Release 5

Publish-box (todo)

Example RequestOrchestration/kdn5-example (Turtle)

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

Raw Turtle (+ also see Turtle/RDF Format Specification)

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.