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

: FollowUp_eve-lastTestColonoscopy_yes_eve-colonoscopyFindingCRC_no_eve-recommendedInterval_no_eve-colonoscopyFindingPolyps_yes_act-followUpColonoscopist - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "FollowUp_eve-lastTestColonoscopy_yes_eve-colonoscopyFindingCRC_no_eve-recommendedInterval_no_eve-colonoscopyFindingPolyps_yes_act-followUpColonoscopist"] ; # 
  fhir:type [ fhir:v "collection"] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/167"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/167> )
  ] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/168"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/168> )
  ] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/ServiceRequest/169"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/crcsm-cds/ServiceRequest/169> )
  ] ) . # 

<http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/167> a fhir:CarePlan ;
  fhir:id [ fhir:v "167"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_167\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan 167</b></p><a name=\"167\"> </a><a name=\"hc167\"> </a><a name=\"167-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-flow-FollowUp.html\">Follow Up</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href=\"Bundle-eve-lastTestColonoscopy_yes_eve-colonoscopyFindingCRC_no_eve-recommendedInterval_no_eve-colonoscopyFindingPolyps_yes_act-followUpColonoscopist.html#Patient_ef8b331f-6837-4ad0-9f3e-939f5dba22e9\">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-FollowUp_eve-lastTestColonoscopy_yes_eve-colonoscopyFindingCRC_no_eve-recommendedInterval_no_eve-colonoscopyFindingPolyps_yes_act-followUpColonoscopist.html#RequestGroup_168\">Bundle: type = collection</a></td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:instantiatesCanonical ( [
fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/flow-FollowUp"^^xsd:anyURI ;
fhir:link <http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/flow-FollowUp>
  ] ) ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:intent [ fhir:v "proposal"] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/ef8b331f-6837-4ad0-9f3e-939f5dba22e9" ] ;
fhir:display [ fhir:v "Joanne Smith" ]
  ] ; # 
  fhir:created [ fhir:v "2024-12-10T00:00:00.0Z"^^xsd:dateTime] ; # 
  fhir:activity ( [
fhir:reference [
fhir:reference [ fhir:v "RequestGroup/168" ]     ]
  ] ) . # 

<http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/168> a fhir:RequestGroup ;
  fhir:id [ fhir:v "168"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RequestGroup_168\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup 168</b></p><a name=\"168\"> </a><a name=\"hc168\"> </a><a name=\"168-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-flow-FollowUp.html\">Follow Up</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href=\"Bundle-eve-lastTestColonoscopy_yes_eve-colonoscopyFindingCRC_no_eve-recommendedInterval_no_eve-colonoscopyFindingPolyps_yes_act-followUpColonoscopist.html#Patient_ef8b331f-6837-4ad0-9f3e-939f5dba22e9\">Joanne Smith</a></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>FollowupColonoscopyPolypResult</blockquote><p><b>io/crcsm-cds/StructureDefinition/csm-recommendation-flag</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/crcsm-cds/CodeSystem/recommendation-flag-code-system due}\">Due</span></p><p><b>title</b>: Follow-up with endoscopist for recommendation</p><p><b>description</b>: Follow-up with endoscopist to determine appropriate interval for next screening/surveillance colonoscopy.</p><p><b>code</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/crcsm-cds/CodeSystem/plan-definition-action-code-system endoscopistrecs}\">Follow-up with endoscopist for recommendations</span></p><p><b>timing</b>: Events: 2024-10-01 00:00:00+0000 </p><p><b>resource</b>: <a href=\"Bundle-DecisionToScreen_eve-Age86AndOlder_no_eve-AgeOver76_yes_act-SelectivelyOfferScreening__eve-LifeExp10_yes_act-sdmcontinuelifexp__eve-riskFactors_yes_act-incRiskEligible.html#ServiceRequest_169\">Bundle: type = collection</a></p></blockquote></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:instantiatesCanonical ( [
fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/flow-FollowUp"^^xsd:anyURI ;
fhir:link <http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/flow-FollowUp>
  ] ) ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:intent [ fhir:v "proposal"] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/ef8b331f-6837-4ad0-9f3e-939f5dba22e9" ] ;
fhir:display [ fhir:v "Joanne Smith" ]
  ] ; # 
  fhir:action ( [
fhir:id [ fhir:v "FollowupColonoscopyPolypResult" ] ;
    ( fhir:extension [
fhir:url [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/StructureDefinition/csm-recommendation-flag"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/CodeSystem/recommendation-flag-code-system"^^xsd:anyURI ] ;
fhir:code [ fhir:v "due" ] ;
fhir:display [ fhir:v "Due" ]         ] )       ]     ] ) ;
fhir:title [ fhir:v "Follow-up with endoscopist for recommendation" ] ;
fhir:description [ fhir:v "Follow-up with endoscopist to determine appropriate interval for next screening/surveillance colonoscopy." ] ;
    ( fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/CodeSystem/plan-definition-action-code-system"^^xsd:anyURI ] ;
fhir:code [ fhir:v "endoscopistrecs" ] ;
fhir:display [ fhir:v "Follow-up with endoscopist for recommendations" ]       ] )     ] ) ;
fhir:timing [
a fhir:Timing ;
      ( fhir:event [ fhir:v "2024-10-01T00:00:00.000+00:00"^^xsd:dateTime ] )     ] ;
fhir:resource [
fhir:reference [ fhir:v "ServiceRequest/169" ]     ]
  ] ) . # 

<http://cancerscreeningcds.github.io/crcsm-cds/ServiceRequest/169> a fhir:ServiceRequest ;
  fhir:id [ fhir:v "169"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_169\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 169</b></p><a name=\"169\"> </a><a name=\"hc169\"> </a><a name=\"169-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 endoscopistrecs}\">Follow-up with endoscopist for recommendations</span></p><p><b>subject</b>: <a href=\"Bundle-eve-lastTestColonoscopy_yes_eve-colonoscopyFindingCRC_no_eve-recommendedInterval_no_eve-colonoscopyFindingPolyps_yes_act-followUpColonoscopist.html#Patient_ef8b331f-6837-4ad0-9f3e-939f5dba22e9\">Joanne Smith</a></p><p><b>occurrence</b>: 2024-10-01 00:00:00+0000</p><p><b>reasonCode</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/crcsm-cds/CodeSystem/colonoscopy-result-observation-code-system missingrec}\">Missing endoscopist recommendation for potentially precancerous polyp finding</span></p></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:basedOn ( [
fhir:link <http://cancerscreeningcds.github.io/crcsm-cds/ActivityDefinition/ColorectalCancerScreeningServiceRequest> ;
fhir:reference [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/ActivityDefinition/ColorectalCancerScreeningServiceRequest" ]
  ] ) ; # 
  fhir:status [ fhir:v "option"] ; # 
  fhir:intent [ fhir:v "proposal"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/CodeSystem/plan-definition-action-code-system"^^xsd:anyURI ] ;
fhir:code [ fhir:v "endoscopistrecs" ] ;
fhir:display [ fhir:v "Follow-up with endoscopist for recommendations" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/ef8b331f-6837-4ad0-9f3e-939f5dba22e9" ] ;
fhir:display [ fhir:v "Joanne Smith" ]
  ] ; # 
  fhir:occurrence [
a fhir:dateTime ;
fhir:v "2024-10-01T00:00:00.000+00:00"^^xsd:dateTime
  ] ; # 
  fhir:reasonCode ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/CodeSystem/colonoscopy-result-observation-code-system"^^xsd:anyURI ] ;
fhir:code [ fhir:v "missingrec" ] ;
fhir:display [ fhir:v "Missing endoscopist recommendation for potentially precancerous polyp finding" ]     ] )
  ] ) . #