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="IncreasedRiskExclusions_eve-HereditarySyndrome_no_eve-IBD_no_eve-HxCRC_yes_act-HxCRC"/>
<type value="collection"/>
<entry>
<fullUrl
value="http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/199"/>
<resource>
<CarePlan>
<id value="199"/>
<text>
<status value="generated"/>
<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>
</text>
<instantiatesCanonical
value="http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/flow-IncreasedRiskExclusions"/>
<status value="draft"/>
<intent value="proposal"/>
<subject>
<reference value="Patient/b0a3822c-9469-45fd-98c1-650e57ffc62c"/>
<display value="Joanne Smith"/>
</subject>
<created value="2024-12-10T00:00:00.0Z"/>
<activity>
<reference>
<reference value="RequestGroup/200"/>
</reference>
</activity>
</CarePlan>
</resource>
</entry>
<entry>
<fullUrl
value="http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/200"/>
<resource>
<RequestGroup>
<id value="200"/>
<text>
<status value="generated"/>
<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.
Repeat colonoscopy 3 years after 1st surveillance, and every 5 years thereafter. Post-polypectomy surveillance intervals apply if shorter.
Refer 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>
</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>
</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>
</text>
<instantiatesCanonical
value="http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/flow-IncreasedRiskExclusions"/>
<status value="draft"/>
<intent value="proposal"/>
<subject>
<reference value="Patient/b0a3822c-9469-45fd-98c1-650e57ffc62c"/>
<display value="Joanne Smith"/>
</subject>
<action id="HistoryCRCSurveillance">
<title value="Post-colorectal cancer resection surveillance"/>
<description
value="Patients with a history of colorectal cancer should begin colonoscopy surveillance 1 year pos-resection.
Repeat colonoscopy 3 years after 1st surveillance, and every 5 years thereafter. Post-polypectomy surveillance intervals apply if shorter.
Refer to patient's oncologic treatment team of survivorship care plan for patient-specific guidance."/>
<documentation>
<type value="citation"/>
<label value="USMSTF Post Colorectal Cancer Resection (2016)"/>
<display
value="Colonoscopy Surveillance after Colorectal Cancer Resection: Recommendations of the US Multi-Society Task Force on Colorectal Cancer"/>
<citation
value="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"/>
</documentation>
<documentation>
<type value="citation"/>
<label
value="USMSTF Follow-Up After Colonoscopy and Polypectomy (2020)"/>
<display
value="Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer"/>
<citation
value="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"/>
</documentation>
<resource>
<reference value="ServiceRequest/201"/>
</resource>
</action>
</RequestGroup>
</resource>
</entry>
<entry>
<fullUrl
value="http://cancerscreeningcds.github.io/crcsm-cds/ServiceRequest/201"/>
<resource>
<ServiceRequest>
<id value="201"/>
<text>
<status value="generated"/>
<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>
</text>
<basedOn>🔗
<reference
value="http://cancerscreeningcds.github.io/crcsm-cds/ActivityDefinition/ColorectalCancerScreeningServiceRequest"/>
</basedOn>
<status value="option"/>
<intent value="proposal"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="452071000124102"/>
<display
value="Surveillance for colorectal cancer (regime/therapy)"/>
</coding>
</code>
<subject>
<reference value="Patient/b0a3822c-9469-45fd-98c1-650e57ffc62c"/>
<display value="Joanne Smith"/>
</subject>
<reasonCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1286880003"/>
<display
value="History of malignant neoplasm of cecum and/or colon and/or rectum (situation)"/>
</coding>
</reasonCode>
</ServiceRequest>
</resource>
</entry>
</Bundle>