Colorectal Cancer Screening and Management (CRCSM) Clinical Decision Support (CDS) Implementation Guide
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: HankCarlson - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="HankCarlson"/>
  <type value="collection"/>
  <entry>
    <resource>
      <Patient>
        <id value="HankCarlson"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_HankCarlson"> </a><p class="res-header-id"><b>Generated Narrative: Patient HankCarlson</b></p><a name="HankCarlson"> </a><a name="hcHankCarlson"> </a><a name="HankCarlson-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Hank Carlson  Male, DoB: 1970-06-19 ( Medical Record Number: 323-125-897)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.">US Core Ethnicity Extension:</td><td colspan="3"><ul><li>text: Not Hispanic or Latino</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories:

 - American Indian or Alaska Native
 - Asian
 - Black or African American
 - Native Hawaiian or Other Pacific Islander
 - White.">US Core Race Extension:</td><td colspan="3"><ul><li>text: White</li></ul></td></tr></table></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
          <extension url="text">
            <valueString value="White"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
          <extension url="text">
            <valueString value="Not Hispanic or Latino"/>
          </extension>
        </extension>
        <identifier>
          <type>
            <coding>
              <code value="MR"/>
              <display value="Medical Record Number"/>
            </coding>
          </type>
          <value value="323-125-897"/>
        </identifier>
        <name>
          <family value="Carlson"/>
          <given value="Hank"/>
        </name>
        <gender value="male"/>
        <birthDate value="1970-06-19"/>
      </Patient>
    </resource>
  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="fit-report-neg"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_fit-report-neg"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport fit-report-neg</b></p><a name="fit-report-neg"> </a><a name="hcfit-report-neg"> </a><a name="fit-report-neg-en-US"> </a><h2><span title="Codes:{http://loinc.org 29771-3}">Hemoglobin.gastrointestinal.lower [Presence] in Stool by Immunoassay</span> </h2><table class="grid"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2021-01-26 00:00:00+0000</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title="Codes:{http://snomed.info/sct 260385009}">Negative (qualifier value)</span></li></ul></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="29771-3"/>
            <display
                     value="Hemoglobin.gastrointestinal.lower [Presence] in Stool by Immunoassay"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/HankCarlson"/>
        </subject>
        <effectiveDateTime value="2021-01-26T00:00:00.000Z"/>
        <conclusionCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="260385009"/>
            <display value="Negative (qualifier value)"/>
          </coding>
        </conclusionCode>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="fit-report-neg"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_fit-report-neg"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport fit-report-neg</b></p><h2><span title="Codes:{http://loinc.org 29771-3}">Hemoglobin.gastrointestinal.lower [Presence] in Stool by Immunoassay</span> </h2><table class="grid"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2022-01-03 00:00:00+0000</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title="Codes:{http://snomed.info/sct 260385009}">Negative (qualifier value)</span></li></ul></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="29771-3"/>
            <display
                     value="Hemoglobin.gastrointestinal.lower [Presence] in Stool by Immunoassay"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/HankCarlson"/>
        </subject>
        <effectiveDateTime value="2022-01-03T00:00:00.000Z"/>
        <conclusionCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="260385009"/>
            <display value="Negative (qualifier value)"/>
          </coding>
        </conclusionCode>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="fit-report-neg"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_fit-report-neg"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport fit-report-neg</b></p><h2><span title="Codes:{http://loinc.org 29771-3}">Hemoglobin.gastrointestinal.lower [Presence] in Stool by Immunoassay</span> </h2><table class="grid"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2023-12-19 00:00:00+0000</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title="Codes:{http://snomed.info/sct 260385009}">Negative (qualifier value)</span></li></ul></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="29771-3"/>
            <display
                     value="Hemoglobin.gastrointestinal.lower [Presence] in Stool by Immunoassay"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/HankCarlson"/>
        </subject>
        <effectiveDateTime value="2023-12-19T00:00:00.000Z"/>
        <conclusionCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="260385009"/>
            <display value="Negative (qualifier value)"/>
          </coding>
        </conclusionCode>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="fit-report-pos"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_fit-report-pos"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport fit-report-pos</b></p><a name="fit-report-pos"> </a><a name="hcfit-report-pos"> </a><a name="fit-report-pos-en-US"> </a><h2><span title="Codes:{http://loinc.org 29771-3}">Hemoglobin.gastrointestinal.lower [Presence] in Stool by Immunoassay</span> </h2><table class="grid"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2023-12-21</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title="Codes:{http://snomed.info/sct 10828004}">Positive (qualifier value)</span></li></ul></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="29771-3"/>
            <display
                     value="Hemoglobin.gastrointestinal.lower [Presence] in Stool by Immunoassay"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/HankCarlson"/>
        </subject>
        <effectiveDateTime value="2023-12-21"/>
        <conclusionCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="10828004"/>
            <display value="Positive (qualifier value)"/>
          </coding>
        </conclusionCode>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <resource>
      <DiagnosticReport>
        <id value="colonoscopy-report-malignant"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_colonoscopy-report-malignant"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport colonoscopy-report-malignant</b></p><a name="colonoscopy-report-malignant"> </a><a name="hccolonoscopy-report-malignant"> </a><a name="colonoscopy-report-malignant-en-US"> </a><h2><span title="Codes:{http://loinc.org 18746-8}">Colonoscopy study</span> </h2><table class="grid"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2024-01-02</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title="Codes:{http://snomed.info/sct 363410008}">Malignant tumor of sigmoid colon (disorder)</span></li></ul></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="18746-8"/>
            <display value="Colonoscopy study"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/HankCarlson"/>
        </subject>
        <effectiveDateTime value="2024-01-02"/>
        <conclusionCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="363410008"/>
            <display value="Malignant tumor of sigmoid colon (disorder)"/>
          </coding>
        </conclusionCode>
      </DiagnosticReport>
    </resource>
  </entry>
  <entry>
    <resource>
      <Condition>
        <id value="colorectal-cancer-inactive"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_colorectal-cancer-inactive"> </a><p class="res-header-id"><b>Generated Narrative: Condition colorectal-cancer-inactive</b></p><a name="colorectal-cancer-inactive"> </a><a name="hccolorectal-cancer-inactive"> </a><a name="colorectal-cancer-inactive-en-US"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical inactive}">Inactive</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}">Confirmed</span></p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}">Problem List Item</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 363406005}">Malignant neoplasm of colon (disorder)</span></p><p><b>subject</b>: <a href="Bundle-HankCarlson.html#Patient_HankCarlson">Bundle: type = collection</a></p><p><b>onset</b>: 2024-01-03</p></div>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="inactive"/>
            <display value="Inactive"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <code value="confirmed"/>
            <display value="Confirmed"/>
          </coding>
        </verificationStatus>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-category"/>
            <code value="problem-list-item"/>
            <display value="Problem List Item"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="363406005"/>
            <display value="Malignant neoplasm of colon (disorder)"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/HankCarlson"/>
        </subject>
        <onsetDateTime value="2024-01-03"/>
      </Condition>
    </resource>
  </entry>
  <entry>
    <resource>
      <Procedure>
        <id value="colon-resection"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_colon-resection"> </a><p class="res-header-id"><b>Generated Narrative: Procedure colon-resection</b></p><a name="colon-resection"> </a><a name="hccolon-resection"> </a><a name="colon-resection-en-US"> </a><p><b>status</b>: Completed</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 43075005}">Partial resection of colon (procedure)</span></p><p><b>subject</b>: <a href="Bundle-HankCarlson.html#Patient_HankCarlson">Bundle: type = collection</a></p><p><b>performed</b>: 2024-01-31</p></div>
        </text>
        <status value="completed"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="43075005"/>
            <display value="Partial resection of colon (procedure)"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/HankCarlson"/>
        </subject>
        <performedDateTime value="2024-01-31"/>
      </Procedure>
    </resource>
  </entry>
</Bundle>