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

: Screening Observation Code System - TTL Representation

Draft as of 2025-02-28

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@prefix fhir: <http://hl7.org/fhir/> .
@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 -------------------------------------------------------------------

 a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "screening-observation-code-system"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem screening-observation-code-system</b></p><a name=\"screening-observation-code-system\"> </a><a name=\"hcscreening-observation-code-system\"> </a><a name=\"screening-observation-code-system-en-US\"> </a><p>This  code system <code>http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\">eligibleforscreening<a name=\"screening-observation-code-system-eligibleforscreening\"> </a></td><td>Eligible for screening</td></tr><tr><td style=\"white-space:nowrap\">missingageorbirthdate<a name=\"screening-observation-code-system-missingageorbirthdate\"> </a></td><td>Missing patient age in years or birth date</td></tr><tr><td style=\"white-space:nowrap\">notassignedfemaleatbirth<a name=\"screening-observation-code-system-notassignedfemaleatbirth\"> </a></td><td>Not assigned female at birth</td></tr><tr><td style=\"white-space:nowrap\">screeningcomplete<a name=\"screening-observation-code-system-screeningcomplete\"> </a></td><td>Screening complete</td></tr><tr><td style=\"white-space:nowrap\">USPSTFaveragerisk<a name=\"screening-observation-code-system-USPSTFaveragerisk\"> </a></td><td>USPSTF average risk</td></tr><tr><td style=\"white-space:nowrap\">ACSaveragerisk<a name=\"screening-observation-code-system-ACSaveragerisk\"> </a></td><td>ACS average risk</td></tr><tr><td style=\"white-space:nowrap\">currentbreastcancer<a name=\"screening-observation-code-system-currentbreastcancer\"> </a></td><td>Current breast cancer</td></tr><tr><td style=\"white-space:nowrap\">bilatmastectomy<a name=\"screening-observation-code-system-bilatmastectomy\"> </a></td><td>Bilateral mastectomy</td></tr><tr><td style=\"white-space:nowrap\">breastsymptomsorfindings<a name=\"screening-observation-code-system-breastsymptomsorfindings\"> </a></td><td>New or worsening breast symptoms or findings</td></tr><tr><td style=\"white-space:nowrap\">ageover74<a name=\"screening-observation-code-system-ageover74\"> </a></td><td>Age over 74 years</td></tr><tr><td style=\"white-space:nowrap\">lifeexp<a name=\"screening-observation-code-system-lifeexp\"> </a></td><td>Reduced life expectancy indicator</td></tr><tr><td style=\"white-space:nowrap\">currentlylactating<a name=\"screening-observation-code-system-currentlylactating\"> </a></td><td>Currently lactating</td></tr><tr><td style=\"white-space:nowrap\">othergeneticrisk<a name=\"screening-observation-code-system-othergeneticrisk\"> </a></td><td>Other genetic marker or syndrome associated with breast cancer</td></tr><tr><td style=\"white-space:nowrap\">hxbreastca<a name=\"screening-observation-code-system-hxbreastca\"> </a></td><td>Previous breast cancer</td></tr><tr><td style=\"white-space:nowrap\">hxbreastcawithin5y<a name=\"screening-observation-code-system-hxbreastcawithin5y\"> </a></td><td>Breast cancer within 5 years</td></tr><tr><td style=\"white-space:nowrap\">geneticriskexclusion<a name=\"screening-observation-code-system-geneticriskexclusion\"> </a></td><td>Genetic risk exclusion</td></tr><tr><td style=\"white-space:nowrap\">chestxrt<a name=\"screening-observation-code-system-chestxrt\"> </a></td><td>History of chest radiation ages 10-30 y</td></tr><tr><td style=\"white-space:nowrap\">atypicalbx<a name=\"screening-observation-code-system-atypicalbx\"> </a></td><td>Atypical biopsy</td></tr><tr><td style=\"white-space:nowrap\">atypicalbxhighlifetimerisk<a name=\"screening-observation-code-system-atypicalbxhighlifetimerisk\"> </a></td><td>Atypical biopsy high lifetime risk</td></tr><tr><td style=\"white-space:nowrap\">highlifetimerisk<a name=\"screening-observation-code-system-highlifetimerisk\"> </a></td><td>High lifetime risk</td></tr><tr><td style=\"white-space:nowrap\">firstdeggenetic<a name=\"screening-observation-code-system-firstdeggenetic\"> </a></td><td>First degree relative with genetic marker or syndrome</td></tr><tr><td style=\"white-space:nowrap\">breastdensitycord<a name=\"screening-observation-code-system-breastdensitycord\"> </a></td><td>BI-RADS breast density category C or D</td></tr><tr><td style=\"white-space:nowrap\">fhxbreastcarisk<a name=\"screening-observation-code-system-fhxbreastcarisk\"> </a></td><td>Compelling family history of breast cancer</td></tr><tr><td style=\"white-space:nowrap\">fhxgenetic<a name=\"screening-observation-code-system-fhxgenetic\"> </a></td><td>Family history of inherited cancer susceptibility</td></tr><tr><td style=\"white-space:nowrap\">brcageneancestry<a name=\"screening-observation-code-system-brcageneancestry\"> </a></td><td>Ancestry associated with BRCA1/2 gene mutations</td></tr><tr><td style=\"white-space:nowrap\">fhxbrcaovcatubalperit<a name=\"screening-observation-code-system-fhxbrcaovcatubalperit\"> </a></td><td>Family history of breast, ovarian, tubal, or peritoneal cancer</td></tr><tr><td style=\"white-space:nowrap\">highfamilialrisk<a name=\"screening-observation-code-system-highfamilialrisk\"> </a></td><td>High familial risk</td></tr><tr><td style=\"white-space:nowrap\">high5yrisk<a name=\"screening-observation-code-system-high5yrisk\"> </a></td><td>High 5 year risk</td></tr><tr><td style=\"white-space:nowrap\">higherthanaverage5yrisk<a name=\"screening-observation-code-system-higherthanaverage5yrisk\"> </a></td><td>5 year risk at least 1.67%</td></tr><tr><td style=\"white-space:nowrap\">riskfactors<a name=\"screening-observation-code-system-riskfactors\"> </a></td><td>Personal or family history risk factors</td></tr><tr><td style=\"white-space:nowrap\">BreastSymptoms<a name=\"screening-observation-code-system-BreastSymptoms\"> </a></td><td>New or worsening breast symptoms</td></tr><tr><td style=\"white-space:nowrap\">BreastFindings<a name=\"screening-observation-code-system-BreastFindings\"> </a></td><td>New or worsening breast exam findings</td></tr><tr><td style=\"white-space:nowrap\">GeneticMarkerOrSyndrome<a name=\"screening-observation-code-system-GeneticMarkerOrSyndrome\"> </a></td><td>Genetic marker or syndrome associated with breast cancer</td></tr><tr><td style=\"white-space:nowrap\">KnownVariantStatus<a name=\"screening-observation-code-system-KnownVariantStatus\"> </a></td><td>Known breast cancer variant status</td></tr><tr><td style=\"white-space:nowrap\">PersonalRiskFactors<a name=\"screening-observation-code-system-PersonalRiskFactors\"> </a></td><td>Personal risk factors conferring increased risk of breast cancer</td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:url [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "1.0.0"] ; # 
  fhir:name [ fhir:v "ScreeningObservationCodeSystem"] ; # 
  fhir:title [ fhir:v "Screening Observation Code System"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2025-02-28T23:16:14+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "MITRE"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "MITRE" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://www.mitre.org/" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Code representing breast cancer screening related observations"] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:count [ fhir:v "35"^^xsd:nonNegativeInteger] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "eligibleforscreening" ] ;
fhir:display [ fhir:v "Eligible for screening" ]
  ] [
fhir:code [ fhir:v "missingageorbirthdate" ] ;
fhir:display [ fhir:v "Missing patient age in years or birth date" ]
  ] [
fhir:code [ fhir:v "notassignedfemaleatbirth" ] ;
fhir:display [ fhir:v "Not assigned female at birth" ]
  ] [
fhir:code [ fhir:v "screeningcomplete" ] ;
fhir:display [ fhir:v "Screening complete" ]
  ] [
fhir:code [ fhir:v "USPSTFaveragerisk" ] ;
fhir:display [ fhir:v "USPSTF average risk" ]
  ] [
fhir:code [ fhir:v "ACSaveragerisk" ] ;
fhir:display [ fhir:v "ACS average risk" ]
  ] [
fhir:code [ fhir:v "currentbreastcancer" ] ;
fhir:display [ fhir:v "Current breast cancer" ]
  ] [
fhir:code [ fhir:v "bilatmastectomy" ] ;
fhir:display [ fhir:v "Bilateral mastectomy" ]
  ] [
fhir:code [ fhir:v "breastsymptomsorfindings" ] ;
fhir:display [ fhir:v "New or worsening breast symptoms or findings" ]
  ] [
fhir:code [ fhir:v "ageover74" ] ;
fhir:display [ fhir:v "Age over 74 years" ]
  ] [
fhir:code [ fhir:v "lifeexp" ] ;
fhir:display [ fhir:v "Reduced life expectancy indicator" ]
  ] [
fhir:code [ fhir:v "currentlylactating" ] ;
fhir:display [ fhir:v "Currently lactating" ]
  ] [
fhir:code [ fhir:v "othergeneticrisk" ] ;
fhir:display [ fhir:v "Other genetic marker or syndrome associated with breast cancer" ]
  ] [
fhir:code [ fhir:v "hxbreastca" ] ;
fhir:display [ fhir:v "Previous breast cancer" ]
  ] [
fhir:code [ fhir:v "hxbreastcawithin5y" ] ;
fhir:display [ fhir:v "Breast cancer within 5 years" ]
  ] [
fhir:code [ fhir:v "geneticriskexclusion" ] ;
fhir:display [ fhir:v "Genetic risk exclusion" ]
  ] [
fhir:code [ fhir:v "chestxrt" ] ;
fhir:display [ fhir:v "History of chest radiation ages 10-30 y" ]
  ] [
fhir:code [ fhir:v "atypicalbx" ] ;
fhir:display [ fhir:v "Atypical biopsy" ]
  ] [
fhir:code [ fhir:v "atypicalbxhighlifetimerisk" ] ;
fhir:display [ fhir:v "Atypical biopsy high lifetime risk" ]
  ] [
fhir:code [ fhir:v "highlifetimerisk" ] ;
fhir:display [ fhir:v "High lifetime risk" ]
  ] [
fhir:code [ fhir:v "firstdeggenetic" ] ;
fhir:display [ fhir:v "First degree relative with genetic marker or syndrome" ]
  ] [
fhir:code [ fhir:v "breastdensitycord" ] ;
fhir:display [ fhir:v "BI-RADS breast density category C or D" ]
  ] [
fhir:code [ fhir:v "fhxbreastcarisk" ] ;
fhir:display [ fhir:v "Compelling family history of breast cancer" ]
  ] [
fhir:code [ fhir:v "fhxgenetic" ] ;
fhir:display [ fhir:v "Family history of inherited cancer susceptibility" ]
  ] [
fhir:code [ fhir:v "brcageneancestry" ] ;
fhir:display [ fhir:v "Ancestry associated with BRCA1/2 gene mutations" ]
  ] [
fhir:code [ fhir:v "fhxbrcaovcatubalperit" ] ;
fhir:display [ fhir:v "Family history of breast, ovarian, tubal, or peritoneal cancer" ]
  ] [
fhir:code [ fhir:v "highfamilialrisk" ] ;
fhir:display [ fhir:v "High familial risk" ]
  ] [
fhir:code [ fhir:v "high5yrisk" ] ;
fhir:display [ fhir:v "High 5 year risk" ]
  ] [
fhir:code [ fhir:v "higherthanaverage5yrisk" ] ;
fhir:display [ fhir:v "5 year risk at least 1.67%" ]
  ] [
fhir:code [ fhir:v "riskfactors" ] ;
fhir:display [ fhir:v "Personal or family history risk factors" ]
  ] [
fhir:code [ fhir:v "BreastSymptoms" ] ;
fhir:display [ fhir:v "New or worsening breast symptoms" ]
  ] [
fhir:code [ fhir:v "BreastFindings" ] ;
fhir:display [ fhir:v "New or worsening breast exam findings" ]
  ] [
fhir:code [ fhir:v "GeneticMarkerOrSyndrome" ] ;
fhir:display [ fhir:v "Genetic marker or syndrome associated with breast cancer" ]
  ] [
fhir:code [ fhir:v "KnownVariantStatus" ] ;
fhir:display [ fhir:v "Known breast cancer variant status" ]
  ] [
fhir:code [ fhir:v "PersonalRiskFactors" ] ;
fhir:display [ fhir:v "Personal risk factors conferring increased risk of breast cancer" ]
  ] ) . #