Colorectal Cancer Screening and Management (CRCSM) Clinical Decision Support (CDS) Implementation Guide
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: PrimaryScreeningDecision_HankCarlson - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="PrimaryScreeningDecision_HankCarlson"/>
  <type value="collection"/>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/crcsm-cds/CarePlan/97"/>
    <resource>
      <CarePlan>
        <id value="97"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="CarePlan_97"> </a><p class="res-header-id"><b>Generated Narrative: CarePlan 97</b></p><a name="97"> </a><a name="hc97"> </a><a name="97-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-HankCarlson.html#Patient_HankCarlson">Hank Carlson</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-PrimaryScreeningDecision_HankCarlson.html#RequestGroup_98">Bundle: type = collection</a></td></tr></table></div>
        </text>
        <instantiatesCanonical
                               value="http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/PrimaryScreeningDecision"/>
        <status value="draft"/>
        <intent value="proposal"/>
        <subject>
          <reference value="Patient/HankCarlson"/>
          <display value="Hank Carlson"/>
        </subject>
        <created value="2024-12-10T00:00:00.0Z"/>
        <activity>
          <reference>
            <reference value="RequestGroup/98"/>
          </reference>
        </activity>
      </CarePlan>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/crcsm-cds/RequestGroup/98"/>
    <resource>
      <RequestGroup>
        <id value="98"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="RequestGroup_98"> </a><p class="res-header-id"><b>Generated Narrative: RequestGroup 98</b></p><a name="98"> </a><a name="hc98"> </a><a name="98-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-HankCarlson.html#Patient_HankCarlson">Hank Carlson</a></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>HistoryCRCSurveillance</blockquote><p><b>title</b>: Post-colorectal cancer resection surveillance</p><p><b>description</b>: Patients with a history of colorectal cancer should begin colonoscopy surveillance 1 year pos-resection.

Repeat colonoscopy 3 years after 1st surveillance, and every 5 years thereafter. Post-polypectomy surveillance intervals apply if shorter.

Refer to patient's oncologic treatment team of survivorship care plan for patient-specific guidance.</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></tr><tr><td style="display: none">*</td><td>Citation</td><td>USMSTF Post Colorectal Cancer Resection (2016)</td><td>Colonoscopy Surveillance after Colorectal Cancer Resection: Recommendations of the US Multi-Society Task Force on Colorectal Cancer</td><td><div><p>Kahi, C. J., et al. (2016). Colonoscopy Surveillance after Colorectal Cancer Resection: Recommendations of the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology, 150(3), 758-768.e11. https://doi.org/10.1053/j.gastro.2016.01.001</p>
</div></td></tr><tr><td style="display: none">*</td><td>Citation</td><td>USMSTF Follow-Up After Colonoscopy and Polypectomy (2020)</td><td>Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer</td><td><div><p>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</p>
</div></td></tr></table><p><b>resource</b>: <a href="Bundle-PrimaryScreeningDecision_HankCarlson.html#ServiceRequest_99">Bundle: type = collection</a></p></blockquote></div>
        </text>
        <instantiatesCanonical
                               value="http://cancerscreeningcds.github.io/crcsm-cds/PlanDefinition/PrimaryScreeningDecision"/>
        <status value="draft"/>
        <intent value="proposal"/>
        <subject>
          <reference value="Patient/HankCarlson"/>
          <display value="Hank Carlson"/>
        </subject>
        <action id="HistoryCRCSurveillance">
          <title value="Post-colorectal cancer resection surveillance"/>
          <description
                       value="Patients with a history of colorectal cancer should begin colonoscopy surveillance 1 year pos-resection.

Repeat colonoscopy 3 years after 1st surveillance, and every 5 years thereafter. Post-polypectomy surveillance intervals apply if shorter.

Refer to patient's oncologic treatment team of survivorship care plan for patient-specific guidance."/>
          <documentation>
            <type value="citation"/>
            <label value="USMSTF Post Colorectal Cancer Resection (2016)"/>
            <display
                     value="Colonoscopy Surveillance after Colorectal Cancer Resection: Recommendations of the US Multi-Society Task Force on Colorectal Cancer"/>
            <citation
                      value="Kahi, C. J., et al. (2016). Colonoscopy Surveillance after Colorectal Cancer Resection: Recommendations of the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology, 150(3), 758-768.e11. https://doi.org/10.1053/j.gastro.2016.01.001"/>
          </documentation>
          <documentation>
            <type value="citation"/>
            <label
                   value="USMSTF Follow-Up After Colonoscopy and Polypectomy (2020)"/>
            <display
                     value="Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer"/>
            <citation
                      value="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"/>
          </documentation>
          <resource>
            <reference value="ServiceRequest/99"/>
          </resource>
        </action>
      </RequestGroup>
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  </entry>
  <entry>
    <fullUrl
             value="http://cancerscreeningcds.github.io/crcsm-cds/ServiceRequest/99"/>
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      <ServiceRequest>
        <id value="99"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_99"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest 99</b></p><a name="99"> </a><a name="hc99"> </a><a name="99-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 452071000124102}">Surveillance for colorectal cancer (regime/therapy)</span></p><p><b>subject</b>: <a href="Bundle-HankCarlson.html#Patient_HankCarlson">Hank Carlson</a></p><p><b>reasonCode</b>: <span title="Codes:{http://snomed.info/sct 1286880003}">History of malignant neoplasm of cecum and/or colon and/or rectum (situation)</span></p></div>
        </text>
        <basedOn>🔗 
          <reference
                     value="http://cancerscreeningcds.github.io/crcsm-cds/ActivityDefinition/ColorectalCancerScreeningServiceRequest"/>
        </basedOn>
        <status value="option"/>
        <intent value="proposal"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="452071000124102"/>
            <display
                     value="Surveillance for colorectal cancer (regime/therapy)"/>
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        <subject>
          <reference value="Patient/HankCarlson"/>
          <display value="Hank Carlson"/>
        </subject>
        <reasonCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="1286880003"/>
            <display
                     value="History of malignant neoplasm of cecum and/or colon and/or rectum (situation)"/>
          </coding>
        </reasonCode>
      </ServiceRequest>
    </resource>
  </entry>
</Bundle>