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 guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7NZ/cca/ and changes regularly. See the Directory of published versions

## : Colorectal Adjuvant FOLFOX (a7) - TTL Representation

Active as of 2020-06-29

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @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 "ColoRectal"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org.nz/fhir/StructureDefinition/CcaPlanDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org.nz/fhir/StructureDefinition/CcaPlanDefinition>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "additional" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Plan for ColoRectal cancer. There is a single cycle with 2 drug administrations</div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:contained ( [
    a fhir:ActivityDefinition ;
    fhir:id [ fhir:v "ActTragacanth" ] ;
    fhir:meta [
          ( fhir:profile [
    fhir:v "http://hl7.org.nz/fhir/StructureDefinition/CcaActivityDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org.nz/fhir/StructureDefinition/CcaActivityDefinition>       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "additional" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Tragacanth administration, 3mg over 3 hours by continuous IV infusion</div>"^^rdf:XMLLiteral ]     ] ;
    fhir:status [ fhir:v "draft" ] ;
    fhir:product [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [
    fhir:v "https://nzulm.org.nz/nzmt"^^xsd:anyURI ;
    fhir:l <https://nzulm.org.nz/nzmt>         ] ;
    fhir:code [ fhir:v "10711851000116105" ] ;
    fhir:display [ fhir:v "Tragacanth" ]       ] )     ] ;
        ( fhir:dosage [
    fhir:text [ fhir:v "3 mg over 3 hours by IV infusion" ] ;
    fhir:route [
            ( fhir:coding [
    a sct:180177004 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>           ] ;
    fhir:code [ fhir:v "180177004" ] ;
    fhir:display [ fhir:v "continuous intravenous infusion" ]         ] )       ] ;
          ( fhir:doseAndRate [
    fhir:dose [
    a fhir:Quantity ;
    fhir:value [ fhir:v "3"^^xsd:decimal ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>           ] ;
    fhir:code [ fhir:v "mg" ]         ] ;
    fhir:rate [
    a fhir:Quantity ;
    fhir:value [ fhir:v "3"^^xsd:decimal ] ;
    fhir:system [
    fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
    fhir:l <http://unitsofmeasure.org>           ] ;
    fhir:code [ fhir:v "h" ]         ]       ] )     ] )
      ] ) ; #
      fhir:extension ( [
    fhir:url [
    fhir:v "http://hl7.org.nz/fhir/StructureDefinition/sact-plan-instructions"^^xsd:anyURI ;
    fhir:l <http://hl7.org.nz/fhir/StructureDefinition/sact-plan-instructions>     ] ;
    fhir:value [
    a fhir:Markdown ;
    fhir:v "Only for women"     ]
      ] [
    fhir:url [
    fhir:v "http://hl7.org.nz/fhir/StructureDefinition/sact-disclaimer"^^xsd:anyURI ;
    fhir:l <http://hl7.org.nz/fhir/StructureDefinition/sact-disclaimer>     ] ;
    fhir:value [
    a fhir:Markdown ;
    fhir:v "Developed with the best of intentions."     ]
      ] [
    fhir:url [
    fhir:v "http://hl7.org.nz/fhir/StructureDefinition/sact-regimen-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org.nz/fhir/StructureDefinition/sact-regimen-type>     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    a sct:dummy ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>         ] ;
    fhir:code [ fhir:v "dummy" ]       ] ) ;
    fhir:text [ fhir:v "Folfox" ]     ]
      ] [
        ( fhir:extension [
    fhir:url [
    fhir:v "factor"^^xsd:anyURI ;
    fhir:l fhir:factor       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    a sct:TOUPDATE-SUPPORT4 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>           ] ;
    fhir:code [ fhir:v "TOUPDATE-SUPPORT4" ] ;
    fhir:display [ fhir:v "Diarrhoea risk" ]         ] )       ]     ] [
    fhir:url [
    fhir:v "value"^^xsd:anyURI ;
    fhir:l fhir:value       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
    fhir:text [ fhir:v "low" ]       ]     ] ) ;
    fhir:url [
    fhir:v "http://hl7.org.nz/fhir/StructureDefinition/sact-support-factor"^^xsd:anyURI ;
    fhir:l <http://hl7.org.nz/fhir/StructureDefinition/sact-support-factor>     ]
      ] [
        ( fhir:extension [
    fhir:url [
    fhir:v "factor"^^xsd:anyURI ;
    fhir:l fhir:factor       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    a sct:TOUPDATE-SUPPORT8 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>           ] ;
    fhir:code [ fhir:v "TOUPDATE-SUPPORT8" ] ;
    fhir:display [ fhir:v "AntiFungal Prophylaxis" ]         ] )       ]     ] [
    fhir:url [
    fhir:v "value"^^xsd:anyURI ;
    fhir:l fhir:value       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
    fhir:text [ fhir:v "low" ]       ]     ] ) ;
    fhir:url [
    fhir:v "http://hl7.org.nz/fhir/StructureDefinition/sact-support-factor"^^xsd:anyURI ;
    fhir:l <http://hl7.org.nz/fhir/StructureDefinition/sact-support-factor>     ]
      ] [
        ( fhir:extension [
    fhir:url [
    fhir:v "factor"^^xsd:anyURI ;
    fhir:l fhir:factor       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    a sct:TOUPDATE-SUPPORT2 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>           ] ;
    fhir:code [ fhir:v "TOUPDATE-SUPPORT2" ] ;
    fhir:display [ fhir:v "Hypersensitivity / Infusion related reaction ris" ]         ] )       ]     ] [
    fhir:url [
    fhir:v "value"^^xsd:anyURI ;
    fhir:l fhir:value       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
    fhir:text [ fhir:v "low" ]       ]     ] ) ;
    fhir:url [
    fhir:v "http://hl7.org.nz/fhir/StructureDefinition/sact-support-factor"^^xsd:anyURI ;
    fhir:l <http://hl7.org.nz/fhir/StructureDefinition/sact-support-factor>     ]
      ] ) ; #
      fhir:url [
    fhir:v "http://hl7.org.nz/fhir/ig/cca/PlanDefinition/ColoRectal"^^xsd:anyURI ;
    fhir:l <http://hl7.org.nz/fhir/ig/cca/PlanDefinition/ColoRectal>
      ] ; #
      fhir:version [ fhir:v "0.1.0"] ; #
      fhir:title [ fhir:v "Colorectal Adjuvant FOLFOX (a7)"] ; #
      fhir:type [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/plan-definition-type"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/plan-definition-type>       ] ;
    fhir:code [ fhir:v "clinical-protocol" ]     ] )
      ] ; #
      fhir:status [
    fhir:v "active" ;
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org.nz/fhir/StructureDefinition/sact-additional-plan-status"^^xsd:anyURI ;
    fhir:l <http://hl7.org.nz/fhir/StructureDefinition/sact-additional-plan-status>       ] ;
    fhir:value [
    a fhir:Code ;
    fhir:v "review"       ]     ] )
      ] ; #
      fhir:experimental [ fhir:v false] ; #
      fhir:date [ fhir:v "2020-06-29T20:14:18.417+12:00"^^xsd:dateTime] ; #
      fhir:publisher [ fhir:v "Te Aho o Te Kahu, Cancer Control Agency"] ; #
      fhir:description [ fhir:v "A drug treatment regimen for Colorectal cancer. Plan is still under review."] ; #
      fhir:useContext ( [
    fhir:code [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/usage-context-type>       ] ;
    fhir:code [ fhir:v "focus" ]     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    a sct:781382000 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>         ] ;
    fhir:code [ fhir:v "781382000" ] ;
    fhir:display [ fhir:v "Colorectal cancer" ]       ] )     ]
      ] ) ; #
      fhir:relatedArtifact ( [
    fhir:type [ fhir:v "citation" ] ;
    fhir:display [ fhir:v "test" ] ;
    fhir:url [
    fhir:v "http://www.ncbi.nlm.nih.gov/pubmed/23434"^^xsd:anyURI ;
    fhir:l <http://www.ncbi.nlm.nih.gov/pubmed/23434>     ] ;
    fhir:document [
    fhir:url [
    fhir:v "http://www.ncbi.nlm.nih.gov/pubmed/23434"^^xsd:anyURI ;
    fhir:l <http://www.ncbi.nlm.nih.gov/pubmed/23434>       ]     ]
      ] [
    fhir:type [ fhir:v "citation" ] ;
    fhir:display [ fhir:v "test2" ] ;
    fhir:url [
    fhir:v "http://www.ncbi.nlm.nih.gov/pubmed/34324"^^xsd:anyURI ;
    fhir:l <http://www.ncbi.nlm.nih.gov/pubmed/34324>     ] ;
    fhir:document [
    fhir:url [
    fhir:v "http://www.ncbi.nlm.nih.gov/pubmed/34324"^^xsd:anyURI ;
    fhir:l <http://www.ncbi.nlm.nih.gov/pubmed/34324>       ]     ]
      ] ) ; #
      fhir:action ( [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org.nz/fhir/StructureDefinition/sact-plan-instructions"^^xsd:anyURI ;
    fhir:l <http://hl7.org.nz/fhir/StructureDefinition/sact-plan-instructions>       ] ;
    fhir:value [
    a fhir:Markdown ;
    fhir:v "Ensure not pregnant before starting"       ]     ] ) ;
    fhir:title [ fhir:v "This is the only cycle in the regimen." ] ;
    fhir:description [ fhir:v "Administration of Cabergoline and Tragacanth. Cycle length 14 days" ] ;
    fhir:timing [
    a fhir:Timing ;
    fhir:repeat [
    fhir:count [ fhir:v "1"^^xsd:positiveInteger ] ;
    fhir:duration [ fhir:v "14"^^xsd:decimal ] ;
    fhir:durationUnit [ fhir:v "d" ]       ]     ] ;
    fhir:selectionBehavior [ fhir:v "all" ] ;
        ( fhir:action [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org.nz/fhir/StructureDefinition/sact-plan-instructions"^^xsd:anyURI ;
    fhir:l <http://hl7.org.nz/fhir/StructureDefinition/sact-plan-instructions>         ] ;
    fhir:value [
    a fhir:Markdown ;
    fhir:v "Keep a close eye for side effects"         ]       ] [
            ( fhir:extension [
    fhir:url [
    fhir:v "day"^^xsd:anyURI ;
    fhir:l fhir:day           ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 1           ]         ] [
    fhir:url [
    fhir:v "instructions"^^xsd:anyURI ;
    fhir:l fhir:instructions           ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Specific instructions for the day 1 administration"           ]         ] ) ;
    fhir:url [
    fhir:v "http://hl7.org.nz/fhir/StructureDefinition/sact-timing-of-days"^^xsd:anyURI ;
    fhir:l <http://hl7.org.nz/fhir/StructureDefinition/sact-timing-of-days>         ]       ] [
            ( fhir:extension [
    fhir:url [
    fhir:v "day"^^xsd:anyURI ;
    fhir:l fhir:day           ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 4           ]         ] [
    fhir:url [
    fhir:v "instructions"^^xsd:anyURI ;
    fhir:l fhir:instructions           ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Specific instructions for the day 4 administration"           ]         ] ) ;
    fhir:url [
    fhir:v "http://hl7.org.nz/fhir/StructureDefinition/sact-timing-of-days"^^xsd:anyURI ;
    fhir:l <http://hl7.org.nz/fhir/StructureDefinition/sact-timing-of-days>         ]       ] ) ;
    fhir:description [ fhir:v "2mg of Cabergoline daily on days 1 and 4 by IV Infusion over 20 minutes" ] ;
    fhir:definition [
    a fhir:Canonical ;
    fhir:v "#act-cabergoline"^^xsd:anyURI ;
    fhir:l <#act-cabergoline>       ]     ] [
          ( fhir:extension [
            ( fhir:extension [
    fhir:url [
    fhir:v "day"^^xsd:anyURI ;
    fhir:l fhir:day           ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 2           ]         ] [
    fhir:url [
    fhir:v "instructions"^^xsd:anyURI ;
    fhir:l fhir:instructions           ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Specific instructions for the day 2 administration"           ]         ] ) ;
    fhir:url [
    fhir:v "http://hl7.org.nz/fhir/StructureDefinition/sact-timing-of-days"^^xsd:anyURI ;
    fhir:l <http://hl7.org.nz/fhir/StructureDefinition/sact-timing-of-days>         ]       ] [
            ( fhir:extension [
    fhir:url [
    fhir:v "day"^^xsd:anyURI ;
    fhir:l fhir:day           ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 3           ]         ] [
    fhir:url [
    fhir:v "instructions"^^xsd:anyURI ;
    fhir:l fhir:instructions           ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Specific instructions for the day 3 administration"           ]         ] ) ;
    fhir:url [
    fhir:v "http://hl7.org.nz/fhir/StructureDefinition/sact-timing-of-days"^^xsd:anyURI ;
    fhir:l <http://hl7.org.nz/fhir/StructureDefinition/sact-timing-of-days>         ]       ] [
            ( fhir:extension [
    fhir:url [
    fhir:v "day"^^xsd:anyURI ;
    fhir:l fhir:day           ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 4           ]         ] [
    fhir:url [
    fhir:v "instructions"^^xsd:anyURI ;
    fhir:l fhir:instructions           ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Specific instructions for the day 4 administration"           ]         ] ) ;
    fhir:url [
    fhir:v "http://hl7.org.nz/fhir/StructureDefinition/sact-timing-of-days"^^xsd:anyURI ;
    fhir:l <http://hl7.org.nz/fhir/StructureDefinition/sact-timing-of-days>         ]       ] ) ;
    fhir:description [ fhir:v "3mg of Tragacanth daily on days 2,3 and 4 by IV Infusion over 3 hours" ] ;
    fhir:definition [
    a fhir:Canonical ;
    fhir:v "#act-tragacanth"^^xsd:anyURI ;
    fhir:l <#act-tragacanth>       ]     ] )
      ] ) . #