HighRiskExclusions_act-acsmammoatypicalbx_act-acsatypicalbx_warning_missing - XML 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
: HighRiskExclusions_act-acsmammoatypicalbx_act-acsatypicalbx_warning_missing - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id
      value="HighRiskExclusions_act-acsmammoatypicalbx_act-acsatypicalbx_warning_missing"/>
  <type value="collection"/>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/410"/>
    <resource>
      <CarePlan>
        <id value="410"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="CarePlan_410"> </a><p class="res-header-id"><b>Generated Narrative: CarePlan 410</b></p><a name="410"> </a><a name="hc410"> </a><a name="410-en-US"> </a><p><b>instantiatesCanonical</b>: <a href="PlanDefinition-flow-HighRiskExclusions.html">High Risk Exclusions</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-HighRiskExclusions_act-acsmammoatypicalbx_act-acsatypicalbx_warning_missing.html#RequestGroup_411">Bundle: type = collection</a></td></tr></table></div>
        </text>
        <instantiatesCanonical
                               value="http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-HighRiskExclusions"/>
        <status value="draft"/>
        <intent value="proposal"/>
        <subject>
          <reference value="Patient/defaultPatient"/>
          <display value="Jane Doe"/>
        </subject>
        <created value="2024-12-10T00:00:00.0Z"/>
        <activity>
          <reference>
            <reference value="RequestGroup/411"/>
          </reference>
        </activity>
      </CarePlan>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/411"/>
    <resource>
      <RequestGroup>
        <id value="411"/>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="RequestGroup_411"> </a><p class="res-header-id"><b>Generated Narrative: RequestGroup 411</b></p><a name="411"> </a><a name="hc411"> </a><a name="411-en-US"> </a><p><b>Messages</b>: <a href="#hc411/contained-1">OperationOutcome</a></p><p><b>instantiatesCanonical</b>: <a href="PlanDefinition-flow-HighRiskExclusions.html">High Risk Exclusions</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>ACSMammoAtypicalBiopsy</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 starting age 30</p><p><b>description</b>: An annual screening mammogram starting at age 30 is recommended.

Women who are at higher than average risk for breast cancer based on past atypical biopsy should get a mammogram every year, typically starting at age 30.
</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-HighRiskExclusions_act-acsmammoatypicalbx_act-acsatypicalbx_warning_missing.html#ServiceRequest_412">Bundle: type = collection</a></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>ACSAtypicalBiopsy</blockquote><p><b>title</b>: Perform lifetime risk assessment</p><p><b>description</b>: Consider performing assessment of lifetime risk. 

If estimated lifetime risk is &gt;20%, patient may be eligible for supplemental screening with annual screening MRI.</p><p><b>code</b>: <span title="Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system lifetimeriskassessment}">Perform lifetime risk assessment</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>American Cancer Society Guidelines for Breast Screening with MRI as an Adjunct to Mammography</td><td><div><p>Oeffinger KC, Fontham ETH, Etzioni R, et al. Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society. JAMA. 2015;314(15):1599–1614.</p>
</div></td><td><a href="https://acsjournals.onlinelibrary.wiley.com/doi/full/10.3322/canjclin.57.2.75">https://acsjournals.onlinelibrary.wiley.com/doi/full/10.3322/canjclin.57.2.75</a></td></tr></table><p><b>resource</b>: <a href="Bundle-HighRiskExclusions_act-acsmammoatypicalbx_act-acsatypicalbx_warning_missing.html#ServiceRequest_413">Bundle: type = collection</a></p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: OperationOutcome #contained-1</b></p><a name="411/contained-1"> </a><a name="hc411/contained-1"> </a><a name="411/contained-1-en-US"> </a><table class="grid"><tr><td><b>Severity</b></td><td><b>Location</b></td><td><b>Code</b></td><td><b>Details</b></td><td><b>Diagnostics</b></td></tr><tr><td>Warning</td><td/><td>Processing Failure</td><td/><td>A laboratory test was found without a result. Please review patient record to resolve.</td></tr></table></blockquote></div>
        </text>
        <contained>
          <OperationOutcome>
            <id value="contained-1"/>
            <issue>
              <severity value="warning"/>
              <code value="processing"/>
              <details>
                <coding>
                  <system
                          value="http://example.org/CodeSystem/plan-definition-action-reason-code-system"/>
                  <code value="missingresultcode"/>
                </coding>
              </details>
              <diagnostics
                           value="A laboratory test was found without a result. Please review patient record to resolve."/>
            </issue>
          </OperationOutcome>
        </contained>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/cqf-messages">
          <valueReference>
            <reference value="#contained-1"/>
          </valueReference>
        </extension>
        <instantiatesCanonical
                               value="http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/flow-HighRiskExclusions"/>
        <status value="draft"/>
        <intent value="proposal"/>
        <subject>
          <reference value="Patient/defaultPatient"/>
          <display value="Jane Doe"/>
        </subject>
        <action id="ACSMammoAtypicalBiopsy">
          <extension
                     url="http://cancerscreeningcds.github.io/bcsm-cds/StructureDefinition/csm-recommendation-flag">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system"/>
                <code value="overdue"/>
                <display value="Overdue"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <title value="Annual screening mammogram starting age 30"/>
          <description
                       value="An annual screening mammogram starting at age 30 is recommended.

Women who are at higher than average risk for breast cancer based on past atypical biopsy should get a mammogram every year, typically starting at age 30.
"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="24606-6"/>
              <display value="MG Breast Screening"/>
            </coding>
          </code>
          <documentation>
            <type value="citation"/>
            <label value="ACS"/>
            <display
                     value="American Cancer Society Recommendations for the Early Detection of Breast Cancer"/>
            <url
                 value="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"/>
          </documentation>
          <timingTiming>
            <event value="2024-01-01"/>
            <repeat>
              <boundsPeriod>
                <start value="2024-01-01"/>
              </boundsPeriod>
              <frequency value="1"/>
              <period value="1"/>
              <periodUnit value="a"/>
            </repeat>
          </timingTiming>
          <resource>
            <reference value="ServiceRequest/412"/>
          </resource>
        </action>
        <action id="ACSAtypicalBiopsy">
          <title value="Perform lifetime risk assessment"/>
          <description
                       value="Consider performing assessment of lifetime risk. 

If estimated lifetime risk is &gt;20%, patient may be eligible for supplemental screening with annual screening MRI."/>
          <code>
            <coding>
              <system
                      value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system"/>
              <code value="lifetimeriskassessment"/>
              <display value="Perform lifetime risk assessment"/>
            </coding>
          </code>
          <documentation>
            <type value="citation"/>
            <label value="ACS"/>
            <display
                     value="American Cancer Society Guidelines for Breast Screening with MRI as an Adjunct to Mammography"/>
            <citation
                      value="Oeffinger KC, Fontham ETH, Etzioni R, et al. Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society. JAMA. 2015;314(15):1599–1614."/>
            <url
                 value="https://acsjournals.onlinelibrary.wiley.com/doi/full/10.3322/canjclin.57.2.75"/>
          </documentation>
          <resource>
            <reference value="ServiceRequest/413"/>
          </resource>
        </action>
      </RequestGroup>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/412"/>
    <resource>
      <ServiceRequest>
        <id value="412"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_412"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest 412</b></p><a name="412"> </a><a name="hc412"> </a><a name="412-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>: 2024-01-01</p><p><b>reasonCode</b>: <span title="Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system atypicalbx}">Atypical biopsy</span></p></div>
        </text>
        <basedOn>🔗 
          <reference
                     value="http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest"/>
        </basedOn>
        <status value="option"/>
        <intent value="proposal"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="24606-6"/>
            <display value="MG Breast Screening"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/defaultPatient"/>
          <display value="Jane Doe"/>
        </subject>
        <occurrenceDateTime value="2024-01-01"/>
        <reasonCode>
          <coding>
            <system
                    value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"/>
            <code value="atypicalbx"/>
            <display value="Atypical biopsy"/>
          </coding>
        </reasonCode>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/413"/>
    <resource>
      <ServiceRequest>
        <id value="413"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_413"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest 413</b></p><a name="413"> </a><a name="hc413"> </a><a name="413-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://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system lifetimeriskassessment}">Perform lifetime risk assessment</span></p><p><b>subject</b>: <a href="Bundle-eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#Patient_defaultPatient">Jane Doe</a></p><p><b>reasonCode</b>: <span title="Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system atypicalbx}">Atypical biopsy</span></p></div>
        </text>
        <basedOn>🔗 
          <reference
                     value="http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest"/>
        </basedOn>
        <status value="option"/>
        <intent value="proposal"/>
        <code>
          <coding>
            <system
                    value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system"/>
            <code value="lifetimeriskassessment"/>
            <display value="Perform lifetime risk assessment"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/defaultPatient"/>
          <display value="Jane Doe"/>
        </subject>
        <reasonCode>
          <coding>
            <system
                    value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"/>
            <code value="atypicalbx"/>
            <display value="Atypical biopsy"/>
          </coding>
        </reasonCode>
      </ServiceRequest>
    </resource>
  </entry>
</Bundle>