<description value="For patients with a single first-degree relative (mother, father, full sibling, child) with colorectal cancer or an advanced polyp(s): * If relative diagnosed at >= 60 years: * Start screening at 40 years old. Tests and intervals are as per average risk screening recommendations. * If relative diagnosed at < 60 years old: * Start screening 10 years before relative's age at diagnosis or age 40, whichever is earlier. Repeat colonoscopy every 5 years. * If no significant neoplasia appears by age 60 years, can offer expanding the interval between colonoscopies. For patients with 2 or more first-degree relatives with colorectal cancer or an advanced polyp: * Start screening colonoscopy 10 years before the reatives' youngest age at diagnosis or age 40, whichever is earlier. Repeat colonoscopy every 5 years. Patients with a history of potentially precancerous polyps should follow shortest interval between recommendations above and recommendations based on colonoscopy findings."/> <documentation> <type value="citation"/> <label value="USMSTF (2017)"/> <display value="Colorectal Cancer Screening: Recommendations for Physicians and Patients From the U.S. Multi-Society Task Force on Colorectal Cancer"/> <citation value="Rex, D. K., et al. (2017). Colorectal Cancer Screening: Recommendations for Physicians and Patients From the U.S. Multi-Society Task Force on Colorectal Cancer. Gastroenterology, 153(1), 307-323. https://doi.org/10.1053/j.gastro.2017.05.013"/> </documentation> <documentation> <type value="citation"/> <label value="ACG Average Risk (2021)"/> <display value="ACG Clinical Guidelines: Colorectal Cancer Screening 2021"/> <citation value="Shaukat, A., et al. (2021). ACG Clinical Guidelines: Colorectal Cancer Screening 2021. American Journal of Gastroenterology, 116(3), 458-479. https://doi.org/10.14309/ajg.0000000000001122"/> </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/96"/> </resource> </action> </RequestGroup> </resource> </entry> <entry> <fullUrl value="http://cancerscreeningcds.github.io/crcsm-cds/ServiceRequest/96"/> <resource> <ServiceRequest> <id value="96"/> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_96"> </a>Generated Narrative: ServiceRequest 96<a name="96"> </a><a name="hc96"> </a><a name="96-en-US"> </a>basedOn: <a href="ActivityDefinition-ColorectalCancerScreeningServiceRequest.html">Colorectal Cancer Screening Service Request</a>status: optionintent: Proposalcode: Increased risk screening for colorectal cancersubject: <a href="Bundle-FannyFamiglietti.html#Patient_FannyFamiglietti">Fanny Famiglietti</a>reasonCode: Family history of colorectal cancer (situation)</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://cancerscreeningcds.github.io/crcsm-cds/CodeSystem/plan-definition-action-code-system"/> <code value="increasedriskscreening"/> <display value="Increased risk screening for colorectal cancer"/> </coding> </code> <subject> <reference value="Patient/FannyFamiglietti"/> <display value="Fanny Famiglietti"/> </subject> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="1421000119104"/> <display value="Family history of colorectal cancer (situation)"/> </coding> </reasonCode> </ServiceRequest> </resource> </entry> </Bundle>

Generated Narrative: RequestGroup 95

instantiatesCanonical: Primary Screening Decision

status: Draft

intent: Proposal

action
id
FamilyHistoryIncreasedRisk
title: Family history increased risk screening/surveillance
description: For patients with a single first-degree relative (mother, father, full sibling, child) with colorectal cancer or an advanced polyp(s): * If relative diagnosed at >= 60 years: * Start screening at 40 years old. Tests and intervals are as per average risk screening recommendations. * If relative diagnosed at < 60 years old: * Start screening 10 years before relative's age at diagnosis or age 40, whichever is earlier. Repeat colonoscopy every 5 years. * If no significant neoplasia appears by age 60 years, can offer expanding the interval between colonoscopies. For patients with 2 or more first-degree relatives with colorectal cancer or an advanced polyp: * Start screening colonoscopy 10 years before the reatives' youngest age at diagnosis or age 40, whichever is earlier. Repeat colonoscopy every 5 years. Patients with a history of potentially precancerous polyps should follow shortest interval between recommendations above and recommendations based on colonoscopy findings.
Documentations
- Type Label Display Citation
* Citation USMSTF (2017) Colorectal Cancer Screening: Recommendations for Physicians and Patients From the U.S. Multi-Society Task Force on Colorectal Cancer
Rex, D. K., et al. (2017). Colorectal Cancer Screening: Recommendations for Physicians and Patients From the U.S. Multi-Society Task Force on Colorectal Cancer. Gastroenterology, 153(1), 307-323. https://doi.org/10.1053/j.gastro.2017.05.013

* Citation ACG Average Risk (2021) ACG Clinical Guidelines: Colorectal Cancer Screening 2021
Shaukat, A., et al. (2021). ACG Clinical Guidelines: Colorectal Cancer Screening 2021. American Journal of Gastroenterology, 116(3), 458-479. https://doi.org/10.14309/ajg.0000000000001122

* Citation USMSTF Follow-Up After Colonoscopy and Polypectomy (2020) Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer
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: Bundle: type = collection

Activities

Documentations