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Packagehl7.org.nz.fhir.ig.cca
Resource TypePlanDefinition
IdPlanDefinition-ColoRectal.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/HL7NZ/cca/PlanDefinition-ColoRectal.html
URLhttp://hl7.org.nz/fhir/ig/cca/PlanDefinition/ColoRectal
Version0.1.0
Statusactive
Date2020-06-29T20:14:18.417+12:00
TitleColorectal Adjuvant FOLFOX (a7)
Realmnz
Authorityhl7
DescriptionA drug treatment regimen for Colorectal cancer. Plan is still under review.

Resources that use this resource

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Resources that this resource uses

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Narrative

Note: links and images are rebased to the (stated) source

Plan for ColoRectal cancer. There is a single cycle with 2 drug administrations

Source1

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