Pathways on FHIR Example
{
"id": "PathwayBundle001",
"resourceType": "Bundle",
"type": "transaction",
"entry": [
{
"fullUrl": "http://pathway.com/Rec001",
"resource": {
"id": "Rec001",
"title": "Early Stage HER2+ Pathway (draft)",
"resourceType": "PlanDefinition",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"
]
},
"action": [
{
"id": "Actn001",
"title": "Chemotherapy TCH AC + TH",
"description": "Action for Chemotherapy TCH AC + TH",
"definitionCanonical": "http://pathway.com/Act001",
"condition": [
{
"kind": "applicability",
"expression": {
"language": "text/cql",
"expression": "N+"
}
}
],
"relatedAction": [
{
"actionId": "Actn005",
"relationship": "before-start"
}
]
},
{
"id": "Actn002",
"title": "Tumor Size",
"description": "Branch based on Tumor Size",
"condition": [
{
"kind": "applicability",
"expression": {
"language": "text/cql",
"expression": "N0"
}
}
],
"action": [
{
"id": "Actn003",
"title": "Chemotherapy TH Weekly",
"description": "Action for Chemotherapy TH Weekly",
"definitionCanonical": "http://pathway.com/Act002",
"condition": [
{
"kind": "applicability",
"expression": {
"language": "text/cql",
"expression": "T <= 2cm"
}
}
],
"relatedAction": [
{
"actionId": "Actn006",
"relationship": "before-start"
}
]
},
{
"id": "Actn004",
"title": "Chemotherapy TCH AC + TH",
"description": "Action for Chemotherapy TCH AC + TH",
"definitionCanonical": "http://pathway.com/Act001",
"condition": [
{
"kind": "applicability",
"expression": {
"language": "text/cql",
"expression": "T > 2cm"
}
}
],
"relatedAction": [
{
"actionId": "Actn007",
"relationship": "before-start"
}
]
}
]
},
{
"id": "Actn005",
"title": "Post-Chemotherapy Trastuzumab",
"description": "Action for Post-Chemotherapy Trastuzumab",
"definitionCanonical": "http://pathway.com/Act003",
"relatedAction": [
{
"actionId": "Actn001",
"relationship": "after-end"
},
{
"actionId": "Actn008",
"relationship": "before-start"
}
]
},
{
"id": "Actn006",
"title": "Post-Chemotherapy Trastuzumab",
"description": "Action for Post-Chemotherapy Trastuzumab",
"definitionCanonical": "http://pathway.com/Act003",
"relatedAction": [
{
"actionId": "Actn003",
"relationship": "after-end"
},
{
"actionId": "Actn009",
"relationship": "before-start"
}
]
},
{
"id": "Actn007",
"title": "Post-Chemotherapy Trastuzumab",
"description": "Action for Post-Chemotherapy Trastuzumab",
"definitionCanonical": "http://pathway.com/Act003",
"relatedAction": [
{
"actionId": "Actn004",
"relationship": "after-end"
},
{
"actionId": "Actn010",
"relationship": "before-start"
}
]
},
{
"id": "Actn008",
"title": "Endocrine Therapy",
"description": "Action for Endocrine Therapy",
"definitionCanonical": "http://pathway.com/Act004",
"condition": [
{
"kind": "applicability",
"expression": {
"language": "text/cql",
"expression": "ERPositive"
}
}
],
"relatedAction": [
{
"actionId": "Actn005",
"relationShip": "after-end"
}
]
},
{
"id": "Actn009",
"title": "Endocrine Therapy",
"description": "Action for Endocrine Therapy",
"definitionCanonical": "http://pathway.com/Act004",
"condition": [
{
"kind": "applicability",
"expression": {
"language": "text/cql",
"expression": "ERPositive"
}
}
],
"relatedAction": [
{
"actionId": "Actn006",
"relationShip": "after-end"
}
]
},
{
"id": "Actn010",
"title": "Endocrine Therapy",
"description": "Action for Endocrine Therapy",
"definitionCanonical": "http://pathway.com/Act004",
"condition": [
{
"kind": "applicability",
"expression": {
"language": "text/cql",
"expression": "ERPositive"
}
}
],
"relatedAction": [
{
"actionId": "Actn007",
"relationShip": "after-end"
}
]
}
]
},
"request": {
"method": "PUT",
"url": "/PlanDefinition/Rec001"
}
},
{
"fullUrl": "http://pathway.com/Act001",
"resource": {
"id": "Act001",
"resourceType": "ActivityDefinition",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-publishableactivity"
]
},
"extenstion": [
{
"url": "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
"valueCode": "publishable"
}
],
"title": "Chemotherapy TCH AC + TH",
"kind": "ServiceRequest",
"productCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "367336001",
"display": "Chemotherapy (procedure)"
}
],
"text": "Chemotherapy (procedure)"
}
},
"request": {
"method": "PUT",
"url": "/ActivityDefinition/Act001"
}
},
{
"fullUrl": "http://pathway.com/Act002",
"resource": {
"id": "Act002",
"resourceType": "ActivityDefinition",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-publishableactivity"
]
},
"extenstion": [
{
"url": "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
"valueCode": "publishable"
}
],
"title": "Chemotherapy TH Weekly",
"kind": "ServiceRequest",
"productCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "367336001",
"display": "Chemotherapy (procedure)"
}
],
"text": "Chemotherapy (procedure)"
}
},
"request": {
"method": "PUT",
"url": "/ActivityDefinition/Act002"
}
},
{
"fullUrl": "http://pathway.com/Act003",
"resource": {
"id": "Act003",
"resourceType": "ActivityDefinition",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-publishableactivity"
]
},
"extenstion": [
{
"url": "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
"valueCode": "publishable"
}
],
"title": "Post-Chemotherapy Trastuzumab",
"kind": "MedicationRequest",
"productCodeableConcept": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1922509",
"display": "trastuzumab"
}
],
"text": "trastuzumab"
}
},
"request": {
"method": "PUT",
"url": "/ActivityDefinition/Act003"
}
},
{
"fullUrl": "http://pathway.com/Act004",
"resource": {
"id": "Act004",
"resourceType": "ActivityDefinition",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-publishableactivity"
]
},
"extenstion": [
{
"url": "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
"valueCode": "publishable"
}
],
"title": "Endocrine Therapy",
"kind": "ServiceRequest",
"productCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "169413002",
"display": "Hormone therapy (procedure)"
}
],
"text": "Hormone therapy (procedure)"
}
},
"request": {
"method": "PUT",
"url": "/ActivityDefinition/Act004"
}
}
]
}