Generated Narrative: Bundle IncreasedRiskExclusions_eve-HereditarySyndrome_no_eve-IBD_no_eve-HxCRC_no_eve-FamilyHx_yes_act-FamilyHxCRC

Bundle IncreasedRiskExclusions_eve-HereditarySyndrome_no_eve-IBD_no_eve-HxCRC_no_eve-FamilyHx_yes_act-FamilyHxCRC of type collection

Entry 1 - fullUrl = http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/196

Resource CarePlan:

Generated Narrative: CarePlan 196

instantiatesCanonical: Increased Risk Exclusions

status: Draft

intent: Proposal

subject: Joanne Smith

created: 2024-12-10 00:00:00+0000

Activities

-	Reference
*	Bundle: type = collection

Entry 2 - fullUrl = http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/197

Resource RequestGroup:

Generated Narrative: RequestGroup 197

instantiatesCanonical: Increased Risk Exclusions

status: Draft

intent: Proposal

subject: Joanne Smith

action

id

FamilyHistoryIncreasedRisk

title: Family history increased risk screening/surveillance

description: For patients with a single first-degree relative (mother, father, full sibling, child) with colorectal cancer or an advanced polyp(s): * If relative diagnosed at >= 60 years: * Start screening at 40 years old. Tests and intervals are as per average risk screening recommendations. * If relative diagnosed at < 60 years old: * Start screening 10 years before relative's age at diagnosis or age 40, whichever is earlier. Repeat colonoscopy every 5 years. * If no significant neoplasia appears by age 60 years, can offer expanding the interval between colonoscopies. For patients with 2 or more first-degree relatives with colorectal cancer or an advanced polyp: * Start screening colonoscopy 10 years before the reatives' youngest age at diagnosis or age 40, whichever is earlier. Repeat colonoscopy every 5 years. Patients with a history of potentially precancerous polyps should follow shortest interval between recommendations above and recommendations based on colonoscopy findings.

Documentations

-	Type	Label	Display	Citation
*	Citation	USMSTF (2017)	Colorectal Cancer Screening: Recommendations for Physicians and Patients From the U.S. Multi-Society Task Force on Colorectal Cancer	Rex, D. K., et al. (2017). Colorectal Cancer Screening: Recommendations for Physicians and Patients From the U.S. Multi-Society Task Force on Colorectal Cancer. Gastroenterology, 153(1), 307-323. https://doi.org/10.1053/j.gastro.2017.05.013
*	Citation	ACG Average Risk (2021)	ACG Clinical Guidelines: Colorectal Cancer Screening 2021	Shaukat, A., et al. (2021). ACG Clinical Guidelines: Colorectal Cancer Screening 2021. American Journal of Gastroenterology, 116(3), 458-479. https://doi.org/10.14309/ajg.0000000000001122
*	Citation	USMSTF Follow-Up After Colonoscopy and Polypectomy (2020)	Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer	Gupta, S., et al. (2020). Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology, 158(4), 1131–1153.e5. https://doi.org/10.1053/j.gastro.2019.10.026

resource: Bundle: type = collection

Entry 3 - fullUrl = http://cancerscreeningcds.github.io/crcsm-cds/ServiceRequest/198

Resource ServiceRequest:

Generated Narrative: ServiceRequest 198

basedOn: Colorectal Cancer Screening Service Request

status: option

intent: Proposal

code: Increased risk screening for colorectal cancer

subject: Joanne Smith

reasonCode: Family history of colorectal cancer (situation)