Colorectal Cancer Screening and Management (CRCSM) Clinical Decision Support (CDS) Implementation Guide
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: HighLevel_StellaParker - 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 sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

 a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "HighLevel_StellaParker"] ; # 
  fhir:type [ fhir:v "collection"] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/79"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/79> )
  ] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/80"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/80> )
  ] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/83"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/83> )
  ] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/84"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/84> )
  ] [
fhir:fullUrl [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/ServiceRequest/85"^^xsd:anyURI ] ;
    ( fhir:resource <http://cancerscreeningcds.github.io/crcsm-cds/ServiceRequest/85> )
  ] ) . # 

<http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/79> a fhir:CarePlan ;
  fhir:id [ fhir:v "79"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_79\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan 79</b></p><a name=\"79\"> </a><a name=\"hc79\"> </a><a name=\"79-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-HighLevel.html\">High Level Flow</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href=\"Bundle-StellaParker.html#Patient_StellaParker\">Stella Parker</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-HighLevel_StellaParker.html#RequestGroup_80\">Bundle: type = collection</a></td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:instantiatesCanonical ( [
fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/HighLevel"^^xsd:anyURI ;
fhir:link <http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/HighLevel>
  ] ) ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:intent [ fhir:v "proposal"] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/StellaParker" ] ;
fhir:display [ fhir:v "Stella Parker" ]
  ] ; # 
  fhir:created [ fhir:v "2024-12-10T00:00:00.0Z"^^xsd:dateTime] ; # 
  fhir:activity ( [
fhir:reference [
fhir:reference [ fhir:v "RequestGroup/80" ]     ]
  ] ) . # 

<http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/80> a fhir:RequestGroup ;
  fhir:id [ fhir:v "80"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RequestGroup_80\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup 80</b></p><a name=\"80\"> </a><a name=\"hc80\"> </a><a name=\"80-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-HighLevel.html\">High Level Flow</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href=\"Bundle-StellaParker.html#Patient_StellaParker\">Stella Parker</a></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>82</blockquote><p><b>title</b>: Primary Screening Decision</p><p><b>description</b>: Primary Screening Decision pathway.</p><p><b>resource</b>: <a href=\"Bundle-HighLevel_StellaParker.html#CarePlan_83\">Bundle: type = collection</a></p></blockquote></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:instantiatesCanonical ( [
fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/HighLevel"^^xsd:anyURI ;
fhir:link <http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/HighLevel>
  ] ) ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:intent [ fhir:v "proposal"] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/StellaParker" ] ;
fhir:display [ fhir:v "Stella Parker" ]
  ] ; # 
  fhir:action ( [
fhir:id [ fhir:v "82" ] ;
fhir:title [ fhir:v "Primary Screening Decision" ] ;
fhir:description [ fhir:v "Primary Screening Decision pathway." ] ;
fhir:resource [
fhir:reference [ fhir:v "CarePlan/83" ]     ]
  ] ) . # 

<http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/83> a fhir:CarePlan ;
  fhir:id [ fhir:v "83"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_83\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan 83</b></p><a name=\"83\"> </a><a name=\"hc83\"> </a><a name=\"83-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-PrimaryScreeningDecision.html\">Primary Screening Decision</a></p><p><b>status</b>: option</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href=\"Bundle-StellaParker.html#Patient_StellaParker\">Stella Parker</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-HighLevel_StellaParker.html#RequestGroup_84\">Bundle: type = collection</a></td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:instantiatesCanonical ( [
fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/PrimaryScreeningDecision"^^xsd:anyURI ;
fhir:link <http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/PrimaryScreeningDecision>
  ] ) ; # 
  fhir:status [ fhir:v "option"] ; # 
  fhir:intent [ fhir:v "proposal"] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/StellaParker" ] ;
fhir:display [ fhir:v "Stella Parker" ]
  ] ; # 
  fhir:created [ fhir:v "2024-12-10T00:00:00.0Z"^^xsd:dateTime] ; # 
  fhir:activity ( [
fhir:reference [
fhir:reference [ fhir:v "RequestGroup/84" ]     ]
  ] ) . # 

<http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/84> a fhir:RequestGroup ;
  fhir:id [ fhir:v "84"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RequestGroup_84\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup 84</b></p><a name=\"84\"> </a><a name=\"hc84\"> </a><a name=\"84-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-PrimaryScreeningDecision.html\">Primary Screening Decision</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href=\"Bundle-StellaParker.html#Patient_StellaParker\">Stella Parker</a></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>ContinueRoutineScreening</blockquote><p><b>title</b>: Continue routine screening</p><p><b>description</b>: Continue routine screening.\n\nScreening strategies and intervals recommended for average risk patients include:\n* Colonoscopy every 10 years\n* High-sensitivity gFOBT or FIT every year\n* sDNA-FIT every 1 to 3 years\n* CT colonography every 5 years\n* Flexible sigmoidoscopy every 5 years\n* Flexible sigmoidoscopy every 10 years + FIT every year</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 268548003}\">Screening for malignant neoplasm of large intestine (procedure)</span></p><h3>Documentations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Label</b></td><td><b>Display</b></td><td><b>Citation</b></td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td>Citation</td><td>USPSTF (2021)</td><td>Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement</td><td><div><p>US Preventive Services Task Force. Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. Published online May 18, 2021.</p>\n</div></td><td><a href=\"https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening\">https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening</a></td></tr></table><p><b>timing</b>: Events: 2024-04-02 00:00:00+0000 , Once</p><p><b>resource</b>: <a href=\"Bundle-HighLevel_StellaParker.html#ServiceRequest_85\">Bundle: type = collection</a></p></blockquote></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:instantiatesCanonical ( [
fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/PrimaryScreeningDecision"^^xsd:anyURI ;
fhir:link <http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/PrimaryScreeningDecision>
  ] ) ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:intent [ fhir:v "proposal"] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/StellaParker" ] ;
fhir:display [ fhir:v "Stella Parker" ]
  ] ; # 
  fhir:action ( [
fhir:id [ fhir:v "ContinueRoutineScreening" ] ;
fhir:title [ fhir:v "Continue routine screening" ] ;
fhir:description [ fhir:v "Continue routine screening.\n\nScreening strategies and intervals recommended for average risk patients include:\n* Colonoscopy every 10 years\n* High-sensitivity gFOBT or FIT every year\n* sDNA-FIT every 1 to 3 years\n* CT colonography every 5 years\n* Flexible sigmoidoscopy every 5 years\n* Flexible sigmoidoscopy every 10 years + FIT every year" ] ;
    ( fhir:code [
      ( fhir:coding [
a sct:268548003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "268548003" ] ;
fhir:display [ fhir:v "Screening for malignant neoplasm of large intestine (procedure)" ]       ] )     ] ) ;
    ( fhir:documentation [
fhir:type [ fhir:v "citation" ] ;
fhir:label [ fhir:v "USPSTF (2021)" ] ;
fhir:display [ fhir:v "Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement" ] ;
fhir:citation [ fhir:v "US Preventive Services Task Force. Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. Published online May 18, 2021." ] ;
fhir:url [ fhir:v "https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening"^^xsd:anyURI ]     ] ) ;
fhir:timing [
a fhir:Timing ;
      ( fhir:event [ fhir:v "2024-04-02T00:00:00.000+00:00"^^xsd:dateTime ] ) ;
fhir:repeat [
fhir:bounds [
a fhir:Period ;
fhir:start [ fhir:v "2014-03-09"^^xsd:date ]         ]       ]     ] ;
fhir:resource [
fhir:reference [ fhir:v "ServiceRequest/85" ]     ]
  ] ) . # 

<http://cancerscreeningcds.github.io/crcsm-cds/ServiceRequest/85> a fhir:ServiceRequest ;
  fhir:id [ fhir:v "85"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_85\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 85</b></p><a name=\"85\"> </a><a name=\"hc85\"> </a><a name=\"85-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 268548003}\">Screening for malignant neoplasm of large intestine (procedure)</span></p><p><b>subject</b>: <a href=\"Bundle-StellaParker.html#Patient_StellaParker\">Stella Parker</a></p><p><b>occurrence</b>: 2024-04-02 00:00:00+0000</p><p><b>reasonCode</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/crcsm-cds/CodeSystem/plan-definition-action-reason-code-system USPSTFaveragerisk}\">USPSTF average risk</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 [
a sct:268548003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "268548003" ] ;
fhir:display [ fhir:v "Screening for malignant neoplasm of large intestine (procedure)" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/StellaParker" ] ;
fhir:display [ fhir:v "Stella Parker" ]
  ] ; # 
  fhir:occurrence [
a fhir:dateTime ;
fhir:v "2024-04-02T00:00:00.000+00:00"^^xsd:dateTime
  ] ; # 
  fhir:reasonCode ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://cancerscreeningcds.github.io/crcsm-cds/CodeSystem/plan-definition-action-reason-code-system"^^xsd:anyURI ] ;
fhir:code [ fhir:v "USPSTFaveragerisk" ] ;
fhir:display [ fhir:v "USPSTF average risk" ]     ] )
  ] ) . #