Colorectal Cancer Screening and Management (CRCSM) Clinical Decision Support (CDS) Implementation Guide
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Colorectal Cancer Screening and Management (CRCSM) Clinical Decision Support (CDS) Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="CarePlan_134"> </a><p class="res-header-id"><b>Generated Narrative: CarePlan 134</b></p><a name="134"> </a><a name="hc134"> </a><a name="134-en-US"> </a><p><b>instantiatesCanonical</b>: <a href="PlanDefinition-flow-DecisionToScreen.html">Decision to Screen</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href="Bundle-FannyFamiglietti.html#Patient_FannyFamiglietti">Fanny Famiglietti</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-DecisionToScreen_FannyFamiglietti.html#RequestGroup_135">Bundle: type = collection</a></td></tr></table></div>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="RequestGroup_135"> </a><p class="res-header-id"><b>Generated Narrative: RequestGroup 135</b></p><a name="135"> </a><a name="hc135"> </a><a name="135-en-US"> </a><p><b>instantiatesCanonical</b>: <a href="PlanDefinition-flow-DecisionToScreen.html">Decision to Screen</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href="Bundle-FannyFamiglietti.html#Patient_FannyFamiglietti">Fanny Famiglietti</a></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>FamilyHistoryIncreasedRisk</blockquote><p><b>title</b>: Family history increased risk screening/surveillance</p><p><b>description</b>: For patients with a single first-degree relative (mother, father, full sibling, child) with colorectal cancer or an advanced polyp(s):
* If relative diagnosed at >= 60 years:
* Start screening at 40 years old. Tests and intervals are as per average risk screening recommendations.
* If relative diagnosed at < 60 years old:
* Start screening 10 years before relative's age at diagnosis or age 40, whichever is earlier. Repeat colonoscopy every 5 years.
* If no significant neoplasia appears by age 60 years, can offer expanding the interval between colonoscopies.
For patients with 2 or more first-degree relatives with colorectal cancer or an advanced polyp:
* Start screening colonoscopy 10 years before the reatives' youngest age at diagnosis or age 40, whichever is earlier. Repeat colonoscopy every 5 years.
Patients with a history of potentially precancerous polyps should follow shortest interval between recommendations above and recommendations based on colonoscopy findings.</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></tr><tr><td style="display: none">*</td><td>Citation</td><td>USMSTF (2017)</td><td>Colorectal Cancer Screening: Recommendations for Physicians and Patients From the U.S. Multi-Society Task Force on Colorectal Cancer</td><td><div><p>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</p>
</div></td></tr><tr><td style="display: none">*</td><td>Citation</td><td>ACG Average Risk (2021)</td><td>ACG Clinical Guidelines: Colorectal Cancer Screening 2021</td><td><div><p>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</p>
</div></td></tr><tr><td style="display: none">*</td><td>Citation</td><td>USMSTF Follow-Up After Colonoscopy and Polypectomy (2020)</td><td>Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer</td><td><div><p>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</p>
</div></td></tr></table><p><b>resource</b>: <a href="Bundle-DecisionToScreen_FannyFamiglietti.html#ServiceRequest_136">Bundle: type = collection</a></p></blockquote></div>
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* If relative diagnosed at >= 60 years:
* Start screening at 40 years old. Tests and intervals are as per average risk screening recommendations.
* If relative diagnosed at < 60 years old:
* Start screening 10 years before relative's age at diagnosis or age 40, whichever is earlier. Repeat colonoscopy every 5 years.
* If no significant neoplasia appears by age 60 years, can offer expanding the interval between colonoscopies.
For patients with 2 or more first-degree relatives with colorectal cancer or an advanced polyp:
* Start screening colonoscopy 10 years before the reatives' youngest age at diagnosis or age 40, whichever is earlier. Repeat colonoscopy every 5 years.
Patients with a history of potentially precancerous polyps should follow shortest interval between recommendations above and recommendations based on colonoscopy findings."/>
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