{
  "resourceType" : "Bundle",
  "id" : "DecisionToScreen_eve-Age86AndOlder_no_eve-AgeOver76_yes_act-SelectivelyOfferScreening__eve-LifeExp10_yes_act-sdmcontinuelifexp__eve-riskFactors_no_act-AvgRiskEligible",
  "type" : "collection",
  "entry" : [{
    "fullUrl" : "http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/161",
    "resource" : {
      "resourceType" : "CarePlan",
      "id" : "161",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_161\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan 161</b></p><a name=\"161\"> </a><a name=\"hc161\"> </a><a name=\"161-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=\"Patient/7416abea-a28f-4c77-9956-57016a12e565\">Joanne Smith</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_eve-Age86AndOlder_no_eve-AgeOver76_yes_act-SelectivelyOfferScreening__eve-LifeExp10_yes_act-sdmcontinuelifexp__eve-riskFactors_no_act-AvgRiskEligible.html#RequestGroup_162\">Bundle: type = collection</a></td></tr></table></div>"
      },
      "instantiatesCanonical" : ["http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/flow-DecisionToScreen"],
      "status" : "draft",
      "intent" : "proposal",
      "subject" : {
        "reference" : "Patient/7416abea-a28f-4c77-9956-57016a12e565",
        "display" : "Joanne Smith"
      },
      "created" : "2024-12-10T00:00:00.0Z",
      "activity" : [{
        "reference" : {
          "reference" : "RequestGroup/162"
        }
      }]
    }
  },
  {
    "fullUrl" : "http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/162",
    "resource" : {
      "resourceType" : "RequestGroup",
      "id" : "162",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RequestGroup_162\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup 162</b></p><a name=\"162\"> </a><a name=\"hc162\"> </a><a name=\"162-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=\"Patient/7416abea-a28f-4c77-9956-57016a12e565\">Joanne Smith</a></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>SDMContinueScreeningAge</blockquote><p><b>title</b>: Selectively offer screening</p><p><b>description</b>: The USPSTF recommends that clinicians selectively offer screening for colorectal cancer in adults aged 76 to 85 years.</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 (2021)</td><td>Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement</td><td><div><p>US Preventive Services Task Force. Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. Published online May 18, 2021.</p>\n</div></td><td><a href=\"https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening\">https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening</a></td></tr></table><p><b>resource</b>: <a href=\"Bundle-DecisionToScreen_eve-Age86AndOlder_no_eve-AgeOver76_yes_act-SelectivelyOfferScreening__eve-LifeExp10_yes_act-sdmcontinuelifexp__eve-riskFactors_no_act-AvgRiskEligible.html#CommunicationRequest_163\">Bundle: type = collection</a></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>SDMContinueScreeningLifeExp</blockquote><p><b>title</b>: Discuss decision to continue screening</p><p><b>description</b>: 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.</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>ACS 2018</td><td>Colorectal cancer screening for average‐risk adults: 2018 guideline update from the American Cancer Society</td><td><div><p>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</p>\n</div></td></tr></table><p><b>resource</b>: <a href=\"Bundle-DecisionToScreen_eve-Age86AndOlder_no_eve-AgeOver76_yes_act-SelectivelyOfferScreening__eve-LifeExp10_yes_act-sdmcontinuelifexp__eve-riskFactors_no_act-AvgRiskEligible.html#CommunicationRequest_164\">Bundle: type = collection</a></p></blockquote></div>"
      },
      "instantiatesCanonical" : ["http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/flow-DecisionToScreen"],
      "status" : "draft",
      "intent" : "proposal",
      "subject" : {
        "reference" : "Patient/7416abea-a28f-4c77-9956-57016a12e565",
        "display" : "Joanne Smith"
      },
      "action" : [{
        "id" : "SDMContinueScreeningAge",
        "title" : "Selectively offer screening",
        "description" : "The USPSTF recommends that clinicians selectively offer screening for colorectal cancer in adults aged 76 to 85 years.",
        "documentation" : [{
          "type" : "citation",
          "label" : "USPSTF (2021)",
          "display" : "Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement",
          "citation" : "US Preventive Services Task Force. Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. Published online May 18, 2021.",
          "url" : "https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening"
        }],
        "resource" : {
          "reference" : "CommunicationRequest/163"
        }
      },
      {
        "id" : "SDMContinueScreeningLifeExp",
        "title" : "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.",
        "documentation" : [{
          "type" : "citation",
          "label" : "ACS 2018",
          "display" : "Colorectal cancer screening for average‐risk adults: 2018 guideline update from the American Cancer Society",
          "citation" : "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" : {
          "reference" : "CommunicationRequest/164"
        }
      }]
    }
  },
  {
    "fullUrl" : "http://cancerscreeningcds.github.io/crcsm-cds/CommunicationRequest/163",
    "resource" : {
      "resourceType" : "CommunicationRequest",
      "id" : "163",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CommunicationRequest_163\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CommunicationRequest 163</b></p><a name=\"163\"> </a><a name=\"hc163\"> </a><a name=\"163-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=\"Patient/7416abea-a28f-4c77-9956-57016a12e565\">Joanne Smith</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/crcsm-cds/CodeSystem/plan-definition-action-reason-code-system age76to86}\">Age 76 to 86 years</span></p></div>"
      },
      "basedOn" : [{
        "reference" : "http://cancerscreeningcds.github.io/crcsm-cds/ActivityDefinition/CommunicateSDMContinueScreening"
      }],
      "status" : "option",
      "subject" : {
        "reference" : "Patient/7416abea-a28f-4c77-9956-57016a12e565",
        "display" : "Joanne Smith"
      },
      "payload" : [{
        "contentString" : "Shared decision making to continue screening"
      }],
      "reasonCode" : [{
        "coding" : [{
          "system" : "http://cancerscreeningcds.github.io/crcsm-cds/CodeSystem/plan-definition-action-reason-code-system",
          "code" : "age76to86",
          "display" : "Age 76 to 86 years"
        }]
      }]
    }
  },
  {
    "fullUrl" : "http://cancerscreeningcds.github.io/crcsm-cds/CommunicationRequest/164",
    "resource" : {
      "resourceType" : "CommunicationRequest",
      "id" : "164",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CommunicationRequest_164\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CommunicationRequest 164</b></p><a name=\"164\"> </a><a name=\"hc164\"> </a><a name=\"164-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=\"Patient/7416abea-a28f-4c77-9956-57016a12e565\">Joanne Smith</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/crcsm-cds/CodeSystem/plan-definition-action-reason-code-system lifeexp}\">Reduced life expectancy indicator</span></p></div>"
      },
      "basedOn" : [{
        "reference" : "http://cancerscreeningcds.github.io/crcsm-cds/ActivityDefinition/CommunicateSDMContinueScreening"
      }],
      "status" : "option",
      "subject" : {
        "reference" : "Patient/7416abea-a28f-4c77-9956-57016a12e565",
        "display" : "Joanne Smith"
      },
      "payload" : [{
        "contentString" : "Shared decision making to continue screening"
      }],
      "reasonCode" : [{
        "coding" : [{
          "system" : "http://cancerscreeningcds.github.io/crcsm-cds/CodeSystem/plan-definition-action-reason-code-system",
          "code" : "lifeexp",
          "display" : "Reduced life expectancy indicator"
        }]
      }]
    }
  }]
}