Release 5 Preview #2

Requestgroup-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": "RequestGroup",
  "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"
      },
      "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"
      },
      "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": "requestgroup-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": [
                        {
                          "actionId": "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.