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
Generated Narrative: Bundle HighLevel_HollyHereditary
Bundle HighLevel_HollyHereditary of type collection
Entry 1 - fullUrl = http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/36
Resource CarePlan:
Generated Narrative: CarePlan 36
instantiatesCanonical: High Level Flow
status: Draft
intent: Proposal
subject: Holly Hereditary
created: 2024-12-10 00:00:00+0000
Activities
Reference Bundle: type = collection
Entry 2 - fullUrl = http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/37
Resource RequestGroup:
Generated Narrative: RequestGroup 37
instantiatesCanonical: High Level Flow
status: Draft
intent: Proposal
subject: Holly Hereditary
action
id
39title: Primary Screening Decision
description: Primary Screening Decision pathway.
resource: Bundle: type = collection
Entry 3 - fullUrl = http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/40
Resource CarePlan:
Generated Narrative: CarePlan 40
instantiatesCanonical: Primary Screening Decision
status: option
intent: Proposal
subject: Holly Hereditary
created: 2024-12-10 00:00:00+0000
Activities
Reference Bundle: type = collection
Entry 4 - fullUrl = http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/41
Resource RequestGroup:
Generated Narrative: RequestGroup 41
instantiatesCanonical: Primary Screening Decision
status: Draft
intent: Proposal
subject: Holly Hereditary
action
id
HereditarySyndromesSurveillancetitle: Colorectal cancer surveillance per specialist recommendations
description: Refer to GI specialist for colorectal cancer (and possibly additional cancers) surveillance recommendations. Patients 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.
Documentations
Type Label Display Citation Citation ACG Hereditary Syndromes (2015) ACG Clinical Guideline: Genetic Testing and Management of Hereditary Gastrointestinal Cancer Syndromes 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
resource: Bundle: type = collection
action
id
HistoryPolypsIncreasedRisktitle: Post-polypectomy surveillance
description: Follow endoscopist-recommended interval.
Documentations
Type Label Display Citation Citation USMSTF Follow-Up After Colonoscopy and Polypectomy (2020) Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer 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: Bundle: type = collection
Entry 5 - fullUrl = http://cancerscreeningcds.github.io/crcsm-cds/ServiceRequest/42
Resource ServiceRequest:
Generated Narrative: ServiceRequest 42
basedOn: Colorectal Cancer Screening Service Request
status: option
intent: Proposal
code: Surveillance for colorectal cancer (regime/therapy)
subject: Holly Hereditary
reasonCode: Hereditary cancer-predisposing syndrome (disorder)
Entry 6 - fullUrl = http://cancerscreeningcds.github.io/crcsm-cds/ServiceRequest/43
Resource ServiceRequest:
Generated Narrative: ServiceRequest 43
basedOn: Colorectal Cancer Screening Service Request
status: option
intent: Proposal
code: Increased risk screening for colorectal cancer
subject: Holly Hereditary
reasonCode: History of potentially precancerous polyps