{
  "resourceType" : "Bundle",
  "id" : "IncreasedRiskExclusions_eve-HereditarySyndrome_no_eve-IBD_no_eve-HxCRC_yes_act-HxCRC",
  "type" : "collection",
  "entry" : [{
    "fullUrl" : "http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/199",
    "resource" : {
      "resourceType" : "CarePlan",
      "id" : "199",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_199\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan 199</b></p><a name=\"199\"> </a><a name=\"hc199\"> </a><a name=\"199-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-eve-HereditarySyndrome_no_eve-IBD_no_eve-HxCRC_yes_act-HxCRC.html#Patient_b0a3822c-9469-45fd-98c1-650e57ffc62c\">Joanne Smith</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_eve-HereditarySyndrome_no_eve-IBD_no_eve-HxCRC_yes_act-HxCRC.html#RequestGroup_200\">Bundle: type = collection</a></td></tr></table></div>"
      },
      "instantiatesCanonical" : ["http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/flow-IncreasedRiskExclusions"],
      "status" : "draft",
      "intent" : "proposal",
      "subject" : {
        "reference" : "Patient/b0a3822c-9469-45fd-98c1-650e57ffc62c",
        "display" : "Joanne Smith"
      },
      "created" : "2024-12-10T00:00:00.0Z",
      "activity" : [{
        "reference" : {
          "reference" : "RequestGroup/200"
        }
      }]
    }
  },
  {
    "fullUrl" : "http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/200",
    "resource" : {
      "resourceType" : "RequestGroup",
      "id" : "200",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RequestGroup_200\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup 200</b></p><a name=\"200\"> </a><a name=\"hc200\"> </a><a name=\"200-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-eve-HereditarySyndrome_no_eve-IBD_no_eve-HxCRC_yes_act-HxCRC.html#Patient_b0a3822c-9469-45fd-98c1-650e57ffc62c\">Joanne Smith</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_eve-HereditarySyndrome_no_eve-IBD_no_eve-HxCRC_yes_act-HxCRC.html#ServiceRequest_201\">Bundle: type = collection</a></p></blockquote></div>"
      },
      "instantiatesCanonical" : ["http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/flow-IncreasedRiskExclusions"],
      "status" : "draft",
      "intent" : "proposal",
      "subject" : {
        "reference" : "Patient/b0a3822c-9469-45fd-98c1-650e57ffc62c",
        "display" : "Joanne Smith"
      },
      "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/201"
        }
      }]
    }
  },
  {
    "fullUrl" : "http://cancerscreeningcds.github.io/crcsm-cds/ServiceRequest/201",
    "resource" : {
      "resourceType" : "ServiceRequest",
      "id" : "201",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_201\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 201</b></p><a name=\"201\"> </a><a name=\"hc201\"> </a><a name=\"201-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-eve-HereditarySyndrome_no_eve-IBD_no_eve-HxCRC_yes_act-HxCRC.html#Patient_b0a3822c-9469-45fd-98c1-650e57ffc62c\">Joanne Smith</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/b0a3822c-9469-45fd-98c1-650e57ffc62c",
        "display" : "Joanne Smith"
      },
      "reasonCode" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "1286880003",
          "display" : "History of malignant neoplasm of cecum and/or colon and/or rectum (situation)"
        }]
      }]
    }
  }]
}