Question

使用FHIR药物计划/时间结构，表示这两个频率的推荐方法是：1）每21天一小时（例如化疗），和2）每4-6小时。

谢谢，

Answer 1

好吧，在FHIR项目团队讨论之后，您现在似乎必须使用扩展，并且这将在FHIR的R2中解决。

Answer 2

这个例子可能会有所帮助：

http://hl7.org/fhir/2016Sep/medicationorder0317.json.html

摘录 ....

"dosageInstruction": [
{
  "text": "Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk",
  "additionalInstructions": [
    {
      "text": "Rapidly increase dose until tolerated"
    },
    {
      "text": "Administer on alternate days"
    }
  ],
  "timing": {
    "repeat": {
      "duration": 12,
      "durationUnit": "wk",
      "frequency": 3,
      "period": 1,
      "periodUnit": "wk"
    }
  },
  "route": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "47625008",
        "display": "Intravenous route (qualifier value)"
      }
    ]
  },
  "method": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "422145002",
        "display": "Inject - dosing instruction imperative (qualifier value)"
      }
    ]
  },
  "doseQuantity": {
    "value": 3,
    "unit": "mg",
    "system": "http://loinc.org",
    "code": "mg"
  }
},
{
  "text": "Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk",
  "additionalInstructions": [
    {
      "text": "Rapidly increase dose until tolerated"
    },
    {
      "text": "Administer on alternate days"
    }
  ],
  "timing": {
    "repeat": {
      "duration": 12,
      "durationUnit": "wk",
      "frequency": 3,
      "period": 1,
      "periodUnit": "wk"
    }
  },
  "route": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "47625008",
        "display": "Intravenous route (qualifier value)"
      }
    ]
  },
  "method": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "422145002",
        "display": "Inject - dosing instruction imperative (qualifier value)"
      }
    ]
  },
  "doseQuantity": {
    "value": 10,
    "unit": "mg",
    "system": "http://loinc.org",
    "code": "mg"
  }
},
{
  "text": "Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk",
  "additionalInstructions": [
    {
      "text": "Rapidly increase dose until tolerated"
    },
    {
      "text": "Administer on alternate days"
    }
  ],
  "timing": {
    "repeat": {
      "duration": 12,
      "durationUnit": "wk",
      "frequency": 3,
      "period": 1,
      "periodUnit": "wk"
    }
  },
  "route": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "47625008",
        "display": "Intravenous route (qualifier value)"
      }
    ]
  },
  "method": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "422145002",
        "display": "Inject - dosing instruction imperative (qualifier value)"
      }
    ]
  },
  "doseQuantity": {
    "value": 30,
    "unit": "mg",
    "system": "http://loinc.org",
    "code": "mg"
  }
}

药物治疗时间问题

2 个答案: