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
<Bundle xmlns="http://hl7.org/fhir">
<id value="PatriciaLambert_remission_lt_5_years"/>
<type value="collection"/>
<entry>
<resource>
<Patient>
<id value="PatriciaLambert"/>
<text>
<status value="generated"/>
<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:
- American Indian or Alaska Native
- Asian
- Black or African American
- Native Hawaiian or Other Pacific Islander
- White.">US Core Race Extension:</td><td colspan="3"><ul><li>text: Asian</li></ul></td></tr></table></div>
</text>
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url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
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<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
<extension url="text">
<valueString value="Not Hispanic or Latino"/>
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<identifier>
<type>
<coding>
<code value="MR"/>
<display value="Medical Record Number"/>
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<value value="123-345-567"/>
</identifier>
<name>
<family value="Lambert23"/>
<given value="Patricia49"/>
</name>
<gender value="female"/>
<birthDate value="1959-02-20"/>
</Patient>
</resource>
</entry>
<entry>
<resource>
<Condition>
<id value="3ec4b4c3-eeea-408c-8fd9-50d4a09f0a14"/>
<text>
<status value="generated"/>
<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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<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="inactive"/>
<display value="Inactive"/>
</coding>
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<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
<display value="Confirmed"/>
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<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
<display value="Problem List Item"/>
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</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="254837009"/>
<display value="Invasive breast cancer"/>
</coding>
</code>
<subject>
<reference value="Patient/PatriciaLambert"/>
</subject>
<onsetDateTime value="2020-05-16T00:00:00.000Z"/>
<abatementDateTime value="2023-08-21T00:00:00.000Z"/>
</Condition>
</resource>
</entry>
<entry>
<resource>
<DiagnosticReport>
<id value="ae4cde89-382b-4b5e-8684-bdff9f01a385"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="24606-6"/>
<display value="Screening mammogram"/>
</coding>
</code>
<subject>
<reference value="Patient/PatriciaLambert"/>
</subject>
<effectiveDateTime value="2022-08-21T10:00:00.000Z"/>
<conclusionCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="397140005"/>
<display
value="Mammography assessment (Category 1) - Negative (finding)"/>
</coding>
</conclusionCode>
</DiagnosticReport>
</resource>
</entry>
<entry>
<resource>
<DiagnosticReport>
<id value="d136acfd-439e-4cfa-876a-e2424f752358"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="66110-8"/>
<display value="Biopsy Report"/>
</coding>
</code>
<subject>
<reference value="Patient/PatriciaLambert"/>
</subject>
<effectiveDateTime value="2020-05-16T00:00:00.0Z"/>
<conclusionCode>
<coding>
<system
value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/biopsy-result-observation-code-system"/>
<code value="Malignant"/>
<display value="Malignant breast finding"/>
</coding>
</conclusionCode>
</DiagnosticReport>
</resource>
</entry>
<entry>
<resource>
<DiagnosticReport>
<id value="51431a5c-980f-408d-80fc-a43d95948c0e"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="24606-6"/>
<display value="Screening mammogram"/>
</coding>
</code>
<subject>
<reference value="Patient/PatriciaLambert"/>
</subject>
<effectiveDateTime value="2020-04-05T10:00:00.000Z"/>
<conclusionCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="397144001"/>
<display
value="Mammography assessment (Category 4) - Suspicious abnormality, biopsy should be considered (finding)"/>
</coding>
</conclusionCode>
</DiagnosticReport>
</resource>
</entry>
<entry>
<resource>
<DiagnosticReport>
<id value="fc5aa91d-f050-44a9-972c-e25e65b5ec24"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="24606-6"/>
<display value="Screening mammogram"/>
</coding>
</code>
<subject>
<reference value="Patient/PatriciaLambert"/>
</subject>
<effectiveDateTime value="2018-04-02T10:00:00.000Z"/>
<conclusionCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="397140005"/>
<display
value="Mammography assessment (Category 1) - Negative (finding)"/>
</coding>
</conclusionCode>
</DiagnosticReport>
</resource>
</entry>
<entry>
<resource>
<DiagnosticReport>
<id value="bb0e3128-d4d2-45d3-82de-796b3222ef85"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="24606-6"/>
<display value="Screening mammogram"/>
</coding>
</code>
<subject>
<reference value="Patient/PatriciaLambert"/>
</subject>
<effectiveDateTime value="2016-03-05T10:00:00.000Z"/>
<conclusionCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="397140005"/>
<display
value="Mammography assessment (Category 1) - Negative (finding)"/>
</coding>
</conclusionCode>
</DiagnosticReport>
</resource>
</entry>
<entry>
<resource>
<DiagnosticReport>
<id value="da23c5b6-228f-4a7c-b14c-350f56969daa"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="24606-6"/>
<display value="Screening mammogram"/>
</coding>
</code>
<subject>
<reference value="Patient/PatriciaLambert"/>
</subject>
<effectiveDateTime value="2014-03-01T10:00:00.000Z"/>
<conclusionCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="397140005"/>
<display
value="Mammography assessment (Category 1) - Negative (finding)"/>
</coding>
</conclusionCode>
</DiagnosticReport>
</resource>
</entry>
<entry>
<resource>
<DiagnosticReport>
<id value="dc0c19e9-688a-455f-b071-a4c4823b5b11"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="24606-6"/>
<display value="Screening mammogram"/>
</coding>
</code>
<subject>
<reference value="Patient/PatriciaLambert"/>
</subject>
<effectiveDateTime value="2012-02-25T10:00:00.000Z"/>
<conclusionCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="397140005"/>
<display
value="Mammography assessment (Category 1) - Negative (finding)"/>
</coding>
</conclusionCode>
</DiagnosticReport>
</resource>
</entry>
<entry>
<resource>
<Procedure>
<id value="d335df81-a452-4803-b016-072a216eebac"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="completed"/>
<code>
<coding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="19301"/>
<display
value="Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)"/>
</coding>
</code>
<subject>
<reference value="Patient/PatriciaLambert"/>
</subject>
<performedDateTime value="2020-07-28"/>
</Procedure>
</resource>
</entry>
</Bundle>