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

: CPG Common Pathway - TTL Representation

Active as of 2023-12-19

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

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

 a fhir:PlanDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "cpg-common-pathway"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PlanDefinition</b><a name=\"cpg-common-pathway\"> </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\">Resource PlanDefinition &quot;cpg-common-pathway&quot; </p></div><p><b>StructureDefinition Work Group</b>: cds</p><p><b>url</b>: <code>http://hl7.org/fhir/uv/cpg/PlanDefinition/cpg-common-pathway</code></p><p><b>identifier</b>: id: CPG_Common_Pathway (use: OFFICIAL)</p><p><b>version</b>: 2.0.0-ballot</p><p><b>name</b>: CPG_Common_Pathway</p><p><b>title</b>: CPG Common Pathway</p><p><b>type</b>: Clinical Protocol <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-plan-definition-type.html\">PlanDefinitionType</a>#clinical-protocol)</span></p><p><b>status</b>: active</p><p><b>date</b>: 2023-12-19 06:22:49+0000</p><p><b>publisher</b>: HL7 International / Clinical Decision Support</p><p><b>contact</b>: HL7 International / Clinical Decision Support: <a href=\"http://www.hl7.org/Special/committees/dss\">http://www.hl7.org/Special/committees/dss</a></p><p><b>description</b>: Common patient care pathway</p><p><b>jurisdiction</b>: World <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (m49.htm#001)</span></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>001</blockquote><p><b>title</b>: Registration</p><p><b>description</b>: Identifying and recording the subject of care.</p><p><b>code</b>: Registration <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cpg-common-process-cs.html\">CPG Common Process Code System</a>#registration)</span></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>002</blockquote><p><b>title</b>: Triage</p><p><b>description</b>: Performing basic triage to identify any signs that emergency care is required.</p><p><b>code</b>: Triage <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cpg-common-process-cs.html\">CPG Common Process Code System</a>#triage)</span></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>003</blockquote><p><b>title</b>: Local Urgent Care</p><p><b>description</b>: Providing local urgent care based on the outcome of a triage process.</p><p><b>code</b>: Local Urgent Care <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cpg-common-process-cs.html\">CPG Common Process Code System</a>#local-urgent-care)</span></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>004</blockquote><p><b>title</b>: History and Phyiscal</p><p><b>description</b>: Gathering clinical history and performing and recording observations regarding the patient's health (e.g. blood pressure, temperature, etc.)</p><p><b>code</b>: History and Physical <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cpg-common-process-cs.html\">CPG Common Process Code System</a>#history-and-physical)</span></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>005</blockquote><p><b>title</b>: Provide Counseling</p><p><b>description</b>: Informing 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.</p><p><b>code</b>: Provide Counseling <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cpg-common-process-cs.html\">CPG Common Process Code System</a>#provide-counseling)</span></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>006</blockquote><p><b>title</b>: Diagnostic Testing</p><p><b>description</b>: Conducting 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.</p><p><b>code</b>: Conduct Diagnostic Tests <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cpg-common-process-cs.html\">CPG Common Process Code System</a>#diagnostic-testing)</span></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>007</blockquote><p><b>title</b>: Determine Diagnosis</p><p><b>description</b>: Using available information from the patient's history, current examinations, tests, and assessments to assist in developing a diagnosis.</p><p><b>code</b>: Determine Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cpg-common-process-cs.html\">CPG Common Process Code System</a>#determine-diagnosis)</span></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>008</blockquote><p><b>title</b>: Guideline-based Care</p><p><b>description</b>: Performing and recording observations, interventions, and treatment plans recommended by specific guidelines.</p><p><b>code</b>: Guideline-based Care <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cpg-common-process-cs.html\">CPG Common Process Code System</a>#guideline-based-care)</span></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>009</blockquote><p><b>title</b>: Dispense Medications</p><p><b>description</b>: Administering 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.</p><p><b>code</b>: Dispense Medications <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cpg-common-process-cs.html\">CPG Common Process Code System</a>#dispense-medications)</span></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>010</blockquote><p><b>title</b>: Emergency Care</p><p><b>description</b>: Providing emergency care in trauma cases or as part of guildeline-based care escalation.</p><p><b>code</b>: Emergency Care <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cpg-common-process-cs.html\">CPG Common Process Code System</a>#emergency-care)</span></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>011</blockquote><p><b>title</b>: Acute/Tertiary Care</p><p><b>description</b>: Providing acute or tertiary care, either as an escalation from emergency care, or from primary care due to guideline-based referral patterns.</p><p><b>code</b>: Acute/Tertiary Care <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cpg-common-process-cs.html\">CPG Common Process Code System</a>#actue-tertiary-care)</span></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>012</blockquote><p><b>title</b>: Charge for Service</p><p><b>description</b>: Charging for services rendered, regardless of the mechanism of coverage.</p><p><b>code</b>: Charge for Service <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cpg-common-process-cs.html\">CPG Common Process Code System</a>#charge-for-service)</span></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>013</blockquote><p><b>title</b>: Discharge/Referral of Patient</p><p><b>description</b>: Discharging 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.).</p><p><b>code</b>: Discharge/Referral of Patient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cpg-common-process-cs.html\">CPG Common Process Code System</a>#discharge-referral-of-patient)</span></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>014</blockquote><p><b>title</b>: Record and Report</p><p><b>description</b>: Recording 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.</p><p><b>code</b>: Record and Report <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cpg-common-process-cs.html\">CPG Common Process Code System</a>#record-and-report)</span></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>015</blockquote><p><b>title</b>: Monitor and Follow-up of Patient</p><p><b>description</b>: Monitoring and tracking progress for each patient based on guideline recommendations.</p><p><b>code</b>: Monitor and Follow-up of Patient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cpg-common-process-cs.html\">CPG Common Process Code System</a>#monitor-and-follow-up-of-patient)</span></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>016</blockquote><p><b>title</b>: Alerts Reminders Education</p><p><b>description</b>: Providing alerts, reminders, and education to patients, providers, and health system managers.</p><p><b>code</b>: Alerts Reminders Education <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cpg-common-process-cs.html\">CPG Common Process Code System</a>#alerts-reminders-education)</span></p></blockquote></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [ fhir:v "cds" ]
  ] ) ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/uv/cpg/PlanDefinition/cpg-common-pathway"^^xsd:anyURI] ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "official" ] ;
fhir:value [ fhir:v "CPG_Common_Pathway" ]
  ] ) ; # 
  fhir:version [ fhir:v "2.0.0-ballot"] ; # 
  fhir:name [ fhir:v "CPG_Common_Pathway"] ; # 
  fhir:title [ fhir:v "CPG Common Pathway"] ; # 
  fhir:type [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/plan-definition-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "clinical-protocol" ] ;
fhir:display [ fhir:v "Clinical Protocol" ]     ] )
  ] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:date [ fhir:v "2023-12-19T06:22:49+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "HL7 International / Clinical Decision Support"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "HL7 International / Clinical Decision Support" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/dss" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Common patient care pathway"] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "World" ]     ] )
  ] ) ; # 
  fhir:action ( [
fhir:id [ fhir:v "001" ] ;
fhir:title [ fhir:v "Registration" ] ;
fhir:description [ fhir:v "Identifying and recording the subject of care." ] ;
    ( fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "registration" ] ;
fhir:display [ fhir:v "Registration" ]       ] )     ] )
  ] [
fhir:id [ fhir:v "002" ] ;
fhir:title [ fhir:v "Triage" ] ;
fhir:description [ fhir:v "Performing basic triage to identify any signs that emergency care is required." ] ;
    ( fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "triage" ] ;
fhir:display [ fhir:v "Triage" ]       ] )     ] )
  ] [
fhir:id [ fhir:v "003" ] ;
fhir:title [ fhir:v "Local Urgent Care" ] ;
fhir:description [ fhir:v "Providing local urgent care based on the outcome of a triage process." ] ;
    ( fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "local-urgent-care" ] ;
fhir:display [ fhir:v "Local Urgent Care" ]       ] )     ] )
  ] [
fhir:id [ fhir:v "004" ] ;
fhir:title [ fhir:v "History and Phyiscal" ] ;
fhir:description [ fhir:v "Gathering clinical history and performing and recording observations regarding the patient's health (e.g. blood pressure, temperature, etc.)" ] ;
    ( fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "history-and-physical" ] ;
fhir:display [ fhir:v "History and Physical" ]       ] )     ] )
  ] [
fhir:id [ fhir:v "005" ] ;
fhir:title [ fhir:v "Provide Counseling" ] ;
fhir:description [ fhir:v "Informing 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." ] ;
    ( fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "provide-counseling" ] ;
fhir:display [ fhir:v "Provide Counseling" ]       ] )     ] )
  ] [
fhir:id [ fhir:v "006" ] ;
fhir:title [ fhir:v "Diagnostic Testing" ] ;
fhir:description [ fhir:v "Conducting 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." ] ;
    ( fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "diagnostic-testing" ] ;
fhir:display [ fhir:v "Conduct Diagnostic Tests" ]       ] )     ] )
  ] [
fhir:id [ fhir:v "007" ] ;
fhir:title [ fhir:v "Determine Diagnosis" ] ;
fhir:description [ fhir:v "Using available information from the patient's history, current examinations, tests, and assessments to assist in developing a diagnosis." ] ;
    ( fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "determine-diagnosis" ] ;
fhir:display [ fhir:v "Determine Diagnosis" ]       ] )     ] )
  ] [
fhir:id [ fhir:v "008" ] ;
fhir:title [ fhir:v "Guideline-based Care" ] ;
fhir:description [ fhir:v "Performing and recording observations, interventions, and treatment plans recommended by specific guidelines." ] ;
    ( fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "guideline-based-care" ] ;
fhir:display [ fhir:v "Guideline-based Care" ]       ] )     ] )
  ] [
fhir:id [ fhir:v "009" ] ;
fhir:title [ fhir:v "Dispense Medications" ] ;
fhir:description [ fhir:v "Administering 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." ] ;
    ( fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "dispense-medications" ] ;
fhir:display [ fhir:v "Dispense Medications" ]       ] )     ] )
  ] [
fhir:id [ fhir:v "010" ] ;
fhir:title [ fhir:v "Emergency Care" ] ;
fhir:description [ fhir:v "Providing emergency care in trauma cases or as part of guildeline-based care escalation." ] ;
    ( fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "emergency-care" ] ;
fhir:display [ fhir:v "Emergency Care" ]       ] )     ] )
  ] [
fhir:id [ fhir:v "011" ] ;
fhir:title [ fhir:v "Acute/Tertiary Care" ] ;
fhir:description [ fhir:v "Providing acute or tertiary care, either as an escalation from emergency care, or from primary care due to guideline-based referral patterns." ] ;
    ( fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "actue-tertiary-care" ] ;
fhir:display [ fhir:v "Acute/Tertiary Care" ]       ] )     ] )
  ] [
fhir:id [ fhir:v "012" ] ;
fhir:title [ fhir:v "Charge for Service" ] ;
fhir:description [ fhir:v "Charging for services rendered, regardless of the mechanism of coverage." ] ;
    ( fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "charge-for-service" ] ;
fhir:display [ fhir:v "Charge for Service" ]       ] )     ] )
  ] [
fhir:id [ fhir:v "013" ] ;
fhir:title [ fhir:v "Discharge/Referral of Patient" ] ;
fhir:description [ fhir:v "Discharging 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.)." ] ;
    ( fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "discharge-referral-of-patient" ] ;
fhir:display [ fhir:v "Discharge/Referral of Patient" ]       ] )     ] )
  ] [
fhir:id [ fhir:v "014" ] ;
fhir:title [ fhir:v "Record and Report" ] ;
fhir:description [ fhir:v "Recording 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." ] ;
    ( fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "record-and-report" ] ;
fhir:display [ fhir:v "Record and Report" ]       ] )     ] )
  ] [
fhir:id [ fhir:v "015" ] ;
fhir:title [ fhir:v "Monitor and Follow-up of Patient" ] ;
fhir:description [ fhir:v "Monitoring and tracking progress for each patient based on guideline recommendations." ] ;
    ( fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "monitor-and-follow-up-of-patient" ] ;
fhir:display [ fhir:v "Monitor and Follow-up of Patient" ]       ] )     ] )
  ] [
fhir:id [ fhir:v "016" ] ;
fhir:title [ fhir:v "Alerts Reminders Education" ] ;
fhir:description [ fhir:v "Providing alerts, reminders, and education to patients, providers, and health system managers." ] ;
    ( fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "alerts-reminders-education" ] ;
fhir:display [ fhir:v "Alerts Reminders Education" ]       ] )     ] )
  ] ) . #