decision_tree.json

{
  "items": [
    {
      "number": 32222,
      "description": "Endoscopic examination of the colon to the caecum by colonoscopy, for a patient: (a) following a positive faecal occult blood test; or (b) who has symptoms consistent with pathology of the colonic mucosa; or (c) with anaemia or iron deficiency; or (d) for whom diagnostic imaging has shown an abnormality of the colon; or (e) who is undergoing the first examination following surgery for colorectal cancer; or (f) who is undergoing pre‑operative evaluation; or (g) for whom a repeat colonoscopy is required due to inadequate bowel preparation for the patient’s previous colonoscopy; or (h) for the management of inflammatory bowel disease Applicable only once on a day under a single episode of anaesthesia or other sedation (Anaes.)",
      "fee": 339.70
    },
    {
      "number": 32223,
      "description": "Endoscopic examination of the colon to the caecum by colonoscopy, for a patient: (a) who has had a colonoscopy that revealed 1 to 4 adenomas, each of which were less than 10mm in diameter, had no villous features and had no high grade dysplasia; or (b) with a moderate risk of colorectal cancer due to family history; or (c) with a history of colorectal cancer, who has had an initial post‑operative colonoscopy that did not reveal any adenomas or colorectal cancer Applicable only once in any 5 year period (Anaes.)",
      "fee": 339.70
    },
    {
      "number": 32224,
      "description": "Endoscopic examination of the colon to the caecum by colonoscopy, for a patient with a moderate risk of colorectal cancer due to: (a) a history of adenomas, including an adenoma that: (i) was greater than 10mm in diameter; or (ii) had villous features; or (iii) had high grade dysplasia; or (iv) was an advanced serrated adenoma; or (b) having had a previous colonoscopy that revealed 5 to 9 adenomas, each of which was less than 10mm in diameter, had no villous features and had no high grade dysplasia Applicable only once in any 3 year period (Anaes.)",
      "fee": 339.70
    },
    {
      "number": 32225,
      "description": "Endoscopic examination of the colon to the caecum by colonoscopy, for a patient with a high risk of colorectal cancer due to having had a previous colonoscopy that: (a) revealed 10 or more adenomas; or (b) included a piecemeal, or possibly incomplete, excision of a large, sessile polyp Applicable not more than 4 times in any 12 month period (Anaes.)",
      "fee": 339.70
    },
    {
      "number": 32226,
      "description": "Endoscopic examination of the colon to the caecum by colonoscopy, for a patient with a high risk of colorectal cancer due to: (a) a known or suspected familial condition, such as familial adenomatous polyposis, Lynch syndrome or serrated polyposis syndrome; or (b) a genetic mutation associated with hereditary colorectal cancer Applicable only once in any 12 month period (Anaes.)",
      "fee": 339.70
    },
    {
      "number": 32227,
      "description": "Endoscopic examination of the colon to the caecum by colonoscopy: (a) for the treatment of bleeding, including one or more of the following: (i) radiation proctitis; (ii) angioectasia; (iii) post‑polypectomy bleeding; or (b) for the treatment of colonic strictures with balloon dilatation Applicable only once on a day under a single episode of anaesthesia or other sedation (Anaes.)",
      "fee": 476.70
    },
    {
      "number": 32228,
      "description": "Endoscopic examination of the colon to the caecum by colonoscopy, other that a service to which item 32222, 32223, 32224, 32225, or 32226 applies. Applicable only once (Anaes.)",
      "fee": 339.70
    }
  ],
    "root": {
        "answers": [
            {
                "next": {
                    "item_number": 32222
                },
                "text": "Positive FOBT"
            },
            {
                "next": {
                    "item_number": 32222
                },
                "text": "Bowel symptoms"
            },
            {
                "next": {
                    "item_number": 32222
                },
                "text": "Anaemia or Iron Deficiency"
            },
            {
                "next": {
                    "answers": [
                        {
                            "next": {
                                "answers": [
                                    {
                                        "next": {
                                            "item_number": "Unfunded"
                                        },
                                        "text": "Yes"
                                    },
                                    {
                                        "next": {
                                            "item_number": 32223
                                        },
                                        "text": "No"
                                    }
                                ],
                                "text": "Has the patient had a colonoscopy in the last 5 years?"
                            },
                            "text": "FDR <55"
                        },
                        {
                            "next": {
                                "answers": [
                                    {
                                        "next": {
                                            "item_number": "Unfunded"
                                        },
                                        "text": "Yes"
                                    },
                                    {
                                        "next": {
                                            "item_number": 32223
                                        },
                                        "text": "No"
                                    }
                                ],
                                "text": "Has the patient had a colonoscopy in the last 5 years?"
                            },
                            "text": "2 FDR any age"
                        },
                        {
                            "next": {
                                "answers": [
                                    {
                                        "next": {
                                            "item_number": "Unfunded"
                                        },
                                        "text": "Yes"
                                    },
                                    {
                                        "next": {
                                            "item_number": 32223
                                        },
                                        "text": "No"
                                    }
                                ],
                                "text": "Has the patient had a colonoscopy in the last 5 years?"
                            },
                            "text": "1 FDR and 2 SDR any age"
                        },
                        {
                            "next": {
                                "item_number": "Unfunded"
                            },
                            "text": "None of above"
                        }
                    ],
                    "text": "FDR?"
                },
                "text": "Family History Colon Cancer"
            },
            {
                "next": {
                    "answers": [
                        {
                            "next": {
                                "answers": [
                                    {
                                        "next": {
                                            "answers": [
                                                {
                                                    "next": {
                                                        "item_number": "Unfunded"
                                                    },
                                                    "text": "Yes"
                                                },
                                                {
                                                    "next": {
                                                        "item_number": 32224
                                                    },
                                                    "text": "No"
                                                }
                                            ],
                                            "text": "Has the patient had a colonoscopy in the last 3 years?"
                                        },
                                        "text": "Polyp >10mm"
                                    },
                                    {
                                        "next": {
                                            "answers": [
                                                {
                                                    "next": {
                                                        "item_number": "Unfunded"
                                                    },
                                                    "text": "Yes"
                                                },
                                                {
                                                    "next": {
                                                        "item_number": 32224
                                                    },
                                                    "text": "No"
                                                }
                                            ],
                                            "text": "Has the patient had a colonoscopy in the last 3 years?"
                                        },
                                        "text": "High Grade Dysplasia"
                                    },
                                    {
                                        "next": {
                                            "answers": [
                                                {
                                                    "next": {
                                                        "item_number": "Unfunded"
                                                    },
                                                    "text": "Yes"
                                                },
                                                {
                                                    "next": {
                                                        "item_number": 32224
                                                    },
                                                    "text": "No"
                                                }
                                            ],
                                            "text": "Has the patient had a colonoscopy in the last 3 years?"
                                        },
                                        "text": "Villous Features"
                                    },
                                    {
                                        "next": {
                                            "item_number": 32223
                                        },
                                        "text": "None of the above"
                                    }
                                ],
                                "text": "Were any of the following present?"
                            },
                            "text": "Four or less"
                        },
                        {
                            "next": {
                                "answers": [
                                    {
                                        "next": {
                                            "item_number": "Unfunded"
                                        },
                                        "text": "Yes"
                                    },
                                    {
                                        "next": {
                                            "item_number": 32224
                                        },
                                        "text": "No"
                                    }
                                ],
                                "text": "Has the patient had a colonoscopy in the last 3 years?"
                            },
                            "text": "5-9 polyps"
                        },
                        {
                            "next": {
                                "answers": [
                                    {
                                        "next": {
                                            "item_number": "Unfunded"
                                        },
                                        "text": "Yes"
                                    },
                                    {
                                        "next": {
                                            "item_number": 32225
                                        },
                                        "text": "No"
                                    }
                                ],
                                "text": "Has the patient had more than four colonoscopies in the last 12 months"
                            },
                            "text": "10 or more polyps"
                        },
                        {
                            "next": {
                                "answers": [
                                    {
                                        "next": {
                                            "item_number": "Unfunded"
                                        },
                                        "text": "Yes"
                                    },
                                    {
                                        "next": {
                                            "item_number": 32225
                                        },
                                        "text": "No"
                                    }
                                ],
                                "text": "Has the patient had more than four colonoscopies in the last 12 months"
                            },
                            "text": "Prior piecemeal, or possibly incomplete excision of large sessile polyp"
                        }
                    ],
                    "text": "How many polyps were there?"
                },
                "text": "Previous Polyps"
            },
            {
                "next": {
                    "answers": [
                        {
                            "next": {
                                "answers": [
                                    {
                                        "next": {
                                            "item_number": 32223
                                        },
                                        "text": "Yes"
                                    },
                                    {
                                        "next": {
                                            "item_number": "Unfunded"
                                        },
                                        "text": "No"
                                    }
                                ],
                                "text": "Was the colonoscopy more than 5 years ago?"
                            },
                            "text": "Yes"
                        },
                        {
                            "next": {
                                "item_number": 32222
                            },
                            "text": "No"
                        }
                    ],
                    "text": "Has the patient had a colonoscopy post operatively?"
                },
                "text": "Previous Bowel Cancer"
            },
            {
                "next": {
                    "answers": [
                        {
                            "next": {
                                "item_number": "Unfunded"
                            },
                            "text": "Yes"
                        },
                        {
                            "next": {
                                "item_number": 32226
                            },
                            "text": "No"
                        }
                    ],
                    "text": "Has the patient had a colonoscopy in the last year?"
                },
                "text": "Familial syndrome"
            },
            {
                "next": {
                    "answers": [
                        {
                            "next": {
                                "item_number": 32227
                            },
                            "text": "Radiation proctitis"
                        },
                        {
                            "next": {
                                "item_number": 32227
                            },
                            "text": "Angioectasia"
                        },
                        {
                            "next": {
                                "item_number": 32227
                            },
                            "text": "Post polypectomy bleeding"
                        }
                    ],
                    "text": "What was the nature of the bleeding?"
                },
                "text": "Bleeding"
            },
            {
                "next": {
                    "item_number": 32227
                },
                "text": "Stricture balloon dilatation"
            },
            {
                "next": {
                    "answers": [
                        {
                            "next": {
                                "item_number": "Unfunded"
                            },
                            "text": "Yes"
                        },
                        {
                            "next": {
                                "item_number": 32228
                            },
                            "text": "No"
                        }
                    ],
                    "text": "Has the patient ever had a previous colonoscopy?"
                },
                "text": "Screening/Asymptomatic"
            }
        ],
        "text": "What is the indication for colonoscopy?"
    }
}