Colorectal Cancer Screening and Management (CRCSM) Clinical Decision Support (CDS) Implementation Guide
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: IncreasedRiskExclusions_HankCarlson - 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 sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

 a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "IncreasedRiskExclusions_HankCarlson"] ; # 
  fhir:type [ fhir:v "collection"] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/178"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/178> )
  ] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/179"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/179> )
  ] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/ServiceRequest/180"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/crcsm-cds/ServiceRequest/180> )
  ] ) . # 

<http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/178> a fhir:CarePlan ;
  fhir:id [ fhir:v "178"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_178\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan 178</b></p><a name=\"178\"> </a><a name=\"hc178\"> </a><a name=\"178-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-flow-IncreasedRiskExclusions.html\">Increased Risk Exclusions</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-IncreasedRiskExclusions_HankCarlson.html#RequestGroup_179\">Bundle: type = collection</a></td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:instantiatesCanonical ( [
fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/flow-IncreasedRiskExclusions"^^xsd:anyURI ;
fhir:link <http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/flow-IncreasedRiskExclusions>
  ] ) ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:intent [ fhir:v "proposal"] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/HankCarlson" ] ;
fhir:display [ fhir:v "Hank Carlson" ]
  ] ; # 
  fhir:created [ fhir:v "2024-12-10T00:00:00.0Z"^^xsd:dateTime] ; # 
  fhir:activity ( [
fhir:reference [
fhir:reference [ fhir:v "RequestGroup/179" ]     ]
  ] ) . # 

<http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/179> a fhir:RequestGroup ;
  fhir:id [ fhir:v "179"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RequestGroup_179\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup 179</b></p><a name=\"179\"> </a><a name=\"hc179\"> </a><a name=\"179-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-flow-IncreasedRiskExclusions.html\">Increased Risk Exclusions</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-IncreasedRiskExclusions_HankCarlson.html#ServiceRequest_180\">Bundle: type = collection</a></p></blockquote></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:instantiatesCanonical ( [
fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/flow-IncreasedRiskExclusions"^^xsd:anyURI ;
fhir:link <http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/flow-IncreasedRiskExclusions>
  ] ) ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:intent [ fhir:v "proposal"] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/HankCarlson" ] ;
fhir:display [ fhir:v "Hank Carlson" ]
  ] ; # 
  fhir:action ( [
fhir:id [ fhir:v "HistoryCRCSurveillance" ] ;
fhir:title [ fhir:v "Post-colorectal cancer resection surveillance" ] ;
fhir:description [ fhir:v "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." ] ;
    ( fhir:documentation [
fhir:type [ fhir:v "citation" ] ;
fhir:label [ fhir:v "USMSTF Post Colorectal Cancer Resection (2016)" ] ;
fhir:display [ fhir:v "Colonoscopy Surveillance after Colorectal Cancer Resection: Recommendations of the US Multi-Society Task Force on Colorectal Cancer" ] ;
fhir:citation [ fhir:v "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" ]     ] [
fhir:type [ fhir:v "citation" ] ;
fhir:label [ fhir:v "USMSTF Follow-Up After Colonoscopy and Polypectomy (2020)" ] ;
fhir:display [ fhir:v "Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer" ] ;
fhir:citation [ fhir:v "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" ]     ] ) ;
fhir:resource [
fhir:reference [ fhir:v "ServiceRequest/180" ]     ]
  ] ) . # 

<http://cancerscreeningcds.github.io/crcsm-cds/ServiceRequest/180> a fhir:ServiceRequest ;
  fhir:id [ fhir:v "180"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_180\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 180</b></p><a name=\"180\"> </a><a name=\"hc180\"> </a><a name=\"180-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>"^^rdf:XMLLiteral
  ] ; # 
  fhir:basedOn ( [
fhir:link <http://cancerscreeningcds.github.io/crcsm-cds/ActivityDefinition/ColorectalCancerScreeningServiceRequest> ;
fhir:reference [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/ActivityDefinition/ColorectalCancerScreeningServiceRequest" ]
  ] ) ; # 
  fhir:status [ fhir:v "option"] ; # 
  fhir:intent [ fhir:v "proposal"] ; # 
  fhir:code [
    ( fhir:coding [
a sct:452071000124102 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "452071000124102" ] ;
fhir:display [ fhir:v "Surveillance for colorectal cancer (regime/therapy)" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/HankCarlson" ] ;
fhir:display [ fhir:v "Hank Carlson" ]
  ] ; # 
  fhir:reasonCode ( [
    ( fhir:coding [
a sct:1286880003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1286880003" ] ;
fhir:display [ fhir:v "History of malignant neoplasm of cecum and/or colon and/or rectum (situation)" ]     ] )
  ] ) . #