Breast Cancer Screening and Management (BCSM) Clinical Decision Support (CDS) Implementation Guide
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: PrimaryScreeningDecision_eve-breastsymptoms_yes_act-dxtesting - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="PrimaryScreeningDecision_eve-breastsymptoms_yes_act-dxtesting"/>
  <type value="collection"/>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/162"/>
    <resource>
      <CarePlan>
        <id value="162"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="CarePlan_162"> </a><p class="res-header-id"><b>Generated Narrative: CarePlan 162</b></p><a name="162"> </a><a name="hc162"> </a><a name="162-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-eve-breastsymptoms_yes_act-dxtesting.html#Patient_0406e16a-104c-4ba8-bb27-7a70688b4bf8">Joanne Smith</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_eve-breastsymptoms_yes_act-dxtesting.html#RequestGroup_163">Bundle: type = collection</a></td></tr></table></div>
        </text>
        <instantiatesCanonical
                               value="http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/PrimaryScreeningDecision"/>
        <status value="draft"/>
        <intent value="proposal"/>
        <subject>
          <reference value="Patient/0406e16a-104c-4ba8-bb27-7a70688b4bf8"/>
          <display value="Joanne Smith"/>
        </subject>
        <created value="2024-12-10T00:00:00.0Z"/>
        <activity>
          <reference>
            <reference value="RequestGroup/163"/>
          </reference>
        </activity>
      </CarePlan>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/163"/>
    <resource>
      <RequestGroup>
        <id value="163"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="RequestGroup_163"> </a><p class="res-header-id"><b>Generated Narrative: RequestGroup 163</b></p><a name="163"> </a><a name="hc163"> </a><a name="163-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-eve-breastsymptoms_yes_act-dxtesting.html#Patient_0406e16a-104c-4ba8-bb27-7a70688b4bf8">Joanne Smith</a></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>NotEligibleBreastSymptomsOrFindings</blockquote><p><b>title</b>: Not eligible for screening</p><p><b>description</b>: This patient is not eligible for screening.

New breast symptoms or exam findings, or chronic symptoms or findings which have progressively worsened, should undergo diagnostic testing rather than routine screening.</p><p><b>code</b>: <span title="Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system noteligible}">Not eligible for 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>
</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><tr><td style="display: none">*</td><td>Derived From</td><td>Screening Eligible</td><td>Individuals who have certain signs or symptoms concerning for breast cancer or other breast diseases are excluded from routine screening pathways and should have diagnostic testing performed.</td><td> </td><td> </td></tr></table><p><b>resource</b>: <a href="Bundle-PrimaryScreeningDecision_eve-breastsymptoms_yes_act-dxtesting.html#CommunicationRequest_164">Bundle: type = collection</a></p></blockquote></div>
        </text>
        <instantiatesCanonical
                               value="http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/PrimaryScreeningDecision"/>
        <status value="draft"/>
        <intent value="proposal"/>
        <subject>
          <reference value="Patient/0406e16a-104c-4ba8-bb27-7a70688b4bf8"/>
          <display value="Joanne Smith"/>
        </subject>
        <action id="NotEligibleBreastSymptomsOrFindings">
          <title value="Not eligible for screening"/>
          <description
                       value="This patient is not eligible for screening.

New breast symptoms or exam findings, or chronic symptoms or findings which have progressively worsened, should undergo diagnostic testing rather than routine screening."/>
          <code>
            <coding>
              <system
                      value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system"/>
              <code value="noteligible"/>
              <display value="Not eligible for screening"/>
            </coding>
          </code>
          <documentation>
            <type value="citation"/>
            <label value="USPSTF"/>
            <display
                     value="Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement"/>
            <citation
                      value="US Preventive Services Task Force. Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. Published online April 30, 2024."/>
            <url
                 value="https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening"/>
          </documentation>
          <documentation>
            <type value="derived-from"/>
            <label value="Screening Eligible"/>
            <display
                     value="Individuals who have certain signs or symptoms concerning for breast cancer or other breast diseases are excluded from routine screening pathways and should have diagnostic testing performed."/>
          </documentation>
          <resource>
            <reference value="CommunicationRequest/164"/>
          </resource>
        </action>
      </RequestGroup>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/164"/>
    <resource>
      <CommunicationRequest>
        <id value="164"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="CommunicationRequest_164"> </a><p class="res-header-id"><b>Generated Narrative: CommunicationRequest 164</b></p><a name="164"> </a><a name="hc164"> </a><a name="164-en-US"> </a><p><b>basedOn</b>: <a href="ActivityDefinition-CommunicateNotEligible.html">Communicate Not Eligible</a></p><p><b>status</b>: option</p><p><b>subject</b>: <a href="Bundle-eve-breastsymptoms_yes_act-dxtesting.html#Patient_0406e16a-104c-4ba8-bb27-7a70688b4bf8">Joanne Smith</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>Not eligible for screening</td></tr></table><p><b>reasonCode</b>: <span title="Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system breastsymptomsorfindings}">New or worsening breast symptoms or findings</span></p></div>
        </text>
        <basedOn>🔗 
          <reference
                     value="http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/CommunicateNotEligible"/>
        </basedOn>
        <status value="option"/>
        <subject>
          <reference value="Patient/0406e16a-104c-4ba8-bb27-7a70688b4bf8"/>
          <display value="Joanne Smith"/>
        </subject>
        <payload>
          <contentString value="Not eligible for screening"/>
        </payload>
        <reasonCode>
          <coding>
            <system
                    value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"/>
            <code value="breastsymptomsorfindings"/>
            <display value="New or worsening breast symptoms or findings"/>
          </coding>
        </reasonCode>
      </CommunicationRequest>
    </resource>
  </entry>
</Bundle>