Clinical Practice Guidelines
2.0.0-draft - draft 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-draft 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

: Congestive Heart Failure Case/Plan Progressing Note - JSON Representation

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{
  "resourceType" : "Composition",
  "id" : "chf-scenario1-caseplanprogressingnote",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseplanprogressingnote"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Composition </b><a name=\"chf-scenario1-caseplanprogressingnote\"> </a><a name=\"hcchf-scenario1-caseplanprogressingnote\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">ResourceComposition &quot;chf-scenario1-caseplanprogressingnote&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-cpg-caseplanprogressingnote.html\">CPG Case Plan Progressing Note</a></p></div><p><b>CPG Generated From Extension</b>: <a href=\"GraphDefinition-chf-caseplansummarydefinition.html\">CHFCasePlanSummaryDefinition</a></p><p><b>CPG Summary For Extension</b>: <a href=\"EpisodeOfCare-chf-scenario1-eoc.html\">EpisodeOfCare/chf-scenario1-eoc</a></p><p><b>status</b>: final</p><p><b>type</b>: Progress note <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#11506-3)</span></p><p><b>category</b>: Medical records <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#11503-0)</span></p><p><b>encounter</b>: <a href=\"Encounter-chf-scenario1-encounter.html\">Encounter/chf-scenario1-encounter</a></p><p><b>date</b>: 2019-02-03</p><p><b>author</b>: <a href=\"PractitionerRole-chf-scenario1-practitionerrole.html\">PractitionerRole/chf-scenario1-practitionerrole</a></p><p><b>title</b>: Congestive Heart Failure Case/Plan Progressing Note</p><h3>Attesters</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td style=\"display: none\">*</td><td>professional</td><td>2019-02-03</td><td><a href=\"PractitionerRole-chf-scenario1-practitionerrole.html\">PractitionerRole/chf-scenario1-practitionerrole</a></td></tr></table><p><b>custodian</b>: <a href=\"Organization-chf-scenario1-organization.html\">Organization/chf-scenario1-organization</a> &quot;ACME Hospital&quot;</p><h3>Events</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Period</b></td><td><b>Detail</b></td></tr><tr><td style=\"display: none\">*</td><td>Congestive heart failure (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#42343007)</span></td><td>2019-01-31 05:03:00+0000 --&gt; (ongoing)</td><td><a href=\"EpisodeOfCare-chf-scenario1-eoc.html\">EpisodeOfCare/chf-scenario1-eoc</a></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-generatedFrom",
      "valueCanonical" : "http://hl7.org/fhir/uv/cpg/GraphDefinition/chf-caseplansummarydefinition"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-summaryFor",
      "valueReference" : {
        🔗 "reference" : "EpisodeOfCare/chf-scenario1-eoc"
      }
    }
  ],
  "status" : "final",
  "type" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "11506-3",
        "display" : "Progress note"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://loinc.org",
          "code" : "11503-0",
          "display" : "Medical records"
        }
      ]
    }
  ],
  "subject" : {
    🔗 "reference" : "Patient/chf-scenario1-patient"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/chf-scenario1-encounter"
  },
  "date" : "2019-02-03",
  "author" : [
    {
      🔗 "reference" : "PractitionerRole/chf-scenario1-practitionerrole"
    }
  ],
  "title" : "Congestive Heart Failure Case/Plan Progressing Note",
  "attester" : [
    {
      "mode" : "professional",
      "time" : "2019-02-03",
      "party" : {
        🔗 "reference" : "PractitionerRole/chf-scenario1-practitionerrole"
      }
    }
  ],
  "custodian" : {
    🔗 "reference" : "Organization/chf-scenario1-organization"
  },
  "event" : [
    {
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "42343007",
              "display" : "Congestive heart failure (disorder)"
            }
          ]
        }
      ],
      "period" : {
        "start" : "2019-01-31T05:03:00Z"
      },
      "detail" : [
        {
          🔗 "reference" : "EpisodeOfCare/chf-scenario1-eoc"
        }
      ]
    }
  ],
  "section" : [
    {
      "title" : "Clinical Impression",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "51848-0"
          }
        ]
      },
      "entry" : [
        {
          🔗 "reference" : "ClinicalImpression/chf-scenario1-clinicalimpression"
        }
      ]
    },
    {
      "title" : "Pathway Events",
      "code" : {
        "text" : "Pathway Events"
      },
      "entry" : [
        {
          🔗 "reference" : "Encounter/chf-scenario1-encounter"
        }
      ],
      "section" : [
        {
          "title" : "Weight",
          "code" : {
            "text" : "Weight"
          },
          "entry" : [
            {
              🔗 "reference" : "Observation/chf-scenario1-bodyweight1-observation"
            },
            {
              🔗 "reference" : "Observation/chf-scenario1-bodyweight2-observation"
            },
            {
              🔗 "reference" : "Observation/chf-scenario1-bodyweight3-observation"
            },
            {
              🔗 "reference" : "Observation/chf-scenario1-bodyweight4-observation"
            },
            {
              🔗 "reference" : "MeasureReport/chf-scenario1-bodyweight1"
            },
            {
              🔗 "reference" : "MeasureReport/chf-scenario1-bodyweight2"
            },
            {
              🔗 "reference" : "MeasureReport/chf-scenario1-bodyweight3"
            },
            {
              🔗 "reference" : "MeasureReport/chf-scenario1-bodyweight4"
            }
          ]
        },
        {
          "title" : "Weight Change",
          "code" : {
            "text" : "Weight Change"
          },
          "entry" : [
            {
              🔗 "reference" : "Observation/chf-scenario1-bodyweight-change1-observation"
            },
            {
              🔗 "reference" : "Observation/chf-scenario1-bodyweight-change2-observation"
            },
            {
              🔗 "reference" : "Observation/chf-scenario1-bodyweight-change3-observation"
            },
            {
              🔗 "reference" : "MeasureReport/chf-scenario1-bodyweight-change1"
            },
            {
              🔗 "reference" : "MeasureReport/chf-scenario1-bodyweight-change2"
            },
            {
              🔗 "reference" : "MeasureReport/chf-scenario1-bodyweight-change3"
            }
          ]
        },
        {
          "title" : "Urine Out",
          "code" : {
            "text" : "Urine Out"
          },
          "entry" : [
            {
              🔗 "reference" : "Observation/chf-scenario1-urineout3-observation"
            },
            {
              🔗 "reference" : "MeasureReport/chf-scenario1-urineout3"
            }
          ]
        },
        {
          "title" : "Net IO's",
          "code" : {
            "text" : "Net IO's"
          },
          "entry" : [
            {
              "reference" : "chf-scenario1-netio3"
            }
          ]
        },
        {
          "title" : "JVP",
          "code" : {
            "text" : "JVP"
          },
          "entry" : [
            {
              🔗 "reference" : "Observation/chf-scenario1-jvp1"
            },
            {
              🔗 "reference" : "Observation/chf-scenario1-jvp2"
            },
            {
              🔗 "reference" : "Observation/chf-scenario1-jvp3"
            },
            {
              🔗 "reference" : "Observation/chf-scenario1-jvp4"
            },
            {
              🔗 "reference" : "Observation/chf-scenario1-jvp5"
            },
            {
              🔗 "reference" : "ServiceRequest/chf-scenario1-jvp"
            }
          ]
        },
        {
          "title" : "O2 Sat",
          "code" : {
            "text" : "O2 Sat"
          },
          "entry" : [
            {
              🔗 "reference" : "Observation/chf-scenario1-o2sat1"
            },
            {
              🔗 "reference" : "Observation/chf-scenario1-o2sat2"
            },
            {
              🔗 "reference" : "ServiceRequest/chf-scenario1-o2-sat"
            }
          ]
        },
        {
          "title" : "Potassium",
          "code" : {
            "text" : "Potassium"
          },
          "entry" : [
            {
              🔗 "reference" : "Observation/chf-scenario1-potassium1"
            }
          ]
        },
        {
          "title" : "Creatinine",
          "code" : {
            "text" : "Creatinine"
          },
          "entry" : [
            {
              🔗 "reference" : "Observation/chf-scenario1-creatinine1"
            }
          ]
        },
        {
          "title" : "eGFR",
          "code" : {
            "text" : "eGFR"
          },
          "entry" : [
            {
              🔗 "reference" : "Observation/chf-scenario1-egfr1"
            }
          ]
        },
        {
          "title" : "LASIX IV",
          "code" : {
            "text" : "LASIX IV"
          },
          "entry" : [
            {
              🔗 "reference" : "MedicationAdministration/chf-scenario1-lasix-iv"
            },
            {
              🔗 "reference" : "MedicationRequest/chf-scenario1-stop-lasix-iv"
            },
            {
              🔗 "reference" : "MedicationRequest/chf-scenario1-lasix-po-mr"
            }
          ]
        }
      ]
    }
  ]
}