HL7® FHIR® Te Aho o Te Kahu, Cancer Control Agency Implementation Guide
0.1.0 - CI Build

HL7® FHIR® Te Aho o Te Kahu, Cancer Control Agency Implementation Guide, published by Te Aho o Te Kahu, Cancer Control Agency. This is not an authorized publication; it is the continuous build for version 0.1.0). This version is based on the current content of https://github.com/HL7NZ/cca/ and changes regularly. See the Directory of published versions

: ColoRectal - TTL Representation

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@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 sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

 a fhir:PlanDefinition;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "ColoRectal"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org.nz/fhir/StructureDefinition/CcaPlanDefinition";
       fhir:index 0;
       fhir:link <http://hl7.org.nz/fhir/StructureDefinition/CcaPlanDefinition>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "additional" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Plan for ColoRectal cancer. There is a single cycle with 2 drug administrations</div>"
  ];
  fhir:DomainResource.contained [
     a fhir:ActivityDefinition;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "ActTragacanth" ];
     fhir:Resource.meta [
       fhir:Meta.profile [
         fhir:value "http://hl7.org.nz/fhir/StructureDefinition/CcaActivityDefinition";
         fhir:index 0;
         fhir:link <http://hl7.org.nz/fhir/StructureDefinition/CcaActivityDefinition>       ]     ];
     fhir:DomainResource.text [
       fhir:Narrative.status [ fhir:value "additional" ];
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Tragacanth administration, 3mg over 3 hours by continuous IV infusion</div>"     ];
     fhir:ActivityDefinition.status [ fhir:value "draft" ];
     fhir:ActivityDefinition.productCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://nzulm.org.nz/nzmt" ];
         fhir:Coding.code [ fhir:value "10711851000116105" ];
         fhir:Coding.display [ fhir:value "Tragacanth" ]       ]     ];
     fhir:ActivityDefinition.dosage [
       fhir:index 0;
       fhir:Dosage.text [ fhir:value "3 mg over 3 hours by IV infusion" ];
       fhir:Dosage.route [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:180177004;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "180177004" ];
           fhir:Coding.display [ fhir:value "continuous intravenous infusion" ]         ]       ];
       fhir:Dosage.doseAndRate [
         fhir:index 0;
         fhir:Dosage.doseAndRate.doseQuantity [
           fhir:Quantity.value [ fhir:value "3"^^xsd:decimal ];
           fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
           fhir:Quantity.code [ fhir:value "mg" ]         ];
         fhir:Dosage.doseAndRate.rateQuantity [
           fhir:Quantity.value [ fhir:value "3"^^xsd:decimal ];
           fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
           fhir:Quantity.code [ fhir:value "h" ]         ]       ]     ]
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org.nz/fhir/StructureDefinition/sact-plan-instructions" ];
     fhir:Extension.valueMarkdown [ fhir:value "Only for women" ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org.nz/fhir/StructureDefinition/sact-disclaimer" ];
     fhir:Extension.valueMarkdown [ fhir:value "Developed with the best of intentions." ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://hl7.org.nz/fhir/StructureDefinition/sact-regimen-type" ];
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:dummy;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "dummy" ]       ];
       fhir:CodeableConcept.text [ fhir:value "Folfox" ]     ]
  ], [
     fhir:index 3;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "factor" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:TOUPDATE-SUPPORT4;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "TOUPDATE-SUPPORT4" ];
           fhir:Coding.display [ fhir:value "Diarrhoea risk" ]         ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "value" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.text [ fhir:value "low" ]       ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org.nz/fhir/StructureDefinition/sact-support-factor" ]
  ], [
     fhir:index 4;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "factor" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:TOUPDATE-SUPPORT8;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "TOUPDATE-SUPPORT8" ];
           fhir:Coding.display [ fhir:value "AntiFungal Prophylaxis" ]         ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "value" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.text [ fhir:value "low" ]       ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org.nz/fhir/StructureDefinition/sact-support-factor" ]
  ], [
     fhir:index 5;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "factor" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:TOUPDATE-SUPPORT2;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "TOUPDATE-SUPPORT2" ];
           fhir:Coding.display [ fhir:value "Hypersensitivity / Infusion related reaction ris" ]         ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "value" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.text [ fhir:value "low" ]       ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org.nz/fhir/StructureDefinition/sact-support-factor" ]
  ];
  fhir:PlanDefinition.url [ fhir:value "http://hl7.org.nz/fhir/ig/cca/PlanDefinition/ColoRectal"];
  fhir:PlanDefinition.version [ fhir:value "0.1.0"];
  fhir:PlanDefinition.title [ fhir:value "Colorectal Adjuvant FOLFOX (a7)"];
  fhir:PlanDefinition.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/plan-definition-type" ];
       fhir:Coding.code [ fhir:value "clinical-protocol" ]     ]
  ];
  fhir:PlanDefinition.status [
     fhir:value "active";
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org.nz/fhir/StructureDefinition/sact-additional-plan-status" ];
       fhir:Extension.valueCode [ fhir:value "review" ]     ]
  ];
  fhir:PlanDefinition.experimental [ fhir:value "false"^^xsd:boolean];
  fhir:PlanDefinition.date [ fhir:value "2020-06-29T20:14:18.417+12:00"^^xsd:dateTime];
  fhir:PlanDefinition.publisher [ fhir:value "Te Aho o Te Kahu, Cancer Control Agency"];
  fhir:PlanDefinition.description [ fhir:value "A drug treatment regimen for Colorectal cancer. Plan is still under review."];
  fhir:PlanDefinition.useContext [
     fhir:index 0;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
       fhir:Coding.code [ fhir:value "focus" ]     ];
     fhir:UsageContext.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:781382000;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "781382000" ];
         fhir:Coding.display [ fhir:value "Colorectal cancer" ]       ]     ]
  ];
  fhir:PlanDefinition.relatedArtifact [
     fhir:index 0;
     fhir:RelatedArtifact.type [ fhir:value "citation" ];
     fhir:RelatedArtifact.display [ fhir:value "test" ];
     fhir:RelatedArtifact.url [ fhir:value "http://www.ncbi.nlm.nih.gov/pubmed/23434" ]
  ], [
     fhir:index 1;
     fhir:RelatedArtifact.type [ fhir:value "citation" ];
     fhir:RelatedArtifact.display [ fhir:value "test2" ];
     fhir:RelatedArtifact.url [ fhir:value "http://www.ncbi.nlm.nih.gov/pubmed/34324" ]
  ];
  fhir:PlanDefinition.action [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org.nz/fhir/StructureDefinition/sact-plan-instructions" ];
       fhir:Extension.valueMarkdown [ fhir:value "Ensure not pregnant before starting" ]     ];
     fhir:PlanDefinition.action.title [ fhir:value "This is the only cycle in the regimen." ];
     fhir:PlanDefinition.action.description [ fhir:value "Administration of Cabergoline and Tragacanth. Cycle length 14 days" ];
     fhir:PlanDefinition.action.timingTiming [
       fhir:Timing.repeat [
         fhir:Timing.repeat.count [ fhir:value "1"^^xsd:positiveInteger ];
         fhir:Timing.repeat.duration [ fhir:value "14"^^xsd:decimal ];
         fhir:Timing.repeat.durationUnit [ fhir:value "d" ]       ]     ];
     fhir:PlanDefinition.action.selectionBehavior [ fhir:value "all" ];
     fhir:PlanDefinition.action.action [
       fhir:index 0;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org.nz/fhir/StructureDefinition/sact-plan-instructions" ];
         fhir:Extension.valueMarkdown [ fhir:value "Keep a close eye for side effects" ]       ], [
         fhir:index 1;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "day" ];
           fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ]         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "instructions" ];
           fhir:Extension.valueString [ fhir:value "Specific instructions for the day 1 administration" ]         ];
         fhir:Extension.url [ fhir:value "http://hl7.org.nz/fhir/StructureDefinition/sact-timing-of-days" ]       ], [
         fhir:index 2;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "day" ];
           fhir:Extension.valueInteger [ fhir:value "4"^^xsd:integer ]         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "instructions" ];
           fhir:Extension.valueString [ fhir:value "Specific instructions for the day 4 administration" ]         ];
         fhir:Extension.url [ fhir:value "http://hl7.org.nz/fhir/StructureDefinition/sact-timing-of-days" ]       ];
       fhir:PlanDefinition.action.description [ fhir:value "2mg of Cabergoline daily on days 1 and 4 by IV Infusion over 20 minutes" ];
       fhir:PlanDefinition.action.definitionCanonical [ fhir:value "#act-cabergoline" ]     ], [
       fhir:index 1;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "day" ];
           fhir:Extension.valueInteger [ fhir:value "2"^^xsd:integer ]         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "instructions" ];
           fhir:Extension.valueString [ fhir:value "Specific instructions for the day 2 administration" ]         ];
         fhir:Extension.url [ fhir:value "http://hl7.org.nz/fhir/StructureDefinition/sact-timing-of-days" ]       ], [
         fhir:index 1;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "day" ];
           fhir:Extension.valueInteger [ fhir:value "3"^^xsd:integer ]         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "instructions" ];
           fhir:Extension.valueString [ fhir:value "Specific instructions for the day 3 administration" ]         ];
         fhir:Extension.url [ fhir:value "http://hl7.org.nz/fhir/StructureDefinition/sact-timing-of-days" ]       ], [
         fhir:index 2;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "day" ];
           fhir:Extension.valueInteger [ fhir:value "4"^^xsd:integer ]         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "instructions" ];
           fhir:Extension.valueString [ fhir:value "Specific instructions for the day 4 administration" ]         ];
         fhir:Extension.url [ fhir:value "http://hl7.org.nz/fhir/StructureDefinition/sact-timing-of-days" ]       ];
       fhir:PlanDefinition.action.description [ fhir:value "3mg of Tragacanth daily on days 2,3 and 4 by IV Infusion over 3 hours" ];
       fhir:PlanDefinition.action.definitionCanonical [ fhir:value "#act-tragacanth" ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.