Generated Narrative: CarePlan 100

instantiatesCanonical: Primary Screening Decision

status: Draft

intent: Proposal

subject: Holly Hereditary

created: 2024-12-10 00:00:00+0000

Activities

-Reference
*Bundle: type = collection

Generated Narrative: RequestGroup 101

instantiatesCanonical: Primary Screening Decision

status: Draft

intent: Proposal

subject: Holly Hereditary

action

id

HereditarySyndromesSurveillance

title: Colorectal cancer surveillance per specialist recommendations

description: Refer to GI specialist for colorectal cancer (and possibly additional cancers) surveillance recommendations. Patients with a hereditary cancer syndrome require specialized management and colonoscopy surveillance for colorectal cancer (as well as additional surveillance for other cancers). Recommendations on when to start surveillance and surveillance intervals vary according to the syndrome.

Documentations

-TypeLabelDisplayCitation
*CitationACG Hereditary Syndromes (2015)ACG Clinical Guideline: Genetic Testing and Management of Hereditary Gastrointestinal Cancer Syndromes

Syngal, S., et al. (2015). ACG Clinical Guideline: Genetic Testing and Management of Hereditary Gastrointestinal Cancer Syndromes. American Journal of Gastroenterology 110(2):p 223-262. https://doi.org/10.1038/ajg.2014.435

resource: Bundle: type = collection

action

id

HistoryPolypsIncreasedRisk

title: Post-polypectomy surveillance

description: Follow endoscopist-recommended interval.

Documentations

-TypeLabelDisplayCitation
*CitationUSMSTF 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

 <description value="Refer to GI specialist for colorectal cancer (and possibly additional cancers) surveillance recommendations. Patients with a hereditary cancer syndrome require specialized management and colonoscopy surveillance for colorectal cancer (as well as additional surveillance for other cancers). Recommendations on when to start surveillance and surveillance intervals vary according to the syndrome."/> <documentation> <type value="citation"/> <label value="ACG Hereditary Syndromes (2015)"/> <display value="ACG Clinical Guideline: Genetic Testing and Management of Hereditary Gastrointestinal Cancer Syndromes"/> <citation value="Syngal, S., et al. (2015). ACG Clinical Guideline: Genetic Testing and Management of Hereditary Gastrointestinal Cancer Syndromes. American Journal of Gastroenterology 110(2):p 223-262. https://doi.org/10.1038/ajg.2014.435"/> </documentation> <resource> <reference value="ServiceRequest/102"/> </resource> </action> <action id="HistoryPolypsIncreasedRisk"> <title value="Post-polypectomy surveillance"/> <description value="Follow endoscopist-recommended interval. "/> <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/103"/> </resource> </action> </RequestGroup> </resource> </entry> <entry> <fullUrl value="http://cancerscreeningcds.github.io/crcsm-cds/ServiceRequest/102"/> <resource> <ServiceRequest> <id value="102"/> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_102"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest 102</b></p><a name="102"> </a><a name="hc102"> </a><a name="102-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-HollyHereditary.html#Patient_HollyHereditary">Holly Hereditary</a></p><p><b>reasonCode</b>: <span title="Codes:{http://snomed.info/sct 699346009}">Hereditary cancer-predisposing syndrome (disorder)</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/HollyHereditary"/> <display value="Holly Hereditary"/> </subject> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="699346009"/> <display value="Hereditary cancer-predisposing syndrome (disorder)"/> </coding> </reasonCode> </ServiceRequest> </resource> </entry> <entry> <fullUrl value="http://cancerscreeningcds.github.io/crcsm-cds/ServiceRequest/103"/> <resource> <ServiceRequest> <id value="103"/> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_103"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest 103</b></p><a name="103"> </a><a name="hc103"> </a><a name="103-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://cancerscreeningcds.github.io/crcsm-cds/CodeSystem/plan-definition-action-code-system increasedriskscreening}">Increased risk screening for colorectal cancer</span></p><p><b>subject</b>: <a href="Bundle-HollyHereditary.html#Patient_HollyHereditary">Holly Hereditary</a></p><p><b>reasonCode</b>: <span title="Codes:{http://cancerscreeningcds.github.io/crcsm-cds/CodeSystem/plan-definition-action-reason-code-system historyofprecancerouspolyps}">History of potentially precancerous polyps</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://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/HollyHereditary"/> <display value="Holly Hereditary"/> </subject> <reasonCode> <coding> <system value="http://cancerscreeningcds.github.io/crcsm-cds/CodeSystem/plan-definition-action-reason-code-system"/> <code value="historyofprecancerouspolyps"/> <display value="History of potentially precancerous polyps"/> </coding> </reasonCode> </ServiceRequest> </resource> </entry> </Bundle>