Snapshot 3: Connectathon 32 Base

This is Snapshot #3 for FHIR R5, released to support Connectathon 32. For a full list of available versions, see the Directory of published versions.

Example RequestOrchestration/kdn5-example (JSON)

Clinical Decision Support Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

Raw JSON (canonical form + also see JSON Format Specification)

Example realization of the KDN5 PlanDefinition example

{
  "resourceType" : "RequestOrchestration",
  "id" : "kdn5-example",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Administer gemcitabine and carboplatin.</div>"
  },
  "contained" : [{
    "resourceType" : "MedicationRequest",
    "id" : "1111",
    "status" : "unknown",
    "intent" : "proposal",
    "medication" : {
      "concept" : {
        "coding" : [{
          "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
          "code" : "12574",
          "display" : "gemcitabine"
        }],
        "text" : "gemcitabine"
      }
    },
    "subject" : {
      "reference" : "Patient/example"
    },
    "dose" : {
      "dosageInstruction" : [{
        "text" : "1250 mg/m² IV over 30 minutes",
        "timing" : {
          "repeat" : {
            "duration" : 30,
            "durationUnit" : "min"
          }
        },
        "route" : {
          "text" : "IV"
        },
        "doseAndRate" : [{
          "type" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
              "code" : "ordered",
              "display" : "Ordered"
            }]
          },
          "doseQuantity" : {
            "value" : 1250,
            "unit" : "mg/m²"
          }
        }]
      }]
    }
  },
  {
    "resourceType" : "MedicationRequest",
    "id" : "2222",
    "status" : "unknown",
    "intent" : "proposal",
    "medication" : {
      "concept" : {
        "coding" : [{
          "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
          "code" : "40048",
          "display" : "Carboplatin"
        }],
        "text" : "CARBOplatin"
      }
    },
    "subject" : {
      "reference" : "Patient/example"
    },
    "dose" : {
      "dosageInstruction" : [{
        "text" : "AUC 5 IV over 30 minutes",
        "timing" : {
          "repeat" : {
            "duration" : 30,
            "durationUnit" : "min"
          }
        },
        "route" : {
          "text" : "IV"
        },
        "doseAndRate" : [{
          "type" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
              "code" : "ordered",
              "display" : "Ordered"
            }]
          },
          "doseQuantity" : {
            "extension" : [{
              "url" : "http://example.org/fhir/AUC-dose",
              "valueInteger" : 5
            }]
          }
        }]
      }]
    }
  }],
  "identifier" : [{
    "value" : "requestorchestration-kdn5"
  }],
  "instantiatesCanonical" : ["http://example.org/fhir/PlanDefinition/KDN5"],
  "status" : "draft",
  "intent" : "plan",
  "priority" : "routine",
  "subject" : {
    "reference" : "Patient/example"
  },
  "encounter" : {
    "reference" : "Encounter/example"
  },
  "authoredOn" : "2017-03-06T17:31:00Z",
  "author" : {
    "reference" : "Practitioner/1"
  },
  "action" : [{
    "selectionBehavior" : "exactly-one",
    "action" : [{
      "selectionBehavior" : "all",
      "action" : [{
        "groupingBehavior" : "sentence-group",
        "selectionBehavior" : "exactly-one",
        "action" : [{
          "id" : "cycle-definition-1",
          "textEquivalent" : "21-day cycle for 6 cycles",
          "timingTiming" : {
            "repeat" : {
              "count" : 6,
              "duration" : 21,
              "durationUnit" : "d"
            }
          },
          "action" : [{
            "id" : "action-1",
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/timing-daysOfCycle",
              "extension" : [{
                "url" : "day",
                "valueInteger" : 1
              },
              {
                "url" : "day",
                "valueInteger" : 8
              }]
            }],
            "textEquivalent" : "Gemcitabine 1250 mg/m² IV over 30 minutes on days 1 and 8",
            "resource" : {
              "reference" : "#1111"
            }
          },
          {
            "id" : "action-2",
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/timing-daysOfCycle",
              "extension" : [{
                "url" : "day",
                "valueInteger" : 1
              }]
            }],
            "textEquivalent" : "CARBOplatin AUC 5 IV over 30 minutes on Day 1",
            "relatedAction" : [{
              "targetId" : "action-1",
              "relationship" : "concurrent-with-start"
            }],
            "resource" : {
              "reference" : "#2222"
            }
          }]
        }]
      }]
    }]
  }]
}

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.