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
@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 "DecisionToScreen_act-sdmcontinueage_act-sdmcontinuelifexp_end-decisionhighrisk"] ; # fhir:type [ fhir:v "collection"] ; # fhir:entry ( [ fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/275"^^xsd:anyURI ] ; ( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/275> ) ] [ fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/276"^^xsd:anyURI ] ; ( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/276> ) ] [ fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/277"^^xsd:anyURI ] ; ( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/277> ) ] [ fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/278"^^xsd:anyURI ] ; ( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/278> ) ] [ fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/279"^^xsd:anyURI ] ; ( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/279> ) ] ) . # <http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/275> a fhir:CarePlan ; fhir:id [ fhir:v "275"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_275\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan 275</b></p><a name=\"275\"> </a><a name=\"hc275\"> </a><a name=\"275-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-flow-DecisionToScreen.html\">Decision to Screen</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href=\"Bundle-act-sdmcontinueage_act-sdmcontinuelifexp_end-decisionhighrisk.html#Patient_55c03346-9d8e-4810-a819-ada1cdbc00ea\">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-DecisionToScreen_act-sdmcontinueage_act-sdmcontinuelifexp_end-decisionhighrisk.html#RequestGroup_276\">Bundle: type = collection</a></td></tr></table></div>"^^rdf:XMLLiteral ] ; # fhir:instantiatesCanonical ( [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-DecisionToScreen"^^xsd:anyURI ; fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-DecisionToScreen> ] ) ; # fhir:status [ fhir:v "draft"] ; # fhir:intent [ fhir:v "proposal"] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/55c03346-9d8e-4810-a819-ada1cdbc00ea" ] ; 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/276" ] ] ] ) . # <http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/276> a fhir:RequestGroup ; fhir:id [ fhir:v "276"] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RequestGroup_276\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup 276</b></p><a name=\"276\"> </a><a name=\"hc276\"> </a><a name=\"276-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-flow-DecisionToScreen.html\">Decision to Screen</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href=\"Bundle-act-sdmcontinueage_act-sdmcontinuelifexp_end-decisionhighrisk.html#Patient_55c03346-9d8e-4810-a819-ada1cdbc00ea\">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-DecisionToScreen_act-sdmcontinueage_act-sdmcontinuelifexp_end-decisionhighrisk.html#CommunicationRequest_277\">Bundle: type = collection</a></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>SDMContinueScreeningLifeExp</blockquote><p><b>title</b>: Shared decision making to continue screening based on life expectancy</p><p><b>description</b>: Decision to continue screening mammography in cases of limited life expectancy should be based on shared decision-making.\n\nACS advises that women should continue screening mammography as long as their overall health is good and they have a life expectancy of 10 years or more.\n\nLife expectancy is generally defined as having greater than a 50% probability of surviving 10 years. A validated tool such as www.eprognosis.com can help guide decision making.</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>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>resource</b>: <a href=\"Bundle-DecisionToScreen_act-sdmcontinueage_act-sdmcontinuelifexp_end-decisionhighrisk.html#CommunicationRequest_278\">Bundle: type = collection</a></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>ACSMammoAfterBrca</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>: Annual screening mammogram</p><p><b>description</b>: Annual screening mammogram after 5 years from breast cancer onset is recomended.</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>Url</b></td></tr><tr><td style=\"display: none\">*</td><td>Citation</td><td>ACS</td><td>American Cancer Society Recommendations for the Early Detection of Breast Cancer</td><td><a href=\"https://www.cancer.org/cancer/types/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html\">https://www.cancer.org/cancer/types/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html</a></td></tr></table><p><b>timing</b>: Events: 2024-01-01 , Once per 1 year</p><p><b>resource</b>: <a href=\"Bundle-DecisionToScreen_act-sdmcontinueage_act-sdmcontinuelifexp_end-decisionhighrisk.html#ServiceRequest_279\">Bundle: type = collection</a></p></blockquote></div>"^^rdf:XMLLiteral ] ; # fhir:instantiatesCanonical ( [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-DecisionToScreen"^^xsd:anyURI ; fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-DecisionToScreen> ] ) ; # fhir:status [ fhir:v "draft"] ; # fhir:intent [ fhir:v "proposal"] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/55c03346-9d8e-4810-a819-ada1cdbc00ea" ] ; 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:reference [ fhir:v "CommunicationRequest/277" ] ] ] [ fhir:id [ fhir:v "SDMContinueScreeningLifeExp" ] ; fhir:title [ fhir:v "Shared decision making to continue screening based on life expectancy" ] ; fhir:description [ fhir:v "Decision to continue screening mammography in cases of limited life expectancy should be based on shared decision-making.\n\nACS advises that women should continue screening mammography as long as their overall health is good and they have a life expectancy of 10 years or more.\n\nLife expectancy is generally defined as having greater than a 50% probability of surviving 10 years. A validated tool such as www.eprognosis.com can help guide decision making." ] ; ( 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 "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:resource [ fhir:reference [ fhir:v "CommunicationRequest/278" ] ] ] [ fhir:id [ fhir:v "ACSMammoAfterBrca" ] ; ( 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 "Annual screening mammogram" ] ; fhir:description [ fhir:v "Annual screening mammogram after 5 years from breast cancer onset is recomended." ] ; ( 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 "American Cancer Society Recommendations for the Early Detection of Breast Cancer" ] ; fhir:url [ fhir:v "https://www.cancer.org/cancer/types/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html"^^xsd:anyURI ] ] ) ; fhir:timing [ a fhir:Timing ; ( fhir:event [ fhir:v "2024-01-01"^^xsd:date ] ) ; fhir:repeat [ fhir:bounds [ a fhir:Period ; fhir:start [ fhir:v "2024-01-01"^^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/279" ] ] ] ) . # <http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/277> a fhir:CommunicationRequest ; fhir:id [ fhir:v "277"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CommunicationRequest_277\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CommunicationRequest 277</b></p><a name=\"277\"> </a><a name=\"hc277\"> </a><a name=\"277-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-sdmcontinuelifexp_end-decisionhighrisk.html#Patient_55c03346-9d8e-4810-a819-ada1cdbc00ea\">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:reference [ fhir:v "Patient/55c03346-9d8e-4810-a819-ada1cdbc00ea" ] ; 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/CommunicationRequest/278> a fhir:CommunicationRequest ; fhir:id [ fhir:v "278"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CommunicationRequest_278\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CommunicationRequest 278</b></p><a name=\"278\"> </a><a name=\"hc278\"> </a><a name=\"278-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-sdmcontinuelifexp_end-decisionhighrisk.html#Patient_55c03346-9d8e-4810-a819-ada1cdbc00ea\">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 lifeexp}\">Reduced life expectancy indicator</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:reference [ fhir:v "Patient/55c03346-9d8e-4810-a819-ada1cdbc00ea" ] ; 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 "lifeexp" ] ; fhir:display [ fhir:v "Reduced life expectancy indicator" ] ] ) ] ) . # <http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/279> a fhir:ServiceRequest ; fhir:id [ fhir:v "279"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_279\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 279</b></p><a name=\"279\"> </a><a name=\"hc279\"> </a><a name=\"279-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-sdmcontinuelifexp_end-decisionhighrisk.html#Patient_55c03346-9d8e-4810-a819-ada1cdbc00ea\">Jane Doe</a></p><p><b>occurrence</b>: 2024-01-01</p><p><b>reasonCode</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system hxbreastca}\">Previous breast cancer</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/55c03346-9d8e-4810-a819-ada1cdbc00ea" ] ; fhir:display [ fhir:v "Jane Doe" ] ] ; # fhir:occurrence [ a fhir:dateTime ; fhir:v "2024-01-01"^^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 "hxbreastca" ] ; fhir:display [ fhir:v "Previous breast cancer" ] ] ) ] ) . #
IG © 2025+ MITRE. Package cancerscreeningcds.fhir.us.bcsm-cds#1.0.0 based on FHIR 4.0.1. Generated 2025-02-28
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