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

: PrimaryScreeningDecision_inc-assignedfemaleatbirthortransfemale_yes - JSON Representation

Raw json | Download

{
  "resourceType" : "Bundle",
  "id" : "PrimaryScreeningDecision_inc-assignedfemaleatbirthortransfemale_yes",
  "type" : "collection",
  "entry" : [
    {
      "fullUrl" : "http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/219",
      "resource" : {
        "resourceType" : "CarePlan",
        "id" : "219",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_219\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan 219</b></p><a name=\"219\"> </a><a name=\"hc219\"> </a><a name=\"219-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-inc-assignedfemaleatbirthortransfemale_yes.html#Patient_2acfafc2-fafd-4cd5-ac03-3336a354b2fe\">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_inc-assignedfemaleatbirthortransfemale_yes.html#RequestGroup_220\">Bundle: type = collection</a></td></tr></table></div>"
        },
        "instantiatesCanonical" : [
          🔗 "http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/PrimaryScreeningDecision"
        ],
        "status" : "draft",
        "intent" : "proposal",
        "subject" : {
          "reference" : "Patient/2acfafc2-fafd-4cd5-ac03-3336a354b2fe",
          "display" : "Joanne Smith"
        },
        "created" : "2024-12-10T00:00:00.0Z",
        "activity" : [
          {
            "reference" : {
              "reference" : "RequestGroup/220"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/220",
      "resource" : {
        "resourceType" : "RequestGroup",
        "id" : "220",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RequestGroup_220\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup 220</b></p><a name=\"220\"> </a><a name=\"hc220\"> </a><a name=\"220-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-inc-assignedfemaleatbirthortransfemale_yes.html#Patient_2acfafc2-fafd-4cd5-ac03-3336a354b2fe\">Joanne Smith</a></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>NotEligibleCurrentBreastCancer</blockquote><p><b>title</b>: Not eligible for screening</p><p><b>description</b>: This patient is not eligible for screening.\n\nReferenced guidelines apply to individuals assigned female at birth. Routine screening of cis-gender individuals assigned male at birth is not recommended. For transgender women, consider specialist referral.\n\nAdditional resources: ACR Appropriateness Criteria® Transgender Breast Cancer Screening; UCSF guidelines 'Screening for breast cancer in transgender women'</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>\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><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><tr><td style=\"display: none\">*</td><td>Documentation</td><td>ACR</td><td>ACR Appropriateness Criteria® Transgender Breast Cancer Screening</td><td><div><p>Brown, Ann, et al. &quot;ACR appropriateness criteria® transgender breast cancer screening.&quot; Journal of the American College of Radiology 18.11 (2021): S502-S515.</p>\n</div></td><td><a href=\"https://www.jacr.org/article/S1546-1440(21)00730-4/fulltext\">https://www.jacr.org/article/S1546-1440(21)00730-4/fulltext</a></td></tr><tr><td style=\"display: none\">*</td><td>Documentation</td><td>UCSF</td><td>UCSF Transgender Care &amp; Treatment Guidelines: Screening for breast cancer in transgender women</td><td> </td><td><a href=\"https://transcare.ucsf.edu/guidelines/breast-cancer-women\">https://transcare.ucsf.edu/guidelines/breast-cancer-women</a></td></tr></table><p><b>resource</b>: <a href=\"Bundle-PrimaryScreeningDecision_inc-assignedfemaleatbirthortransfemale_yes.html#CommunicationRequest_221\">Bundle: type = collection</a></p></blockquote></div>"
        },
        "instantiatesCanonical" : [
          🔗 "http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/PrimaryScreeningDecision"
        ],
        "status" : "draft",
        "intent" : "proposal",
        "subject" : {
          "reference" : "Patient/2acfafc2-fafd-4cd5-ac03-3336a354b2fe",
          "display" : "Joanne Smith"
        },
        "action" : [
          {
            "id" : "NotEligibleCurrentBreastCancer",
            "title" : "Not eligible for screening",
            "description" : "This patient is not eligible for screening.\n\nReferenced guidelines apply to individuals assigned female at birth. Routine screening of cis-gender individuals assigned male at birth is not recommended. For transgender women, consider specialist referral.\n\nAdditional resources: ACR Appropriateness Criteria® Transgender Breast Cancer Screening; UCSF guidelines 'Screening for breast cancer in transgender women'",
            "code" : [
              {
                "coding" : [
                  {
                    "system" : "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system",
                    "code" : "noteligible",
                    "display" : "Not eligible for screening"
                  }
                ]
              }
            ],
            "documentation" : [
              {
                "type" : "citation",
                "label" : "USPSTF",
                "display" : "Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement",
                "citation" : "US Preventive Services Task Force. Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. Published online April 30, 2024.",
                "url" : "https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening"
              },
              {
                "type" : "derived-from",
                "label" : "Screening Eligible",
                "display" : "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."
              },
              {
                "type" : "documentation",
                "label" : "ACR",
                "display" : "ACR Appropriateness Criteria® Transgender Breast Cancer Screening",
                "citation" : "Brown, Ann, et al. \"ACR appropriateness criteria® transgender breast cancer screening.\" Journal of the American College of Radiology 18.11 (2021): S502-S515.",
                "url" : "https://www.jacr.org/article/S1546-1440(21)00730-4/fulltext"
              },
              {
                "type" : "documentation",
                "label" : "UCSF",
                "display" : "UCSF Transgender Care & Treatment Guidelines: Screening for breast cancer in transgender women",
                "url" : "https://transcare.ucsf.edu/guidelines/breast-cancer-women"
              }
            ],
            "resource" : {
              "reference" : "CommunicationRequest/221"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/221",
      "resource" : {
        "resourceType" : "CommunicationRequest",
        "id" : "221",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CommunicationRequest_221\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CommunicationRequest 221</b></p><a name=\"221\"> </a><a name=\"hc221\"> </a><a name=\"221-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-inc-assignedfemaleatbirthortransfemale_yes.html#Patient_2acfafc2-fafd-4cd5-ac03-3336a354b2fe\">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 notassignedfemaleatbirth}\">Not assigned female at birth</span></p></div>"
        },
        "basedOn" : [
          {
            🔗 "reference" : "http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/CommunicateNotEligible"
          }
        ],
        "status" : "option",
        "subject" : {
          "reference" : "Patient/2acfafc2-fafd-4cd5-ac03-3336a354b2fe",
          "display" : "Joanne Smith"
        },
        "payload" : [
          {
            "contentString" : "Not eligible for screening"
          }
        ],
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system",
                "code" : "notassignedfemaleatbirth",
                "display" : "Not assigned female at birth"
              }
            ]
          }
        ]
      }
    }
  ]
}