Clinical ReasoningPublish-box (todo)
| 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 generated on Sun, Mar 26, 2023 15:25+1100.
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