Breast Cancer Screening and Management (BCSM) Clinical Decision Support (CDS) Implementation Guide
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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

: PrimaryScreeningDecision_LindaNadler-dcis - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "PrimaryScreeningDecision_LindaNadler-dcis",
  "type" : "collection",
  "entry" : [
    {
      "fullUrl" : "http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/22",
      "resource" : {
        "resourceType" : "CarePlan",
        "id" : "22",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_22\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan 22</b></p><a name=\"22\"> </a><a name=\"hc22\"> </a><a name=\"22-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-LindaNadler-dcis.html#Patient_LindaNadler\">Linda48 Nadler92</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_LindaNadler-dcis.html#RequestGroup_23\">Bundle: type = collection</a></td></tr></table></div>"
        },
        "instantiatesCanonical" : [
          🔗 "http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/PrimaryScreeningDecision"
        ],
        "status" : "draft",
        "intent" : "proposal",
        "subject" : {
          "reference" : "Patient/LindaNadler",
          "display" : "Linda48 Nadler92"
        },
        "created" : "2024-12-10T00:00:00.0Z",
        "activity" : [
          {
            "reference" : {
              "reference" : "RequestGroup/23"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/23",
      "resource" : {
        "resourceType" : "RequestGroup",
        "id" : "23",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RequestGroup_23\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup 23</b></p><a name=\"23\"> </a><a name=\"hc23\"> </a><a name=\"23-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-LindaNadler-dcis.html#Patient_LindaNadler\">Linda48 Nadler92</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_LindaNadler-dcis.html#CommunicationRequest_24\">Bundle: type = collection</a></p></blockquote></div>"
        },
        "instantiatesCanonical" : [
          🔗 "http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/PrimaryScreeningDecision"
        ],
        "status" : "draft",
        "intent" : "proposal",
        "subject" : {
          "reference" : "Patient/LindaNadler",
          "display" : "Linda48 Nadler92"
        },
        "action" : [
          {
            "id" : "NotEligibleCurrentBreastCancer",
            "title" : "Refer to Oncologic care plan",
            "description" : "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.",
            "code" : [
              {
                "coding" : [
                  {
                    "system" : "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system",
                    "code" : "noteligible",
                    "display" : "Not eligible for screening"
                  }
                ]
              }
            ],
            "documentation" : [
              {
                "type" : "citation",
                "label" : "USPSTF",
                "display" : "Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement",
                "citation" : "US Preventive Services Task Force. Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. Published online April 30, 2024.",
                "url" : "https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening"
              },
              {
                "type" : "derived-from",
                "label" : "Screening Eligible",
                "display" : "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."
              }
            ],
            "resource" : {
              "reference" : "CommunicationRequest/24"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/24",
      "resource" : {
        "resourceType" : "CommunicationRequest",
        "id" : "24",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CommunicationRequest_24\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CommunicationRequest 24</b></p><a name=\"24\"> </a><a name=\"hc24\"> </a><a name=\"24-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-LindaNadler-dcis.html#Patient_LindaNadler\">Linda48 Nadler92</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>"
        },
        "basedOn" : [
          {
            🔗 "reference" : "http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/CommunicateNotEligible"
          }
        ],
        "status" : "option",
        "subject" : {
          "reference" : "Patient/LindaNadler",
          "display" : "Linda48 Nadler92"
        },
        "payload" : [
          {
            "contentString" : "Not eligible for screening"
          }
        ],
        "reasonCode" : [
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            "coding" : [
              {
                "system" : "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system",
                "code" : "currentbreastcancer",
                "display" : "Current breast cancer"
              }
            ]
          }
        ]
      }
    }
  ]
}