Colorectal Cancer Screening and Management (CRCSM) Clinical Decision Support (CDS) Implementation Guide
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: SallySimpson - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "SallySimpson",
  "type" : "collection",
  "entry" : [
    {
      "resource" : {
        "resourceType" : "Patient",
        "id" : "SallySimpson",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_SallySimpson\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient SallySimpson</b></p><a name=\"SallySimpson\"> </a><a name=\"hcSallySimpson\"> </a><a name=\"SallySimpson-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Sally Simpson  Female, DoB: 1970-03-19 ( Medical Record Number: 631-344-898)</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:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>text: White</li></ul></td></tr></table></div>"
        },
        "extension" : [
          {
            "extension" : [
              {
                "url" : "text",
                "valueString" : "White"
              }
            ],
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
          },
          {
            "extension" : [
              {
                "url" : "text",
                "valueString" : "Not Hispanic or Latino"
              }
            ],
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
          }
        ],
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "code" : "MR",
                  "display" : "Medical Record Number"
                }
              ]
            },
            "value" : "631-344-898"
          }
        ],
        "name" : [
          {
            "family" : "Simpson",
            "given" : [
              "Sally"
            ]
          }
        ],
        "gender" : "female",
        "birthDate" : "1970-03-19"
      }
    },
    {
      "resource" : {
        "resourceType" : "DiagnosticReport",
        "id" : "fit-report-neg-1",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_fit-report-neg-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport fit-report-neg-1</b></p><a name=\"fit-report-neg-1\"> </a><a name=\"hcfit-report-neg-1\"> </a><a name=\"fit-report-neg-1-en-US\"> </a><h2><span title=\"Codes:{http://loinc.org 29771-3}\">Hemoglobin.gastrointestinal.lower [Presence] in Stool by Immunoassay</span> </h2><table class=\"grid\"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2020-01-15 00:00:00+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>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "29771-3",
              "display" : "Hemoglobin.gastrointestinal.lower [Presence] in Stool by Immunoassay"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/SallySimpson"
        },
        "effectiveDateTime" : "2020-01-15T00:00:00.000Z",
        "conclusionCode" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "260385009",
                "display" : "Negative (qualifier value)"
              }
            ]
          }
        ]
      }
    },
    {
      "resource" : {
        "resourceType" : "DiagnosticReport",
        "id" : "fit-report-neg-2",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_fit-report-neg-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport fit-report-neg-2</b></p><a name=\"fit-report-neg-2\"> </a><a name=\"hcfit-report-neg-2\"> </a><a name=\"fit-report-neg-2-en-US\"> </a><h2><span title=\"Codes:{http://loinc.org 29771-3}\">Hemoglobin.gastrointestinal.lower [Presence] in Stool by Immunoassay</span> </h2><table class=\"grid\"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2021-01-30 00:00:00+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>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "29771-3",
              "display" : "Hemoglobin.gastrointestinal.lower [Presence] in Stool by Immunoassay"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/SallySimpson"
        },
        "effectiveDateTime" : "2021-01-30T00:00:00.000Z",
        "conclusionCode" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "260385009",
                "display" : "Negative (qualifier value)"
              }
            ]
          }
        ]
      }
    },
    {
      "resource" : {
        "resourceType" : "DiagnosticReport",
        "id" : "fit-report-neg-3",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_fit-report-neg-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport fit-report-neg-3</b></p><a name=\"fit-report-neg-3\"> </a><a name=\"hcfit-report-neg-3\"> </a><a name=\"fit-report-neg-3-en-US\"> </a><h2><span title=\"Codes:{http://loinc.org 29771-3}\">Hemoglobin.gastrointestinal.lower [Presence] in Stool by Immunoassay</span> </h2><table class=\"grid\"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2022-03-02 00:00:00+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>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "29771-3",
              "display" : "Hemoglobin.gastrointestinal.lower [Presence] in Stool by Immunoassay"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/SallySimpson"
        },
        "effectiveDateTime" : "2022-03-02T00:00:00.000Z",
        "conclusionCode" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "260385009",
                "display" : "Negative (qualifier value)"
              }
            ]
          }
        ]
      }
    },
    {
      "resource" : {
        "resourceType" : "DiagnosticReport",
        "id" : "fit-report-neg-4",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_fit-report-neg-4\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport fit-report-neg-4</b></p><a name=\"fit-report-neg-4\"> </a><a name=\"hcfit-report-neg-4\"> </a><a name=\"fit-report-neg-4-en-US\"> </a><h2><span title=\"Codes:{http://loinc.org 29771-3}\">Hemoglobin.gastrointestinal.lower [Presence] in Stool by Immunoassay</span> </h2><table class=\"grid\"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2023-02-27 00:00:00+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>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "29771-3",
              "display" : "Hemoglobin.gastrointestinal.lower [Presence] in Stool by Immunoassay"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/SallySimpson"
        },
        "effectiveDateTime" : "2023-02-27T00:00:00.000Z",
        "conclusionCode" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "260385009",
                "display" : "Negative (qualifier value)"
              }
            ]
          }
        ]
      }
    },
    {
      "resource" : {
        "resourceType" : "Observation",
        "id" : "d63b330b-d91c-48ec-b17b-9b679bd02a55",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_d63b330b-d91c-48ec-b17b-9b679bd02a55\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation d63b330b-d91c-48ec-b17b-9b679bd02a55</b></p><a name=\"d63b330b-d91c-48ec-b17b-9b679bd02a55\"> </a><a name=\"hcd63b330b-d91c-48ec-b17b-9b679bd02a55\"> </a><a name=\"d63b330b-d91c-48ec-b17b-9b679bd02a55-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/crcsm-cds/CodeSystem/screening-observation-code-system ColorectalSymptoms}\">New or worsening colorectal symptoms</span></p><p><b>subject</b>: <a href=\"Bundle-SallySimpson.html#Patient_SallySimpson\">Bundle: type = collection</a></p><p><b>effective</b>: 2024-12-10 00:00:00+0000</p><p><b>value</b>: true</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://cancerscreeningcds.github.io/crcsm-cds/CodeSystem/screening-observation-code-system",
              "code" : "ColorectalSymptoms",
              "display" : "New or worsening colorectal symptoms"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/SallySimpson"
        },
        "effectiveDateTime" : "2024-12-10T00:00:00.000Z",
        "valueBoolean" : true
      }
    }
  ]
}