Clinical Practice Guidelines (CPG) on EBMonFHIR
1.0.2 - ci-build

Clinical Practice Guidelines (CPG) on EBMonFHIR, published by Universitätsmedizin Greifswald. This guide is not an authorized publication; it is the continuous build for version 1.0.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/CEOsys/cpg-on-ebm-on-fhir/ and changes regularly. See the Directory of published versions

: Example Recommendation plan - TTL Representation

Active as of 2022-02-14

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:PlanDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ExampleRecommendationPlan"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/recommendation-plan"^^xsd:anyURI ;
fhir:link <https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/recommendation-plan>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: PlanDefinition ExampleRecommendationPlan</b></p><a name=\"ExampleRecommendationPlan\"> </a><a name=\"hcExampleRecommendationPlan\"> </a><a name=\"ExampleRecommendationPlan-en-US\"> </a><p><b>knowledgeCapability</b>: computable</p><p><b>knowledgeRepresentationLevel</b>: structured</p><p><b>partOf</b>: <a href=\"PlanDefinition-ExampleRecommendation.html\">Recommendation</a></p><blockquote><p><b>Action Combination Method</b></p><ul><li>method: <span title=\"Codes:{https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-action-combination-method exactly}\">Exactly</span></li><li>threshold: 1</li></ul></blockquote><p><b>url</b>: <a href=\"PlanDefinition-ExampleRecommendationPlan.html\">PlanDefinition Recommendation Plan</a></p><p><b>version</b>: 1.0</p><p><b>name</b>: RecommendationPlan</p><p><b>title</b>: Recommendation Plan</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/plan-definition-type eca-rule}\">ECA Rule</span></p><p><b>status</b>: Active</p><p><b>experimental</b>: true</p><p><b>subject</b>: <a href=\"EvidenceVariable-ExampleRecommendationEligibilityCriteria5Levels.html\">PopulationExample</a></p><p><b>date</b>: 2022-02-14</p><p><b>publisher</b>: CPGonEBMonFHIR</p><p><b>description</b>: </p><div><p>Example Recommendation Plan</p>\n</div><blockquote><p><b>goal</b></p><blockquote><p><b>id</b></p>ventilator-management-goal</blockquote><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 385857005}\">Ventilator care and adjustment (regime/therapy)</span></p><p><b>description</b>: <span title=\"Codes:\">The ventilator should be set up to provide a breath reate of at least 20 and at most per minute.</span></p><h3>Targets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Measure</b></td><td><b>Detail[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://loinc.org 33438-3}\">Breath rate mechanical --on ventilator</span></td><td>20-24</td></tr></table></blockquote><blockquote><p><b>goal</b></p><blockquote><p><b>id</b></p>lab-ddimer-concentration-goal</blockquote><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 410394004}\">Lab findings surveillance (regime/therapy)</span></p><p><b>description</b>: <span title=\"Codes:\">D-Dimer concentration shall be below 250 ng/mL</span></p><h3>Targets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Measure</b></td><td><b>Detail[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://loinc.org 48066-5}\">Fibrin D-dimer DDU [Mass/volume] in Platelet poor plasma</span></td><td>?-250</td></tr></table></blockquote><blockquote><p><b>action</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 432102000}\">Administration of substance (procedure)</span></p><p><b>definition</b>: <a href=\"Bundle-GuidelineRecommendationExample.html\">DrugAdministrationAction</a></p></blockquote><blockquote><p><b>action</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 229824005}\">Positioning patient (procedure)</span></p><p><b>goalId</b>: ventilator-management-goal</p><p><b>definition</b>: <a href=\"ActivityDefinition-ExampleBodyPositioningAction.html\">DrugAdministrationAction</a></p></blockquote><blockquote><p><b>action</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 410210009}\">Ventilator care management (procedure)</span></p><p><b>goalId</b>: ventilator-management-goal</p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>Action Combination Method</b></p><ul><li>method: <span title=\"Codes:{https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-action-combination-method one-or-more}\">One or More</span></li></ul></blockquote><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 89780004}\">Combined (qualifier value)</span></p><h3>Actions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>GoalId</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 410210009}\">Ventilator care management (procedure)</span></td><td>ventilator-management-goal</td></tr></table></blockquote></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability"^^xsd:anyURI ] ;
fhir:value [ fhir:v "computable" ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel"^^xsd:anyURI ] ;
fhir:value [ fhir:v "structured" ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-partOf"^^xsd:anyURI ] ;
fhir:value [
fhir:v "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-plan/example-recommendation"^^xsd:anyURI ;
fhir:link <https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-plan/example-recommendation>     ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "method"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-action-combination-method"^^xsd:anyURI ] ;
fhir:code [ fhir:v "exactly" ]         ] )       ]     ] [
fhir:url [ fhir:v "threshold"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:positiveInteger ]     ] ) ;
fhir:url [ fhir:v "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-action-combination-method"^^xsd:anyURI ]
  ] ) ; # 
  fhir:url [ fhir:v "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-plan/example-recommendation-plan"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "1.0"] ; # 
  fhir:name [ fhir:v "RecommendationPlan"] ; # 
  fhir:title [ fhir:v "Recommendation Plan"] ; # 
  fhir:type [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/plan-definition-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "eca-rule" ]     ] )
  ] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:subject [
fhir:v "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-eligibility-criteria"^^xsd:anyURI ;
fhir:link <https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-eligibility-criteria>
  ] ; # 
  fhir:date [ fhir:v "2022-02-14"^^xsd:date] ; # 
  fhir:publisher [ fhir:v "CPGonEBMonFHIR"] ; # 
  fhir:description [ fhir:v "Example Recommendation Plan"] ; # 
  fhir:goal ( [
fhir:id [ fhir:v "ventilator-management-goal" ] ;
fhir:category [
      ( fhir:coding [
a sct:385857005 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "385857005" ] ;
fhir:display [ fhir:v "Ventilator care and adjustment (regime/therapy)" ]       ] )     ] ;
fhir:description [
fhir:text [ fhir:v "The ventilator should be set up to provide a breath reate of at least 20 and at most per minute." ]     ] ;
    ( fhir:target [
fhir:measure [
        ( fhir:coding [
a loinc:33438-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "33438-3" ] ;
fhir:display [ fhir:v "Breath rate mechanical --on ventilator" ]         ] )       ] ;
fhir:detail [
a fhir:Range ;
fhir:low [
fhir:value [ fhir:v "20"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "/min" ]         ] ;
fhir:high [
fhir:value [ fhir:v "24"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "/min" ]         ]       ]     ] )
  ] [
fhir:id [ fhir:v "lab-ddimer-concentration-goal" ] ;
fhir:category [
      ( fhir:coding [
a sct:410394004 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "410394004" ] ;
fhir:display [ fhir:v "Lab findings surveillance (regime/therapy)" ]       ] )     ] ;
fhir:description [
fhir:text [ fhir:v "D-Dimer concentration shall be below 250 ng/mL" ]     ] ;
    ( fhir:target [
fhir:measure [
        ( fhir:coding [
a loinc:48066-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "48066-5" ] ;
fhir:display [ fhir:v "Fibrin D-dimer DDU [Mass/volume] in Platelet poor plasma" ]         ] )       ] ;
fhir:detail [
a fhir:Range ;
fhir:high [
fhir:value [ fhir:v "250"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ng/mL" ]         ]       ]     ] )
  ] ) ; # 
  fhir:action ( [
fhir:code [
      ( fhir:coding [
a sct:432102000 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "432102000" ] ;
fhir:display [ fhir:v "Administration of substance (procedure)" ]       ] )     ] ;
fhir:definition [
fhir:v "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-action/drug-administration-example"^^xsd:anyURI ;
fhir:link <https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-action/drug-administration-example>     ]
  ] [
fhir:code [
      ( fhir:coding [
a sct:229824005 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "229824005" ] ;
fhir:display [ fhir:v "Positioning patient (procedure)" ]       ] )     ] ;
    ( fhir:goalId [ fhir:v "ventilator-management-goal" ] ) ;
fhir:definition [
fhir:v "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-action/body-positioning-example"^^xsd:anyURI ;
fhir:link <https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-action/body-positioning-example>     ]
  ] [
fhir:code [
      ( fhir:coding [
a sct:410210009 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "410210009" ] ;
fhir:display [ fhir:v "Ventilator care management (procedure)" ]       ] )     ] ;
    ( fhir:goalId [ fhir:v "ventilator-management-goal" ] )
  ] [
    ( fhir:extension [
      ( fhir:extension [
fhir:url [ fhir:v "method"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-action-combination-method"^^xsd:anyURI ] ;
fhir:code [ fhir:v "one-or-more" ]           ] )         ]       ] ) ;
fhir:url [ fhir:v "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-action-combination-method"^^xsd:anyURI ]     ] ) ;
fhir:code [
      ( fhir:coding [
a sct:89780004 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "89780004" ] ;
fhir:display [ fhir:v "Combined (qualifier value)" ]       ] )     ] ;
    ( fhir:action [
fhir:code [
        ( fhir:coding [
a sct:410210009 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "410210009" ] ;
fhir:display [ fhir:v "Ventilator care management (procedure)" ]         ] )       ] ;
      ( fhir:goalId [ fhir:v "ventilator-management-goal" ] )     ] )
  ] ) . #