
]
}
},
{
"fullUrl" : "http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/306",
"resource" : {
"resourceType" : "RequestGroup",
"id" : "306",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RequestGroup_306\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup 306</b></p><a name=\"306\"> </a><a name=\"hc306\"> </a><a name=\"306-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_yes_eve-LifeExp_yes.html#Patient_b7c6b861-a625-4214-8d94-0620827d7d9d\">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_yes_eve-LifeExp_yes.html#CommunicationRequest_307\">Bundle: type = collection</a></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>SDMContinueScreeningLifeExp</blockquote><p><b>title</b>: Shared decision making to continue screening based on life expectancy</p><p><b>description</b>: Decision to continue screening mammography in cases of limited life expectancy should be based on shared decision-making.\n\nACS advises that women should continue screening mammography as long as their overall health is good and they have a life expectancy of 10 years or more.\n\nLife expectancy is generally defined as having greater than a 50% probability of surviving 10 years. A validated tool such as www.eprognosis.com can help guide decision making.</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>ACS</td><td>Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society</td><td><div><p>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.</p>\n</div></td><td><a href=\"https://jamanetwork.com/journals/jama/fullarticle/2463262\">https://jamanetwork.com/journals/jama/fullarticle/2463262</a></td></tr></table><p><b>resource</b>: <a href=\"Bundle-DecisionToScreen_eve-AgeOver74_yes_eve-LifeExp_yes.html#CommunicationRequest_308\">Bundle: type = collection</a></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>ACSMammoAvgRiskAgeOver54</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>: Biennial screening mammogram after age 54</p><p><b>description</b>: Biennial screening mammogram is recommended after age 54.\n\nWomen 55 and older can switch to a mammogram every other year, or they can choose to continue yearly mammograms. Screening should continue as long as a woman is in good health and is expected to live at least 10 more years.</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>Citation</b></td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td>Citation</td><td>ACS</td><td>Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society</td><td><div><p>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.</p>\n</div></td><td><a href=\"https://jamanetwork.com/journals/jama/fullarticle/2463262\">https://jamanetwork.com/journals/jama/fullarticle/2463262</a></td></tr></table><p><b>timing</b>: Events: 1985-01-01 , Once per 2 years</p><p><b>resource</b>: <a href=\"Bundle-DecisionToScreen_eve-AgeOver74_yes_eve-LifeExp_yes.html#ServiceRequest_309\">Bundle: type = collection</a></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>USPSTFAvgRisk</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>: Biennial screening mammogram starting age 40</p><p><b>description</b>: Biennial screening mammogram starting at age 40</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>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>timing</b>: Events: 1985-01-01 , Once per 2 years</p><p><b>resource</b>: <a href=\"Bundle-DecisionToScreen_eve-AgeOver74_yes_eve-LifeExp_yes.html#ServiceRequest_310\">Bundle: type = collection</a></p></blockquote></div>"
},
"instantiatesCanonical" : [
🔗 "http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-DecisionToScreen"
],
"status" : "draft",
"intent" : "proposal",
"subject" : {
"reference" : "Patient/b7c6b861-a625-4214-8d94-0620827d7d9d",
"display" : "Jane Doe"
},
"action" : [
{
"id" : "SDMContinueScreeningAge",
"title" : "Shared decision making to continue screening based on age",
"description" : "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.",
"code" : [
{
"coding" : [
{
"system" : "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system",
"code" : "sdmcontinue",
"display" : "Shared decision making to continue 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"
}
],
"resource" : {
"reference" : "CommunicationRequest/307"
}
},
{
"id" : "SDMContinueScreeningLifeExp",
"title" : "Shared decision making to continue screening based on life expectancy",
"description" : "Decision to continue screening mammography in cases of limited life expectancy should be based on shared decision-making.\n\nACS advises that women should continue screening mammography as long as their overall health is good and they have a life expectancy of 10 years or more.\n\nLife expectancy is generally defined as having greater than a 50% probability of surviving 10 years. A validated tool such as www.eprognosis.com can help guide decision making.",
"code" : [
{
"coding" : [
{
"system" : "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system",
"code" : "sdmcontinue",
"display" : "Shared decision making to continue 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"
}
],
"resource" : {
"reference" : "CommunicationRequest/308"
}
},
{
"id" : "ACSMammoAvgRiskAgeOver54",
"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 after age 54",
"description" : "Biennial screening mammogram is recommended after age 54.\n\nWomen 55 and older can switch to a mammogram every other year, or they can choose to continue yearly mammograms. Screening should continue as long as a woman is in good health and is expected to live at least 10 more years.",
"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" : [
"1985-01-01"
],
"repeat" : {
"boundsPeriod" : {
"start" : "1985-01-01"
},
"frequency" : 1,
"period" : 2,
"periodUnit" : "a"
}
},
"resource" : {
"reference" : "ServiceRequest/309"
}
},
{
"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" : [
"1985-01-01"
],
"repeat" : {
"boundsPeriod" : {
"start" : "1985-01-01"
},
"frequency" : 1,
"period" : 2,
"periodUnit" : "a"
}
},
"resource" : {
"reference" : "ServiceRequest/310"
}
}
]
}
},
{
"fullUrl" : "http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/307",
"resource" : {
"resourceType" : "CommunicationRequest",
"id" : "307",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CommunicationRequest_307\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CommunicationRequest 307</b></p><a name=\"307\"> </a><a name=\"hc307\"> </a><a name=\"307-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_yes_eve-LifeExp_yes.html#Patient_b7c6b861-a625-4214-8d94-0620827d7d9d\">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>"
},
"basedOn" : [
{
🔗 "reference" : "http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/CommunicateSDMContinueScreening"
}
],
"status" : "option",
"subject" : {
"reference" : "Patient/b7c6b861-a625-4214-8d94-0620827d7d9d",
"display" : "Jane Doe"
},
"payload" : [
{
"contentString" : "Shared decision making to continue screening"
}
],
"reasonCode" : [
{
"coding" : [
{
"system" : "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system",
"code" : "ageover74",
"display" : "Age over 74 years"
}
]
}
]
}
},
{
"fullUrl" : "http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/308",
"resource" : {
"resourceType" : "CommunicationRequest",
"id" : "308",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CommunicationRequest_308\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CommunicationRequest 308</b></p><a name=\"308\"> </a><a name=\"hc308\"> </a><a name=\"308-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_yes_eve-LifeExp_yes.html#Patient_b7c6b861-a625-4214-8d94-0620827d7d9d\">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 lifeexp}\">Reduced life expectancy indicator</span></p></div>"
},
"basedOn" : [
{
🔗 "reference" : "http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/CommunicateSDMContinueScreening"
}
],
"status" : "option",
"subject" : {
"reference" : "Patient/b7c6b861-a625-4214-8d94-0620827d7d9d",
"display" : "Jane Doe"
},
"payload" : [
{
"contentString" : "Shared decision making to continue screening"
}
],
"reasonCode" : [
{
"coding" : [
{
"system" : "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system",
"code" : "lifeexp",
"display" : "Reduced life expectancy indicator"
}
]
}
]
}
},
{
"fullUrl" : "http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/309",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "309",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_309\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 309</b></p><a name=\"309\"> </a><a name=\"hc309\"> </a><a name=\"309-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_yes_eve-LifeExp_yes.html#Patient_b7c6b861-a625-4214-8d94-0620827d7d9d\">Jane Doe</a></p><p><b>occurrence</b>: 1985-01-01</p><p><b>reasonCode</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system ACSaveragerisk}\">ACS average risk</span></p></div>"
},
"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/b7c6b861-a625-4214-8d94-0620827d7d9d",
"display" : "Jane Doe"
},
"occurrenceDateTime" : "1985-01-01",
"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/310",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "310",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_310\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 310</b></p><a name=\"310\"> </a><a name=\"hc310\"> </a><a name=\"310-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_yes_eve-LifeExp_yes.html#Patient_b7c6b861-a625-4214-8d94-0620827d7d9d\">Jane Doe</a></p><p><b>occurrence</b>: 1985-01-01</p><p><b>reasonCode</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system USPSTFaveragerisk}\">USPSTF average risk</span></p></div>"
},
"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/b7c6b861-a625-4214-8d94-0620827d7d9d",
"display" : "Jane Doe"
},
"occurrenceDateTime" : "1985-01-01",
"reasonCode" : [
{
"coding" : [
{
"system" : "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system",
"code" : "USPSTFaveragerisk",
"display" : "USPSTF average risk"
}
]
}
]
}
}
]
}