<status value="active" /> <experimental value="false" /> <date value="2020-03-10T20:08:55.5783471+00:00" /> <publisher value="National Comprehensive Cancer Network, Inc." /> <contact> <telecom> <system value="url" /> <value value="https://www.nccn.org/about/contact.aspx" /> <use value="work" /> </telecom> </contact> <description value="Cautionary or informational notes for ensuring the safe and effective administration of the regimen." /> <copyright value="National Comprehensive Cancer Network, Inc. (c) 2017. All right reserved." /> <fhirVersion value="3.0.1" /> <kind value="complex-type" /> <abstract value="false" /> <contextType value="resource" /> <context value="PlanDefinition" /> <type value="Extension" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" /> <derivation value="constraint" /> <differential> <element id="Extension"> <path value="Extension" /> <short value="An order template note." /> <definition value="Cautionary or informational notes for ensuring the safe and effective administration of the regimen." /> <comment value="Typically meant for presentation to an end-user. An example template note is "Scheduled prophylactic antiemetic therapy should be given for prevention of acute and delayed nausea and vomiting based on the emetic risk of the chemotherapy regimen. This may include antiemetic therapy given on the days following chemotherapy. For more information on emetic prophylaxis, refer to the NCCN Guidelines for Antiemesis and Appendix D to the NCCN Chemotherapy Order Templates."" /> </element> <element id="Extension.extension"> <path value="Extension.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Extension.extension:id"> <path value="Extension.extension" /> <sliceName value="id" /> <short value="A unique identifier." /> <definition value="A machine-generated unique identifier for a template note." /> <comment value="An example template note id is "mzaynw". Note that template notes can be shared across templates, meaning that the same template note can appear on multiple templates. The same template note might even appear multiple times on the same template (for instance, if an agent-specific template note appears multiple times on the template under different regimen sections)." /> <min value="1" /> <max value="1" /> </element> <element id="Extension.extension:id.url"> <path value="Extension.extension.url" /> <fixedUri value="id" /> </element> <element id="Extension.extension:id.value[x]:valueString"> <path value="Extension.extension.valueString" /> <sliceName value="valueString" /> <short value="String value of id extension." /> <definition value="A machine-generated unique identifier for a template note." /> <comment value="An example template note id is "mzaynw". Note that template notes can be shared across templates, meaning that the same template note can appear on multiple templates. The same template note might even appear multiple times on the same template (for instance, if an agent-specific template note appears multiple times on the template under different regimen sections)." /> <min value="1" /> <type> <code value="string" /> </type> <example> <label value="Template note id" /> <valueString value="mzaynw" /> </example> </element> <element id="Extension.extension:section"> <path value="Extension.extension" /> <sliceName value="section" /> <short value="Template note section." /> <definition value="The section of the order template to which a note belongs." /> <comment value="For example, the note might be contained within the "Supportive Care - Premedications" section or the "Monitoring and Hold Parameters" section of the template. An example value is "monitoringAndHoldParameters"." /> <min value="1" /> <max value="1" /> </element> <element id="Extension.extension:section.url"> <path value="Extension.extension.url" /> <fixedUri value="section" /> </element> <element id="Extension.extension:section.value[x]:valueCode"> <path value="Extension.extension.valueCode" /> <sliceName value="valueCode" /> <short value="String value of section extension." /> <definition value="The section of the order template for which a template note applies." /> <comment value="For example, the note might be contained within the "Supportive Care - Premedications" section or the "Monitoring and Hold Parameters" section of the template. An example value is "monitoringAndHoldParameters"." /> <min value="1" /> <type> <code value="code" /> </type> <example> <label value="Template note section" /> <valueCode value="monitoringAndHoldParameters" /> </example> <binding> <strength value="required" /> <description value="The sections of the order template." /> <valueSetReference> <reference value="http://ots.nccn.org/hl7/fhir/ValueSet/sections-ValueSet" /> </valueSetReference> </binding> </element> <element id="Extension.extension:agentSubject"> <path value="Extension.extension" /> <sliceName value="agentSubject" /> <short value="Agent." /> <definition value="Agent to which a template note applies." /> <comment value="Some template notes apply to specific agents. For instance, there might be a note for DOXOrubicin on a given template that says "DOXOrubicin is administered as a continuous infusion over multiple days within this regimen. The dose defined on this template is a 24-hour daily dose." Agents are coded to Rxnorm when possible. An example for DOXOrubicin coded to Rxnorm is a code value of "142433" and a display value of "doxorubicin hydrochloride"." /> </element> <element id="Extension.extension:agentSubject.url"> <path value="Extension.extension.url" /> <fixedUri value="agentSubject" /> </element> <element id="Extension.extension:agentSubject.value[x]:valueCodeableConcept"> <path value="Extension.extension.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <short value="Coded value of extension." /> <definition value="All RxNorm codes whose Term Type is IN (ingredient), PIN (precise ingredient), or MIN (multiple ingredients)." /> <comment value="n/a" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <description value="All RxNorm codes whose Term Type is IN (ingredient), PIN (precise ingredient), or MIN (multiple ingredients)." /> <valueSetReference> <reference value="http://ots.nccn.org/hl7/fhir/ValueSet/rxnorm-ingredients" /> </valueSetReference> </binding> </element> <element id="Extension.extension:agentSubject.value[x]:valueCodeableConcept.coding"> <path value="Extension.extension.valueCodeableConcept.coding" /> <short value="Code defined by a Rxnorm terminology system." /> <definition value="A reference to a code defined by the Rxnorm terminology system." /> <comment value="See https://www.nlm.nih.gov/research/umls/rxnorm/ for more information." /> <requirements value="n/a" /> </element> <element id="Extension.extension:agentSubject.value[x]:valueCodeableConcept.coding.system"> <path value="Extension.extension.valueCodeableConcept.coding.system" /> <short value="Rxnorm." /> <definition value="Rxnorm coding system." /> <comment value="See https://www.nlm.nih.gov/research/umls/rxnorm/ for more information." /> <requirements value="n/a" /> <fixedUri value="http://www.nlm.nih.gov/research/umls/rxnorm" /> </element> <element id="Extension.extension:agentSubject.value[x]:valueCodeableConcept.coding.version"> <path value="Extension.extension.valueCodeableConcept.coding.version" /> <max value="0" /> </element> <element id="Extension.extension:agentSubject.value[x]:valueCodeableConcept.coding.code"> <path value="Extension.extension.valueCodeableConcept.coding.code" /> <short value="Rxnorm code." /> <definition value="Code defined by the Rxnorm coding system." /> <comment value="RxNorm provides normalized names for clinical drugs and links its names to many of the drug vocabularies commonly used in pharmacy management and drug interaction software. An example code for DOXOrubicin is "142433"." /> <requirements value="n/a" /> <example> <label value="Rxnorm code" /> <valueCode value="142433" /> </example> </element> <element id="Extension.extension:agentSubject.value[x]:valueCodeableConcept.coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Extension.extension.valueCodeableConcept.coding.display" /> <short value="Text representation of the code." /> <definition value="A textual representation of the meaning of the code in the system, as defined by Rxnorm." /> <comment value="RxNorm provides normalized names for clinical drugs and links its names to many of the drug vocabularies commonly used in pharmacy management and drug interaction software. An example for DOXOrubicin is "doxorubicin hydrochloride"." /> <requirements value="n/a" /> <example> <label value="Rxnorm display" /> <valueString value="doxorubicin hydrochloride" /> </example> </element> <element id="Extension.extension:agentSubject.value[x]:valueCodeableConcept.coding.userSelected"> <path value="Extension.extension.valueCodeableConcept.coding.userSelected" /> <max value="0" /> </element> <element id="Extension.extension:agentSubject.value[x]:valueCodeableConcept.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true" /> </extension> <path value="Extension.extension.valueCodeableConcept.text" /> <max value="0" /> </element> <element id="Extension.extension:content"> <path value="Extension.extension" /> <sliceName value="content" /> <short value="The contents of the note." /> <definition value="The text of the note, intended for presentation to an end user." /> <comment value="An example is "Concurrent intrathecal or intraventricular preservative-free corticosteroids may be administered to prevent arachnoiditis."" /> <min value="1" /> <max value="1" /> </element> <element id="Extension.extension:content.url"> <path value="Extension.extension.url" /> <fixedUri value="content" /> </element> <element id="Extension.extension:content.value[x]:valueString"> <path value="Extension.extension.valueString" /> <sliceName value="valueString" /> <short value="String value of content extension." /> <definition value="Text of the template note." /> <comment value="An example is "Concurrent intrathecal or intraventricular preservative-free corticosteroids may be administered to prevent arachnoiditis."" /> <min value="1" /> <type> <code value="string" /> </type> </element> <element id="Extension.extension:activityDefinitionid"> <path value="Extension.extension" /> <sliceName value="activityDefinitionid" /> <definition value="activityDefinitionid to be used to link template note to ActivityDefinition" /> </element> <element id="Extension.extension:activityDefinitionid.url"> <path value="Extension.extension.url" /> <fixedUri value="activityDefinitionid" /> </element> <element id="Extension.extension:activityDefinitionid.value[x]:valueString"> <path value="Extension.extension.valueString" /> <sliceName value="valueString" /> <type> <code value="string" /> </type> </element> <element id="Extension.url"> <path value="Extension.url" /> <fixedUri value="http://ots.nccn.org/hl7/fhir/StructureDefinition/template-note" /> </element> <element id="Extension.value[x]"> <path value="Extension.value[x]" /> <max value="0" /> </element> </differential> </StructureDefinition>