Colorectal Cancer Screening and Management (CRCSM) Clinical Decision Support (CDS) Implementation Guide
0.1.0 - ci-build
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
Generated Narrative: Bundle DecisionToScreen_eve-Age86AndOlder_no_eve-AgeOver76_no_eve-LifeExp10_yes_act-sdmcontinuelifexp__eve-riskFactors_yes_act-incRiskEligible
Bundle DecisionToScreen_eve-Age86AndOlder_no_eve-AgeOver76_no_eve-LifeExp10_yes_act-sdmcontinuelifexp__eve-riskFactors_yes_act-incRiskEligible of type collection
Entry 1 - fullUrl = http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/150
Resource CarePlan:
Generated Narrative: CarePlan 150
instantiatesCanonical: Decision to Screen
status: Draft
intent: Proposal
subject: Joanne Smith
created: 2024-12-10 00:00:00+0000
Activities
Reference Bundle: type = collection
Entry 2 - fullUrl = http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/151
Resource RequestGroup:
Generated Narrative: RequestGroup 151
instantiatesCanonical: Decision to Screen
status: Draft
intent: Proposal
subject: Joanne Smith
action
id
SDMContinueScreeningLifeExptitle: Discuss decision to continue screening
description: ACS advises that individuals should continue colorectal cancer screening as long as their overall health is good and they have a life expectancy of 10 years or more. Decision to continue screening in cases of limited life expectancy should be based on shared decision-making.
Documentations
Type Label Display Citation Citation ACS 2018 Colorectal cancer screening for average‐risk adults: 2018 guideline update from the American Cancer Society Wolf, A. M. D., et al. (2018). Colorectal cancer screening for average‐risk adults: 2018 guideline update from the American Cancer Society. CA: A Cancer Journal for Clinicians, 68(4), 250–281. https://doi.org/10.3322/caac.21457
resource: Bundle: type = collection
action
id
HereditarySyndromesSurveillancetitle: Colorectal cancer surveillance per specialist recommendations
description: Refer to GI specialist for colorectal cancer (and possibly additional cancers) surveillance recommendations. Patients with a hereditary cancer syndrome require specialized management and colonoscopy surveillance for colorectal cancer (as well as additional surveillance for other cancers). Recommendations on when to start surveillance and surveillance intervals vary according to the syndrome.
Documentations
Type Label Display Citation Citation ACG Hereditary Syndromes (2015) ACG Clinical Guideline: Genetic Testing and Management of Hereditary Gastrointestinal Cancer Syndromes Syngal, S., et al. (2015). ACG Clinical Guideline: Genetic Testing and Management of Hereditary Gastrointestinal Cancer Syndromes. American Journal of Gastroenterology 110(2):p 223-262. https://doi.org/10.1038/ajg.2014.435
resource: Bundle: type = collection
Entry 3 - fullUrl = http://cancerscreeningcds.github.io/crcsm-cds/CommunicationRequest/152
Resource CommunicationRequest:
Generated Narrative: CommunicationRequest 152
basedOn: Communicate Shared Decision Making to Continue Screening
status: option
subject: Joanne Smith
Payloads
Content[x] Shared decision making to continue screening reasonCode: Reduced life expectancy indicator
Entry 4 - fullUrl = http://cancerscreeningcds.github.io/crcsm-cds/ServiceRequest/153
Resource ServiceRequest:
Generated Narrative: ServiceRequest 153
basedOn: Colorectal Cancer Screening Service Request
status: option
intent: Proposal
code: Surveillance for colorectal cancer (regime/therapy)
subject: Joanne Smith
reasonCode: Hereditary cancer-predisposing syndrome (disorder)