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
{
"resourceType" : "Bundle",
"id" : "LindaNadler-dcis",
"type" : "collection",
"entry" : [
{
"resource" : {
"resourceType" : "Patient",
"id" : "LindaNadler",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_LindaNadler\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient LindaNadler</b></p><a name=\"LindaNadler\"> </a><a name=\"hcLindaNadler\"> </a><a name=\"LindaNadler-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Linda48 Nadler92 Female, DoB: 1970-06-19 ( Medical Record Number: 123-345-567)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>text: Not Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>text: White</li></ul></td></tr></table></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "text",
"valueString" : "White"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
},
{
"extension" : [
{
"url" : "text",
"valueString" : "Not Hispanic or Latino"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"code" : "MR",
"display" : "Medical Record Number"
}
]
},
"value" : "123-345-567"
}
],
"name" : [
{
"family" : "Nadler92",
"given" : [
"Linda48"
]
}
],
"gender" : "female",
"birthDate" : "1970-06-19"
}
},
{
"resource" : {
"resourceType" : "Condition",
"id" : "non-invasive-breast-cancer",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_non-invasive-breast-cancer\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition non-invasive-breast-cancer</b></p><a name=\"non-invasive-breast-cancer\"> </a><a name=\"hcnon-invasive-breast-cancer\"> </a><a name=\"non-invasive-breast-cancer-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1079821000119106}\">Ductal carcinoma in situ of right breast (disorder)</span></p><p><b>subject</b>: <a href=\"Bundle-LindaNadler-dcis.html#Patient_LindaNadler\">Bundle: type = collection</a></p><p><b>onset</b>: 2023-11-20</p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item",
"display" : "Problem List Item"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1079821000119106",
"display" : "Ductal carcinoma in situ of right breast (disorder)"
}
]
},
"subject" : {
"reference" : "Patient/LindaNadler"
},
"onsetDateTime" : "2023-11-20"
}
},
{
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "biopsy-report-1",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_biopsy-report-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport biopsy-report-1</b></p><a name=\"biopsy-report-1\"> </a><a name=\"hcbiopsy-report-1\"> </a><a name=\"biopsy-report-1-en-US\"> </a><h2><span title=\"Codes:{http://loinc.org 66110-8}\">Core needle biopsy</span> </h2><table class=\"grid\"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2023-10-10</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:{http://snomed.info/sct 62061000119107}\">DCIS</span></li></ul></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "66110-8",
"display" : "Core needle biopsy"
}
]
},
"subject" : {
"reference" : "Patient/LindaNadler"
},
"effectiveDateTime" : "2023-10-10",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "62061000119107",
"display" : "DCIS"
}
]
}
]
}
},
{
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "mammogram-2024-birads-5",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_mammogram-2024-birads-5\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport mammogram-2024-birads-5</b></p><a name=\"mammogram-2024-birads-5\"> </a><a name=\"hcmammogram-2024-birads-5\"> </a><a name=\"mammogram-2024-birads-5-en-US\"> </a><h2><span title=\"Codes:{http://loinc.org 24606-6}\">Screening Mammogram</span> </h2><table class=\"grid\"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2023-09-30 00:00:00+0000</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:{http://snomed.info/sct 397145000}\">Mammography assessment (Category 5) - Highly suggestive of malignancy (finding)</span></li></ul></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "24606-6",
"display" : "Screening Mammogram"
}
]
},
"subject" : {
"reference" : "Patient/LindaNadler"
},
"effectiveDateTime" : "2023-09-30T00:00:00.000Z",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "397145000",
"display" : "Mammography assessment (Category 5) - Highly suggestive of malignancy (finding)"
}
]
}
]
}
}
]
}