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

: FollowupScreeningResult_eve-biradsscore_bi-rads_3_act-intervalscreen - XML Representation

Raw xml | Download


<Bundle xmlns="http://hl7.org/fhir">
  <id
      value="FollowupScreeningResult_eve-biradsscore_bi-rads_3_act-intervalscreen"/>
  <type value="collection"/>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/357"/>
    <resource>
      <CarePlan>
        <id value="357"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="CarePlan_357"> </a><p class="res-header-id"><b>Generated Narrative: CarePlan 357</b></p><a name="357"> </a><a name="hc357"> </a><a name="357-en-US"> </a><p><b>instantiatesCanonical</b>: <a href="PlanDefinition-flow-FollowupScreeningResult.html">Followup Screening Result</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href="Bundle-eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#Patient_defaultPatient">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-FollowupScreeningResult_eve-biradsscore_bi-rads_3_act-intervalscreen.html#RequestGroup_358">Bundle: type = collection</a></td></tr></table></div>
        </text>
        <instantiatesCanonical
                               value="http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-FollowupScreeningResult"/>
        <status value="draft"/>
        <intent value="proposal"/>
        <subject>
          <reference value="Patient/defaultPatient"/>
          <display value="Jane Doe"/>
        </subject>
        <created value="2024-12-10T00:00:00.0Z"/>
        <activity>
          <reference>
            <reference value="RequestGroup/358"/>
          </reference>
        </activity>
      </CarePlan>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/358"/>
    <resource>
      <RequestGroup>
        <id value="358"/>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="RequestGroup_358"> </a><p class="res-header-id"><b>Generated Narrative: RequestGroup 358</b></p><a name="358"> </a><a name="hc358"> </a><a name="358-en-US"> </a><p><b>instantiatesCanonical</b>: <a href="PlanDefinition-flow-FollowupScreeningResult.html">Followup Screening Result</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href="Bundle-eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#Patient_defaultPatient">Jane Doe</a></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>FollowupBirads3Result</blockquote><p><b>Recommendation Flag Extension</b>: <span title="Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system due}">Due</span></p><p><b>title</b>: Refer to Radiologist recommendations</p><p><b>description</b>: Probably benign finding. Refer to Radiologist recommendations for interval imaging in BI-RADS 3 screening results.

Periodic monitoring, including diagnostic mammogram or ultrasound, is warranted to assess for changes. Monitoring may be recommended at 6, 12 and 24 months until the finding is felt to be stable or resolving or is transitioned to a higher BI-RADS categorization.</p><p><b>code</b>: <span title="Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system intervalscreen}">Order interval imaging</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>Documentation</td><td>ACR</td><td>ACR BI-RADS Atlas Excerpt: Mammography Reporting System</td><td><div><p>American College of Radiology. ACR BI-RADS Atlas: Breast Imaging Reporting and Data System. 5th ed., American College of Radiology, 2013.</p>
</div></td><td><a href="https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/RADS/BI-RADS/Mammography-Reporting.pdf">https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/RADS/BI-RADS/Mammography-Reporting.pdf</a></td></tr><tr><td style="display: none">*</td><td>Documentation</td><td>ACR</td><td>ACR BI-RADS Atlas Excerpt: MRI Reporting System</td><td><div><p>American College of Radiology. ACR BI-RADS Atlas: Breast Imaging Reporting and Data System. 5th ed., American College of Radiology, 2013.</p>
</div></td><td><a href="https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/RADS/BI-RADS/Breast-MRI-Reporting.pdf">https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/RADS/BI-RADS/Breast-MRI-Reporting.pdf</a></td></tr><tr><td style="display: none">*</td><td>Documentation</td><td>ACR</td><td>ACR BI-RADS Atlas Excerpt: Ultrasound Reporting System</td><td><div><p>American College of Radiology. ACR BI-RADS Atlas: Breast Imaging Reporting and Data System. 5th ed., American College of Radiology, 2013.</p>
</div></td><td><a href="https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/RADS/BI-RADS/Breast-Ultrasound-Reporting.pdf">https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/RADS/BI-RADS/Breast-Ultrasound-Reporting.pdf</a></td></tr></table><p><b>timing</b>: Events: 2024-10-01 10:00:00+0000 </p><p><b>resource</b>: <a href="Bundle-FollowupScreeningResult_eve-biradsscore_bi-rads_3_act-intervalscreen.html#ServiceRequest_359">Bundle: type = collection</a></p></blockquote></div>
        </text>
        <instantiatesCanonical
                               value="http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-FollowupScreeningResult"/>
        <status value="draft"/>
        <intent value="proposal"/>
        <subject>
          <reference value="Patient/defaultPatient"/>
          <display value="Jane Doe"/>
        </subject>
        <action id="FollowupBirads3Result">
          <extension
                     url="http://cancerscreeningcds.github.io/bcsm-cds/StructureDefinition/csm-recommendation-flag">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system"/>
                <code value="due"/>
                <display value="Due"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <title value="Refer to Radiologist recommendations"/>
          <description
                       value="Probably benign finding. Refer to Radiologist recommendations for interval imaging in BI-RADS 3 screening results.

Periodic monitoring, including diagnostic mammogram or ultrasound, is warranted to assess for changes. Monitoring may be recommended at 6, 12 and 24 months until the finding is felt to be stable or resolving or is transitioned to a higher BI-RADS categorization."/>
          <code>
            <coding>
              <system
                      value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system"/>
              <code value="intervalscreen"/>
              <display value="Order interval imaging"/>
            </coding>
          </code>
          <documentation>
            <type value="documentation"/>
            <label value="ACR"/>
            <display
                     value="ACR BI-RADS Atlas Excerpt: Mammography Reporting System"/>
            <citation
                      value="American College of Radiology. ACR BI-RADS Atlas: Breast Imaging Reporting and Data System. 5th ed., American College of Radiology, 2013."/>
            <url
                 value="https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/RADS/BI-RADS/Mammography-Reporting.pdf"/>
          </documentation>
          <documentation>
            <type value="documentation"/>
            <label value="ACR"/>
            <display value="ACR BI-RADS Atlas Excerpt: MRI Reporting System"/>
            <citation
                      value="American College of Radiology. ACR BI-RADS Atlas: Breast Imaging Reporting and Data System. 5th ed., American College of Radiology, 2013."/>
            <url
                 value="https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/RADS/BI-RADS/Breast-MRI-Reporting.pdf"/>
          </documentation>
          <documentation>
            <type value="documentation"/>
            <label value="ACR"/>
            <display
                     value="ACR BI-RADS Atlas Excerpt: Ultrasound Reporting System"/>
            <citation
                      value="American College of Radiology. ACR BI-RADS Atlas: Breast Imaging Reporting and Data System. 5th ed., American College of Radiology, 2013."/>
            <url
                 value="https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/RADS/BI-RADS/Breast-Ultrasound-Reporting.pdf"/>
          </documentation>
          <timingTiming>
            <event value="2024-10-01T10:00:00.000+00:00"/>
          </timingTiming>
          <resource>
            <reference value="ServiceRequest/359"/>
          </resource>
        </action>
      </RequestGroup>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/359"/>
    <resource>
      <ServiceRequest>
        <id value="359"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_359"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest 359</b></p><a name="359"> </a><a name="hc359"> </a><a name="359-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://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system intervalscreen}">Order interval imaging</span></p><p><b>subject</b>: <a href="Bundle-eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#Patient_defaultPatient">Jane Doe</a></p><p><b>occurrence</b>: 2024-10-01 10:00:00+0000</p><p><b>reasonCode</b>: <span title="Codes:{http://snomed.info/sct 397143007}">Mammography assessment (Category 3) - Probably benign finding, short interval follow-up (finding)</span></p></div>
        </text>
        <basedOn>🔗 
          <reference
                     value="http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest"/>
        </basedOn>
        <status value="option"/>
        <intent value="proposal"/>
        <code>
          <coding>
            <system
                    value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system"/>
            <code value="intervalscreen"/>
            <display value="Order interval imaging"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/defaultPatient"/>
          <display value="Jane Doe"/>
        </subject>
        <occurrenceDateTime value="2024-10-01T10:00:00.000+00:00"/>
        <reasonCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="397143007"/>
            <display
                     value="Mammography assessment (Category 3) - Probably benign finding, short interval follow-up (finding)"/>
          </coding>
        </reasonCode>
      </ServiceRequest>
    </resource>
  </entry>
</Bundle>