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
@prefix fhir: <http://hl7.org/fhir/> . @prefix loinc: <https://loinc.org/rdf/> . @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_eve-atypicalbx__eve-highlifetimerisk__act-acshighriskmammo__act-acshighriskmri"] ; # fhir:type [ fhir:v "collection"] ; # fhir:entry ( [ fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/148"^^xsd:anyURI ] ; ( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/148> ) ] [ fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/149"^^xsd:anyURI ] ; ( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/149> ) ] [ fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/150"^^xsd:anyURI ] ; ( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/150> ) ] [ fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/151"^^xsd:anyURI ] ; ( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/151> ) ] [ fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/152"^^xsd:anyURI ] ; ( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/152> ) ] [ fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/153"^^xsd:anyURI ] ; ( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/153> ) ] [ fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/154"^^xsd:anyURI ] ; ( fhir:resource <http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/154> ) ] ) . # <http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/148> a fhir:CarePlan ; fhir:id [ fhir:v "148"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_148\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan 148</b></p><a name=\"148\"> </a><a name=\"hc148\"> </a><a name=\"148-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_eve-atypicalbx__eve-highlifetimerisk__act-acshighriskmammo__act-acshighriskmri.html#RequestGroup_149\">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/149" ] ] ] ) . # <http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/149> a fhir:RequestGroup ; fhir:id [ fhir:v "149"] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RequestGroup_149\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup 149</b></p><a name=\"149\"> </a><a name=\"hc149\"> </a><a name=\"149-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>ACSMammoAtypicalBiopsy</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.\n\nWomen who are at higher than average risk for breast cancer based on past atypical biopsy should get a mammogram every year, typically starting at age 30.\n</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: 2024-01-01 , Once per 1 year</p><p><b>resource</b>: <a href=\"Bundle-PrimaryScreeningDecision_eve-atypicalbx__eve-highlifetimerisk__act-acshighriskmammo__act-acshighriskmri.html#ServiceRequest_150\">Bundle: type = collection</a></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>ACSMriAtypicalBiopsyHighRisk</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 in patients with past atypical biopsy and lifetime risk > 20-25%.</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>\n</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: 2024-01-01 , Once per 1 year</p><p><b>resource</b>: <a href=\"Bundle-PrimaryScreeningDecision_eve-atypicalbx__eve-highlifetimerisk__act-acshighriskmammo__act-acshighriskmri.html#ServiceRequest_151\">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.\n\nWomen 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_eve-atypicalbx__eve-highlifetimerisk__act-acshighriskmammo__act-acshighriskmri.html#ServiceRequest_152\">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.\n\nWomen 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>\n</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_eve-atypicalbx__eve-highlifetimerisk__act-acshighriskmammo__act-acshighriskmri.html#ServiceRequest_153\">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>\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></table><p><b>timing</b>: Events: 2021-01-01 , Once per 2 years</p><p><b>resource</b>: <a href=\"Bundle-PrimaryScreeningDecision_eve-atypicalbx__eve-highlifetimerisk__act-acshighriskmammo__act-acshighriskmri.html#ServiceRequest_154\">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 "ACSMammoAtypicalBiopsy" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/StructureDefinition/csm-recommendation-flag"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system"^^xsd:anyURI ] ; fhir:code [ fhir:v "overdue" ] ; fhir:display [ fhir:v "Overdue" ] ] ) ] ] ) ; fhir:title [ fhir:v "Annual screening mammogram starting age 30" ] ; fhir:description [ fhir:v "An annual screening mammogram starting at age 30 is recommended.\n\nWomen who are at higher than average risk for breast cancer based on past atypical biopsy should get a mammogram every year, typically starting at age 30.\n" ] ; ( fhir:code [ ( fhir:coding [ a loinc:24606-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "24606-6" ] ; fhir:display [ fhir:v "MG Breast Screening" ] ] ) ] ) ; ( fhir:documentation [ fhir:type [ fhir:v "citation" ] ; fhir:label [ fhir:v "ACS" ] ; fhir:display [ fhir:v "American Cancer Society Recommendations for the Early Detection of Breast Cancer" ] ; fhir:url [ fhir:v "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"^^xsd:anyURI ] ] ) ; fhir:timing [ a fhir:Timing ; ( fhir:event [ fhir:v "2024-01-01"^^xsd:date ] ) ; fhir:repeat [ fhir:bounds [ a fhir:Period ; fhir:start [ fhir:v "2024-01-01"^^xsd:date ] ] ; fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:period [ fhir:v "1"^^xsd:decimal ] ; fhir:periodUnit [ fhir:v "a" ] ] ] ; fhir:resource [ fhir:reference [ fhir:v "ServiceRequest/150" ] ] ] [ fhir:id [ fhir:v "ACSMriAtypicalBiopsyHighRisk" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/StructureDefinition/csm-recommendation-flag"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system"^^xsd:anyURI ] ; fhir:code [ fhir:v "overdue" ] ; fhir:display [ fhir:v "Overdue" ] ] ) ] ] ) ; fhir:title [ fhir:v "Annual screening MRI starting age 30" ] ; fhir:description [ fhir:v "An annual screening MRI starting at age 30 is recommended in patients with past atypical biopsy and lifetime risk > 20-25%." ] ; ( fhir:code [ ( fhir:coding [ a loinc:30794-2 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "30794-2" ] ; fhir:display [ fhir:v "MR Breast" ] ] ) ] ) ; ( fhir:documentation [ fhir:type [ fhir:v "citation" ] ; fhir:label [ fhir:v "ACS" ] ; fhir:display [ fhir:v "American Cancer Society Guidelines for Breast Screening with MRI as an Adjunct to Mammography" ] ; fhir:citation [ fhir:v "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." ] ; fhir:url [ fhir:v "https://acsjournals.onlinelibrary.wiley.com/doi/full/10.3322/canjclin.57.2.75"^^xsd:anyURI ] ] ) ; fhir:timing [ a fhir:Timing ; ( fhir:event [ fhir:v "2024-01-01"^^xsd:date ] ) ; fhir:repeat [ fhir:bounds [ a fhir:Period ; fhir:start [ fhir:v "2024-01-01"^^xsd:date ] ] ; fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:period [ fhir:v "1"^^xsd:decimal ] ; fhir:periodUnit [ fhir:v "a" ] ] ] ; fhir:resource [ fhir:reference [ fhir:v "ServiceRequest/151" ] ] ] [ fhir:id [ fhir:v "ACSMammoHighRisk" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/StructureDefinition/csm-recommendation-flag"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system"^^xsd:anyURI ] ; fhir:code [ fhir:v "overdue" ] ; fhir:display [ fhir:v "Overdue" ] ] ) ] ] ) ; fhir:title [ fhir:v "Annual screening mammogram starting age 30" ] ; fhir:description [ fhir:v "An annual screening mammogram starting at age 30 is recommended.\n\nWomen 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." ] ; ( fhir:code [ ( fhir:coding [ a loinc:24606-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "24606-6" ] ; fhir:display [ fhir:v "MG Breast Screening" ] ] ) ] ) ; ( fhir:documentation [ fhir:type [ fhir:v "citation" ] ; fhir:label [ fhir:v "ACS" ] ; fhir:display [ fhir:v "American Cancer Society Recommendations for the Early Detection of Breast Cancer" ] ; fhir:url [ fhir:v "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"^^xsd:anyURI ] ] ) ; fhir:timing [ a fhir:Timing ; ( fhir:event [ fhir:v "2011-01-01"^^xsd:date ] ) ; fhir:repeat [ fhir:bounds [ a fhir:Period ; fhir:start [ fhir:v "2011-01-01"^^xsd:date ] ] ; fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:period [ fhir:v "1"^^xsd:decimal ] ; fhir:periodUnit [ fhir:v "a" ] ] ] ; fhir:resource [ fhir:reference [ fhir:v "ServiceRequest/152" ] ] ] [ fhir:id [ fhir:v "ACSMriHighRisk" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/StructureDefinition/csm-recommendation-flag"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system"^^xsd:anyURI ] ; fhir:code [ fhir:v "overdue" ] ; fhir:display [ fhir:v "Overdue" ] ] ) ] ] ) ; fhir:title [ fhir:v "Annual screening MRI starting age 30" ] ; fhir:description [ fhir:v "An annual screening MRI starting at age 30 is recommended.\n\nWomen 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." ] ; ( fhir:code [ ( fhir:coding [ a loinc:30794-2 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "30794-2" ] ; fhir:display [ fhir:v "MR Breast" ] ] ) ] ) ; ( fhir:documentation [ fhir:type [ fhir:v "citation" ] ; fhir:label [ fhir:v "ACS" ] ; fhir:display [ fhir:v "American Cancer Society Guidelines for Breast Screening with MRI as an Adjunct to Mammography" ] ; fhir:citation [ fhir:v "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." ] ; fhir:url [ fhir:v "https://acsjournals.onlinelibrary.wiley.com/doi/full/10.3322/canjclin.57.2.75"^^xsd:anyURI ] ] ) ; fhir:timing [ a fhir:Timing ; ( fhir:event [ fhir:v "2011-01-01"^^xsd:date ] ) ; fhir:repeat [ fhir:bounds [ a fhir:Period ; fhir:start [ fhir:v "2011-01-01"^^xsd:date ] ] ; fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:period [ fhir:v "1"^^xsd:decimal ] ; fhir:periodUnit [ fhir:v "a" ] ] ] ; fhir:resource [ fhir:reference [ fhir:v "ServiceRequest/153" ] ] ] [ fhir:id [ fhir:v "USPSTFRecommendation" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/StructureDefinition/csm-recommendation-flag"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system"^^xsd:anyURI ] ; fhir:code [ fhir:v "overdue" ] ; fhir:display [ fhir:v "Overdue" ] ] ) ] ] ) ; fhir:title [ fhir:v "Biennial screening mammo starting age 40" ] ; fhir:description [ fhir:v "Biennial screening mammogram starting at age 40" ] ; ( fhir:code [ ( fhir:coding [ a loinc:24606-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "24606-6" ] ; fhir:display [ fhir:v "MG Breast 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:timing [ a fhir:Timing ; ( fhir:event [ fhir:v "2021-01-01"^^xsd:date ] ) ; fhir:repeat [ fhir:bounds [ a fhir:Period ; fhir:start [ fhir:v "2021-01-01"^^xsd:date ] ] ; fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:period [ fhir:v "2"^^xsd:decimal ] ; fhir:periodUnit [ fhir:v "a" ] ] ] ; fhir:resource [ fhir:reference [ fhir:v "ServiceRequest/154" ] ] ] ) . # <http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/150> a fhir:ServiceRequest ; fhir:id [ fhir:v "150"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_150\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 150</b></p><a name=\"150\"> </a><a name=\"hc150\"> </a><a name=\"150-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>: 2024-01-01</p><p><b>reasonCode</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system atypicalbx}\">Atypical biopsy</span></p></div>"^^rdf:XMLLiteral ] ; # fhir:basedOn ( [ fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest> ; fhir:reference [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest" ] ] ) ; # fhir:status [ fhir:v "option"] ; # fhir:intent [ fhir:v "proposal"] ; # fhir:code [ ( fhir:coding [ a loinc:24606-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "24606-6" ] ; fhir:display [ fhir:v "MG Breast Screening" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/defaultPatient" ] ; fhir:display [ fhir:v "Jane Doe" ] ] ; # fhir:occurrence [ a fhir:dateTime ; fhir:v "2024-01-01"^^xsd:date ] ; # 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 "atypicalbx" ] ; fhir:display [ fhir:v "Atypical biopsy" ] ] ) ] ) . # <http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/151> a fhir:ServiceRequest ; fhir:id [ fhir:v "151"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_151\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 151</b></p><a name=\"151\"> </a><a name=\"hc151\"> </a><a name=\"151-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>: 2024-01-01</p><p><b>reasonCode</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system atypicalbxhighlifetimerisk}\">Atypical biopsy high lifetime risk</span></p></div>"^^rdf:XMLLiteral ] ; # fhir:basedOn ( [ fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest> ; fhir:reference [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest" ] ] ) ; # fhir:status [ fhir:v "option"] ; # fhir:intent [ fhir:v "proposal"] ; # fhir:code [ ( fhir:coding [ a loinc:30794-2 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "30794-2" ] ; fhir:display [ fhir:v "MR Breast" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/defaultPatient" ] ; fhir:display [ fhir:v "Jane Doe" ] ] ; # fhir:occurrence [ a fhir:dateTime ; fhir:v "2024-01-01"^^xsd:date ] ; # 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 "atypicalbxhighlifetimerisk" ] ; fhir:display [ fhir:v "Atypical biopsy high lifetime risk" ] ] ) ] ) . # <http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/152> a fhir:ServiceRequest ; fhir:id [ fhir:v "152"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_152\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 152</b></p><a name=\"152\"> </a><a name=\"hc152\"> </a><a name=\"152-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>"^^rdf:XMLLiteral ] ; # fhir:basedOn ( [ fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest> ; fhir:reference [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest" ] ] ) ; # fhir:status [ fhir:v "option"] ; # fhir:intent [ fhir:v "proposal"] ; # fhir:code [ ( fhir:coding [ a loinc:24606-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "24606-6" ] ; fhir:display [ fhir:v "MG Breast Screening" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/defaultPatient" ] ; fhir:display [ fhir:v "Jane Doe" ] ] ; # fhir:occurrence [ a fhir:dateTime ; fhir:v "2011-01-01"^^xsd:date ] ; # 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 "highlifetimerisk" ] ; fhir:display [ fhir:v "High lifetime risk" ] ] ) ] ) . # <http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/153> a fhir:ServiceRequest ; fhir:id [ fhir:v "153"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_153\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 153</b></p><a name=\"153\"> </a><a name=\"hc153\"> </a><a name=\"153-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>"^^rdf:XMLLiteral ] ; # fhir:basedOn ( [ fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest> ; fhir:reference [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest" ] ] ) ; # fhir:status [ fhir:v "option"] ; # fhir:intent [ fhir:v "proposal"] ; # fhir:code [ ( fhir:coding [ a loinc:30794-2 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "30794-2" ] ; fhir:display [ fhir:v "MR Breast" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/defaultPatient" ] ; fhir:display [ fhir:v "Jane Doe" ] ] ; # fhir:occurrence [ a fhir:dateTime ; fhir:v "2011-01-01"^^xsd:date ] ; # 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 "highlifetimerisk" ] ; fhir:display [ fhir:v "High lifetime risk" ] ] ) ] ) . # <http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/154> a fhir:ServiceRequest ; fhir:id [ fhir:v "154"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_154\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 154</b></p><a name=\"154\"> </a><a name=\"hc154\"> </a><a name=\"154-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>"^^rdf:XMLLiteral ] ; # fhir:basedOn ( [ fhir:link <http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest> ; fhir:reference [ fhir:v "http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest" ] ] ) ; # fhir:status [ fhir:v "option"] ; # fhir:intent [ fhir:v "proposal"] ; # fhir:code [ ( fhir:coding [ a loinc:24606-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "24606-6" ] ; fhir:display [ fhir:v "MG Breast Screening" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/defaultPatient" ] ; fhir:display [ fhir:v "Jane Doe" ] ] ; # fhir:occurrence [ a fhir:dateTime ; fhir:v "2021-01-01"^^xsd:date ] ; # 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 "USPSTFaveragerisk" ] ; fhir:display [ fhir:v "USPSTF average risk" ] ] ) ] ) . #
IG © 2025+ MITRE. Package cancerscreeningcds.fhir.us.bcsm-cds#1.0.0 based on FHIR 4.0.1. Generated 2025-02-28
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