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
{
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{
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"id" : "PatriciaLambert",
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_PatriciaLambert\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient PatriciaLambert</b></p><a name=\"PatriciaLambert\"> </a><a name=\"hcPatriciaLambert\"> </a><a name=\"PatriciaLambert-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Patricia49 Lambert23 Female, DoB: 1959-02-20 ( 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: Asian</li></ul></td></tr></table></div>"
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{
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{
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{
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{
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"type" : {
"coding" : [
{
"code" : "MR",
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"value" : "123-345-567"
}
],
"name" : [
{
"family" : "Lambert23",
"given" : [
"Patricia49"
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{
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"id" : "3ec4b4c3-eeea-408c-8fd9-50d4a09f0a14",
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_3ec4b4c3-eeea-408c-8fd9-50d4a09f0a14\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition 3ec4b4c3-eeea-408c-8fd9-50d4a09f0a14</b></p><a name=\"3ec4b4c3-eeea-408c-8fd9-50d4a09f0a14\"> </a><a name=\"hc3ec4b4c3-eeea-408c-8fd9-50d4a09f0a14\"> </a><a name=\"3ec4b4c3-eeea-408c-8fd9-50d4a09f0a14-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical inactive}\">Inactive</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 254837009}\">Invasive breast cancer</span></p><p><b>subject</b>: <a href=\"Bundle-PatriciaLambert_remission_lt_5_years.html#Patient_PatriciaLambert\">Bundle: type = collection</a></p><p><b>onset</b>: 2020-05-16 00:00:00+0000</p><p><b>abatement</b>: 2023-08-21 00:00:00+0000</p></div>"
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{
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"coding" : [
{
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"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "254837009",
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"subject" : {
"reference" : "Patient/PatriciaLambert"
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"onsetDateTime" : "2020-05-16T00:00:00.000Z",
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},
{
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"id" : "ae4cde89-382b-4b5e-8684-bdff9f01a385",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_ae4cde89-382b-4b5e-8684-bdff9f01a385\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport ae4cde89-382b-4b5e-8684-bdff9f01a385</b></p><a name=\"ae4cde89-382b-4b5e-8684-bdff9f01a385\"> </a><a name=\"hcae4cde89-382b-4b5e-8684-bdff9f01a385\"> </a><a name=\"ae4cde89-382b-4b5e-8684-bdff9f01a385-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>2022-08-21 10:00:00+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 397140005}\">Mammography assessment (Category 1) - Negative (finding)</span></li></ul></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "24606-6",
"display" : "Screening mammogram"
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]
},
"subject" : {
"reference" : "Patient/PatriciaLambert"
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"effectiveDateTime" : "2022-08-21T10:00:00.000Z",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "397140005",
"display" : "Mammography assessment (Category 1) - Negative (finding)"
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]
}
]
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{
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"resourceType" : "DiagnosticReport",
"id" : "d136acfd-439e-4cfa-876a-e2424f752358",
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"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_d136acfd-439e-4cfa-876a-e2424f752358\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport d136acfd-439e-4cfa-876a-e2424f752358</b></p><a name=\"d136acfd-439e-4cfa-876a-e2424f752358\"> </a><a name=\"hcd136acfd-439e-4cfa-876a-e2424f752358\"> </a><a name=\"d136acfd-439e-4cfa-876a-e2424f752358-en-US\"> </a><h2><span title=\"Codes:{http://loinc.org 66110-8}\">Biopsy Report</span> </h2><table class=\"grid\"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2020-05-16 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://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/biopsy-result-observation-code-system Malignant}\">Malignant breast finding</span></li></ul></div>"
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"coding" : [
{
"system" : "http://loinc.org",
"code" : "66110-8",
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},
"subject" : {
"reference" : "Patient/PatriciaLambert"
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"effectiveDateTime" : "2020-05-16T00:00:00.0Z",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/biopsy-result-observation-code-system",
"code" : "Malignant",
"display" : "Malignant breast finding"
}
]
}
]
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{
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"id" : "51431a5c-980f-408d-80fc-a43d95948c0e",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_51431a5c-980f-408d-80fc-a43d95948c0e\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport 51431a5c-980f-408d-80fc-a43d95948c0e</b></p><a name=\"51431a5c-980f-408d-80fc-a43d95948c0e\"> </a><a name=\"hc51431a5c-980f-408d-80fc-a43d95948c0e\"> </a><a name=\"51431a5c-980f-408d-80fc-a43d95948c0e-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>2020-04-05 10:00:00+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 397144001}\">Mammography assessment (Category 4) - Suspicious abnormality, biopsy should be considered (finding)</span></li></ul></div>"
},
"status" : "final",
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"coding" : [
{
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]
},
"subject" : {
"reference" : "Patient/PatriciaLambert"
},
"effectiveDateTime" : "2020-04-05T10:00:00.000Z",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "397144001",
"display" : "Mammography assessment (Category 4) - Suspicious abnormality, biopsy should be considered (finding)"
}
]
}
]
}
},
{
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"id" : "fc5aa91d-f050-44a9-972c-e25e65b5ec24",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_fc5aa91d-f050-44a9-972c-e25e65b5ec24\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport fc5aa91d-f050-44a9-972c-e25e65b5ec24</b></p><a name=\"fc5aa91d-f050-44a9-972c-e25e65b5ec24\"> </a><a name=\"hcfc5aa91d-f050-44a9-972c-e25e65b5ec24\"> </a><a name=\"fc5aa91d-f050-44a9-972c-e25e65b5ec24-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>2018-04-02 10:00:00+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 397140005}\">Mammography assessment (Category 1) - Negative (finding)</span></li></ul></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "24606-6",
"display" : "Screening mammogram"
}
]
},
"subject" : {
"reference" : "Patient/PatriciaLambert"
},
"effectiveDateTime" : "2018-04-02T10:00:00.000Z",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "397140005",
"display" : "Mammography assessment (Category 1) - Negative (finding)"
}
]
}
]
}
},
{
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"id" : "bb0e3128-d4d2-45d3-82de-796b3222ef85",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_bb0e3128-d4d2-45d3-82de-796b3222ef85\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport bb0e3128-d4d2-45d3-82de-796b3222ef85</b></p><a name=\"bb0e3128-d4d2-45d3-82de-796b3222ef85\"> </a><a name=\"hcbb0e3128-d4d2-45d3-82de-796b3222ef85\"> </a><a name=\"bb0e3128-d4d2-45d3-82de-796b3222ef85-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>2016-03-05 10:00:00+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 397140005}\">Mammography assessment (Category 1) - Negative (finding)</span></li></ul></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "24606-6",
"display" : "Screening mammogram"
}
]
},
"subject" : {
"reference" : "Patient/PatriciaLambert"
},
"effectiveDateTime" : "2016-03-05T10:00:00.000Z",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "397140005",
"display" : "Mammography assessment (Category 1) - Negative (finding)"
}
]
}
]
}
},
{
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"id" : "da23c5b6-228f-4a7c-b14c-350f56969daa",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_da23c5b6-228f-4a7c-b14c-350f56969daa\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport da23c5b6-228f-4a7c-b14c-350f56969daa</b></p><a name=\"da23c5b6-228f-4a7c-b14c-350f56969daa\"> </a><a name=\"hcda23c5b6-228f-4a7c-b14c-350f56969daa\"> </a><a name=\"da23c5b6-228f-4a7c-b14c-350f56969daa-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>2014-03-01 10:00:00+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 397140005}\">Mammography assessment (Category 1) - Negative (finding)</span></li></ul></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "24606-6",
"display" : "Screening mammogram"
}
]
},
"subject" : {
"reference" : "Patient/PatriciaLambert"
},
"effectiveDateTime" : "2014-03-01T10:00:00.000Z",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "397140005",
"display" : "Mammography assessment (Category 1) - Negative (finding)"
}
]
}
]
}
},
{
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"id" : "dc0c19e9-688a-455f-b071-a4c4823b5b11",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_dc0c19e9-688a-455f-b071-a4c4823b5b11\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport dc0c19e9-688a-455f-b071-a4c4823b5b11</b></p><a name=\"dc0c19e9-688a-455f-b071-a4c4823b5b11\"> </a><a name=\"hcdc0c19e9-688a-455f-b071-a4c4823b5b11\"> </a><a name=\"dc0c19e9-688a-455f-b071-a4c4823b5b11-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>2012-02-25 10:00:00+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 397140005}\">Mammography assessment (Category 1) - Negative (finding)</span></li></ul></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "24606-6",
"display" : "Screening mammogram"
}
]
},
"subject" : {
"reference" : "Patient/PatriciaLambert"
},
"effectiveDateTime" : "2012-02-25T10:00:00.000Z",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "397140005",
"display" : "Mammography assessment (Category 1) - Negative (finding)"
}
]
}
]
}
},
{
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"id" : "d335df81-a452-4803-b016-072a216eebac",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_d335df81-a452-4803-b016-072a216eebac\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure d335df81-a452-4803-b016-072a216eebac</b></p><a name=\"d335df81-a452-4803-b016-072a216eebac\"> </a><a name=\"hcd335df81-a452-4803-b016-072a216eebac\"> </a><a name=\"d335df81-a452-4803-b016-072a216eebac-en-US\"> </a><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://www.ama-assn.org/go/cpt 19301}\">Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)</span></p><p><b>subject</b>: <a href=\"Bundle-PatriciaLambert_remission_lt_5_years.html#Patient_PatriciaLambert\">Bundle: type = collection</a></p><p><b>performed</b>: 2020-07-28</p></div>"
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"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "19301",
"display" : "Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)"
}
]
},
"subject" : {
"reference" : "Patient/PatriciaLambert"
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"performedDateTime" : "2020-07-28"
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}
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}