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
<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>