@prefix fhir: . @prefix owl: . @prefix rdf: . @prefix rdfs: . @prefix sct: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:Bundle ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "DecisionToScreen_FannyFamiglietti"] ; # fhir:type [ fhir:v "collection"] ; # fhir:entry ( [ fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/134"^^xsd:anyURI ] ; fhir:resource ( ) ] [ fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/135"^^xsd:anyURI ] ; fhir:resource ( ) ] [ fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/ServiceRequest/136"^^xsd:anyURI ] ; fhir:resource ( ) ] ) . # a fhir:CarePlan ; fhir:id [ fhir:v "134"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "

Generated Narrative: CarePlan 134

instantiatesCanonical: Decision to Screen

status: Draft

intent: Proposal

subject: Fanny Famiglietti

created: 2024-12-10 00:00:00+0000

Activities

-Reference
*Bundle: type = collection
"^^rdf:XMLLiteral ] ; # fhir:instantiatesCanonical ( [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/flow-DecisionToScreen"^^xsd:anyURI ; fhir:link ] ) ; # fhir:status [ fhir:v "draft"] ; # fhir:intent [ fhir:v "proposal"] ; # fhir:subject [ fhir:link ; fhir:reference [ fhir:v "Patient/FannyFamiglietti" ] ; fhir:display [ fhir:v "Fanny Famiglietti" ] ] ; # fhir:created [ fhir:v "2024-12-10T00:00:00.0Z"^^xsd:dateTime] ; # fhir:activity ( [ fhir:reference [ fhir:link ; fhir:reference [ fhir:v "RequestGroup/135" ] ] ] ) . # a fhir:RequestGroup ; fhir:id [ fhir:v "135"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "

Generated Narrative: RequestGroup 135

instantiatesCanonical: Decision to Screen

status: Draft

intent: Proposal

subject: Fanny Famiglietti

action

id

FamilyHistoryIncreasedRisk

title: Family history increased risk screening/surveillance

description: For patients with a single first-degree relative (mother, father, full sibling, child) with colorectal cancer or an advanced polyp(s):\n* If relative diagnosed at >= 60 years:\n * Start screening at 40 years old. Tests and intervals are as per average risk screening recommendations.\n* If relative diagnosed at < 60 years old:\n * Start screening 10 years before relative's age at diagnosis or age 40, whichever is earlier. Repeat colonoscopy every 5 years.\n * If no significant neoplasia appears by age 60 years, can offer expanding the interval between colonoscopies.\n\nFor patients with 2 or more first-degree relatives with colorectal cancer or an advanced polyp:\n* Start screening colonoscopy 10 years before the reatives' youngest age at diagnosis or age 40, whichever is earlier. Repeat colonoscopy every 5 years.\n\nPatients with a history of potentially precancerous polyps should follow shortest interval between recommendations above and recommendations based on colonoscopy findings.

Documentations

-TypeLabelDisplayCitation
*CitationUSMSTF (2017)Colorectal Cancer Screening: Recommendations for Physicians and Patients From the U.S. Multi-Society Task Force on Colorectal Cancer

Rex, D. K., et al. (2017). Colorectal Cancer Screening: Recommendations for Physicians and Patients From the U.S. Multi-Society Task Force on Colorectal Cancer. Gastroenterology, 153(1), 307-323. https://doi.org/10.1053/j.gastro.2017.05.013

\n
*CitationACG Average Risk (2021)ACG Clinical Guidelines: Colorectal Cancer Screening 2021

Shaukat, A., et al. (2021). ACG Clinical Guidelines: Colorectal Cancer Screening 2021. American Journal of Gastroenterology, 116(3), 458-479. https://doi.org/10.14309/ajg.0000000000001122

\n
*CitationUSMSTF Follow-Up After Colonoscopy and Polypectomy (2020)Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer

Gupta, S., et al. (2020). Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology, 158(4), 1131–1153.e5. https://doi.org/10.1053/j.gastro.2019.10.026

\n

resource: Bundle: type = collection

"^^rdf:XMLLiteral ] ; # fhir:instantiatesCanonical ( [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/flow-DecisionToScreen"^^xsd:anyURI ; fhir:link ] ) ; # fhir:status [ fhir:v "draft"] ; # fhir:intent [ fhir:v "proposal"] ; # fhir:subject [ fhir:link ; fhir:reference [ fhir:v "Patient/FannyFamiglietti" ] ; fhir:display [ fhir:v "Fanny Famiglietti" ] ] ; # fhir:action ( [ fhir:id [ fhir:v "FamilyHistoryIncreasedRisk" ] ; fhir:title [ fhir:v "Family history increased risk screening/surveillance" ] ; fhir:description [ fhir:v "For patients with a single first-degree relative (mother, father, full sibling, child) with colorectal cancer or an advanced polyp(s):\n* If relative diagnosed at >= 60 years:\n * Start screening at 40 years old. Tests and intervals are as per average risk screening recommendations.\n* If relative diagnosed at < 60 years old:\n * Start screening 10 years before relative's age at diagnosis or age 40, whichever is earlier. Repeat colonoscopy every 5 years.\n * If no significant neoplasia appears by age 60 years, can offer expanding the interval between colonoscopies.\n\nFor patients with 2 or more first-degree relatives with colorectal cancer or an advanced polyp:\n* Start screening colonoscopy 10 years before the reatives' youngest age at diagnosis or age 40, whichever is earlier. Repeat colonoscopy every 5 years.\n\nPatients with a history of potentially precancerous polyps should follow shortest interval between recommendations above and recommendations based on colonoscopy findings." ] ; fhir:documentation ( [ fhir:type [ fhir:v "citation" ] ; fhir:label [ fhir:v "USMSTF (2017)" ] ; fhir:display [ fhir:v "Colorectal Cancer Screening: Recommendations for Physicians and Patients From the U.S. Multi-Society Task Force on Colorectal Cancer" ] ; fhir:citation [ fhir:v "Rex, D. K., et al. (2017). Colorectal Cancer Screening: Recommendations for Physicians and Patients From the U.S. Multi-Society Task Force on Colorectal Cancer. Gastroenterology, 153(1), 307-323. https://doi.org/10.1053/j.gastro.2017.05.013" ] ] [ fhir:type [ fhir:v "citation" ] ; fhir:label [ fhir:v "ACG Average Risk (2021)" ] ; fhir:display [ fhir:v "ACG Clinical Guidelines: Colorectal Cancer Screening 2021" ] ; fhir:citation [ fhir:v "Shaukat, A., et al. (2021). ACG Clinical Guidelines: Colorectal Cancer Screening 2021. American Journal of Gastroenterology, 116(3), 458-479. https://doi.org/10.14309/ajg.0000000000001122" ] ] [ fhir:type [ fhir:v "citation" ] ; fhir:label [ fhir:v "USMSTF Follow-Up After Colonoscopy and Polypectomy (2020)" ] ; fhir:display [ fhir:v "Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer" ] ; fhir:citation [ fhir:v "Gupta, S., et al. (2020). Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology, 158(4), 1131–1153.e5. https://doi.org/10.1053/j.gastro.2019.10.026" ] ] ) ; fhir:resource [ fhir:link ; fhir:reference [ fhir:v "ServiceRequest/136" ] ] ] ) . # a fhir:ServiceRequest ; fhir:id [ fhir:v "136"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "

Generated Narrative: ServiceRequest 136

basedOn: Colorectal Cancer Screening Service Request

status: option

intent: Proposal

code: Increased risk screening for colorectal cancer

subject: Fanny Famiglietti

reasonCode: Family history of colorectal cancer (situation)

"^^rdf:XMLLiteral ] ; # fhir:basedOn ( [ fhir:link ; fhir:reference [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/ActivityDefinition/ColorectalCancerScreeningServiceRequest" ] ] ) ; # fhir:status [ fhir:v "option"] ; # fhir:intent [ fhir:v "proposal"] ; # fhir:code [ fhir:coding ( [ fhir:system [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/CodeSystem/plan-definition-action-code-system"^^xsd:anyURI ] ; fhir:code [ fhir:v "increasedriskscreening" ] ; fhir:display [ fhir:v "Increased risk screening for colorectal cancer" ] ] ) ] ; # fhir:subject [ fhir:link ; fhir:reference [ fhir:v "Patient/FannyFamiglietti" ] ; fhir:display [ fhir:v "Fanny Famiglietti" ] ] ; # fhir:reasonCode ( [ fhir:coding ( [ a sct:1421000119104 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "1421000119104" ] ; fhir:display [ fhir:v "Family history of colorectal cancer (situation)" ] ] ) ] ) . # # -------------------------------------------------------------------------------------