<?xml version="1.0" encoding="UTF-8"?>

<Bundle xmlns="http://hl7.org/fhir">
  <id value="JosephineGreene-past-breast-pain-adh-biopsy"/>
  <type value="collection"/>
  <entry>
    <resource>
      <Patient>
        <id value="JosephineGreene"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_JosephineGreene"> </a><p class="res-header-id"><b>Generated Narrative: Patient JosephineGreene</b></p><a name="JosephineGreene"> </a><a name="hcJosephineGreene"> </a><a name="JosephineGreene-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Josephine38 Greene57  Female, DoB: 1978-10-10 ( Medical Record Number: 123-345-567)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.">US Core Ethnicity Extension:</td><td colspan="3"><ul><li>text: Not Hispanic or Latino</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories:

 - American Indian or Alaska Native
 - Asian
 - Black or African American
 - Native Hawaiian or Other Pacific Islander
 - White.">US Core Race Extension:</td><td colspan="3"><ul><li>text: Black or African American</li></ul></td></tr></table></div>
        </text>
        <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
          <extension url="text">
            <valueString value="Black or African American"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
          <extension url="text">
            <valueString value="Not Hispanic or Latino"/>
          </extension>
        </extension>
        <identifier>
          <type>
            <coding>
              <code value="MR"/>
              <display value="Medical Record Number"/>
            </coding>
          </type>
          <value value="123-345-567"/>
        </identifier>
        <name>
          <family value="Greene57"/>
          <given value="Josephine38"/>
        </name>
        <gender value="female"/>
        <birthDate value="1978-10-10"/>
      </Patient>
    </resource>
  </entry>
  <entry>
    <resource>
      <Condition>
        <id value="8fbdda45-a3a0-4397-80b2-c877b48dcde4"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_8fbdda45-a3a0-4397-80b2-c877b48dcde4"> </a><p class="res-header-id"><b>Generated Narrative: Condition 8fbdda45-a3a0-4397-80b2-c877b48dcde4</b></p><a name="8fbdda45-a3a0-4397-80b2-c877b48dcde4"> </a><a name="hc8fbdda45-a3a0-4397-80b2-c877b48dcde4"> </a><a name="8fbdda45-a3a0-4397-80b2-c877b48dcde4-en-US"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}">Confirmed</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 53430007}">Pain of breast (finding)</span></p><p><b>subject</b>: <a href="Bundle-JosephineGreene-past-breast-pain-adh-biopsy.html#Patient_JosephineGreene">Bundle: type = collection</a></p><p><b>encounter</b>: <a href="Encounter/2">Encounter/2</a></p><p><b>recordedDate</b>: 2023-07-28</p></div>
        </text>
        <clinicalStatus>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <code value="confirmed"/>
          </coding>
        </verificationStatus>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="53430007"/>
            <display value="Pain of breast (finding)"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/JosephineGreene"/>
        </subject>
        <encounter>
          <reference value="Encounter/2"/>
        </encounter>
        <recordedDate value="2023-07-28"/>
      </Condition>
    </resource>
  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="biopsy-report-1"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_biopsy-report-1"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport biopsy-report-1</b></p><a name="biopsy-report-1"> </a><a name="hcbiopsy-report-1"> </a><a name="biopsy-report-1-en-US"> </a><h2><span title="Codes:{http://loinc.org 66110-8}">Core needle biopsy</span> </h2><table class="grid"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2024-11-20</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title="Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/biopsy-result-observation-code-system Atypical}">Atypical ductal hyperplasia</span></li></ul></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="66110-8"/>
            <display value="Core needle biopsy"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/JosephineGreene"/>
        </subject>
        <effectiveDateTime value="2024-11-20"/>
        <conclusionCode>
          <coding>
            <system value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/biopsy-result-observation-code-system"/>
            <code value="Atypical"/>
            <display value="Atypical ductal hyperplasia"/>
          </coding>
        </conclusionCode>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="mammogram-2024-birads-4"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_mammogram-2024-birads-4"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport mammogram-2024-birads-4</b></p><a name="mammogram-2024-birads-4"> </a><a name="hcmammogram-2024-birads-4"> </a><a name="mammogram-2024-birads-4-en-US"> </a><h2><span title="Codes:{http://loinc.org 24606-6}">Screening mammogram</span> </h2><table class="grid"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2024-11-15 10:00:00+0000</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title="Codes:{http://snomed.info/sct 397144001}">Mammography assessment (Category 4) - Suspicious abnormality, biopsy should be considered (finding)</span></li></ul></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="24606-6"/>
            <display value="Screening mammogram"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/JosephineGreene"/>
        </subject>
        <effectiveDateTime value="2024-11-15T10:00:00.000Z"/>
        <conclusionCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="397144001"/>
            <display value="Mammography assessment (Category 4) - Suspicious abnormality, biopsy should be considered (finding)"/>
          </coding>
        </conclusionCode>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="mammogram-2022-birads-2"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_mammogram-2022-birads-2"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport mammogram-2022-birads-2</b></p><a name="mammogram-2022-birads-2"> </a><a name="hcmammogram-2022-birads-2"> </a><a name="mammogram-2022-birads-2-en-US"> </a><h2><span title="Codes:{http://loinc.org 24606-6}">Screening mammogram</span> </h2><table class="grid"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2022-12-02 10:00:00+0000</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title="Codes:{http://snomed.info/sct 397140005}">Mammography assessment (Category 1) - Negative (finding)</span></li></ul></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="24606-6"/>
            <display value="Screening mammogram"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/JosephineGreene"/>
        </subject>
        <effectiveDateTime value="2022-12-02T10:00:00.000Z"/>
        <conclusionCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="397140005"/>
            <display value="Mammography assessment (Category 1) - Negative (finding)"/>
          </coding>
        </conclusionCode>
      </DiagnosticReport>
    </resource>
  </entry>
</Bundle>