DecisionToScreen_eve-Age86AndOlder_no_eve-AgeOver76_yes_act-SelectivelyOfferScreening__eve-LifeExp10_yes_act-sdmcontinuelifexp__eve-riskFactors_yes_act-incRiskEligible - TTL Representation - Colorectal Cancer Screening and Management (CRCSM) Clinical Decision Support (CDS) Implementation Guide v0.1.0

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
: DecisionToScreen_eve-Age86AndOlder_no_eve-AgeOver76_yes_act-SelectivelyOfferScreening__eve-LifeExp10_yes_act-sdmcontinuelifexp__eve-riskFactors_yes_act-incRiskEligible - TTL Representation

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@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 sct: <http://snomed.info/id/> .
@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_yes_act-incRiskEligible"] ; # 
  fhir:type [ fhir:v "collection"] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/165"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/165> )
  ] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/166"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/166> )
  ] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/CommunicationRequest/167"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/crcsm-cds/CommunicationRequest/167> )
  ] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/CommunicationRequest/168"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/crcsm-cds/CommunicationRequest/168> )
  ] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/ServiceRequest/169"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/crcsm-cds/ServiceRequest/169> )
  ] ) . # 

<http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/165> a fhir:CarePlan ;
  fhir:id [ fhir:v "165"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_165\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan 165</b></p><a name=\"165\"> </a><a name=\"hc165\"> </a><a name=\"165-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/db355280-cd6b-4cec-9bc2-6352888b0caa\">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_yes_act-incRiskEligible.html#RequestGroup_166\">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/db355280-cd6b-4cec-9bc2-6352888b0caa" ] ;
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/166" ]     ]
  ] ) . # 

<http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/166> a fhir:RequestGroup ;
  fhir:id [ fhir:v "166"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RequestGroup_166\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup 166</b></p><a name=\"166\"> </a><a name=\"hc166\"> </a><a name=\"166-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/db355280-cd6b-4cec-9bc2-6352888b0caa\">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_yes_act-incRiskEligible.html#CommunicationRequest_167\">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_yes_act-incRiskEligible.html#CommunicationRequest_168\">Bundle: type = collection</a></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>HereditarySyndromesSurveillance</blockquote><p><b>title</b>: Colorectal cancer surveillance per specialist recommendations</p><p><b>description</b>: Refer to GI specialist for colorectal cancer (and possibly additional cancers) surveillance recommendations.\n\nPatients 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.</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>ACG Hereditary Syndromes (2015)</td><td>ACG Clinical Guideline: Genetic Testing and Management of Hereditary Gastrointestinal Cancer Syndromes</td><td><div><p>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</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_yes_act-incRiskEligible.html#ServiceRequest_169\">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/db355280-cd6b-4cec-9bc2-6352888b0caa" ] ;
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/167" ]     ]
  ] [
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/168" ]     ]
  ] [
fhir:id [ fhir:v "HereditarySyndromesSurveillance" ] ;
fhir:title [ fhir:v "Colorectal cancer surveillance per specialist recommendations" ] ;
fhir:description [ fhir:v "Refer to GI specialist for colorectal cancer (and possibly additional cancers) surveillance recommendations.\n\nPatients 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." ] ;
    ( fhir:documentation [
fhir:type [ fhir:v "citation" ] ;
fhir:label [ fhir:v "ACG Hereditary Syndromes (2015)" ] ;
fhir:display [ fhir:v "ACG Clinical Guideline: Genetic Testing and Management of Hereditary Gastrointestinal Cancer Syndromes" ] ;
fhir:citation [ fhir:v "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" ]     ] ) ;
fhir:resource [
fhir:reference [ fhir:v "ServiceRequest/169" ]     ]
  ] ) . # 

<http://cancerscreeningcds.github.io/crcsm-cds/CommunicationRequest/167> a fhir:CommunicationRequest ;
  fhir:id [ fhir:v "167"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CommunicationRequest_167\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CommunicationRequest 167</b></p><a name=\"167\"> </a><a name=\"hc167\"> </a><a name=\"167-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/db355280-cd6b-4cec-9bc2-6352888b0caa\">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/db355280-cd6b-4cec-9bc2-6352888b0caa" ] ;
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/168> a fhir:CommunicationRequest ;
  fhir:id [ fhir:v "168"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CommunicationRequest_168\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CommunicationRequest 168</b></p><a name=\"168\"> </a><a name=\"hc168\"> </a><a name=\"168-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/db355280-cd6b-4cec-9bc2-6352888b0caa\">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/db355280-cd6b-4cec-9bc2-6352888b0caa" ] ;
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" ]     ] )
  ] ) . # 

<http://cancerscreeningcds.github.io/crcsm-cds/ServiceRequest/169> a fhir:ServiceRequest ;
  fhir:id [ fhir:v "169"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_169\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 169</b></p><a name=\"169\"> </a><a name=\"hc169\"> </a><a name=\"169-en-US\"> </a><p><b>basedOn</b>: <a href=\"ActivityDefinition-ColorectalCancerScreeningServiceRequest.html\">Colorectal Cancer Screening Service Request</a></p><p><b>status</b>: option</p><p><b>intent</b>: Proposal</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 452071000124102}\">Surveillance for colorectal cancer (regime/therapy)</span></p><p><b>subject</b>: <a href=\"Patient/db355280-cd6b-4cec-9bc2-6352888b0caa\">Joanne Smith</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 699346009}\">Hereditary cancer-predisposing syndrome (disorder)</span></p></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:basedOn ( [
fhir:link <http://cancerscreeningcds.github.io/crcsm-cds/ActivityDefinition/ColorectalCancerScreeningServiceRequest> ;
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 [
a sct:452071000124102 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "452071000124102" ] ;
fhir:display [ fhir:v "Surveillance for colorectal cancer (regime/therapy)" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/db355280-cd6b-4cec-9bc2-6352888b0caa" ] ;
fhir:display [ fhir:v "Joanne Smith" ]
  ] ; # 
  fhir:reasonCode ( [
    ( fhir:coding [
a sct:699346009 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "699346009" ] ;
fhir:display [ fhir:v "Hereditary cancer-predisposing syndrome (disorder)" ]     ] )
  ] ) . #