Example realization of the KDN5 PlanDefinition example (id = "kdn5-example")

<?xml version="1.0" encoding="UTF-8"?>


  
  
    
    
  
  
    
      
      
      
      
      
        
          
          
          
        
        
      
      
      
        
      
      
        
        
          
            
            
          
        
        
          
        
        
          
            
              
              
              
            
          
          
          
          
          
        
      
    
  
  
    
      
      
      
      
      
        
          
          
          
        
        
      
      
      
        
      
      
        
        
          
            
            
          
        
        
          
        
        
          
            
              
              
              
            
          
          
              
            
              
            
              <!--   <value value="5" />
          <unit value="AUC" />
          <system value="http://snomed.info/sct" />
          <code value="413573002" />   -->
          
        

      
    
  
  
    
  
  
  
  
  
  
    
  
  
    
  
  
  
    
  

  
      
    
    
        
      
      
          
        
        
        
          

          
            
              
              
              
            
          

            
            <!--   references would duplicated in each cycle definition option
          (see codesystem-action-grouping-behavior.html#sentence-group)  -->
          
            
              
                
              
              
                
              
            
            
            
              
            
          
          
            
              
                
              
            
            
            
              
              
      
            
              
            
          
        
      
    
  

<RequestOrchestration xmlns="http://hl7.org/fhir">
  <id value="kdn5-example"/> 
  <text> 
    <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Administer gemcitabine and carboplatin.</div> 
  </text> 
  <contained> 
    <MedicationRequest> 
      <id value="1111"/> 
      <status value="unknown"/> 
      <intent value="proposal"/> 
      <medication> 
        <concept> 
          <coding> 
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
            <code value="12574"/> 
            <display value="gemcitabine"/> 
          </coding> 
          <text value="gemcitabine"/> 
        </concept> 
      </medication> 
      <subject> 
        <reference value="Patient/example"/> 
      </subject> 
      <dosageInstruction> 
        <text value="1250 mg/m² IV over 30 minutes"/> 
        <timing> 
          <repeat> 
            <duration value="30"/> 
            <durationUnit value="min"/> 
          </repeat> 
        </timing> 
        <route> 
          <text value="IV"/> 
        </route> 
        <doseAndRate> 
          <type> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
              <code value="ordered"/> 
              <display value="Ordered"/> 
            </coding> 
          </type> 
          <doseQuantity> 
            <value value="1250"/> 
            <unit value="mg/m²"/> 
          </doseQuantity> 
        </doseAndRate> 
      </dosageInstruction> 
    </MedicationRequest> 
  </contained> 
  <contained> 
    <MedicationRequest> 
      <id value="2222"/> 
      <status value="unknown"/> 
      <intent value="proposal"/> 
      <medication> 
        <concept> 
          <coding> 
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
            <code value="40048"/> 
            <display value="Carboplatin"/> 
          </coding> 
          <text value="CARBOplatin"/> 
        </concept> 
      </medication> 
      <subject> 
        <reference value="Patient/example"/> 
      </subject> 
      <dosageInstruction> 
        <text value="AUC 5 IV over 30 minutes"/> 
        <timing> 
          <repeat> 
            <duration value="30"/> 
            <durationUnit value="min"/> 
          </repeat> 
        </timing> 
        <route> 
          <text value="IV"/> 
        </route> 
        <doseAndRate> 
          <type> 
            <coding> 
              <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
              <code value="ordered"/> 
              <display value="Ordered"/> 
            </coding> 
          </type> 
          <!--   <value value="5" />
          <unit value="AUC" />
          <system value="http://snomed.info/sct" />
          <code value="413573002" />   -->
          <doseQuantity>             <!--   AUC as dose unit or as an extension?   -->            <extension url="http://example.org/fhir/AUC-dose">              <valueInteger value="5"/>             </extension>           </doseQuantity>         </doseAndRate>       </dosageInstruction>     </MedicationRequest>   </contained>   <identifier>     <value value="requestorchestration-kdn5"/>   </identifier>   <instantiatesCanonical value="http://example.org/fhir/PlanDefinition/KDN5"/>   <status value="draft"/>   <intent value="plan"/>   <priority value="routine"/>   <subject>     <reference value="Patient/example"/>   </subject>   <encounter>     <reference value="Encounter/example"/>   </encounter>   <authoredOn value="2017-03-06T17:31:00Z"/>   <author>     <reference value="Practitioner/1"/>   </author>   <!--   end of regimen options   -->  <action>     <!--   list of regimen options. in this case only one   -->    <selectionBehavior value="exactly-one"/>     <!--   end of regimen parts   -->    <action>       <!--   list of regimen parts. in this case only one   -->      <selectionBehavior value="all"/>       <!--   end of cycle definitions   -->      <action>         <!--   list of cycle definitions. in this case only one   -->        <groupingBehavior value="sentence-group"/>         <selectionBehavior value="exactly-one"/>         <!--   end of regimen entries   -->        <action id="cycle-definition-1">          <textEquivalent value="21-day cycle for 6 cycles"/>           <timingTiming>             <repeat>               <count value="6"/>               <duration value="21"/>               <durationUnit value="d"/>             </repeat>           </timingTiming>           <!--   list of regimen entry references for this regimen part   -->          <!--   references would duplicated in each cycle definition option
          (see codesystem-action-grouping-behavior.html#sentence-group)  -->
          <action id="action-1">            <extension url="http://hl7.org/fhir/StructureDefinition/timing-daysOfCycle">              <extension url="day">                <valueInteger value="1"/>               </extension>               <extension url="day">                <valueInteger value="8"/>               </extension>             </extension>             <textEquivalent value="Gemcitabine 1250 mg/m² IV over 30 minutes on days 1 and 8"/>             <resource>               <reference value="#1111"/>             </resource>           </action>           <action id="action-2">            <extension url="http://hl7.org/fhir/StructureDefinition/timing-daysOfCycle">              <extension url="day">                <valueInteger value="1"/>               </extension>             </extension>             <textEquivalent value="CARBOplatin AUC 5 IV over 30 minutes on Day 1"/>             <relatedAction>               <targetId value="action-1"/>               <relationship value="concurrent-with-start"/>             </relatedAction>             <resource>               <reference value="#2222"/>             </resource>           </action>         </action>       </action>     </action>   </action> 


</

RequestOrchestration

>