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
<Bundle xmlns="http://hl7.org/fhir">
<id value="HollyHereditary"/>
<type value="collection"/>
<entry>
<resource>
<Patient>
<id value="HollyHereditary"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_HollyHereditary"> </a><p class="res-header-id"><b>Generated Narrative: Patient HollyHereditary</b></p><a name="HollyHereditary"> </a><a name="hcHollyHereditary"> </a><a name="HollyHereditary-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Holly Hereditary Female, DoB: 1995-07-01 ( Medical Record Number: 428-354-558)</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: Black or African American</li></ul></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="text">
<valueString value="Black or African American"/>
</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="428-354-558"/>
</identifier>
<name>
<family value="Hereditary"/>
<given value="Holly"/>
</name>
<gender value="female"/>
<birthDate value="1995-07-01"/>
</Patient>
</resource>
</entry>
<entry>
<resource>
<Condition>
<id value="lynch-syndrome-active"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_lynch-syndrome-active"> </a><p class="res-header-id"><b>Generated Narrative: Condition lynch-syndrome-active</b></p><a name="lynch-syndrome-active"> </a><a name="hclynch-syndrome-active"> </a><a name="lynch-syndrome-active-en-US"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</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 716318002}">Lynch syndrome</span></p><p><b>subject</b>: <a href="Bundle-HollyHereditary.html#Patient_HollyHereditary">Bundle: type = collection</a></p><p><b>onset</b>: 2014-10-01</p></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</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="716318002"/>
<display value="Lynch syndrome (disorder)"/>
</coding>
<text value="Lynch syndrome"/>
</code>
<subject>
<reference value="Patient/HollyHereditary"/>
</subject>
<onsetDateTime value="2014-10-01"/>
</Condition>
</resource>
</entry>
<entry>
<resource>
<FamilyMemberHistory>
<id value="e99729f4-ad2d-4f28-a2d6-ccb914b13541"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="FamilyMemberHistory_e99729f4-ad2d-4f28-a2d6-ccb914b13541"> </a><p class="res-header-id"><b>Generated Narrative: FamilyMemberHistory e99729f4-ad2d-4f28-a2d6-ccb914b13541</b></p><a name="e99729f4-ad2d-4f28-a2d6-ccb914b13541"> </a><a name="hce99729f4-ad2d-4f28-a2d6-ccb914b13541"> </a><a name="e99729f4-ad2d-4f28-a2d6-ccb914b13541-en-US"> </a><p><b>status</b>: Completed</p><p><b>patient</b>: <a href="Bundle-HollyHereditary.html#Patient_HollyHereditary">Bundle: type = collection</a></p><p><b>name</b>: Unknown</p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MTH}">Mother</span></p><h3>Conditions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Onset[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 716318002}">Lynch syndrome</span></td><td> </td></tr><tr><td style="display: none">*</td><td> </td><td>30 a<span style="background: LightGoldenRodYellow"> (Details: UCUM codea = 'a')</span></td></tr></table></div>
</text>
<status value="completed"/>
<patient>
<reference value="Patient/HollyHereditary"/>
</patient>
<name value="Unknown"/>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="MTH"/>
<display value="Mother"/>
</coding>
</relationship>
<condition>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="716318002"/>
<display value="Lynch syndrome (disorder)"/>
</coding>
<text value="Lynch syndrome"/>
</code>
</condition>
<condition>
<onsetAge>
<value value="30"/>
<system value="http://unitsofmeasure.org"/>
<code value="a"/>
</onsetAge>
</condition>
</FamilyMemberHistory>
</resource>
</entry>
<entry>
<resource>
<DiagnosticReport>
<id value="colonoscopy-report-neg-1"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_colonoscopy-report-neg-1"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport colonoscopy-report-neg-1</b></p><a name="colonoscopy-report-neg-1"> </a><a name="hccolonoscopy-report-neg-1"> </a><a name="colonoscopy-report-neg-1-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>2015-08-05 14:30:00+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="18746-8"/>
<display value="Colonoscopy study"/>
</coding>
</code>
<subject>
<reference value="Patient/HollyHereditary"/>
</subject>
<effectiveDateTime value="2015-08-05T14:30:00.000Z"/>
<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="colonoscopy-report-neg-2"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_colonoscopy-report-neg-2"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport colonoscopy-report-neg-2</b></p><a name="colonoscopy-report-neg-2"> </a><a name="hccolonoscopy-report-neg-2"> </a><a name="colonoscopy-report-neg-2-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>2016-08-11 14:30:00+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="18746-8"/>
<display value="Colonoscopy study"/>
</coding>
</code>
<subject>
<reference value="Patient/HollyHereditary"/>
</subject>
<effectiveDateTime value="2016-08-11T14:30:00.000Z"/>
<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="colonoscopy-report-polyp"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_colonoscopy-report-polyp"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport colonoscopy-report-polyp</b></p><a name="colonoscopy-report-polyp"> </a><a name="hccolonoscopy-report-polyp"> </a><a name="colonoscopy-report-polyp-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>2018-06-11 14:30:00+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 428054006}">Adenomatous polyp of 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/HollyHereditary"/>
</subject>
<effectiveDateTime value="2018-06-11T14:30:00.000Z"/>
<conclusionCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="428054006"/>
<display value="Adenomatous polyp of colon (disorder)"/>
</coding>
</conclusionCode>
</DiagnosticReport>
</resource>
</entry>
<entry>
<resource>
<DiagnosticReport>
<id value="colonoscopy-report-neg-3"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_colonoscopy-report-neg-3"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport colonoscopy-report-neg-3</b></p><a name="colonoscopy-report-neg-3"> </a><a name="hccolonoscopy-report-neg-3"> </a><a name="colonoscopy-report-neg-3-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>2019-07-03 14:30:00+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="18746-8"/>
<display value="Colonoscopy study"/>
</coding>
</code>
<subject>
<reference value="Patient/HollyHereditary"/>
</subject>
<effectiveDateTime value="2019-07-03T14:30:00.000Z"/>
<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="colonoscopy-report-neg-4"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_colonoscopy-report-neg-4"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport colonoscopy-report-neg-4</b></p><a name="colonoscopy-report-neg-4"> </a><a name="hccolonoscopy-report-neg-4"> </a><a name="colonoscopy-report-neg-4-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>2020-06-13 14:30:00+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="18746-8"/>
<display value="Colonoscopy study"/>
</coding>
</code>
<subject>
<reference value="Patient/HollyHereditary"/>
</subject>
<effectiveDateTime value="2020-06-13T14:30:00.000Z"/>
<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="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>2021-06-16 14:30:00+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 1259398000}">Primary carcinoma of cecum (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/HollyHereditary"/>
</subject>
<effectiveDateTime value="2021-06-16T14:30:00.000Z"/>
<conclusionCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1259398000"/>
<display value="Primary carcinoma of cecum (disorder)"/>
</coding>
</conclusionCode>
</DiagnosticReport>
</resource>
</entry>
<entry>
<resource>
<DiagnosticReport>
<id value="colonoscopy-report-polyp"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_colonoscopy-report-polyp"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport colonoscopy-report-polyp</b></p><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>2021-12-11 14:30:00+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 428054006}">Adenomatous polyp of 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/HollyHereditary"/>
</subject>
<effectiveDateTime value="2021-12-11T14:30:00.000Z"/>
<conclusionCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="428054006"/>
<display value="Adenomatous polyp of colon (disorder)"/>
</coding>
</conclusionCode>
</DiagnosticReport>
</resource>
</entry>
<entry>
<resource>
<DiagnosticReport>
<id value="colonoscopy-report-neg-5"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_colonoscopy-report-neg-5"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport colonoscopy-report-neg-5</b></p><a name="colonoscopy-report-neg-5"> </a><a name="hccolonoscopy-report-neg-5"> </a><a name="colonoscopy-report-neg-5-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>2022-12-18 14:30:00+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="18746-8"/>
<display value="Colonoscopy study"/>
</coding>
</code>
<subject>
<reference value="Patient/HollyHereditary"/>
</subject>
<effectiveDateTime value="2022-12-18T14:30:00.000Z"/>
<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="colonoscopy-report-neg-6"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_colonoscopy-report-neg-6"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport colonoscopy-report-neg-6</b></p><a name="colonoscopy-report-neg-6"> </a><a name="hccolonoscopy-report-neg-6"> </a><a name="colonoscopy-report-neg-6-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>2023-12-08 14:30:00+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="18746-8"/>
<display value="Colonoscopy study"/>
</coding>
</code>
<subject>
<reference value="Patient/HollyHereditary"/>
</subject>
<effectiveDateTime value="2023-12-08T14:30:00.000Z"/>
<conclusionCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="260385009"/>
<display value="Negative (qualifier value)"/>
</coding>
</conclusionCode>
</DiagnosticReport>
</resource>
</entry>
</Bundle>