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

<Bundle xmlns="http://hl7.org/fhir">
  <id value="PatriciaLambert_remission_lt_5_years"/>
  <type value="collection"/>
  <entry>
    <resource>
      <Patient>
        <id value="PatriciaLambert"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_PatriciaLambert"> </a><p class="res-header-id"><b>Generated Narrative: Patient PatriciaLambert</b></p><a name="PatriciaLambert"> </a><a name="hcPatriciaLambert"> </a><a name="PatriciaLambert-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Patricia49 Lambert23  Female, DoB: 1959-02-20 ( 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: Asian</li></ul></td></tr></table></div>
        </text>
        <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
          <extension url="text">
            <valueString value="Asian"/>
          </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="Lambert23"/>
          <given value="Patricia49"/>
        </name>
        <gender value="female"/>
        <birthDate value="1959-02-20"/>
      </Patient>
    </resource>
  </entry>
  <entry>
    <resource>
      <Condition>
        <id value="3ec4b4c3-eeea-408c-8fd9-50d4a09f0a14"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_3ec4b4c3-eeea-408c-8fd9-50d4a09f0a14"> </a><p class="res-header-id"><b>Generated Narrative: Condition 3ec4b4c3-eeea-408c-8fd9-50d4a09f0a14</b></p><a name="3ec4b4c3-eeea-408c-8fd9-50d4a09f0a14"> </a><a name="hc3ec4b4c3-eeea-408c-8fd9-50d4a09f0a14"> </a><a name="3ec4b4c3-eeea-408c-8fd9-50d4a09f0a14-en-US"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical inactive}">Inactive</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 254837009}">Invasive breast cancer</span></p><p><b>subject</b>: <a href="Bundle-PatriciaLambert_remission_lt_5_years.html#Patient_PatriciaLambert">Bundle: type = collection</a></p><p><b>onset</b>: 2020-05-16 00:00:00+0000</p><p><b>abatement</b>: 2023-08-21 00:00:00+0000</p></div>
        </text>
        <clinicalStatus>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="inactive"/>
            <display value="Inactive"/>
          </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="254837009"/>
            <display value="Invasive breast cancer"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/PatriciaLambert"/>
        </subject>
        <onsetDateTime value="2020-05-16T00:00:00.000Z"/>
        <abatementDateTime value="2023-08-21T00:00:00.000Z"/>
      </Condition>
    </resource>
  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="ae4cde89-382b-4b5e-8684-bdff9f01a385"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_ae4cde89-382b-4b5e-8684-bdff9f01a385"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport ae4cde89-382b-4b5e-8684-bdff9f01a385</b></p><a name="ae4cde89-382b-4b5e-8684-bdff9f01a385"> </a><a name="hcae4cde89-382b-4b5e-8684-bdff9f01a385"> </a><a name="ae4cde89-382b-4b5e-8684-bdff9f01a385-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>2022-08-21 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/PatriciaLambert"/>
        </subject>
        <effectiveDateTime value="2022-08-21T10:00:00.000Z"/>
        <conclusionCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="397140005"/>
            <display value="Mammography assessment (Category 1) - Negative (finding)"/>
          </coding>
        </conclusionCode>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="d136acfd-439e-4cfa-876a-e2424f752358"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_d136acfd-439e-4cfa-876a-e2424f752358"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport d136acfd-439e-4cfa-876a-e2424f752358</b></p><a name="d136acfd-439e-4cfa-876a-e2424f752358"> </a><a name="hcd136acfd-439e-4cfa-876a-e2424f752358"> </a><a name="d136acfd-439e-4cfa-876a-e2424f752358-en-US"> </a><h2><span title="Codes:{http://loinc.org 66110-8}">Biopsy Report</span> </h2><table class="grid"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2020-05-16 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://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/biopsy-result-observation-code-system Malignant}">Malignant breast finding</span></li></ul></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="66110-8"/>
            <display value="Biopsy Report"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/PatriciaLambert"/>
        </subject>
        <effectiveDateTime value="2020-05-16T00:00:00.0Z"/>
        <conclusionCode>
          <coding>
            <system value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/biopsy-result-observation-code-system"/>
            <code value="Malignant"/>
            <display value="Malignant breast finding"/>
          </coding>
        </conclusionCode>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="51431a5c-980f-408d-80fc-a43d95948c0e"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_51431a5c-980f-408d-80fc-a43d95948c0e"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport 51431a5c-980f-408d-80fc-a43d95948c0e</b></p><a name="51431a5c-980f-408d-80fc-a43d95948c0e"> </a><a name="hc51431a5c-980f-408d-80fc-a43d95948c0e"> </a><a name="51431a5c-980f-408d-80fc-a43d95948c0e-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>2020-04-05 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/PatriciaLambert"/>
        </subject>
        <effectiveDateTime value="2020-04-05T10:00:00.000Z"/>
        <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="fc5aa91d-f050-44a9-972c-e25e65b5ec24"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_fc5aa91d-f050-44a9-972c-e25e65b5ec24"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport fc5aa91d-f050-44a9-972c-e25e65b5ec24</b></p><a name="fc5aa91d-f050-44a9-972c-e25e65b5ec24"> </a><a name="hcfc5aa91d-f050-44a9-972c-e25e65b5ec24"> </a><a name="fc5aa91d-f050-44a9-972c-e25e65b5ec24-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>2018-04-02 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/PatriciaLambert"/>
        </subject>
        <effectiveDateTime value="2018-04-02T10:00:00.000Z"/>
        <conclusionCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="397140005"/>
            <display value="Mammography assessment (Category 1) - Negative (finding)"/>
          </coding>
        </conclusionCode>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="bb0e3128-d4d2-45d3-82de-796b3222ef85"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_bb0e3128-d4d2-45d3-82de-796b3222ef85"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport bb0e3128-d4d2-45d3-82de-796b3222ef85</b></p><a name="bb0e3128-d4d2-45d3-82de-796b3222ef85"> </a><a name="hcbb0e3128-d4d2-45d3-82de-796b3222ef85"> </a><a name="bb0e3128-d4d2-45d3-82de-796b3222ef85-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>2016-03-05 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/PatriciaLambert"/>
        </subject>
        <effectiveDateTime value="2016-03-05T10:00:00.000Z"/>
        <conclusionCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="397140005"/>
            <display value="Mammography assessment (Category 1) - Negative (finding)"/>
          </coding>
        </conclusionCode>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="da23c5b6-228f-4a7c-b14c-350f56969daa"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_da23c5b6-228f-4a7c-b14c-350f56969daa"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport da23c5b6-228f-4a7c-b14c-350f56969daa</b></p><a name="da23c5b6-228f-4a7c-b14c-350f56969daa"> </a><a name="hcda23c5b6-228f-4a7c-b14c-350f56969daa"> </a><a name="da23c5b6-228f-4a7c-b14c-350f56969daa-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>2014-03-01 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/PatriciaLambert"/>
        </subject>
        <effectiveDateTime value="2014-03-01T10:00:00.000Z"/>
        <conclusionCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="397140005"/>
            <display value="Mammography assessment (Category 1) - Negative (finding)"/>
          </coding>
        </conclusionCode>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="dc0c19e9-688a-455f-b071-a4c4823b5b11"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_dc0c19e9-688a-455f-b071-a4c4823b5b11"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport dc0c19e9-688a-455f-b071-a4c4823b5b11</b></p><a name="dc0c19e9-688a-455f-b071-a4c4823b5b11"> </a><a name="hcdc0c19e9-688a-455f-b071-a4c4823b5b11"> </a><a name="dc0c19e9-688a-455f-b071-a4c4823b5b11-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>2012-02-25 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/PatriciaLambert"/>
        </subject>
        <effectiveDateTime value="2012-02-25T10:00:00.000Z"/>
        <conclusionCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="397140005"/>
            <display value="Mammography assessment (Category 1) - Negative (finding)"/>
          </coding>
        </conclusionCode>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <resource>
      <Procedure>
        <id value="d335df81-a452-4803-b016-072a216eebac"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_d335df81-a452-4803-b016-072a216eebac"> </a><p class="res-header-id"><b>Generated Narrative: Procedure d335df81-a452-4803-b016-072a216eebac</b></p><a name="d335df81-a452-4803-b016-072a216eebac"> </a><a name="hcd335df81-a452-4803-b016-072a216eebac"> </a><a name="d335df81-a452-4803-b016-072a216eebac-en-US"> </a><p><b>status</b>: Completed</p><p><b>code</b>: <span title="Codes:{http://www.ama-assn.org/go/cpt 19301}">Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)</span></p><p><b>subject</b>: <a href="Bundle-PatriciaLambert_remission_lt_5_years.html#Patient_PatriciaLambert">Bundle: type = collection</a></p><p><b>performed</b>: 2020-07-28</p></div>
        </text>
        <status value="completed"/>
        <code>
          <coding>
            <system value="http://www.ama-assn.org/go/cpt"/>
            <code value="19301"/>
            <display value="Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/PatriciaLambert"/>
        </subject>
        <performedDateTime value="2020-07-28"/>
      </Procedure>
    </resource>
  </entry>
</Bundle>