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Clinical Decision Support Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
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Example realization of the KDN5 PlanDefinition example
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- [a fhir:RequestOrchestration ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "kdn5-example"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Administer gemcitabine and carboplatin.</div>" ] ; # fhir:contained ( [ a fhir:MedicationRequest ; fhir:id [ fhir:v "1111" ] ; fhir:status [ fhir:v "unknown" ] ; fhir:intent [ fhir:v "proposal" ] ; fhir:medication [ fhir:concept [ fhir:coding ( [ fhir:system [ fhir:v "http://www.nlm.nih.gov/research/umls/rxnorm"^^xsd:anyURI ] ; fhir:code [ fhir:v "12574" ] ; fhir:display [ fhir:v "gemcitabine" ] ] ) ; fhir:text [ fhir:v "gemcitabine" ] ] ] ; fhir:subject [ fhir:reference [ fhir:v "Patient/example" ] ] ; fhir:dosageInstruction ( [ fhir:text [ fhir:v "1250 mg/m² IV over 30 minutes" ] ; fhir:timing [ fhir:repeat [ fhir:duration [ fhir:v "30"^^xsd:decimal ] ; fhir:durationUnit [ fhir:v "min" ] ] ] ; fhir:route [ fhir:text [ fhir:v "IV" ] ] ; fhir:doseAndRate ( [ fhir:type [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/dose-rate-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "ordered" ] ; fhir:display [ fhir:v "Ordered" ] ] ) ] ; fhir:dose [ a fhir:Quantity ; fhir:value [ fhir:v "1250"^^xsd:decimal ] ; fhir:unit [ fhir:v "mg/m²" ] ] ] ) ] ) ] [ a fhir:MedicationRequest ; fhir:id [ fhir:v "2222" ] ; fhir:status [ fhir:v "unknown" ] ; fhir:intent [ fhir:v "proposal" ] ; fhir:medication [ fhir:concept [ fhir:coding ( [ fhir:system [ fhir:v "http://www.nlm.nih.gov/research/umls/rxnorm"^^xsd:anyURI ] ; fhir:code [ fhir:v "40048" ] ; fhir:display [ fhir:v "Carboplatin" ] ] ) ; fhir:text [ fhir:v "CARBOplatin" ] ] ] ; fhir:subject [ fhir:reference [ fhir:v "Patient/example" ] ] ; fhir:dosageInstruction ( [ fhir:text [ fhir:v "AUC 5 IV over 30 minutes" ] ; fhir:timing [ fhir:repeat [ fhir:duration [ fhir:v "30"^^xsd:decimal ] ; fhir:durationUnit [ fhir:v "min" ] ] ] ; fhir:route [ fhir:text [ fhir:v "IV" ] ] ; fhir:doseAndRate ( [ fhir:type [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/dose-rate-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "ordered" ] ; fhir:display [ fhir:v "Ordered" ] ] ) ] ; fhir:dose [ a fhir:Quantity ; fhir:extension ( [ fhir:url [ fhir:v "http://example.org/fhir/AUC-dose"^^xsd:anyURI ] ; fhir:value [ fhir:v "5"^^xsd:integer ] ] ) # AUC as dose unit or as an extension? ] # <value value=\"5\" \/>\n <unit value=\"AUC\" \/>\n <system value=\"http:\/\/snomed.info\/sct\" \/>\n <code value=\"413573002\" \/> ] ) ] ) ] ) ; # fhir:identifier ( [ fhir:value [ fhir:v "requestorchestration-kdn5" ] ] ) ; # fhir:instantiatesCanonical ( [ fhir:v "http://example.org/fhir/PlanDefinition/KDN5"^^xsd:anyURI ; fhir:link <http://example.org/fhir/PlanDefinition/KDN5> ] ) ; # fhir:status [ fhir:v "draft"] ; # fhir:intent [ fhir:v "plan"] ; # fhir:priority [ fhir:v "routine"] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/example" ] ] ; # fhir:encounter [ fhir:reference [ fhir:v "Encounter/example" ] ] ; # fhir:authoredOn [ fhir:v "2017-03-06T17:31:00Z"^^xsd:dateTime] ; # fhir:author [ fhir:reference [ fhir:v "Practitioner/1" ] ] ; # fhir:action ( [ fhir:selectionBehavior [ fhir:v "exactly-one" ] ; # list of regimen options. in this case only one fhir:action ( [ fhir:selectionBehavior [ fhir:v "all" ] ; # list of regimen parts. in this case only one fhir:action ( [ fhir:groupingBehavior [ fhir:v "sentence-group" ] ; # list of cycle definitions. in this case only one fhir:selectionBehavior [ fhir:v "exactly-one" ] ; fhir:action ( [ fhir:id [ fhir:v "cycle-definition-1" ] ; fhir:textEquivalent [ fhir:v "21-day cycle for 6 cycles" ] ; fhir:timing [ a fhir:Timing ; fhir:repeat [ fhir:count [ fhir:v "6"^^xsd:positiveInteger ] ; fhir:duration [ fhir:v "21"^^xsd:decimal ] ; fhir:durationUnit [ fhir:v "d" ] ] ] ; fhir:action ( [ fhir:id [ fhir:v "action-1" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/timing-daysOfCycle"^^xsd:anyURI ] ; fhir:extension ( [ fhir:url [ fhir:v "day"^^xsd:anyURI ] ; fhir:value [ fhir:v "1"^^xsd:integer ] ] [ fhir:url [ fhir:v "day"^^xsd:anyURI ] ; fhir:value [ fhir:v "8"^^xsd:integer ] ] ) ] ) ; fhir:textEquivalent [ fhir:v "Gemcitabine 1250 mg/m² IV over 30 minutes on days 1 and 8" ] ; fhir:resource [ fhir:reference [ fhir:v "#1111" ] ] ] [ fhir:id [ fhir:v "action-2" ] ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/timing-daysOfCycle"^^xsd:anyURI ] ; fhir:extension ( [ fhir:url [ fhir:v "day"^^xsd:anyURI ] ; fhir:value [ fhir:v "1"^^xsd:integer ] ] ) ] ) ; fhir:textEquivalent [ fhir:v "CARBOplatin AUC 5 IV over 30 minutes on Day 1" ] ; fhir:relatedAction ( [ fhir:targetId [ fhir:v "action-1" ] ; fhir:relationship [ fhir:v "concurrent-with-start" ] ] ) ; fhir:resource [ fhir:reference [ fhir:v "#2222" ] ] ] ) # list of regimen entry references for this regimen part , references would duplicated in each cycle definition option\n (see codesystem-action-grouping-behavior.html#sentence-group) ] ) # end of regimen entries ] ) # end of cycle definitions ] ) # end of regimen parts ] )] . # end of regimen options # -------------------------------------------------------------------------------------
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
FHIR ®© HL7.org 2011+. FHIR R5 hl7.fhir.core#5.0.0-draft-final generated on Wed, Mar 1, 2023 23:07+1100.
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