Clinical Practice Guidelines
2.0.0-ballot - ballot International flag

Clinical Practice Guidelines, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-recommendations/ and changes regularly. See the Directory of published versions

CodeSystem: CPG Common Process Code System

Official URL: http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs Version: 2.0.0-ballot
Active as of 2023-12-19 Computable Name: CPGCommonProcessCS

Common processes performed in providing guideline-based care, regardless of the specific guideline.

This Code system is referenced in the content logical definition of the following value sets:

This case-sensitive code system http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs defines the following codes:

CodeDisplayDefinition
registration RegistrationIdentifying and recording the subject of care.
triage TriagePerforming basic triage to identify any signs that emergency care is required.
local-urgent-care Local Urgent CareProviding local urgent care based on the outcome of a triage process.
history-and-physical History and PhysicalGathering clinical history and performing and recording observations regarding the patient's health (e.g. blood pressure, temperature, etc.)
provide-counseling Provide CounselingInforming the subject of care about their treatment options and about how their ongoing care should be managed between visits. This is also where treatment constents are obtained and where health education is provided.
diagnostic-testing Conduct Diagnostic TestsConducting diagnostic tests, including lab tests, collection of samples, and other diagnostic tests. Lab testing may be done locally (e.g. HIV quick test) or the samples may require lab order fulfillment workflow.
determine-diagnosis Determine DiagnosisUsing available information from the patient's history, current examinations, tests, and assessments to assist in developing a diagnosis.
guideline-based-care Guideline-based CarePerforming and recording observations, interventions, and treatment plans recommended by specific guidelines.
dispense-medications Dispense MedicationsAdministering medications, ordered by clinicians and dispensed by a pharmacy. Pharmacies may be local to the care facility or community-based, and involves supply chain transactions to support medication management.
emergency-care Emergency CareProviding emergency care in trauma cases or as part of guildeline-based care escalation.
actue-tertiary-care Acute/Tertiary CareProviding acute or tertiary care, either as an escalation from emergency care, or from primary care due to guideline-based referral patterns.
charge-for-service Charge for ServiceCharging for services rendered, regardless of the mechanism of coverage.
discharge-referral-of-patient Discharge/Referral of PatientDischarging or referring a patient, including the movement of patients through levels of care delivery (e.g. acute to primary, primary to community, etc.) or the enrollment of patients in guideline-based care programs (e.g. HIV, maternal, diabetes, injury rehabilitiation, etc.).
record-and-report Record and ReportRecording and reporting patient-specific care management information which may be aggregated to develop reportable system management indicators at the priovider, facility, district, national, and international levels.
monitor-and-follow-up-of-patient Monitor and Follow-up of PatientMonitoring and tracking progress for each patient based on guideline recommendations.
alerts-reminders-education Alerts Reminders EducationProviding alerts, reminders, and education to patients, providers, and health system managers.