{
  "resourceType" : "Bundle",
  "id" : "HighLevel_HankCarlson",
  "type" : "collection",
  "entry" : [{
    "fullUrl" : "http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/29",
    "resource" : {
      "resourceType" : "CarePlan",
      "id" : "29",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_29\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan 29</b></p><a name=\"29\"> </a><a name=\"hc29\"> </a><a name=\"29-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-HighLevel.html\">High Level Flow</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href=\"Bundle-HankCarlson.html#Patient_HankCarlson\">Hank Carlson</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-HighLevel_HankCarlson.html#RequestGroup_30\">Bundle: type = collection</a></td></tr></table></div>"
      },
      "instantiatesCanonical" : ["http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/HighLevel"],
      "status" : "draft",
      "intent" : "proposal",
      "subject" : {
        "reference" : "Patient/HankCarlson",
        "display" : "Hank Carlson"
      },
      "created" : "2024-12-10T00:00:00.0Z",
      "activity" : [{
        "reference" : {
          "reference" : "RequestGroup/30"
        }
      }]
    }
  },
  {
    "fullUrl" : "http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/30",
    "resource" : {
      "resourceType" : "RequestGroup",
      "id" : "30",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RequestGroup_30\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup 30</b></p><a name=\"30\"> </a><a name=\"hc30\"> </a><a name=\"30-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-HighLevel.html\">High Level Flow</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href=\"Bundle-HankCarlson.html#Patient_HankCarlson\">Hank Carlson</a></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>32</blockquote><p><b>title</b>: Primary Screening Decision</p><p><b>description</b>: Primary Screening Decision pathway.</p><p><b>resource</b>: <a href=\"Bundle-HighLevel_HankCarlson.html#CarePlan_33\">Bundle: type = collection</a></p></blockquote></div>"
      },
      "instantiatesCanonical" : ["http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/HighLevel"],
      "status" : "draft",
      "intent" : "proposal",
      "subject" : {
        "reference" : "Patient/HankCarlson",
        "display" : "Hank Carlson"
      },
      "action" : [{
        "id" : "32",
        "title" : "Primary Screening Decision",
        "description" : "Primary Screening Decision pathway.",
        "resource" : {
          "reference" : "CarePlan/33"
        }
      }]
    }
  },
  {
    "fullUrl" : "http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/33",
    "resource" : {
      "resourceType" : "CarePlan",
      "id" : "33",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_33\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan 33</b></p><a name=\"33\"> </a><a name=\"hc33\"> </a><a name=\"33-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-PrimaryScreeningDecision.html\">Primary Screening Decision</a></p><p><b>status</b>: option</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href=\"Bundle-HankCarlson.html#Patient_HankCarlson\">Hank Carlson</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-HighLevel_HankCarlson.html#RequestGroup_34\">Bundle: type = collection</a></td></tr></table></div>"
      },
      "instantiatesCanonical" : ["http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/PrimaryScreeningDecision"],
      "status" : "option",
      "intent" : "proposal",
      "subject" : {
        "reference" : "Patient/HankCarlson",
        "display" : "Hank Carlson"
      },
      "created" : "2024-12-10T00:00:00.0Z",
      "activity" : [{
        "reference" : {
          "reference" : "RequestGroup/34"
        }
      }]
    }
  },
  {
    "fullUrl" : "http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/34",
    "resource" : {
      "resourceType" : "RequestGroup",
      "id" : "34",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RequestGroup_34\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup 34</b></p><a name=\"34\"> </a><a name=\"hc34\"> </a><a name=\"34-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-PrimaryScreeningDecision.html\">Primary Screening Decision</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href=\"Bundle-HankCarlson.html#Patient_HankCarlson\">Hank Carlson</a></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>HistoryCRCSurveillance</blockquote><p><b>title</b>: Post-colorectal cancer resection surveillance</p><p><b>description</b>: Patients with a history of colorectal cancer should begin colonoscopy surveillance 1 year pos-resection.\n\nRepeat colonoscopy 3 years after 1st surveillance, and every 5 years thereafter. Post-polypectomy surveillance intervals apply if shorter.\n\nRefer to patient's oncologic treatment team of survivorship care plan for patient-specific guidance.</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>USMSTF Post Colorectal Cancer Resection (2016)</td><td>Colonoscopy Surveillance after Colorectal Cancer Resection: Recommendations of the US Multi-Society Task Force on Colorectal Cancer</td><td><div><p>Kahi, C. J., et al. (2016). Colonoscopy Surveillance after Colorectal Cancer Resection: Recommendations of the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology, 150(3), 758-768.e11. https://doi.org/10.1053/j.gastro.2016.01.001</p>\n</div></td></tr><tr><td style=\"display: none\">*</td><td>Citation</td><td>USMSTF Follow-Up After Colonoscopy and Polypectomy (2020)</td><td>Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer</td><td><div><p>Gupta, S., et al. (2020). Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology, 158(4), 1131–1153.e5. https://doi.org/10.1053/j.gastro.2019.10.026</p>\n</div></td></tr></table><p><b>resource</b>: <a href=\"Bundle-HighLevel_HankCarlson.html#ServiceRequest_35\">Bundle: type = collection</a></p></blockquote></div>"
      },
      "instantiatesCanonical" : ["http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/PrimaryScreeningDecision"],
      "status" : "draft",
      "intent" : "proposal",
      "subject" : {
        "reference" : "Patient/HankCarlson",
        "display" : "Hank Carlson"
      },
      "action" : [{
        "id" : "HistoryCRCSurveillance",
        "title" : "Post-colorectal cancer resection surveillance",
        "description" : "Patients with a history of colorectal cancer should begin colonoscopy surveillance 1 year pos-resection.\n\nRepeat colonoscopy 3 years after 1st surveillance, and every 5 years thereafter. Post-polypectomy surveillance intervals apply if shorter.\n\nRefer to patient's oncologic treatment team of survivorship care plan for patient-specific guidance.",
        "documentation" : [{
          "type" : "citation",
          "label" : "USMSTF Post Colorectal Cancer Resection (2016)",
          "display" : "Colonoscopy Surveillance after Colorectal Cancer Resection: Recommendations of the US Multi-Society Task Force on Colorectal Cancer",
          "citation" : "Kahi, C. J., et al. (2016). Colonoscopy Surveillance after Colorectal Cancer Resection: Recommendations of the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology, 150(3), 758-768.e11. https://doi.org/10.1053/j.gastro.2016.01.001"
        },
        {
          "type" : "citation",
          "label" : "USMSTF Follow-Up After Colonoscopy and Polypectomy (2020)",
          "display" : "Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer",
          "citation" : "Gupta, S., et al. (2020). Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology, 158(4), 1131–1153.e5. https://doi.org/10.1053/j.gastro.2019.10.026"
        }],
        "resource" : {
          "reference" : "ServiceRequest/35"
        }
      }]
    }
  },
  {
    "fullUrl" : "http://cancerscreeningcds.github.io/crcsm-cds/ServiceRequest/35",
    "resource" : {
      "resourceType" : "ServiceRequest",
      "id" : "35",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_35\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 35</b></p><a name=\"35\"> </a><a name=\"hc35\"> </a><a name=\"35-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=\"Bundle-HankCarlson.html#Patient_HankCarlson\">Hank Carlson</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 1286880003}\">History of malignant neoplasm of cecum and/or colon and/or rectum (situation)</span></p></div>"
      },
      "basedOn" : [{
        "reference" : "http://cancerscreeningcds.github.io/crcsm-cds/ActivityDefinition/ColorectalCancerScreeningServiceRequest"
      }],
      "status" : "option",
      "intent" : "proposal",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "452071000124102",
          "display" : "Surveillance for colorectal cancer (regime/therapy)"
        }]
      },
      "subject" : {
        "reference" : "Patient/HankCarlson",
        "display" : "Hank Carlson"
      },
      "reasonCode" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "1286880003",
          "display" : "History of malignant neoplasm of cecum and/or colon and/or rectum (situation)"
        }]
      }]
    }
  }]
}