Breast Cancer Screening and Management (BCSM) Clinical Decision Support (CDS) Implementation Guide
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: PrimaryScreeningDecision_IsScreeningEligible_false - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@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 "PrimaryScreeningDecision_IsScreeningEligible_false"] ; # 
  fhir:type [ fhir:v "collection"] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/3"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/3> )
  ] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/4"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/4> )
  ] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/5"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/5> )
  ] ) . # 

<http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/3> a fhir:CarePlan ;
  fhir:id [ fhir:v "3"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan 3</b></p><a name=\"3\"> </a><a name=\"hc3\"> </a><a name=\"3-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-PrimaryScreeningDecision.html\">Primary Screening Decision</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-PrimaryScreeningDecision_IsScreeningEligible_false.html#RequestGroup_4\">Bundle: type = collection</a></td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:instantiatesCanonical ( [
fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/PrimaryScreeningDecision"^^xsd:anyURI ;
fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/PrimaryScreeningDecision>
  ] ) ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:intent [ fhir:v "proposal"] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/defaultPatient" ] ;
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/4" ]     ]
  ] ) . # 

<http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/4> a fhir:RequestGroup ;
  fhir:id [ fhir:v "4"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RequestGroup_4\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup 4</b></p><a name=\"4\"> </a><a name=\"hc4\"> </a><a name=\"4-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-PrimaryScreeningDecision.html\">Primary Screening Decision</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>NotEligibleCurrentBreastCancer</blockquote><p><b>title</b>: Refer to Oncologic care plan</p><p><b>description</b>: This patient is not eligible for routine screening and should be referred to a specialist for management.\n\nBreast cancer within 5 years may require enhanced surveillance including diagnostic mammogram. Refer to patient's Oncologic treatment team or Survivorship Care Plan for patient specific guidance.</p><p><b>code</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system noteligible}\">Not eligible for 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><tr><td style=\"display: none\">*</td><td>Derived From</td><td>Screening Eligible</td><td>Individuals who have certain signs or symptoms concerning for breast cancer or other breast diseases are excluded from routine screening pathways and should have diagnostic testing performed.</td><td> </td><td> </td></tr></table><p><b>resource</b>: <a href=\"Bundle-PrimaryScreeningDecision_IsScreeningEligible_false.html#CommunicationRequest_5\">Bundle: type = collection</a></p></blockquote></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:instantiatesCanonical ( [
fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/PrimaryScreeningDecision"^^xsd:anyURI ;
fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/PrimaryScreeningDecision>
  ] ) ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:intent [ fhir:v "proposal"] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/defaultPatient" ] ;
fhir:display [ fhir:v "Jane Doe" ]
  ] ; # 
  fhir:action ( [
fhir:id [ fhir:v "NotEligibleCurrentBreastCancer" ] ;
fhir:title [ fhir:v "Refer to Oncologic care plan" ] ;
fhir:description [ fhir:v "This patient is not eligible for routine screening and should be referred to a specialist for management.\n\nBreast cancer within 5 years may require enhanced surveillance including diagnostic mammogram. Refer to patient's Oncologic treatment team or Survivorship Care Plan for patient specific guidance." ] ;
    ( 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 "noteligible" ] ;
fhir:display [ fhir:v "Not eligible for 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:type [ fhir:v "derived-from" ] ;
fhir:label [ fhir:v "Screening Eligible" ] ;
fhir:display [ fhir:v "Individuals who have certain signs or symptoms concerning for breast cancer or other breast diseases are excluded from routine screening pathways and should have diagnostic testing performed." ]     ] ) ;
fhir:resource [
fhir:reference [ fhir:v "CommunicationRequest/5" ]     ]
  ] ) . # 

<http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/5> a fhir:CommunicationRequest ;
  fhir:id [ fhir:v "5"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CommunicationRequest_5\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CommunicationRequest 5</b></p><a name=\"5\"> </a><a name=\"hc5\"> </a><a name=\"5-en-US\"> </a><p><b>basedOn</b>: <a href=\"ActivityDefinition-CommunicateNotEligible.html\">Communicate Not Eligible</a></p><p><b>status</b>: option</p><p><b>subject</b>: <a href=\"Bundle-eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#Patient_defaultPatient\">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>Not eligible for screening</td></tr></table><p><b>reasonCode</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system currentbreastcancer}\">Current breast cancer</span></p></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:basedOn ( [
fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/CommunicateNotEligible> ;
fhir:reference [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/CommunicateNotEligible" ]
  ] ) ; # 
  fhir:status [ fhir:v "option"] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/defaultPatient" ] ;
fhir:display [ fhir:v "Jane Doe" ]
  ] ; # 
  fhir:payload ( [
fhir:content [
a fhir:string ;
fhir:v "Not eligible for 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 "currentbreastcancer" ] ;
fhir:display [ fhir:v "Current breast cancer" ]     ] )
  ] ) . #