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="IsaacBrown"/>
<type value="collection"/>
<entry>
<resource>
<Patient>
<id value="IsaacBrown"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_IsaacBrown"> </a><p class="res-header-id"><b>Generated Narrative: Patient IsaacBrown</b></p><a name="IsaacBrown"> </a><a name="hcIsaacBrown"> </a><a name="IsaacBrown-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Isaac Brown Male, DoB: 1997-06-19 ( Medical Record Number: 294-129-859)</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: White</li></ul></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="text">
<valueString value="White"/>
</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="294-129-859"/>
</identifier>
<name>
<family value="Brown"/>
<given value="Isaac"/>
</name>
<gender value="male"/>
<birthDate value="1997-06-19"/>
</Patient>
</resource>
</entry>
<entry>
<resource>
<Condition>
<id value="ulcerative-colitis-active"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_ulcerative-colitis-active"> </a><p class="res-header-id"><b>Generated Narrative: Condition ulcerative-colitis-active</b></p><a name="ulcerative-colitis-active"> </a><a name="hculcerative-colitis-active"> </a><a name="ulcerative-colitis-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 64766004}">Ulcerative colitis (disorder)</span></p><p><b>subject</b>: <a href="Bundle-IsaacBrown.html#Patient_IsaacBrown">Bundle: type = collection</a></p><p><b>onset</b>: 2012-10-01</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="64766004"/>
<display value="Ulcerative colitis (disorder)"/>
</coding>
</code>
<subject>
<reference value="Patient/IsaacBrown"/>
</subject>
<onsetDateTime value="2012-10-01"/>
</Condition>
</resource>
</entry>
<entry>
<resource>
<DiagnosticReport>
<id value="colonoscopy-report-1"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_colonoscopy-report-1"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport colonoscopy-report-1</b></p><a name="colonoscopy-report-1"> </a><a name="hccolonoscopy-report-1"> </a><a name="colonoscopy-report-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>2012-10-01 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 78712000}">Moderate chronic ulcerative colitis (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/IsaacBrown"/>
</subject>
<effectiveDateTime value="2012-10-01T14:30:00.000Z"/>
<conclusionCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="78712000"/>
<display value="Moderate chronic ulcerative colitis (disorder)"/>
</coding>
</conclusionCode>
</DiagnosticReport>
</resource>
</entry>
<entry>
<resource>
<DiagnosticReport>
<id value="colonoscopy-report-2"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_colonoscopy-report-2"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport colonoscopy-report-2</b></p><a name="colonoscopy-report-2"> </a><a name="hccolonoscopy-report-2"> </a><a name="colonoscopy-report-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>2013-11-01 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 78712000}">Moderate chronic ulcerative colitis (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/IsaacBrown"/>
</subject>
<effectiveDateTime value="2013-11-01T14:30:00.000Z"/>
<conclusionCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="78712000"/>
<display value="Moderate chronic ulcerative colitis (disorder)"/>
</coding>
</conclusionCode>
</DiagnosticReport>
</resource>
</entry>
<entry>
<resource>
<DiagnosticReport>
<id value="colonoscopy-report-3"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_colonoscopy-report-3"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport colonoscopy-report-3</b></p><a name="colonoscopy-report-3"> </a><a name="hccolonoscopy-report-3"> </a><a name="colonoscopy-report-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>2015-11-06 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 78712000}">Moderate chronic ulcerative colitis (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/IsaacBrown"/>
</subject>
<effectiveDateTime value="2015-11-06T14:30:00.000Z"/>
<conclusionCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="78712000"/>
<display value="Moderate chronic ulcerative colitis (disorder)"/>
</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>2018-10-01 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 697969008}">Ulcerative colitis in remission (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/IsaacBrown"/>
</subject>
<effectiveDateTime value="2018-10-01T14:30:00.000Z"/>
<conclusionCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="697969008"/>
<display value="Ulcerative colitis in remission (disorder)"/>
</coding>
</conclusionCode>
</DiagnosticReport>
</resource>
</entry>
<entry>
<resource>
<Condition>
<id value="ulcerative-colitis-remission"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_ulcerative-colitis-remission"> </a><p class="res-header-id"><b>Generated Narrative: Condition ulcerative-colitis-remission</b></p><a name="ulcerative-colitis-remission"> </a><a name="hculcerative-colitis-remission"> </a><a name="ulcerative-colitis-remission-en-US"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical remission}">Remission</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 64766004}">Ulcerative colitis (disorder)</span></p><p><b>subject</b>: <a href="Bundle-IsaacBrown.html#Patient_IsaacBrown">Bundle: type = collection</a></p><p><b>onset</b>: 2018-10-01</p></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="remission"/>
<display value="Remission"/>
</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="64766004"/>
<display value="Ulcerative colitis (disorder)"/>
</coding>
</code>
<subject>
<reference value="Patient/IsaacBrown"/>
</subject>
<onsetDateTime value="2018-10-01"/>
</Condition>
</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>2021-10-01 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/IsaacBrown"/>
</subject>
<effectiveDateTime value="2021-10-01T14:30:00.000Z"/>
<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-with-followup"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_colonoscopy-report-with-followup"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport colonoscopy-report-with-followup</b></p><a name="colonoscopy-report-with-followup"> </a><a name="hccolonoscopy-report-with-followup"> </a><a name="colonoscopy-report-with-followup-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>2023-10-07 00:00:00+0000</td></tr></table><p><b>Report Details</b></p><table class="grid"><tr><td><b>Code</b></td><td><b>Value</b></td></tr><tr><td/><td/></tr></table></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/IsaacBrown"/>
</subject>
<effectiveDateTime value="2023-10-07T00:00:00.000Z"/>
<result>
<reference value="Observation/observation-1"/>
</result>
</DiagnosticReport>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="observation-1"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-1"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-1</b></p><a name="observation-1"> </a><a name="hcobservation-1"> </a><a name="observation-1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 470191000124102}">Colorectal cancer screening follow-up planning (procedure)</span></p><p><b>subject</b>: <a href="Bundle-IsaacBrown.html#Patient_IsaacBrown">Bundle: type = collection</a></p><p><b>effective</b>: 2023-10-07 00:00:00+0000</p><p><b>value</b>: 3 years<span style="background: LightGoldenRodYellow"> (Details: UCUM codea = 'a')</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="470191000124102"/>
<display
value="Colorectal cancer screening follow-up planning (procedure)"/>
</coding>
</code>
<subject>
<reference value="Patient/IsaacBrown"/>
</subject>
<effectiveDateTime value="2023-10-07T00:00:00.000Z"/>
<valueQuantity>
<value value="3"/>
<unit value="years"/>
<system value="http://unitsofmeasure.org"/>
<code value="a"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<resource>
<Observation>
<id value="observation-2"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_observation-2"> </a><p class="res-header-id"><b>Generated Narrative: Observation observation-2</b></p><a name="observation-2"> </a><a name="hcobservation-2"> </a><a name="observation-2-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 18746-8}">Colonoscopy study</span></p><p><b>subject</b>: <a href="Bundle-IsaacBrown.html#Patient_IsaacBrown">Bundle: type = collection</a></p><p><b>effective</b>: 2023-10-07 00:00:00+0000</p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 260385009}">Negative (qualifier value)</span></p></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/IsaacBrown"/>
</subject>
<effectiveDateTime value="2023-10-07T00:00:00.000Z"/>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="260385009"/>
<display value="Negative (qualifier value)"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
</Bundle>