@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://cancerscreeningcds.github.io/bcsm-cds/Bundle/PrimaryScreeningDecision_act-sdmcontinueage__act-avgrisk> a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "PrimaryScreeningDecision_act-sdmcontinueage__act-avgrisk"] ; # 
  fhir:type [ fhir:v "collection"] ; # 
  fhir:entry ( [
     fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/60"^^xsd:anyURI ] ;
     fhir:resource ( <http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/60> )
  ] [
     fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/61"^^xsd:anyURI ] ;
     fhir:resource ( <http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/61> )
  ] [
     fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/62"^^xsd:anyURI ] ;
     fhir:resource ( <http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/62> )
  ] [
     fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/63"^^xsd:anyURI ] ;
     fhir:resource ( <http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/63> )
  ] [
     fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/64"^^xsd:anyURI ] ;
     fhir:resource ( <http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/64> )
  ] ) . # 

<http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/60> a fhir:CarePlan ;
  fhir:id [ fhir:v "60"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_60\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan 60</b></p><a name=\"60\"> </a><a name=\"hc60\"> </a><a name=\"60-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-PrimaryScreeningDecision.html\">Primary Screening Decision</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href=\"Bundle-act-sdmcontinueage__act-avgrisk.html#Patient_ac82b3ed-aed5-41ae-b24e-8370f0d2d43d\">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-PrimaryScreeningDecision_act-sdmcontinueage__act-avgrisk.html#RequestGroup_61\">Bundle: type = collection</a></td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:instantiatesCanonical ( [
     fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/PrimaryScreeningDecision"^^xsd:anyURI ;
     fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/PrimaryScreeningDecision>
  ] ) ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:intent [ fhir:v "proposal"] ; # 
  fhir:subject [
     fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/Patient/ac82b3ed-aed5-41ae-b24e-8370f0d2d43d> ;
     fhir:reference [ fhir:v "Patient/ac82b3ed-aed5-41ae-b24e-8370f0d2d43d" ] ;
     fhir:display [ fhir:v "Jane Doe" ]
  ] ; # 
  fhir:created [ fhir:v "2024-12-10T00:00:00.0Z"^^xsd:dateTime] ; # 
  fhir:activity ( [
     fhir:reference [
       fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/61> ;
       fhir:reference [ fhir:v "RequestGroup/61" ]
     ]
  ] ) . # 

<http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/61> a fhir:RequestGroup ;
  fhir:id [ fhir:v "61"] ; # 
  fhir:text [
     fhir:status [ fhir:v "extensions" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RequestGroup_61\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup 61</b></p><a name=\"61\"> </a><a name=\"hc61\"> </a><a name=\"61-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-PrimaryScreeningDecision.html\">Primary Screening Decision</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href=\"Bundle-act-sdmcontinueage__act-avgrisk.html#Patient_ac82b3ed-aed5-41ae-b24e-8370f0d2d43d\">Jane Doe</a></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>SDMContinueScreeningAge</blockquote><p><b>title</b>: Shared decision making to continue screening based on age</p><p><b>description</b>: Decision to continue screening mammography in average risk women age 75 years or older should be based on shared decision-making.\n\nThe USPSTF concludes that the evidence is insufficient to determine the balance of benefits and harms of screening mammography in women 75 years or older.</p><p><b>code</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system sdmcontinue}\">Shared decision making to continue screening</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>Citation</td><td>USPSTF</td><td>Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement</td><td><div><p>US Preventive Services Task Force. Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. Published online April 30, 2024.</p>\n</div></td><td><a href=\"https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening\">https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening</a></td></tr></table><p><b>resource</b>: <a href=\"Bundle-PrimaryScreeningDecision_act-sdmcontinueage__act-avgrisk.html#CommunicationRequest_62\">Bundle: type = collection</a></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>ACSMammoAvgRiskAgeOver54</blockquote><p><b>Recommendation Flag Extension</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system overdue}\">Overdue</span></p><p><b>title</b>: Biennial screening mammogram after age 54</p><p><b>description</b>: Biennial screening mammogram is recommended after age 54.\n\nWomen 55 and older can switch to a mammogram every other year, or they can choose to continue yearly mammograms. Screening should continue as long as a woman is in good health and is expected to live at least 10 more years.</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 24606-6}\">MG Breast Screening</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>Citation</td><td>ACS</td><td>Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society</td><td><div><p>Saslow D, Boetes C, Burke W, Harms S, Leach MO, Lehman CD, Morris E, Pisano E, Schnall M, Sener S, Smith RA, Warner E, Yaffe M, Andrews KS, Russell CA; American Cancer Society Breast Cancer Advisory Group. American Cancer Society guidelines for breast screening with MRI as an adjunct to mammography. CA Cancer J Clin. 2007 Mar-Apr;57(2):75-89.</p>\n</div></td><td><a href=\"https://jamanetwork.com/journals/jama/fullarticle/2463262\">https://jamanetwork.com/journals/jama/fullarticle/2463262</a></td></tr></table><p><b>timing</b>: Events: 1985-01-01 , Once per 2 years</p><p><b>resource</b>: <a href=\"Bundle-PrimaryScreeningDecision_act-sdmcontinueage__act-avgrisk.html#ServiceRequest_63\">Bundle: type = collection</a></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>USPSTFAvgRisk</blockquote><p><b>Recommendation Flag Extension</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system overdue}\">Overdue</span></p><p><b>title</b>: Biennial screening mammogram starting age 40</p><p><b>description</b>: Biennial screening mammogram starting at age 40</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 24606-6}\">MG Breast Screening</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>Citation</td><td>USPSTF</td><td>Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement</td><td><div><p>US Preventive Services Task Force. Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. Published online April 30, 2024.</p>\n</div></td><td><a href=\"https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening\">https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening</a></td></tr></table><p><b>timing</b>: Events: 1985-01-01 , Once per 2 years</p><p><b>resource</b>: <a href=\"Bundle-PrimaryScreeningDecision_act-sdmcontinueage__act-avgrisk.html#ServiceRequest_64\">Bundle: type = collection</a></p></blockquote></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:instantiatesCanonical ( [
     fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/PrimaryScreeningDecision"^^xsd:anyURI ;
     fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/PrimaryScreeningDecision>
  ] ) ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:intent [ fhir:v "proposal"] ; # 
  fhir:subject [
     fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/Patient/ac82b3ed-aed5-41ae-b24e-8370f0d2d43d> ;
     fhir:reference [ fhir:v "Patient/ac82b3ed-aed5-41ae-b24e-8370f0d2d43d" ] ;
     fhir:display [ fhir:v "Jane Doe" ]
  ] ; # 
  fhir:action ( [
     fhir:id [ fhir:v "SDMContinueScreeningAge" ] ;
     fhir:title [ fhir:v "Shared decision making to continue screening based on age" ] ;
     fhir:description [ fhir:v "Decision to continue screening mammography in average risk women age 75 years or older should be based on shared decision-making.\n\nThe USPSTF concludes that the evidence is insufficient to determine the balance of benefits and harms of screening mammography in women 75 years or older." ] ;
     fhir:code ( [
       fhir:coding ( [
         fhir:system [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "sdmcontinue" ] ;
         fhir:display [ fhir:v "Shared decision making to continue screening" ]
       ] )
     ] ) ;
     fhir:documentation ( [
       fhir:type [ fhir:v "citation" ] ;
       fhir:label [ fhir:v "USPSTF" ] ;
       fhir:display [ fhir:v "Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement" ] ;
       fhir:citation [ fhir:v "US Preventive Services Task Force. Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. Published online April 30, 2024." ] ;
       fhir:url [ fhir:v "https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening"^^xsd:anyURI ]
     ] ) ;
     fhir:resource [
       fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/62> ;
       fhir:reference [ fhir:v "CommunicationRequest/62" ]
     ]
  ] [
     fhir:id [ fhir:v "ACSMammoAvgRiskAgeOver54" ] ;
     fhir:extension ( [
       fhir:url [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/StructureDefinition/csm-recommendation-flag"^^xsd:anyURI ] ;
       fhir:value [
         a fhir:CodeableConcept ;
         fhir:coding ( [
           fhir:system [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "overdue" ] ;
           fhir:display [ fhir:v "Overdue" ]
         ] )
       ]
     ] ) ;
     fhir:title [ fhir:v "Biennial screening mammogram after age 54" ] ;
     fhir:description [ fhir:v "Biennial screening mammogram is recommended after age 54.\n\nWomen 55 and older can switch to a mammogram every other year, or they can choose to continue yearly mammograms. Screening should continue as long as a woman is in good health and is expected to live at least 10 more years." ] ;
     fhir:code ( [
       fhir:coding ( [
         a loinc:24606-6 ;
         fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "24606-6" ] ;
         fhir:display [ fhir:v "MG Breast Screening" ]
       ] )
     ] ) ;
     fhir:documentation ( [
       fhir:type [ fhir:v "citation" ] ;
       fhir:label [ fhir:v "ACS" ] ;
       fhir:display [ fhir:v "Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society" ] ;
       fhir:citation [ fhir:v "Saslow D, Boetes C, Burke W, Harms S, Leach MO, Lehman CD, Morris E, Pisano E, Schnall M, Sener S, Smith RA, Warner E, Yaffe M, Andrews KS, Russell CA; American Cancer Society Breast Cancer Advisory Group. American Cancer Society guidelines for breast screening with MRI as an adjunct to mammography. CA Cancer J Clin. 2007 Mar-Apr;57(2):75-89." ] ;
       fhir:url [ fhir:v "https://jamanetwork.com/journals/jama/fullarticle/2463262"^^xsd:anyURI ]
     ] ) ;
     fhir:timing [
       a fhir:Timing ;
       fhir:event ( [ fhir:v "1985-01-01"^^xsd:date ] ) ;
       fhir:repeat [
         fhir:bounds [
           a fhir:Period ;
           fhir:start [ fhir:v "1985-01-01"^^xsd:date ]
         ] ;
         fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
         fhir:period [ fhir:v "2"^^xsd:decimal ] ;
         fhir:periodUnit [ fhir:v "a" ]
       ]
     ] ;
     fhir:resource [
       fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/63> ;
       fhir:reference [ fhir:v "ServiceRequest/63" ]
     ]
  ] [
     fhir:id [ fhir:v "USPSTFAvgRisk" ] ;
     fhir:extension ( [
       fhir:url [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/StructureDefinition/csm-recommendation-flag"^^xsd:anyURI ] ;
       fhir:value [
         a fhir:CodeableConcept ;
         fhir:coding ( [
           fhir:system [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "overdue" ] ;
           fhir:display [ fhir:v "Overdue" ]
         ] )
       ]
     ] ) ;
     fhir:title [ fhir:v "Biennial screening mammogram starting age 40" ] ;
     fhir:description [ fhir:v "Biennial screening mammogram starting at age 40" ] ;
     fhir:code ( [
       fhir:coding ( [
         a loinc:24606-6 ;
         fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "24606-6" ] ;
         fhir:display [ fhir:v "MG Breast Screening" ]
       ] )
     ] ) ;
     fhir:documentation ( [
       fhir:type [ fhir:v "citation" ] ;
       fhir:label [ fhir:v "USPSTF" ] ;
       fhir:display [ fhir:v "Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement" ] ;
       fhir:citation [ fhir:v "US Preventive Services Task Force. Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. Published online April 30, 2024." ] ;
       fhir:url [ fhir:v "https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening"^^xsd:anyURI ]
     ] ) ;
     fhir:timing [
       a fhir:Timing ;
       fhir:event ( [ fhir:v "1985-01-01"^^xsd:date ] ) ;
       fhir:repeat [
         fhir:bounds [
           a fhir:Period ;
           fhir:start [ fhir:v "1985-01-01"^^xsd:date ]
         ] ;
         fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
         fhir:period [ fhir:v "2"^^xsd:decimal ] ;
         fhir:periodUnit [ fhir:v "a" ]
       ]
     ] ;
     fhir:resource [
       fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/64> ;
       fhir:reference [ fhir:v "ServiceRequest/64" ]
     ]
  ] ) . # 

<http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/62> a fhir:CommunicationRequest ;
  fhir:id [ fhir:v "62"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CommunicationRequest_62\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CommunicationRequest 62</b></p><a name=\"62\"> </a><a name=\"hc62\"> </a><a name=\"62-en-US\"> </a><p><b>basedOn</b>: <a href=\"ActivityDefinition-CommunicateSDMContinueScreening.html\">Communicate Shared Decision Making to Continue Screening</a></p><p><b>status</b>: option</p><p><b>subject</b>: <a href=\"Bundle-act-sdmcontinueage__act-avgrisk.html#Patient_ac82b3ed-aed5-41ae-b24e-8370f0d2d43d\">Jane Doe</a></p><h3>Payloads</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Content[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>Shared decision making to continue screening</td></tr></table><p><b>reasonCode</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system ageover74}\">Age over 74 years</span></p></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:basedOn ( [
     fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/CommunicateSDMContinueScreening> ;
     fhir:reference [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/CommunicateSDMContinueScreening" ]
  ] ) ; # 
  fhir:status [ fhir:v "option"] ; # 
  fhir:subject [
     fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/Patient/ac82b3ed-aed5-41ae-b24e-8370f0d2d43d> ;
     fhir:reference [ fhir:v "Patient/ac82b3ed-aed5-41ae-b24e-8370f0d2d43d" ] ;
     fhir:display [ fhir:v "Jane Doe" ]
  ] ; # 
  fhir:payload ( [
     fhir:content [
       a fhir:string ;
       fhir:v "Shared decision making to continue screening"
     ]
  ] ) ; # 
  fhir:reasonCode ( [
     fhir:coding ( [
       fhir:system [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "ageover74" ] ;
       fhir:display [ fhir:v "Age over 74 years" ]
     ] )
  ] ) . # 

<http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/63> a fhir:ServiceRequest ;
  fhir:id [ fhir:v "63"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_63\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 63</b></p><a name=\"63\"> </a><a name=\"hc63\"> </a><a name=\"63-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://loinc.org 24606-6}\">MG Breast Screening</span></p><p><b>subject</b>: <a href=\"Bundle-act-sdmcontinueage__act-avgrisk.html#Patient_ac82b3ed-aed5-41ae-b24e-8370f0d2d43d\">Jane Doe</a></p><p><b>occurrence</b>: 1985-01-01</p><p><b>reasonCode</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system ACSaveragerisk}\">ACS average risk</span></p></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:basedOn ( [
     fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest> ;
     fhir:reference [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest" ]
  ] ) ; # 
  fhir:status [ fhir:v "option"] ; # 
  fhir:intent [ fhir:v "proposal"] ; # 
  fhir:code [
     fhir:coding ( [
       a loinc:24606-6 ;
       fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "24606-6" ] ;
       fhir:display [ fhir:v "MG Breast Screening" ]
     ] )
  ] ; # 
  fhir:subject [
     fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/Patient/ac82b3ed-aed5-41ae-b24e-8370f0d2d43d> ;
     fhir:reference [ fhir:v "Patient/ac82b3ed-aed5-41ae-b24e-8370f0d2d43d" ] ;
     fhir:display [ fhir:v "Jane Doe" ]
  ] ; # 
  fhir:occurrence [
     a fhir:dateTime ;
     fhir:v "1985-01-01"^^xsd:date
  ] ; # 
  fhir:reasonCode ( [
     fhir:coding ( [
       fhir:system [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "ACSaveragerisk" ] ;
       fhir:display [ fhir:v "ACS average risk" ]
     ] )
  ] ) . # 

<http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/64> a fhir:ServiceRequest ;
  fhir:id [ fhir:v "64"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_64\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 64</b></p><a name=\"64\"> </a><a name=\"hc64\"> </a><a name=\"64-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://loinc.org 24606-6}\">MG Breast Screening</span></p><p><b>subject</b>: <a href=\"Bundle-act-sdmcontinueage__act-avgrisk.html#Patient_ac82b3ed-aed5-41ae-b24e-8370f0d2d43d\">Jane Doe</a></p><p><b>occurrence</b>: 1985-01-01</p><p><b>reasonCode</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system USPSTFaveragerisk}\">USPSTF average risk</span></p></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:basedOn ( [
     fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest> ;
     fhir:reference [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest" ]
  ] ) ; # 
  fhir:status [ fhir:v "option"] ; # 
  fhir:intent [ fhir:v "proposal"] ; # 
  fhir:code [
     fhir:coding ( [
       a loinc:24606-6 ;
       fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "24606-6" ] ;
       fhir:display [ fhir:v "MG Breast Screening" ]
     ] )
  ] ; # 
  fhir:subject [
     fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/Patient/ac82b3ed-aed5-41ae-b24e-8370f0d2d43d> ;
     fhir:reference [ fhir:v "Patient/ac82b3ed-aed5-41ae-b24e-8370f0d2d43d" ] ;
     fhir:display [ fhir:v "Jane Doe" ]
  ] ; # 
  fhir:occurrence [
     a fhir:dateTime ;
     fhir:v "1985-01-01"^^xsd:date
  ] ; # 
  fhir:reasonCode ( [
     fhir:coding ( [
       fhir:system [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "USPSTFaveragerisk" ] ;
       fhir:display [ fhir:v "USPSTF average risk" ]
     ] )
  ] ) . # 

# -------------------------------------------------------------------------------------