AverageRisk_eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs - TTL Representation - Breast Cancer Screening and Management (BCSM) Clinical Decision Support (CDS) Implementation Guide v1.0.0

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
: AverageRisk_eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs - TTL Representation

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@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 -------------------------------------------------------------------

 a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "AverageRisk_eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs"] ; # 
  fhir:type [ fhir:v "collection"] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/222"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/222> )
  ] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/223"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/223> )
  ] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/224"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/224> )
  ] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/225"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/225> )
  ] ) . # 

<http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/222> a fhir:CarePlan ;
  fhir:id [ fhir:v "222"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_222\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan 222</b></p><a name=\"222\"> </a><a name=\"hc222\"> </a><a name=\"222-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-flow-AverageRisk.html\">Average Risk</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href=\"Bundle-eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#Patient_defaultPatient\">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-AverageRisk_eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#RequestGroup_223\">Bundle: type = collection</a></td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:instantiatesCanonical ( [
fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-AverageRisk"^^xsd:anyURI ;
fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-AverageRisk>
  ] ) ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:intent [ fhir:v "proposal"] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/defaultPatient" ] ;
fhir:display [ fhir:v "Jane Doe" ]
  ] ; # 
  fhir:created [ fhir:v "2024-12-10T00:00:00.0Z"^^xsd:dateTime] ; # 
  fhir:activity ( [
fhir:reference [
fhir:reference [ fhir:v "RequestGroup/223" ]     ]
  ] ) . # 

<http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/223> a fhir:RequestGroup ;
  fhir:id [ fhir:v "223"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RequestGroup_223\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup 223</b></p><a name=\"223\"> </a><a name=\"hc223\"> </a><a name=\"223-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-flow-AverageRisk.html\">Average Risk</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href=\"Bundle-eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#Patient_defaultPatient\">Jane Doe</a></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>ACSMammoAvgRiskAge45to54</blockquote><p><b>Recommendation Flag Extension</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system not-due}\">Not due</span></p><p><b>title</b>: Annual screening mammogram starting age 40</p><p><b>description</b>: Annual screening mammogram is recommended for women 45 to 54.</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: 2025-10-01 , Once per 1 year</p><p><b>resource</b>: <a href=\"Bundle-AverageRisk_eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#ServiceRequest_224\">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 not-due}\">Not due</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: 2026-10-01 , Once per 2 years</p><p><b>resource</b>: <a href=\"Bundle-AverageRisk_eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#ServiceRequest_225\">Bundle: type = collection</a></p></blockquote></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:instantiatesCanonical ( [
fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-AverageRisk"^^xsd:anyURI ;
fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-AverageRisk>
  ] ) ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:intent [ fhir:v "proposal"] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/defaultPatient" ] ;
fhir:display [ fhir:v "Jane Doe" ]
  ] ; # 
  fhir:action ( [
fhir:id [ fhir:v "ACSMammoAvgRiskAge45to54" ] ;
    ( 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 "not-due" ] ;
fhir:display [ fhir:v "Not due" ]         ] )       ]     ] ) ;
fhir:title [ fhir:v "Annual screening mammogram starting age 40" ] ;
fhir:description [ fhir:v "Annual screening mammogram is recommended for women 45 to 54." ] ;
    ( 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 "2025-10-01"^^xsd:date ] ) ;
fhir:repeat [
fhir:bounds [
a fhir:Period ;
fhir:start [ fhir:v "2011-01-01"^^xsd:date ]         ] ;
fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:period [ fhir:v "1"^^xsd:decimal ] ;
fhir:periodUnit [ fhir:v "a" ]       ]     ] ;
fhir:resource [
fhir:reference [ fhir:v "ServiceRequest/224" ]     ]
  ] [
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 "not-due" ] ;
fhir:display [ fhir:v "Not due" ]         ] )       ]     ] ) ;
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 "2026-10-01"^^xsd:date ] ) ;
fhir:repeat [
fhir:bounds [
a fhir:Period ;
fhir:start [ fhir:v "2011-01-01"^^xsd:date ]         ] ;
fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:period [ fhir:v "2"^^xsd:decimal ] ;
fhir:periodUnit [ fhir:v "a" ]       ]     ] ;
fhir:resource [
fhir:reference [ fhir:v "ServiceRequest/225" ]     ]
  ] ) . # 

<http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/224> a fhir:ServiceRequest ;
  fhir:id [ fhir:v "224"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_224\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 224</b></p><a name=\"224\"> </a><a name=\"hc224\"> </a><a name=\"224-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-eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#Patient_defaultPatient\">Jane Doe</a></p><p><b>occurrence</b>: 2025-10-01</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:reference [ fhir:v "Patient/defaultPatient" ] ;
fhir:display [ fhir:v "Jane Doe" ]
  ] ; # 
  fhir:occurrence [
a fhir:dateTime ;
fhir:v "2025-10-01"^^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/225> a fhir:ServiceRequest ;
  fhir:id [ fhir:v "225"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_225\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 225</b></p><a name=\"225\"> </a><a name=\"hc225\"> </a><a name=\"225-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-eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#Patient_defaultPatient\">Jane Doe</a></p><p><b>occurrence</b>: 2026-10-01</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:reference [ fhir:v "Patient/defaultPatient" ] ;
fhir:display [ fhir:v "Jane Doe" ]
  ] ; # 
  fhir:occurrence [
a fhir:dateTime ;
fhir:v "2026-10-01"^^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" ]     ] )
  ] ) . #