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

: PrimaryScreeningDecision_act-sdmcontinuelifexp__end-decisionspecialpop - XML Representation

Raw xml | Download


<Bundle xmlns="http://hl7.org/fhir">
  <id
      value="PrimaryScreeningDecision_act-sdmcontinuelifexp__end-decisionspecialpop"/>
  <type value="collection"/>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/100"/>
    <resource>
      <CarePlan>
        <id value="100"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="CarePlan_100"> </a><p class="res-header-id"><b>Generated Narrative: CarePlan 100</b></p><a name="100"> </a><a name="hc100"> </a><a name="100-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_act-sdmcontinuelifexp__end-decisionspecialpop.html#RequestGroup_101">Bundle: type = collection</a></td></tr></table></div>
        </text>
        <instantiatesCanonical
                               value="http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/PrimaryScreeningDecision"/>
        <status value="draft"/>
        <intent value="proposal"/>
        <subject>
          <reference value="Patient/defaultPatient"/>
          <display value="Jane Doe"/>
        </subject>
        <created value="2024-12-10T00:00:00.0Z"/>
        <activity>
          <reference>
            <reference value="RequestGroup/101"/>
          </reference>
        </activity>
      </CarePlan>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/101"/>
    <resource>
      <RequestGroup>
        <id value="101"/>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="RequestGroup_101"> </a><p class="res-header-id"><b>Generated Narrative: RequestGroup 101</b></p><a name="101"> </a><a name="hc101"> </a><a name="101-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>SDMContinueScreeningLifeExp</blockquote><p><b>title</b>: Shared decision making to continue screening based on life expectancy</p><p><b>description</b>: Decision to continue screening mammography in cases of limited life expectancy should be based on shared decision-making.

ACS advises that women should continue screening mammography as long as their overall health is good and they have a life expectancy of 10 years or more.

Life expectancy is generally defined as having greater than a 50% probability of surviving 10 years. A validated tool such as www.eprognosis.com can help guide decision making.</p><p><b>code</b>: <span title="Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system sdmcontinue}">Shared decision making to continue 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>ACS</td><td>Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society</td><td><div><p>Saslow D, Boetes C, Burke W, Harms S, Leach MO, Lehman CD, Morris E, Pisano E, Schnall M, Sener S, Smith RA, Warner E, Yaffe M, Andrews KS, Russell CA; American Cancer Society Breast Cancer Advisory Group. American Cancer Society guidelines for breast screening with MRI as an adjunct to mammography. CA Cancer J Clin. 2007 Mar-Apr;57(2):75-89.</p>
</div></td><td><a href="https://jamanetwork.com/journals/jama/fullarticle/2463262">https://jamanetwork.com/journals/jama/fullarticle/2463262</a></td></tr></table><p><b>resource</b>: <a href="Bundle-PrimaryScreeningDecision_act-sdmcontinuelifexp__end-decisionspecialpop.html#CommunicationRequest_102">Bundle: type = collection</a></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>ACSMammoHighRisk</blockquote><p><b>Recommendation Flag Extension</b>: <span title="Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system overdue}">Overdue</span></p><p><b>title</b>: Annual screening mammogram starting age 30</p><p><b>description</b>: An annual screening mammogram starting at age 30 is recommended.

Women who are at higher than average risk for breast cancer based on certain risk factors should get a mammogram every year, typically starting at age 30.</p><p><b>code</b>: <span title="Codes:{http://loinc.org 24606-6}">MG Breast 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>Url</b></td></tr><tr><td style="display: none">*</td><td>Citation</td><td>ACS</td><td>American Cancer Society Recommendations for the Early Detection of Breast Cancer</td><td><a href="https://www.cancer.org/cancer/types/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html">https://www.cancer.org/cancer/types/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html</a></td></tr></table><p><b>timing</b>: Events: 2011-01-01 , Once per 1 year</p><p><b>resource</b>: <a href="Bundle-PrimaryScreeningDecision_act-sdmcontinuelifexp__end-decisionspecialpop.html#ServiceRequest_103">Bundle: type = collection</a></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>ACSMriHighRisk</blockquote><p><b>Recommendation Flag Extension</b>: <span title="Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system overdue}">Overdue</span></p><p><b>title</b>: Annual screening MRI starting age 30</p><p><b>description</b>: An annual screening MRI starting at age 30 is recommended.

Women who are at higher than average risk for breast cancer based on certain risk factors should get a breast MRI every year, typically starting at age 30.</p><p><b>code</b>: <span title="Codes:{http://loinc.org 30794-2}">MR Breast</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>ACS</td><td>American Cancer Society Guidelines for Breast Screening with MRI as an Adjunct to Mammography</td><td><div><p>Oeffinger KC, Fontham ETH, Etzioni R, et al. Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society. JAMA. 2015;314(15):1599–1614.</p>
</div></td><td><a href="https://acsjournals.onlinelibrary.wiley.com/doi/full/10.3322/canjclin.57.2.75">https://acsjournals.onlinelibrary.wiley.com/doi/full/10.3322/canjclin.57.2.75</a></td></tr></table><p><b>timing</b>: Events: 2011-01-01 , Once per 1 year</p><p><b>resource</b>: <a href="Bundle-PrimaryScreeningDecision_act-sdmcontinuelifexp__end-decisionspecialpop.html#ServiceRequest_104">Bundle: type = collection</a></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>USPSTFRecommendation</blockquote><p><b>Recommendation Flag Extension</b>: <span title="Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system overdue}">Overdue</span></p><p><b>title</b>: Biennial screening mammo starting age 40</p><p><b>description</b>: Biennial screening mammogram starting at age 40</p><p><b>code</b>: <span title="Codes:{http://loinc.org 24606-6}">MG Breast 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>
</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></table><p><b>timing</b>: Events: 2021-01-01 , Once per 2 years</p><p><b>resource</b>: <a href="Bundle-PrimaryScreeningDecision_act-sdmcontinuelifexp__end-decisionspecialpop.html#ServiceRequest_105">Bundle: type = collection</a></p></blockquote></div>
        </text>
        <instantiatesCanonical
                               value="http://cancerscreeningcds.github.io/bcsm-cds/PlanDefinition/PrimaryScreeningDecision"/>
        <status value="draft"/>
        <intent value="proposal"/>
        <subject>
          <reference value="Patient/defaultPatient"/>
          <display value="Jane Doe"/>
        </subject>
        <action id="SDMContinueScreeningLifeExp">
          <title
                 value="Shared decision making to continue screening based on life expectancy"/>
          <description
                       value="Decision to continue screening mammography in cases of limited life expectancy should be based on shared decision-making.

ACS advises that women should continue screening mammography as long as their overall health is good and they have a life expectancy of 10 years or more.

Life expectancy is generally defined as having greater than a 50% probability of surviving 10 years. A validated tool such as www.eprognosis.com can help guide decision making."/>
          <code>
            <coding>
              <system
                      value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system"/>
              <code value="sdmcontinue"/>
              <display value="Shared decision making to continue screening"/>
            </coding>
          </code>
          <documentation>
            <type value="citation"/>
            <label value="ACS"/>
            <display
                     value="Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society"/>
            <citation
                      value="Saslow D, Boetes C, Burke W, Harms S, Leach MO, Lehman CD, Morris E, Pisano E, Schnall M, Sener S, Smith RA, Warner E, Yaffe M, Andrews KS, Russell CA; American Cancer Society Breast Cancer Advisory Group. American Cancer Society guidelines for breast screening with MRI as an adjunct to mammography. CA Cancer J Clin. 2007 Mar-Apr;57(2):75-89."/>
            <url
                 value="https://jamanetwork.com/journals/jama/fullarticle/2463262"/>
          </documentation>
          <resource>
            <reference value="CommunicationRequest/102"/>
          </resource>
        </action>
        <action id="ACSMammoHighRisk">
          <extension
                     url="http://cancerscreeningcds.github.io/bcsm-cds/StructureDefinition/csm-recommendation-flag">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system"/>
                <code value="overdue"/>
                <display value="Overdue"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <title value="Annual screening mammogram starting age 30"/>
          <description
                       value="An annual screening mammogram starting at age 30 is recommended.

Women who are at higher than average risk for breast cancer based on certain risk factors should get a mammogram every year, typically starting at age 30."/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="24606-6"/>
              <display value="MG Breast Screening"/>
            </coding>
          </code>
          <documentation>
            <type value="citation"/>
            <label value="ACS"/>
            <display
                     value="American Cancer Society Recommendations for the Early Detection of Breast Cancer"/>
            <url
                 value="https://www.cancer.org/cancer/types/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html"/>
          </documentation>
          <timingTiming>
            <event value="2011-01-01"/>
            <repeat>
              <boundsPeriod>
                <start value="2011-01-01"/>
              </boundsPeriod>
              <frequency value="1"/>
              <period value="1"/>
              <periodUnit value="a"/>
            </repeat>
          </timingTiming>
          <resource>
            <reference value="ServiceRequest/103"/>
          </resource>
        </action>
        <action id="ACSMriHighRisk">
          <extension
                     url="http://cancerscreeningcds.github.io/bcsm-cds/StructureDefinition/csm-recommendation-flag">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system"/>
                <code value="overdue"/>
                <display value="Overdue"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <title value="Annual screening MRI starting age 30"/>
          <description
                       value="An annual screening MRI starting at age 30 is recommended.

Women who are at higher than average risk for breast cancer based on certain risk factors should get a breast MRI every year, typically starting at age 30."/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="30794-2"/>
              <display value="MR Breast"/>
            </coding>
          </code>
          <documentation>
            <type value="citation"/>
            <label value="ACS"/>
            <display
                     value="American Cancer Society Guidelines for Breast Screening with MRI as an Adjunct to Mammography"/>
            <citation
                      value="Oeffinger KC, Fontham ETH, Etzioni R, et al. Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society. JAMA. 2015;314(15):1599–1614."/>
            <url
                 value="https://acsjournals.onlinelibrary.wiley.com/doi/full/10.3322/canjclin.57.2.75"/>
          </documentation>
          <timingTiming>
            <event value="2011-01-01"/>
            <repeat>
              <boundsPeriod>
                <start value="2011-01-01"/>
              </boundsPeriod>
              <frequency value="1"/>
              <period value="1"/>
              <periodUnit value="a"/>
            </repeat>
          </timingTiming>
          <resource>
            <reference value="ServiceRequest/104"/>
          </resource>
        </action>
        <action id="USPSTFRecommendation">
          <extension
                     url="http://cancerscreeningcds.github.io/bcsm-cds/StructureDefinition/csm-recommendation-flag">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system"/>
                <code value="overdue"/>
                <display value="Overdue"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <title value="Biennial screening mammo starting age 40"/>
          <description
                       value="Biennial screening mammogram starting at age 40"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="24606-6"/>
              <display value="MG Breast Screening"/>
            </coding>
          </code>
          <documentation>
            <type value="citation"/>
            <label value="USPSTF"/>
            <display
                     value="Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement"/>
            <citation
                      value="US Preventive Services Task Force. Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. Published online April 30, 2024."/>
            <url
                 value="https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening"/>
          </documentation>
          <timingTiming>
            <event value="2021-01-01"/>
            <repeat>
              <boundsPeriod>
                <start value="2021-01-01"/>
              </boundsPeriod>
              <frequency value="1"/>
              <period value="2"/>
              <periodUnit value="a"/>
            </repeat>
          </timingTiming>
          <resource>
            <reference value="ServiceRequest/105"/>
          </resource>
        </action>
      </RequestGroup>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/102"/>
    <resource>
      <CommunicationRequest>
        <id value="102"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="CommunicationRequest_102"> </a><p class="res-header-id"><b>Generated Narrative: CommunicationRequest 102</b></p><a name="102"> </a><a name="hc102"> </a><a name="102-en-US"> </a><p><b>basedOn</b>: <a href="ActivityDefinition-CommunicateSDMContinueScreening.html">Communicate Shared Decision Making to Continue Screening</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>Shared decision making to continue screening</td></tr></table><p><b>reasonCode</b>: <span title="Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system lifeexp}">Reduced life expectancy indicator</span></p></div>
        </text>
        <basedOn>🔗 
          <reference
                     value="http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/CommunicateSDMContinueScreening"/>
        </basedOn>
        <status value="option"/>
        <subject>
          <reference value="Patient/defaultPatient"/>
          <display value="Jane Doe"/>
        </subject>
        <payload>
          <contentString
                         value="Shared decision making to continue screening"/>
        </payload>
        <reasonCode>
          <coding>
            <system
                    value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"/>
            <code value="lifeexp"/>
            <display value="Reduced life expectancy indicator"/>
          </coding>
        </reasonCode>
      </CommunicationRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/103"/>
    <resource>
      <ServiceRequest>
        <id value="103"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_103"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest 103</b></p><a name="103"> </a><a name="hc103"> </a><a name="103-en-US"> </a><p><b>basedOn</b>: <a href="ActivityDefinition-BreastCancerScreeningServiceRequest.html">Breast Cancer Screening Service Request</a></p><p><b>status</b>: option</p><p><b>intent</b>: Proposal</p><p><b>code</b>: <span title="Codes:{http://loinc.org 24606-6}">MG Breast Screening</span></p><p><b>subject</b>: <a href="Bundle-eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#Patient_defaultPatient">Jane Doe</a></p><p><b>occurrence</b>: 2011-01-01</p><p><b>reasonCode</b>: <span title="Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system highlifetimerisk}">High lifetime risk</span></p></div>
        </text>
        <basedOn>🔗 
          <reference
                     value="http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest"/>
        </basedOn>
        <status value="option"/>
        <intent value="proposal"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="24606-6"/>
            <display value="MG Breast Screening"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/defaultPatient"/>
          <display value="Jane Doe"/>
        </subject>
        <occurrenceDateTime value="2011-01-01"/>
        <reasonCode>
          <coding>
            <system
                    value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"/>
            <code value="highlifetimerisk"/>
            <display value="High lifetime risk"/>
          </coding>
        </reasonCode>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/104"/>
    <resource>
      <ServiceRequest>
        <id value="104"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_104"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest 104</b></p><a name="104"> </a><a name="hc104"> </a><a name="104-en-US"> </a><p><b>basedOn</b>: <a href="ActivityDefinition-BreastCancerScreeningServiceRequest.html">Breast Cancer Screening Service Request</a></p><p><b>status</b>: option</p><p><b>intent</b>: Proposal</p><p><b>code</b>: <span title="Codes:{http://loinc.org 30794-2}">MR Breast</span></p><p><b>subject</b>: <a href="Bundle-eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#Patient_defaultPatient">Jane Doe</a></p><p><b>occurrence</b>: 2011-01-01</p><p><b>reasonCode</b>: <span title="Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system highlifetimerisk}">High lifetime risk</span></p></div>
        </text>
        <basedOn>🔗 
          <reference
                     value="http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest"/>
        </basedOn>
        <status value="option"/>
        <intent value="proposal"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="30794-2"/>
            <display value="MR Breast"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/defaultPatient"/>
          <display value="Jane Doe"/>
        </subject>
        <occurrenceDateTime value="2011-01-01"/>
        <reasonCode>
          <coding>
            <system
                    value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"/>
            <code value="highlifetimerisk"/>
            <display value="High lifetime risk"/>
          </coding>
        </reasonCode>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/105"/>
    <resource>
      <ServiceRequest>
        <id value="105"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_105"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest 105</b></p><a name="105"> </a><a name="hc105"> </a><a name="105-en-US"> </a><p><b>basedOn</b>: <a href="ActivityDefinition-BreastCancerScreeningServiceRequest.html">Breast Cancer Screening Service Request</a></p><p><b>status</b>: option</p><p><b>intent</b>: Proposal</p><p><b>code</b>: <span title="Codes:{http://loinc.org 24606-6}">MG Breast Screening</span></p><p><b>subject</b>: <a href="Bundle-eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#Patient_defaultPatient">Jane Doe</a></p><p><b>occurrence</b>: 2021-01-01</p><p><b>reasonCode</b>: <span title="Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system USPSTFaveragerisk}">USPSTF average risk</span></p></div>
        </text>
        <basedOn>🔗 
          <reference
                     value="http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest"/>
        </basedOn>
        <status value="option"/>
        <intent value="proposal"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="24606-6"/>
            <display value="MG Breast Screening"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/defaultPatient"/>
          <display value="Jane Doe"/>
        </subject>
        <occurrenceDateTime value="2021-01-01"/>
        <reasonCode>
          <coding>
            <system
                    value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"/>
            <code value="USPSTFaveragerisk"/>
            <display value="USPSTF average risk"/>
          </coding>
        </reasonCode>
      </ServiceRequest>
    </resource>
  </entry>
</Bundle>