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" : "HollyHereditary",
"type" : "collection",
"entry" : [
{
"resource" : {
"resourceType" : "Patient",
"id" : "HollyHereditary",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_HollyHereditary\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient HollyHereditary</b></p><a name=\"HollyHereditary\"> </a><a name=\"hcHollyHereditary\"> </a><a name=\"HollyHereditary-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Holly Hereditary Female, DoB: 1995-07-01 ( Medical Record Number: 428-354-558)</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: Black or African American</li></ul></td></tr></table></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "text",
"valueString" : "Black or African American"
}
],
"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" : "428-354-558"
}
],
"name" : [
{
"family" : "Hereditary",
"given" : [
"Holly"
]
}
],
"gender" : "female",
"birthDate" : "1995-07-01"
}
},
{
"resource" : {
"resourceType" : "Condition",
"id" : "lynch-syndrome-active",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_lynch-syndrome-active\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition lynch-syndrome-active</b></p><a name=\"lynch-syndrome-active\"> </a><a name=\"hclynch-syndrome-active\"> </a><a name=\"lynch-syndrome-active-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</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 716318002}\">Lynch syndrome</span></p><p><b>subject</b>: <a href=\"Bundle-HollyHereditary.html#Patient_HollyHereditary\">Bundle: type = collection</a></p><p><b>onset</b>: 2014-10-01</p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
]
},
"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" : "716318002",
"display" : "Lynch syndrome (disorder)"
}
],
"text" : "Lynch syndrome"
},
"subject" : {
"reference" : "Patient/HollyHereditary"
},
"onsetDateTime" : "2014-10-01"
}
},
{
"resource" : {
"resourceType" : "FamilyMemberHistory",
"id" : "e99729f4-ad2d-4f28-a2d6-ccb914b13541",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"FamilyMemberHistory_e99729f4-ad2d-4f28-a2d6-ccb914b13541\"> </a><p class=\"res-header-id\"><b>Generated Narrative: FamilyMemberHistory e99729f4-ad2d-4f28-a2d6-ccb914b13541</b></p><a name=\"e99729f4-ad2d-4f28-a2d6-ccb914b13541\"> </a><a name=\"hce99729f4-ad2d-4f28-a2d6-ccb914b13541\"> </a><a name=\"e99729f4-ad2d-4f28-a2d6-ccb914b13541-en-US\"> </a><p><b>status</b>: Completed</p><p><b>patient</b>: <a href=\"Bundle-HollyHereditary.html#Patient_HollyHereditary\">Bundle: type = collection</a></p><p><b>name</b>: Unknown</p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MTH}\">Mother</span></p><h3>Conditions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Onset[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 716318002}\">Lynch syndrome</span></td><td> </td></tr><tr><td style=\"display: none\">*</td><td> </td><td>30 a<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codea = 'a')</span></td></tr></table></div>"
},
"status" : "completed",
"patient" : {
"reference" : "Patient/HollyHereditary"
},
"name" : "Unknown",
"relationship" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "MTH",
"display" : "Mother"
}
]
},
"condition" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "716318002",
"display" : "Lynch syndrome (disorder)"
}
],
"text" : "Lynch syndrome"
}
},
{
"onsetAge" : {
"value" : 30,
"system" : "http://unitsofmeasure.org",
"code" : "a"
}
}
]
}
},
{
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "colonoscopy-report-neg-1",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_colonoscopy-report-neg-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport colonoscopy-report-neg-1</b></p><a name=\"colonoscopy-report-neg-1\"> </a><a name=\"hccolonoscopy-report-neg-1\"> </a><a name=\"colonoscopy-report-neg-1-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>2015-08-05 14:30:00+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" : "18746-8",
"display" : "Colonoscopy study"
}
]
},
"subject" : {
"reference" : "Patient/HollyHereditary"
},
"effectiveDateTime" : "2015-08-05T14:30:00.000Z",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "260385009",
"display" : "Negative (qualifier value)"
}
]
}
]
}
},
{
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "colonoscopy-report-neg-2",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_colonoscopy-report-neg-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport colonoscopy-report-neg-2</b></p><a name=\"colonoscopy-report-neg-2\"> </a><a name=\"hccolonoscopy-report-neg-2\"> </a><a name=\"colonoscopy-report-neg-2-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>2016-08-11 14:30:00+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" : "18746-8",
"display" : "Colonoscopy study"
}
]
},
"subject" : {
"reference" : "Patient/HollyHereditary"
},
"effectiveDateTime" : "2016-08-11T14:30:00.000Z",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "260385009",
"display" : "Negative (qualifier value)"
}
]
}
]
}
},
{
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "colonoscopy-report-polyp",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_colonoscopy-report-polyp\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport colonoscopy-report-polyp</b></p><a name=\"colonoscopy-report-polyp\"> </a><a name=\"hccolonoscopy-report-polyp\"> </a><a name=\"colonoscopy-report-polyp-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>2018-06-11 14:30:00+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 428054006}\">Adenomatous polyp of colon (disorder)</span></li></ul></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18746-8",
"display" : "Colonoscopy study"
}
]
},
"subject" : {
"reference" : "Patient/HollyHereditary"
},
"effectiveDateTime" : "2018-06-11T14:30:00.000Z",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "428054006",
"display" : "Adenomatous polyp of colon (disorder)"
}
]
}
]
}
},
{
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "colonoscopy-report-neg-3",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_colonoscopy-report-neg-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport colonoscopy-report-neg-3</b></p><a name=\"colonoscopy-report-neg-3\"> </a><a name=\"hccolonoscopy-report-neg-3\"> </a><a name=\"colonoscopy-report-neg-3-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>2019-07-03 14:30:00+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" : "18746-8",
"display" : "Colonoscopy study"
}
]
},
"subject" : {
"reference" : "Patient/HollyHereditary"
},
"effectiveDateTime" : "2019-07-03T14:30:00.000Z",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "260385009",
"display" : "Negative (qualifier value)"
}
]
}
]
}
},
{
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "colonoscopy-report-neg-4",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_colonoscopy-report-neg-4\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport colonoscopy-report-neg-4</b></p><a name=\"colonoscopy-report-neg-4\"> </a><a name=\"hccolonoscopy-report-neg-4\"> </a><a name=\"colonoscopy-report-neg-4-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>2020-06-13 14:30:00+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" : "18746-8",
"display" : "Colonoscopy study"
}
]
},
"subject" : {
"reference" : "Patient/HollyHereditary"
},
"effectiveDateTime" : "2020-06-13T14:30:00.000Z",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "260385009",
"display" : "Negative (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>2021-06-16 14:30:00+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 1259398000}\">Primary carcinoma of cecum (disorder)</span></li></ul></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18746-8",
"display" : "Colonoscopy study"
}
]
},
"subject" : {
"reference" : "Patient/HollyHereditary"
},
"effectiveDateTime" : "2021-06-16T14:30:00.000Z",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1259398000",
"display" : "Primary carcinoma of cecum (disorder)"
}
]
}
]
}
},
{
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "colonoscopy-report-polyp",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_colonoscopy-report-polyp\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport colonoscopy-report-polyp</b></p><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>2021-12-11 14:30:00+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 428054006}\">Adenomatous polyp of colon (disorder)</span></li></ul></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18746-8",
"display" : "Colonoscopy study"
}
]
},
"subject" : {
"reference" : "Patient/HollyHereditary"
},
"effectiveDateTime" : "2021-12-11T14:30:00.000Z",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "428054006",
"display" : "Adenomatous polyp of colon (disorder)"
}
]
}
]
}
},
{
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "colonoscopy-report-neg-5",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_colonoscopy-report-neg-5\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport colonoscopy-report-neg-5</b></p><a name=\"colonoscopy-report-neg-5\"> </a><a name=\"hccolonoscopy-report-neg-5\"> </a><a name=\"colonoscopy-report-neg-5-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>2022-12-18 14:30:00+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" : "18746-8",
"display" : "Colonoscopy study"
}
]
},
"subject" : {
"reference" : "Patient/HollyHereditary"
},
"effectiveDateTime" : "2022-12-18T14:30:00.000Z",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "260385009",
"display" : "Negative (qualifier value)"
}
]
}
]
}
},
{
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "colonoscopy-report-neg-6",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_colonoscopy-report-neg-6\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport colonoscopy-report-neg-6</b></p><a name=\"colonoscopy-report-neg-6\"> </a><a name=\"hccolonoscopy-report-neg-6\"> </a><a name=\"colonoscopy-report-neg-6-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>2023-12-08 14:30:00+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" : "18746-8",
"display" : "Colonoscopy study"
}
]
},
"subject" : {
"reference" : "Patient/HollyHereditary"
},
"effectiveDateTime" : "2023-12-08T14:30:00.000Z",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "260385009",
"display" : "Negative (qualifier value)"
}
]
}
]
}
}
]
}