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RequestGroup "kdn5-example" Version "1"

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Administer gemcitabine and carboplatin.

{
  "resourceType" : "RequestGroup",
  "id" : "kdn5-example",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2019-01-13T15:33:46.702Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Administer gemcitabine and carboplatin.</div>"
  },
  "contained" : [
    {
      "resourceType" : "MedicationRequest",
      "id" : "1111",
      "status" : "unknown",
      "intent" : "proposal",
      "medicationCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code" : "12574",
            "display" : "gemcitabine"
          }
        ],
        "text" : "gemcitabine"
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "dosageInstruction" : [
        {
          "text" : "1250 mg/m² IV over 30 minutes",
          "timing" : {
            "repeat" : {
              "duration" : 30,
              "durationUnit" : "min"
            }
          },
          "route" : {
            "text" : "IV"
          },
          "doseAndRate" : [
            {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                    "code" : "ordered",
                    "display" : "Ordered"
                  }
                ]
              },
              "doseQuantity" : {
                "value" : 1250,
                "unit" : "mg/m²"
              }
            }
          ]
        }
      ]
    },
    {
      "resourceType" : "MedicationRequest",
      "id" : "2222",
      "status" : "unknown",
      "intent" : "proposal",
      "medicationCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code" : "40048",
            "display" : "Carboplatin"
          }
        ],
        "text" : "CARBOplatin"
      },
      "subject" : {
        "reference" : "Patient/example"
      },
      "dosageInstruction" : [
        {
          "text" : "AUC 5 IV over 30 minutes",
          "timing" : {
            "repeat" : {
              "duration" : 30,
              "durationUnit" : "min"
            }
          },
          "route" : {
            "text" : "IV"
          },
          "doseAndRate" : [
            {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                    "code" : "ordered",
                    "display" : "Ordered"
                  }
                ]
              },
              "doseQuantity" : {
                "extension" : [
                  {
                    "url" : "http://example.org/fhir/AUC-dose",
                    "valueInteger" : 5
                  }
                ]
              }
            }
          ]
        }
      ]
    }
  ],
  "identifier" : [
    {
      "value" : "requestgroup-kdn5"
    }
  ],
  "instantiatesCanonical" : [
    "PlanDefinition/KDN5"
  ],
  "status" : "draft",
  "intent" : "plan",
  "priority" : "routine",
  "subject" : {
    "reference" : "Patient/example"
  },
  "encounter" : {
    "reference" : "Encounter/example"
  },
  "authoredOn" : "2017-03-06T17:31:00Z",
  "author" : {
    "reference" : "Practitioner/1"
  },
  "action" : [
    {
      "selectionBehavior" : "exactly-one",
      "action" : [
        {
          "selectionBehavior" : "all",
          "action" : [
            {
              "groupingBehavior" : "sentence-group",
              "selectionBehavior" : "exactly-one",
              "action" : [
                {
                  "id" : "cycle-definition-1",
                  "textEquivalent" : "21-day cycle for 6 cycles",
                  "timingTiming" : {
                    "repeat" : {
                      "count" : 6,
                      "duration" : 21,
                      "durationUnit" : "d"
                    }
                  },
                  "action" : [
                    {
                      "id" : "action-1",
                      "extension" : [
                        {
                          "extension" : [
                            {
                              "url" : "day",
                              "valueInteger" : 1
                            },
                            {
                              "url" : "day",
                              "valueInteger" : 8
                            }
                          ],
                          "url" : "http://hl7.org/fhir/StructureDefinition/timing-daysOfCycle"
                        }
                      ],
                      "textEquivalent" : "Gemcitabine 1250 mg/m² IV over 30 minutes on days 1 and 8",
                      "resource" : {
                        "reference" : "#1111"
                      }
                    },
                    {
                      "id" : "action-2",
                      "extension" : [
                        {
                          "extension" : [
                            {
                              "url" : "day",
                              "valueInteger" : 1
                            }
                          ],
                          "url" : "http://hl7.org/fhir/StructureDefinition/timing-daysOfCycle"
                        }
                      ],
                      "textEquivalent" : "CARBOplatin AUC 5 IV over 30 minutes on Day 1",
                      "relatedAction" : [
                        {
                          "actionId" : "action-1",
                          "relationship" : "concurrent-with-start"
                        }
                      ],
                      "resource" : {
                        "reference" : "#2222"
                      }
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}

RequestGroup "example" Version "1"

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Example RequestGroup illustrating related actions to administer medications in sequence with time delay.

{
  "resourceType" : "RequestGroup",
  "id" : "example",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2019-01-13T15:33:46.624Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Example RequestGroup illustrating related actions to administer medications in sequence with time delay.</div>"
  },
  "contained" : [
    {
      "resourceType" : "MedicationRequest",
      "id" : "medicationrequest-1",
      "status" : "unknown",
      "intent" : "proposal",
      "medicationCodeableConcept" : {
        "text" : "Medication 1"
      },
      "subject" : {
        "reference" : "Patient/example"
      }
    },
    {
      "resourceType" : "MedicationRequest",
      "id" : "medicationrequest-2",
      "status" : "unknown",
      "intent" : "proposal",
      "medicationCodeableConcept" : {
        "text" : "Medication 2"
      },
      "subject" : {
        "reference" : "Patient/example"
      }
    }
  ],
  "identifier" : [
    {
      "value" : "requestgroup-1"
    }
  ],
  "groupIdentifier" : {
    "system" : "http://example.org/treatment-group",
    "value" : "00001"
  },
  "status" : "draft",
  "intent" : "plan",
  "priority" : "routine",
  "subject" : {
    "reference" : "Patient/example"
  },
  "encounter" : {
    "reference" : "Encounter/example"
  },
  "authoredOn" : "2017-03-06T17:31:00Z",
  "author" : {
    "reference" : "Practitioner/1"
  },
  "reasonCode" : [
    {
      "text" : "Treatment"
    }
  ],
  "note" : [
    {
      "text" : "Additional notes about the request group"
    }
  ],
  "action" : [
    {
      "prefix" : "1",
      "title" : "Administer Medications",
      "description" : "Administer medications at the appropriate time",
      "textEquivalent" : "Administer medication 1, followed an hour later by medication 2",
      "timingDateTime" : "2017-03-06T19:00:00Z",
      "participant" : [
        {
          "reference" : "Practitioner/1"
        }
      ],
      "groupingBehavior" : "logical-group",
      "selectionBehavior" : "all",
      "requiredBehavior" : "must",
      "precheckBehavior" : "yes",
      "cardinalityBehavior" : "single",
      "action" : [
        {
          "id" : "medication-action-1",
          "description" : "Administer medication 1",
          "type" : {
            "coding" : [
              {
                "code" : "create"
              }
            ]
          },
          "resource" : {
            "reference" : "#medicationrequest-1"
          }
        },
        {
          "id" : "medication-action-2",
          "description" : "Administer medication 2",
          "relatedAction" : [
            {
              "actionId" : "medication-action-1",
              "relationship" : "after-end",
              "offsetDuration" : {
                "value" : 1,
                "unit" : "h"
              }
            }
          ],
          "type" : {
            "coding" : [
              {
                "code" : "create"
              }
            ]
          },
          "resource" : {
            "reference" : "#medicationrequest-2"
          }
        }
      ]
    }
  ]
}