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
{
"resourceType" : "Bundle",
"id" : "HankCarlson",
"type" : "collection",
"entry" : [
{
"resource" : {
"resourceType" : "Patient",
"id" : "HankCarlson",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_HankCarlson\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient HankCarlson</b></p><a name=\"HankCarlson\"> </a><a name=\"hcHankCarlson\"> </a><a name=\"HankCarlson-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Hank Carlson Male, DoB: 1970-06-19 ( Medical Record Number: 323-125-897)</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"
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"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" : "323-125-897"
}
],
"name" : [
{
"family" : "Carlson",
"given" : [
"Hank"
]
}
],
"gender" : "male",
"birthDate" : "1970-06-19"
}
},
{
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "fit-report-neg",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_fit-report-neg\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport fit-report-neg</b></p><a name=\"fit-report-neg\"> </a><a name=\"hcfit-report-neg\"> </a><a name=\"fit-report-neg-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>2021-01-26 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/HankCarlson"
},
"effectiveDateTime" : "2021-01-26T00:00:00.000Z",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "260385009",
"display" : "Negative (qualifier value)"
}
]
}
]
}
},
{
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "fit-report-neg",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_fit-report-neg\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport fit-report-neg</b></p><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>2022-01-03 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/HankCarlson"
},
"effectiveDateTime" : "2022-01-03T00:00:00.000Z",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "260385009",
"display" : "Negative (qualifier value)"
}
]
}
]
}
},
{
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "fit-report-neg",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_fit-report-neg\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport fit-report-neg</b></p><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>2023-12-19 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/HankCarlson"
},
"effectiveDateTime" : "2023-12-19T00:00:00.000Z",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "260385009",
"display" : "Negative (qualifier value)"
}
]
}
]
}
},
{
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "fit-report-pos",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_fit-report-pos\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport fit-report-pos</b></p><a name=\"fit-report-pos\"> </a><a name=\"hcfit-report-pos\"> </a><a name=\"fit-report-pos-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>2023-12-21</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:{http://snomed.info/sct 10828004}\">Positive (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/HankCarlson"
},
"effectiveDateTime" : "2023-12-21",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "10828004",
"display" : "Positive (qualifier value)"
}
]
}
]
}
},
{
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "colonoscopy-report-malignant",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_colonoscopy-report-malignant\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport colonoscopy-report-malignant</b></p><a name=\"colonoscopy-report-malignant\"> </a><a name=\"hccolonoscopy-report-malignant\"> </a><a name=\"colonoscopy-report-malignant-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>2024-01-02</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:{http://snomed.info/sct 363410008}\">Malignant tumor of sigmoid colon (disorder)</span></li></ul></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18746-8",
"display" : "Colonoscopy study"
}
]
},
"subject" : {
"reference" : "Patient/HankCarlson"
},
"effectiveDateTime" : "2024-01-02",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "363410008",
"display" : "Malignant tumor of sigmoid colon (disorder)"
}
]
}
]
}
},
{
"resource" : {
"resourceType" : "Condition",
"id" : "colorectal-cancer-inactive",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_colorectal-cancer-inactive\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition colorectal-cancer-inactive</b></p><a name=\"colorectal-cancer-inactive\"> </a><a name=\"hccolorectal-cancer-inactive\"> </a><a name=\"colorectal-cancer-inactive-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical inactive}\">Inactive</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 363406005}\">Malignant neoplasm of colon (disorder)</span></p><p><b>subject</b>: <a href=\"Bundle-HankCarlson.html#Patient_HankCarlson\">Bundle: type = collection</a></p><p><b>onset</b>: 2024-01-03</p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "inactive",
"display" : "Inactive"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item",
"display" : "Problem List Item"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "363406005",
"display" : "Malignant neoplasm of colon (disorder)"
}
]
},
"subject" : {
"reference" : "Patient/HankCarlson"
},
"onsetDateTime" : "2024-01-03"
}
},
{
"resource" : {
"resourceType" : "Procedure",
"id" : "colon-resection",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_colon-resection\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure colon-resection</b></p><a name=\"colon-resection\"> </a><a name=\"hccolon-resection\"> </a><a name=\"colon-resection-en-US\"> </a><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 43075005}\">Partial resection of colon (procedure)</span></p><p><b>subject</b>: <a href=\"Bundle-HankCarlson.html#Patient_HankCarlson\">Bundle: type = collection</a></p><p><b>performed</b>: 2024-01-31</p></div>"
},
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "43075005",
"display" : "Partial resection of colon (procedure)"
}
]
},
"subject" : {
"reference" : "Patient/HankCarlson"
},
"performedDateTime" : "2024-01-31"
}
}
]
}