Protocol-example.xml

General Protocol Example (id = "example")

<Protocol xmlns="http://hl7.org/fhir">
  <id value="example"/>
  <text>
    
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
<p>
    <b>id: </b>example, </p>
  
  <p>
    <b>identifier: </b>, <b>system: </b>http://acme.org, <b>value: </b>example-1, </p>
  <p>
    <b>title: </b>Obesity Assessment Protocol, </p>
  <p>
    <b>status: </b>draft, </p>
  <p>
    <b>type: </b>condition, </p>
  <p>
    <b>purpose: </b>Example of A medical algorithm for assessment and treatment of overweight and obesity,
         </p>
  <p>
    <b>author: </b>, <b>display: </b>National Heart, Lung, and Blood Institute http://www.nhlbi.nih.gov/health-pro/guidelines/current/obe
        sity-guidelines/e_textbook/txgd/algorthm/algorthm.htm, </p>
  <p>
    <b>step: </b>, <b>name: </b>Measure BMI, <b>description: </b>Measure, Weight, Height, Waist, Circumference; Calculate BMI  Weight must be measured
         so that the BMI can be calculated. Most charts are based on weights obtained with the
         patient wearing undergarments and no shoes. BMI can be manually calculated (kg/[height
         in meters]2), but is more easily obtained from a nomogram. Waist circumference is important
         because evidence suggests that abdominal fat is a particularly strong determinant of cardiovascular
         risk in those with a BMI of 25 to 34.9 kg/m2. Increased waist circumference can also be
         a marker of increased risk even in persons of normal weight. The technique for measuring
         waist circumference is described in the text. A nutrition assessment will also help to
         assess the diet and physical activity habits of overweight patients, <b>precondition: </b>, <b>union: </b>, <b>description: </b>The practitioner must seek to determine whether the patient has ever been overweight.
         While a technical definition is provided, a simple question such as 'Have you ever been
         overweight?' will accomplish the same goal. Questions directed towards weight history,
         dietary habits, physical activities, and medications may provide useful information about
         the origins of obesity in particular patients., <b>condition: </b>, <b>type: </b>, <b>coding: </b>, <b>system: </b>http://acme.org, <b>code: </b>1234, <b>display: </b>Obesity, <b>valueBoolean: </b>true, <b>union: </b>, <b>description: </b>BMI Measured in Past 2 Years  For those who have not been overweight, a 2 year interval
         is appropriate for the reassessment of BMI. While this time span is not evidence-based,
         it is believed to be a reasonable compromise between the need to identify weight gain
         at an early stage and the need to limit the time, effort, and cost of repeated measurements.,
         <b>condition: </b>, <b>type: </b>, <b>text: </b>BMI in last 2 years, <b>valueBoolean: </b>false, <b>activity: </b>, <b>detail: </b>, <b>category: </b>procedure, <b>code: </b>, <b>coding: </b>, <b>system: </b>http://loinc.org, <b>code: </b>39156-5, <b>display: </b>Body mass index (BMI) [Ratio], <b>performer: </b>, <b>display: </b>Nurse Ratched, <b>description: </b>Extra information on activity , </p>
    </div>
  </text>
  <identifier>
    <system value="http://acme.org"/>
    <value value="example-1"/>
  </identifier>
  <title value="Obesity Assessment Protocol"/>
<!--  The status of the protocol.draft | testing | review | active | withdrawn | superseded
    -->  
  <status value="draft"/>
  <!--  A code that classifies the general type of context to which these behavior definitions
   apply. This is used for searching, sorting and display purposes.  -->
  <type value="condition"/>
  <!--  When is the protocol to be used  -->
  <purpose value="Example of A medical algorithm for assessment and treatment of overweight and obesity"/>
  <!--  Who wrote the Protocol  -->
  <author>
    <display value="National Heart, Lung, and Blood Institute http://www.nhlbi.nih.gov/health-pro/guidelines/current/obe
    sity-guidelines/e_textbook/txgd/algorthm/algorthm.htm"/>
  </author>
  <!--    The meat of the protocol - a series of steps  -->
  <step>
    <!--  step label  -->
    <name value="Measure BMI"/>
    <!--  description of activity  -->
    <description value="Measure, Weight, Height, Waist, Circumference; Calculate BMI  Weight must be measured
     so that the BMI can be calculated. Most charts are based on weights obtained with the
     patient wearing undergarments and no shoes. BMI can be manually calculated (kg/[height
     in meters]2), but is more easily obtained from a nomogram. Waist circumference is important
     because evidence suggests that abdominal fat is a particularly strong determinant of cardiovascular
     risk in those with a BMI of 25 to 34.9 kg/m2. Increased waist circumference can also be
     a marker of increased risk even in persons of normal weight. The technique for measuring
     waist circumference is described in the text. A nutrition assessment will also help to
     assess the diet and physical activity habits of overweight patients"/>
    <!--  How long does each step last
<duration></duration>
  -->
    <!--  Rules prior to execution  -->
    <precondition>
      <union>
        <description value="The practitioner must seek to determine whether the patient has ever been overweight.
         While a technical definition is provided, a simple question such as 'Have you ever been
         overweight?' will accomplish the same goal. Questions directed towards weight history,
         dietary habits, physical activities, and medications may provide useful information about
         the origins of obesity in particular patients."/>
        <!--  condition evaluated
  -->
        <condition>
          <!--  The type of observation, test or other assertion being evaluated by the condition.  -->
          <type>
            <coding>
              <system value="http://acme.org"/>
              <code value="1234"/>
              <display value="Obesity"/>
            </coding>
          </type>
          <!--  Indicates what value the observation/test/assertion must have in order for the condition
           to be considered to be satisfied.  -->
          <valueBoolean value="true"/>
        </condition>
      </union>
      <union>
        <description value="BMI Measured in Past 2 Years  For those who have not been overweight, a 2 year interval
         is appropriate for the reassessment of BMI. While this time span is not evidence-based,
         it is believed to be a reasonable compromise between the need to identify weight gain
         at an early stage and the need to limit the time, effort, and cost of repeated measurements."/>
        <!--  condition evaluated  -->
        <condition>
          <!--  The type of observation, test or other assertion being evaluated by the condition.  -->
          <type>
            <text value="BMI in last 2 years"/>
          </type>
          <!--  Indicates what value the observation/test/assertion must have in order for the condition
           to be considered to be satisfied.  -->
          <valueBoolean value="false"/>
        </condition>
      </union>
    </precondition>
    <!--    Activities that occur within timepoint  -->
    <activity>
      <detail>
        <category value="procedure"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="39156-5"/>
            <display value="Body mass index (BMI) [Ratio]"/>
          </coding>
        </code>
        <!--    When should this activity occur
<timingCodeableConcept></timingCodeableConcept>

Where should it occur
<location></location>  -->
        <!--  Who should do this  -->
        <performer>
          <display value="Nurse Ratched"/>
        </performer>
        <!--  What supplied or administiered if applicable and how much
<product></product>
<quantity></quantity>
  -->
        <!--  Extra information on activity  -->
        <description value="Extra information on activity "/>
      </detail>
    </activity>
  </step>
</Protocol>