<?xml version=“1.0” encoding=“UTF-8”?> <PlanDefinition xmlns=“hl7.org/fhir”>
<id value="KDN5"/> <meta> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="HTEST"/> <display value="test health data"/> </security> </meta> <!-- regimen entries represented using contained ActivityDefinition resources (with extensions) --> <contained> <ActivityDefinition> <id value="1111"/> <status value="draft"/> <productCodeableConcept> <coding> <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> <code value="12574"/> <display value="gemcitabine"/> </coding> <text value="gemcitabine"/> </productCodeableConcept> <dosage> <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> </dosage> </ActivityDefinition> </contained> <contained> <ActivityDefinition> <id value="2222"/> <status value="draft"/> <productCodeableConcept> <coding> <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> <code value="40048"/> <display value="Carboplatin"/> </coding> <text value="CARBOplatin"/> </productCodeableConcept> <dosage> <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> <doseQuantity> <!-- AUC as dose unit or as an extension? --> <extension url="http://example.org/fhir/AUC-dose"> <valueInteger value="5"/> </extension> <!-- <value value="5" /> <unit value="AUC" /> <system value="http://snomed.info/sct" /> <code value="413573002" /> --> </doseQuantity> </doseAndRate> </dosage> </ActivityDefinition> </contained> <identifier> <system value="http://example.org/ordertemplates"/> <value value="KDN5"/> </identifier> <version value="1"/> <title value="Gemcitabine/CARBOplatin"/> <type> <text value="Chemotherapy Order Template"/> </type> <status value="draft"/> <experimental value="true"/> <publisher value="National Comprehensive Cancer Network, Inc."/> <!-- Indications --> <useContext> <extension url="http://hl7.org/fhir/StructureDefinition/usagecontext-group"> <valueString value="A"/> </extension> <code> <system value="http://example.org/fhir/CodeSystem/indications"/> <code value="treamentSetting-or-diseaseStatus"/> </code> <valueCodeableConcept> <text value="Metastatic"/> </valueCodeableConcept> </useContext> <useContext> <extension url="http://hl7.org/fhir/StructureDefinition/usagecontext-group"> <valueString value="A"/> </extension> <code> <system value="http://example.org/fhir/CodeSystem/indications"/> <code value="disease-or-histology"/> </code> <valueCodeableConcept> <text value="Collecting Duct/Medullary Subtypes"/> </valueCodeableConcept> </useContext> <useContext> <extension url="http://hl7.org/fhir/StructureDefinition/usagecontext-group"> <valueString value="A"/> </extension> <code> <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/> <code value="focus"/> </code> <valueCodeableConcept> <text value="Kidney Cancer"/> </valueCodeableConcept> </useContext> <useContext> <extension url="http://hl7.org/fhir/StructureDefinition/usagecontext-group"> <valueString value="B"/> </extension> <code> <system value="http://example.org/fhir/CodeSystem/indications"/> <code value="treatmentSetting-or-diseaseStatus"/> </code> <valueCodeableConcept> <text value="Relapsed"/> </valueCodeableConcept> </useContext> <useContext> <extension url="http://hl7.org/fhir/StructureDefinition/usagecontext-group"> <valueString value="B"/> </extension> <code> <system value="http://example.org/fhir/CodeSystem/indications"/> <code value="disease-or-histology"/> </code> <valueCodeableConcept> <text value="Collecting Duct/Medullary Subtypes"/> </valueCodeableConcept> </useContext> <useContext> <extension url="http://hl7.org/fhir/StructureDefinition/usagecontext-group"> <valueString value="B"/> </extension> <code> <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/> <code value="focus"/> </code> <valueCodeableConcept> <text value="Kidney Cancer – Collecting Duct/Medullary Subtypes - Metastatic"/> </valueCodeableConcept> </useContext> <copyright value="All rights reserved."/> <approvalDate value="2016-07-27"/> <lastReviewDate value="2016-07-27"/> <author> <name value="Lee Surprenant"/> </author> <!-- list of references for the order template --> <relatedArtifact> <type value="derived-from"/> <display value="NCCN Guidelines for Kidney Cancer. V.2.2016"/> <url value="http://www.example.org/professionals/physician_gls/PDF/kidney.pdf"/> </relatedArtifact> <relatedArtifact> <type value="citation"> <extension url="http://example.org/fhir/regimenReferenceType"> <valueCode value="a"/> </extension> </type> <citation value="Oudard S, et al. J Urol. 2007;177(5):1698-702"/> <url value="http://www.ncbi.nlm.nih.gov/pubmed/17437788"/> </relatedArtifact> <action> <!-- list of regimen options. in this case only one --> <selectionBehavior value="exactly-one"/> <action> <!-- list of regimen parts. in this case only one --> <selectionBehavior value="all"/> <action> <!-- list of cycle definitions. in this case only one --> <groupingBehavior value="sentence-group"/> <selectionBehavior value="exactly-one"/> <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 http://build.fhir.org/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"/> <definitionCanonical value="#1111"/> </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> <actionId value="action-1"/> <relationship value="concurrent-with-start"/> </relatedAction> <definitionCanonical value="#2222"/> </action> <!-- end of regimen entries --> </action> <!-- end of cycle definitions --> </action> <!-- end of regimen parts --> </action> <!-- end of regimen options --> </action>
</PlanDefinition>