Clinical Practice Guidelines (CPG) on EBMonFHIR
0.8.0-snapshot - ci-build

Clinical Practice Guidelines (CPG) on EBMonFHIR - Local Development build (v0.8.0-snapshot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Example Recommendation plan - TTL Representation

Active as of 2022-02-14

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@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:id [ fhir:v "ExampleRecommendationPlan"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/recommendation-plan"^^xsd:anyURI ;
fhir:link <https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/recommendation-plan>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PlanDefinition</b><a name=\"ExampleRecommendationPlan\"> </a><a name=\"hcExampleRecommendationPlan\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">ResourcePlanDefinition &quot;ExampleRecommendationPlan&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-recommendation-plan.html\">Recommendation Plan</a></p></div><p><b>knowledgeCapability</b>: computable</p><p><b>knowledgeRepresentationLevel</b>: structured</p><p><b>partOf</b>: <a href=\"PlanDefinition-ExampleRecommendation.html\">Recommendation</a></p><blockquote><p><b>Action Combination Method</b></p><blockquote><p><b>url</b></p><code>method</code></blockquote><p><b>value</b>: Exactly <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cs-action-combination-method.html\">Action Combination Method</a>#exactly)</span></p><blockquote><p><b>url</b></p><code>threshold</code></blockquote><p><b>value</b>: 1</p></blockquote><p><b>url</b>: <code>https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-plan/example-recommendation-plan</code></p><p><b>version</b>: 1.0</p><p><b>name</b>: RecommendationPlan</p><p><b>title</b>: Recommendation Plan</p><p><b>type</b>: ECA Rule <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-plan-definition-type.html\">PlanDefinitionType</a>#eca-rule)</span></p><p><b>status</b>: active</p><p><b>experimental</b>: true</p><p><b>subject</b>: <a href=\"EvidenceVariable-ExampleRecommendationEligibilityCriteria.html\">PopulationExample</a></p><p><b>date</b>: 2022-02-14</p><p><b>publisher</b>: CPGonEBMonFHIR</p><p><b>description</b>: Example Recommendation Plan</p><blockquote><p><b>goal</b></p><blockquote><p><b>id</b></p>ventilator-management-goal</blockquote><p><b>category</b>: Ventilator care and adjustment (regime/therapy) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOWMED CT</a>#385857005)</span></p><p><b>description</b>: The ventilator should be set up to provide a breath reate of at least 20 and at most per minute. <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><h3>Targets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Measure</b></td><td><b>Detail[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>Breath rate mechanical --on ventilator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#33438-3)</span></td><td>20-24</td></tr></table></blockquote><blockquote><p><b>goal</b></p><blockquote><p><b>id</b></p>lab-ddimer-concentration-goal</blockquote><p><b>category</b>: Lab findings surveillance (regime/therapy) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOWMED CT</a>#410394004)</span></p><p><b>description</b>: D-Dimer concentration shall be below 250 ng/mL <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><h3>Targets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Measure</b></td><td><b>Detail[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>Fibrin D-dimer DDU [Mass/volume] in Platelet poor plasma <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#48066-5)</span></td><td>?-250</td></tr></table></blockquote><blockquote><p><b>action</b></p><p><b>code</b>: Administration of substance (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOWMED CT</a>#432102000)</span></p><p><b>definition</b>: <a href=\"Bundle-GuidelineRecommendationExample.html\">DrugAdministrationAction</a></p></blockquote><blockquote><p><b>action</b></p><p><b>code</b>: Positioning patient (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOWMED CT</a>#229824005)</span></p><p><b>goalId</b>: ventilator-management-goal</p><p><b>definition</b>: <a href=\"ActivityDefinition-ExampleBodyPositioningAction.html\">DrugAdministrationAction</a></p></blockquote><blockquote><p><b>action</b></p><p><b>code</b>: Ventilator care management (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOWMED CT</a>#410210009)</span></p><p><b>goalId</b>: ventilator-management-goal</p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>Action Combination Method</b></p><blockquote><p><b>url</b></p><code>method</code></blockquote><p><b>value</b>: One or More <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cs-action-combination-method.html\">Action Combination Method</a>#one-or-more)</span></p></blockquote><p><b>code</b>: Combined (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOWMED CT</a>#89780004)</span></p><h3>Actions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>GoalId</b></td></tr><tr><td style=\"display: none\">*</td><td>Ventilator care management (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOWMED CT</a>#410210009)</span></td><td>ventilator-management-goal</td></tr></table></blockquote></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability"^^xsd:anyURI ] ;
fhir:value [ fhir:v "computable" ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel"^^xsd:anyURI ] ;
fhir:value [ fhir:v "structured" ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-partOf"^^xsd:anyURI ] ;
fhir:value [
fhir:v "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-plan/example-recommendation"^^xsd:anyURI ;
fhir:link <https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-plan/example-recommendation>     ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "method"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-action-combination-method"^^xsd:anyURI ] ;
fhir:code [ fhir:v "exactly" ]         ] )       ]     ] [
fhir:url [ fhir:v "threshold"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:positiveInteger ]     ] ) ;
fhir:url [ fhir:v "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-action-combination-method"^^xsd:anyURI ]
  ] ) ; # 
  fhir:url [ fhir:v "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-plan/example-recommendation-plan"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "1.0"] ; # 
  fhir:name [ fhir:v "RecommendationPlan"] ; # 
  fhir:title [ fhir:v "Recommendation Plan"] ; # 
  fhir:type [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/plan-definition-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "eca-rule" ]     ] )
  ] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:subject [
fhir:v "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-eligibility-criteria"^^xsd:anyURI ;
fhir:link <https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-eligibility-criteria>
  ] ; # 
  fhir:date [ fhir:v "2022-02-14"^^xsd:date] ; # 
  fhir:publisher [ fhir:v "CPGonEBMonFHIR"] ; # 
  fhir:description [ fhir:v "Example Recommendation Plan"] ; # 
  fhir:goal ( [
fhir:id [ fhir:v "ventilator-management-goal" ] ;
fhir:category [
      ( fhir:coding [
a sct:385857005 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "385857005" ] ;
fhir:display [ fhir:v "Ventilator care and adjustment (regime/therapy)" ]       ] )     ] ;
fhir:description [
fhir:text [ fhir:v "The ventilator should be set up to provide a breath reate of at least 20 and at most per minute." ]     ] ;
    ( fhir:target [
fhir:measure [
        ( fhir:coding [
a loinc:33438-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "33438-3" ] ;
fhir:display [ fhir:v "Breath rate mechanical --on ventilator" ]         ] )       ] ;
fhir:detail [
a fhir:Range ;
fhir:low [
fhir:value [ fhir:v "20"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "/min" ]         ] ;
fhir:high [
fhir:value [ fhir:v "24"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "/min" ]         ]       ]     ] )
  ] [
fhir:id [ fhir:v "lab-ddimer-concentration-goal" ] ;
fhir:category [
      ( fhir:coding [
a sct:410394004 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "410394004" ] ;
fhir:display [ fhir:v "Lab findings surveillance (regime/therapy)" ]       ] )     ] ;
fhir:description [
fhir:text [ fhir:v "D-Dimer concentration shall be below 250 ng/mL" ]     ] ;
    ( fhir:target [
fhir:measure [
        ( fhir:coding [
a loinc:48066-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "48066-5" ] ;
fhir:display [ fhir:v "Fibrin D-dimer DDU [Mass/volume] in Platelet poor plasma" ]         ] )       ] ;
fhir:detail [
a fhir:Range ;
fhir:high [
fhir:value [ fhir:v "250"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ng/mL" ]         ]       ]     ] )
  ] ) ; # 
  fhir:action ( [
fhir:code [
      ( fhir:coding [
a sct:432102000 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "432102000" ] ;
fhir:display [ fhir:v "Administration of substance (procedure)" ]       ] )     ] ;
fhir:definition [
fhir:v "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-action/drug-administration-example"^^xsd:anyURI ;
fhir:link <https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-action/drug-administration-example>     ]
  ] [
fhir:code [
      ( fhir:coding [
a sct:229824005 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "229824005" ] ;
fhir:display [ fhir:v "Positioning patient (procedure)" ]       ] )     ] ;
    ( fhir:goalId [ fhir:v "ventilator-management-goal" ] ) ;
fhir:definition [
fhir:v "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-action/body-positioning-example"^^xsd:anyURI ;
fhir:link <https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-action/body-positioning-example>     ]
  ] [
fhir:code [
      ( fhir:coding [
a sct:410210009 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "410210009" ] ;
fhir:display [ fhir:v "Ventilator care management (procedure)" ]       ] )     ] ;
    ( fhir:goalId [ fhir:v "ventilator-management-goal" ] )
  ] [
    ( fhir:extension [
      ( fhir:extension [
fhir:url [ fhir:v "method"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-action-combination-method"^^xsd:anyURI ] ;
fhir:code [ fhir:v "one-or-more" ]           ] )         ]       ] ) ;
fhir:url [ fhir:v "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-action-combination-method"^^xsd:anyURI ]     ] ) ;
fhir:code [
      ( fhir:coding [
a sct:89780004 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "89780004" ] ;
fhir:display [ fhir:v "Combined (qualifier value)" ]       ] )     ] ;
    ( fhir:action [
fhir:code [
        ( fhir:coding [
a sct:410210009 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "410210009" ] ;
fhir:display [ fhir:v "Ventilator care management (procedure)" ]         ] )       ] ;
      ( fhir:goalId [ fhir:v "ventilator-management-goal" ] )     ] )
  ] ) . #