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
@prefix fhir: <http://hl7.org/fhir/> .
@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 "DecisionToScreen_eve-Age86AndOlder_no_eve-AgeOver76_yes_act-SelectivelyOfferScreening__eve-LifeExp10_yes_act-sdmcontinuelifexp__eve-riskFactors_no_act-AvgRiskEligible"] ; #
fhir:type [ fhir:v "collection"] ; #
fhir:entry ( [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/161"^^xsd:anyURI ] ;
( fhir:resource <http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/161> )
] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/162"^^xsd:anyURI ] ;
( fhir:resource <http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/162> )
] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/CommunicationRequest/163"^^xsd:anyURI ] ;
( fhir:resource <http://cancerscreeningcds.github.io/crcsm-cds/CommunicationRequest/163> )
] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/CommunicationRequest/164"^^xsd:anyURI ] ;
( fhir:resource <http://cancerscreeningcds.github.io/crcsm-cds/CommunicationRequest/164> )
] ) . #
<http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/161> a fhir:CarePlan ;
fhir:id [ fhir:v "161"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>"^^rdf:XMLLiteral
] ; #
fhir:instantiatesCanonical ( [
fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/flow-DecisionToScreen"^^xsd:anyURI ;
fhir:link <http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/flow-DecisionToScreen>
] ) ; #
fhir:status [ fhir:v "draft"] ; #
fhir:intent [ fhir:v "proposal"] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/7416abea-a28f-4c77-9956-57016a12e565" ] ;
fhir:display [ fhir:v "Joanne Smith" ]
] ; #
fhir:created [ fhir:v "2024-12-10T00:00:00.0Z"^^xsd:dateTime] ; #
fhir:activity ( [
fhir:reference [
fhir:reference [ fhir:v "RequestGroup/162" ] ]
] ) . #
<http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/162> a fhir:RequestGroup ;
fhir:id [ fhir:v "162"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>"^^rdf:XMLLiteral
] ; #
fhir:instantiatesCanonical ( [
fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/flow-DecisionToScreen"^^xsd:anyURI ;
fhir:link <http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/flow-DecisionToScreen>
] ) ; #
fhir:status [ fhir:v "draft"] ; #
fhir:intent [ fhir:v "proposal"] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/7416abea-a28f-4c77-9956-57016a12e565" ] ;
fhir:display [ fhir:v "Joanne Smith" ]
] ; #
fhir:action ( [
fhir:id [ fhir:v "SDMContinueScreeningAge" ] ;
fhir:title [ fhir:v "Selectively offer screening" ] ;
fhir:description [ fhir:v "The USPSTF recommends that clinicians selectively offer screening for colorectal cancer in adults aged 76 to 85 years." ] ;
( fhir:documentation [
fhir:type [ fhir:v "citation" ] ;
fhir:label [ fhir:v "USPSTF (2021)" ] ;
fhir:display [ fhir:v "Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement" ] ;
fhir:citation [ fhir:v "US Preventive Services Task Force. Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. Published online May 18, 2021." ] ;
fhir:url [ fhir:v "https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening"^^xsd:anyURI ] ] ) ;
fhir:resource [
fhir:reference [ fhir:v "CommunicationRequest/163" ] ]
] [
fhir:id [ fhir:v "SDMContinueScreeningLifeExp" ] ;
fhir:title [ fhir:v "Discuss decision to continue screening" ] ;
fhir:description [ fhir:v "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." ] ;
( fhir:documentation [
fhir:type [ fhir:v "citation" ] ;
fhir:label [ fhir:v "ACS 2018" ] ;
fhir:display [ fhir:v "Colorectal cancer screening for average‐risk adults: 2018 guideline update from the American Cancer Society" ] ;
fhir:citation [ fhir:v "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" ] ] ) ;
fhir:resource [
fhir:reference [ fhir:v "CommunicationRequest/164" ] ]
] ) . #
<http://cancerscreeningcds.github.io/crcsm-cds/CommunicationRequest/163> a fhir:CommunicationRequest ;
fhir:id [ fhir:v "163"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>"^^rdf:XMLLiteral
] ; #
fhir:basedOn ( [
fhir:link <http://cancerscreeningcds.github.io/crcsm-cds/ActivityDefinition/CommunicateSDMContinueScreening> ;
fhir:reference [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/ActivityDefinition/CommunicateSDMContinueScreening" ]
] ) ; #
fhir:status [ fhir:v "option"] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/7416abea-a28f-4c77-9956-57016a12e565" ] ;
fhir:display [ fhir:v "Joanne Smith" ]
] ; #
fhir:payload ( [
fhir:content [
a fhir:string ;
fhir:v "Shared decision making to continue screening" ]
] ) ; #
fhir:reasonCode ( [
( fhir:coding [
fhir:system [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/CodeSystem/plan-definition-action-reason-code-system"^^xsd:anyURI ] ;
fhir:code [ fhir:v "age76to86" ] ;
fhir:display [ fhir:v "Age 76 to 86 years" ] ] )
] ) . #
<http://cancerscreeningcds.github.io/crcsm-cds/CommunicationRequest/164> a fhir:CommunicationRequest ;
fhir:id [ fhir:v "164"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>"^^rdf:XMLLiteral
] ; #
fhir:basedOn ( [
fhir:link <http://cancerscreeningcds.github.io/crcsm-cds/ActivityDefinition/CommunicateSDMContinueScreening> ;
fhir:reference [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/ActivityDefinition/CommunicateSDMContinueScreening" ]
] ) ; #
fhir:status [ fhir:v "option"] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/7416abea-a28f-4c77-9956-57016a12e565" ] ;
fhir:display [ fhir:v "Joanne Smith" ]
] ; #
fhir:payload ( [
fhir:content [
a fhir:string ;
fhir:v "Shared decision making to continue screening" ]
] ) ; #
fhir:reasonCode ( [
( fhir:coding [
fhir:system [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/CodeSystem/plan-definition-action-reason-code-system"^^xsd:anyURI ] ;
fhir:code [ fhir:v "lifeexp" ] ;
fhir:display [ fhir:v "Reduced life expectancy indicator" ] ] )
] ) . #
IG © 2025+ MITRE. Package cancerscreeningcds.fhir.us.crcsm-cds#0.1.0 based on FHIR 4.0.1. Generated 2025-02-28
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