Colorectal Cancer Screening and Management (CRCSM) Clinical Decision Support (CDS) Implementation Guide
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: DecisionToScreen_eve-Age86AndOlder_yes_act-HarmsLikelyOutweighBenefits - 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 xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "DecisionToScreen_eve-Age86AndOlder_yes_act-HarmsLikelyOutweighBenefits"] ; # 
  fhir:type [ fhir:v "collection"] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/170"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/170> )
  ] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/171"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/171> )
  ] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/CommunicationRequest/172"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/crcsm-cds/CommunicationRequest/172> )
  ] ) . # 

<http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/170> a fhir:CarePlan ;
  fhir:id [ fhir:v "170"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_170\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan 170</b></p><a name=\"170\"> </a><a name=\"hc170\"> </a><a name=\"170-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/3790c956-09bd-4e4b-9e9d-f28dee75b25f\">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_yes_act-HarmsLikelyOutweighBenefits.html#RequestGroup_171\">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/3790c956-09bd-4e4b-9e9d-f28dee75b25f" ] ;
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/171" ]     ]
  ] ) . # 

<http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/171> a fhir:RequestGroup ;
  fhir:id [ fhir:v "171"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RequestGroup_171\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup 171</b></p><a name=\"171\"> </a><a name=\"hc171\"> </a><a name=\"171-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/3790c956-09bd-4e4b-9e9d-f28dee75b25f\">Joanne Smith</a></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>StopScreeningAge</blockquote><p><b>title</b>: Stop screening</p><p><b>description</b>: Evidence is lacking on benefits and harms of colorectal cancer screening for individuals aged 86 and older. Competing causes of mortality likely preclude survival benefit that would outweigh the harms of screening.</p><p><b>resource</b>: <a href=\"Bundle-DecisionToScreen_eve-Age86AndOlder_yes_act-HarmsLikelyOutweighBenefits.html#CommunicationRequest_172\">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/3790c956-09bd-4e4b-9e9d-f28dee75b25f" ] ;
fhir:display [ fhir:v "Joanne Smith" ]
  ] ; # 
  fhir:action ( [
fhir:id [ fhir:v "StopScreeningAge" ] ;
fhir:title [ fhir:v "Stop screening" ] ;
fhir:description [ fhir:v "Evidence is lacking on benefits and harms of colorectal cancer screening for individuals aged 86 and older. Competing causes of mortality likely preclude survival benefit that would outweigh the harms of screening." ] ;
fhir:resource [
fhir:reference [ fhir:v "CommunicationRequest/172" ]     ]
  ] ) . # 

<http://cancerscreeningcds.github.io/crcsm-cds/CommunicationRequest/172> a fhir:CommunicationRequest ;
  fhir:id [ fhir:v "172"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CommunicationRequest_172\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CommunicationRequest 172</b></p><a name=\"172\"> </a><a name=\"hc172\"> </a><a name=\"172-en-US\"> </a><p><b>basedOn</b>: <a href=\"ActivityDefinition-CommunicateRecommendationStopScreening.html\">Communicate Recommendation to Stop Screening</a></p><p><b>status</b>: option</p><p><b>subject</b>: <a href=\"Patient/3790c956-09bd-4e4b-9e9d-f28dee75b25f\">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>Stop screening</td></tr></table><p><b>reasonCode</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/crcsm-cds/CodeSystem/plan-definition-action-reason-code-system ageover86}\">Age over 86 years</span></p></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:basedOn ( [
fhir:link <http://cancerscreeningcds.github.io/crcsm-cds/ActivityDefinition/CommunicateRecommendationStopScreening> ;
fhir:reference [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/ActivityDefinition/CommunicateRecommendationStopScreening" ]
  ] ) ; # 
  fhir:status [ fhir:v "option"] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/3790c956-09bd-4e4b-9e9d-f28dee75b25f" ] ;
fhir:display [ fhir:v "Joanne Smith" ]
  ] ; # 
  fhir:payload ( [
fhir:content [
a fhir:string ;
fhir:v "Stop 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 "ageover86" ] ;
fhir:display [ fhir:v "Age over 86 years" ]     ] )
  ] ) . #