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 - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Composition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "chf-scenario1-caseplanprogressingnote"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseplanprogressingnote"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseplanprogressingnote>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir: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>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-generatedFrom"^^xsd:anyURI ] ;
fhir:value [
fhir:v "http://hl7.org/fhir/uv/cpg/GraphDefinition/chf-caseplansummarydefinition"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cpg/GraphDefinition/chf-caseplansummarydefinition>     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-summaryFor"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "EpisodeOfCare/chf-scenario1-eoc" ]     ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:type [
    ( fhir:coding [
a loinc:11506-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "11506-3" ] ;
fhir:display [ fhir:v "Progress note" ]     ] )
  ] ; # 
  fhir:category ( [
    ( fhir:coding [
a loinc:11503-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "11503-0" ] ;
fhir:display [ fhir:v "Medical records" ]     ] )
  ] ) ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/chf-scenario1-patient" ]
  ] ; # 
  fhir:encounter [
fhir:reference [ fhir:v "Encounter/chf-scenario1-encounter" ]
  ] ; # 
  fhir:date [ fhir:v "2019-02-03"^^xsd:date] ; # 
  fhir:author ( [
fhir:reference [ fhir:v "PractitionerRole/chf-scenario1-practitionerrole" ]
  ] ) ; # 
  fhir:title [ fhir:v "Congestive Heart Failure Case/Plan Progressing Note"] ; # 
  fhir:attester ( [
fhir:mode [ fhir:v "professional" ] ;
fhir:time [ fhir:v "2019-02-03"^^xsd:date ] ;
fhir:party [
fhir:reference [ fhir:v "PractitionerRole/chf-scenario1-practitionerrole" ]     ]
  ] ) ; # 
  fhir:custodian [
fhir:reference [ fhir:v "Organization/chf-scenario1-organization" ]
  ] ; # 
  fhir:event ( [
    ( fhir:code [
      ( fhir:coding [
a sct:42343007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "42343007" ] ;
fhir:display [ fhir:v "Congestive heart failure (disorder)" ]       ] )     ] ) ;
fhir:period [
fhir:start [ fhir:v "2019-01-31T05:03:00Z"^^xsd:dateTime ]     ] ;
    ( fhir:detail [
fhir:reference [ fhir:v "EpisodeOfCare/chf-scenario1-eoc" ]     ] )
  ] ) ; # 
  fhir:section ( [
fhir:title [ fhir:v "Clinical Impression" ] ;
fhir:code [
      ( fhir:coding [
a loinc:51848-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "51848-0" ]       ] )     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "ClinicalImpression/chf-scenario1-clinicalimpression" ]     ] )
  ] [
fhir:title [ fhir:v "Pathway Events" ] ;
fhir:code [
fhir:text [ fhir:v "Pathway Events" ]     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Encounter/chf-scenario1-encounter" ]     ] ) ;
    ( fhir:section [
fhir:title [ fhir:v "Weight" ] ;
fhir:code [
fhir:text [ fhir:v "Weight" ]       ] ;
      ( fhir:entry [
fhir:reference [ fhir:v "Observation/chf-scenario1-bodyweight1-observation" ]       ] [
fhir:reference [ fhir:v "Observation/chf-scenario1-bodyweight2-observation" ]       ] [
fhir:reference [ fhir:v "Observation/chf-scenario1-bodyweight3-observation" ]       ] [
fhir:reference [ fhir:v "Observation/chf-scenario1-bodyweight4-observation" ]       ] [
fhir:reference [ fhir:v "MeasureReport/chf-scenario1-bodyweight1" ]       ] [
fhir:reference [ fhir:v "MeasureReport/chf-scenario1-bodyweight2" ]       ] [
fhir:reference [ fhir:v "MeasureReport/chf-scenario1-bodyweight3" ]       ] [
fhir:reference [ fhir:v "MeasureReport/chf-scenario1-bodyweight4" ]       ] )     ] [
fhir:title [ fhir:v "Weight Change" ] ;
fhir:code [
fhir:text [ fhir:v "Weight Change" ]       ] ;
      ( fhir:entry [
fhir:reference [ fhir:v "Observation/chf-scenario1-bodyweight-change1-observation" ]       ] [
fhir:reference [ fhir:v "Observation/chf-scenario1-bodyweight-change2-observation" ]       ] [
fhir:reference [ fhir:v "Observation/chf-scenario1-bodyweight-change3-observation" ]       ] [
fhir:reference [ fhir:v "MeasureReport/chf-scenario1-bodyweight-change1" ]       ] [
fhir:reference [ fhir:v "MeasureReport/chf-scenario1-bodyweight-change2" ]       ] [
fhir:reference [ fhir:v "MeasureReport/chf-scenario1-bodyweight-change3" ]       ] )     ] [
fhir:title [ fhir:v "Urine Out" ] ;
fhir:code [
fhir:text [ fhir:v "Urine Out" ]       ] ;
      ( fhir:entry [
fhir:reference [ fhir:v "Observation/chf-scenario1-urineout3-observation" ]       ] [
fhir:reference [ fhir:v "MeasureReport/chf-scenario1-urineout3" ]       ] )     ] [
fhir:title [ fhir:v "Net IO's" ] ;
fhir:code [
fhir:text [ fhir:v "Net IO's" ]       ] ;
      ( fhir:entry [
fhir:reference [ fhir:v "chf-scenario1-netio3" ]       ] )     ] [
fhir:title [ fhir:v "JVP" ] ;
fhir:code [
fhir:text [ fhir:v "JVP" ]       ] ;
      ( fhir:entry [
fhir:reference [ fhir:v "Observation/chf-scenario1-jvp1" ]       ] [
fhir:reference [ fhir:v "Observation/chf-scenario1-jvp2" ]       ] [
fhir:reference [ fhir:v "Observation/chf-scenario1-jvp3" ]       ] [
fhir:reference [ fhir:v "Observation/chf-scenario1-jvp4" ]       ] [
fhir:reference [ fhir:v "Observation/chf-scenario1-jvp5" ]       ] [
fhir:reference [ fhir:v "ServiceRequest/chf-scenario1-jvp" ]       ] )     ] [
fhir:title [ fhir:v "O2 Sat" ] ;
fhir:code [
fhir:text [ fhir:v "O2 Sat" ]       ] ;
      ( fhir:entry [
fhir:reference [ fhir:v "Observation/chf-scenario1-o2sat1" ]       ] [
fhir:reference [ fhir:v "Observation/chf-scenario1-o2sat2" ]       ] [
fhir:reference [ fhir:v "ServiceRequest/chf-scenario1-o2-sat" ]       ] )     ] [
fhir:title [ fhir:v "Potassium" ] ;
fhir:code [
fhir:text [ fhir:v "Potassium" ]       ] ;
      ( fhir:entry [
fhir:reference [ fhir:v "Observation/chf-scenario1-potassium1" ]       ] )     ] [
fhir:title [ fhir:v "Creatinine" ] ;
fhir:code [
fhir:text [ fhir:v "Creatinine" ]       ] ;
      ( fhir:entry [
fhir:reference [ fhir:v "Observation/chf-scenario1-creatinine1" ]       ] )     ] [
fhir:title [ fhir:v "eGFR" ] ;
fhir:code [
fhir:text [ fhir:v "eGFR" ]       ] ;
      ( fhir:entry [
fhir:reference [ fhir:v "Observation/chf-scenario1-egfr1" ]       ] )     ] [
fhir:title [ fhir:v "LASIX IV" ] ;
fhir:code [
fhir:text [ fhir:v "LASIX IV" ]       ] ;
      ( fhir:entry [
fhir:reference [ fhir:v "MedicationAdministration/chf-scenario1-lasix-iv" ]       ] [
fhir:reference [ fhir:v "MedicationRequest/chf-scenario1-stop-lasix-iv" ]       ] [
fhir:reference [ fhir:v "MedicationRequest/chf-scenario1-lasix-po-mr" ]       ] )     ] )
  ] ) . #