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="LindaNadler-dcis"/>
<type value="collection"/>
<entry>
<resource>
<Patient>
<id value="LindaNadler"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_LindaNadler"> </a><p class="res-header-id"><b>Generated Narrative: Patient LindaNadler</b></p><a name="LindaNadler"> </a><a name="hcLindaNadler"> </a><a name="LindaNadler-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Linda48 Nadler92 Female, DoB: 1970-06-19 ( 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: White</li></ul></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="text">
<valueString value="White"/>
</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="Nadler92"/>
<given value="Linda48"/>
</name>
<gender value="female"/>
<birthDate value="1970-06-19"/>
</Patient>
</resource>
</entry>
<entry>
<resource>
<Condition>
<id value="non-invasive-breast-cancer"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_non-invasive-breast-cancer"> </a><p class="res-header-id"><b>Generated Narrative: Condition non-invasive-breast-cancer</b></p><a name="non-invasive-breast-cancer"> </a><a name="hcnon-invasive-breast-cancer"> </a><a name="non-invasive-breast-cancer-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>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}">Problem List Item</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 1079821000119106}">Ductal carcinoma in situ of right breast (disorder)</span></p><p><b>subject</b>: <a href="Bundle-LindaNadler-dcis.html#Patient_LindaNadler">Bundle: type = collection</a></p><p><b>onset</b>: 2023-11-20</p></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
</verificationStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
<display value="Problem List Item"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1079821000119106"/>
<display
value="Ductal carcinoma in situ of right breast (disorder)"/>
</coding>
</code>
<subject>
<reference value="Patient/LindaNadler"/>
</subject>
<onsetDateTime value="2023-11-20"/>
</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>2023-10-10</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title="Codes:{http://snomed.info/sct 62061000119107}">DCIS</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/LindaNadler"/>
</subject>
<effectiveDateTime value="2023-10-10"/>
<conclusionCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="62061000119107"/>
<display value="DCIS"/>
</coding>
</conclusionCode>
</DiagnosticReport>
</resource>
</entry>
<entry>
<resource>
<DiagnosticReport>
<id value="mammogram-2024-birads-5"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_mammogram-2024-birads-5"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport mammogram-2024-birads-5</b></p><a name="mammogram-2024-birads-5"> </a><a name="hcmammogram-2024-birads-5"> </a><a name="mammogram-2024-birads-5-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>2023-09-30 00:00:00+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 397145000}">Mammography assessment (Category 5) - Highly suggestive of malignancy (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/LindaNadler"/>
</subject>
<effectiveDateTime value="2023-09-30T00:00:00.000Z"/>
<conclusionCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="397145000"/>
<display
value="Mammography assessment (Category 5) - Highly suggestive of malignancy (finding)"/>
</coding>
</conclusionCode>
</DiagnosticReport>
</resource>
</entry>
</Bundle>