Chest Pain Coronary Artery Disease Order Set KNART

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  "url" : "http://va.gov/kas/orderset/B5-Cardiology-ChestPainCAD-OS",
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  "version" : "0.1",
  "name" : "ChestPainCoronaryArteryDiseaseOrderSetKNART",
  "title" : "Chest Pain (CP) - Coronary Artery Disease (CAD) Order Set KNART",
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  "status" : "active",
  "date" : "2017-08-29",
  "publisher" : "HL7 International / Clinical Decision Support",
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  "description" : "The Cardiology chest pain (CP) and coronary artery disease (CAD) group of KNARTs are     intended to assist primary care providers in the management of adult patients with stable     chest pain (with or without known CAD); aid in determining when a cardiology consultation is     appropriate; provide guidance for initial noninvasive diagnostic orders (stress testing) and     provide a structured documentation template for the process. Stable patients with cardiac     chest pain require risk stratification, office-based workup, initiation of disease-specific     medications, and subspecialty referral to a cardiologist.",
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  "usage" : "The Cardiology chest pain (CP) and coronary artery disease (CAD) group of KNARTs are intended to assist primary care providers in the management of adult patients with stable chest pain (with or without known CAD); aid in determining when a cardiology consultation is appropriate; provide guidance for initial noninvasive diagnostic orders (stress testing) and provide a structured documentation template for the process. Stable patients with cardiac chest pain require risk stratification, office-based workup, initiation of disease-specific medications, and subspecialty referral to a cardiologist. This context excludes emergent patients (new/ongoing/unstable pattern CP). Included are those patients with stable CP with or without known CAD, to be considered for evaluation by cardiology.",
  "copyright" : "© Copyright Cognitive Medical Systems, Inc. 9444 Waples Street Suite 300 San Diego, CA 92121",
  "author" : [{
    "name" : "Bruce Bray MD"
  },
  {
    "name" : "Scott Wall MD"
  },
  {
    "name" : "Aiden Abidov MD, PhD"
  }],
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    "citation" : "Fihn SD, Blankenship JC, Alexander KP, Bittl JA, Byrne JG, Fletcher BJ, et al. 2014 ACC/AHA/AATS/PCNA/SCAI/STS focused update of the guideline for the diagnosis and management of patients with stable ischemic heart disease: A report of the american college of cardiology/american heart association task force on practice guidelines, and the american association for thoracic surgery, preventive cardiovascular nurses association, society for cardiovascular angiography and interventions, and society of thoracic surgeons. J Thorac Cardiovasc Surg. 2015 March 01;149(3):5.",
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          },
          {
            "path" : "prescriber",
            "expression" : {
              "language" : "text/cql",
              "expression" : "CardiologyChestPainLogic.Practitioner"
            }
          }]
        }]
      },
      {
        "title" : "Nitroglycerin",
        "groupingBehavior" : "logical-group",
        "selectionBehavior" : "at-most-one",
        "action" : [{
          "textEquivalent" : "nitroglycerin 0.4 mg tablet sub-lingual every 5 minutes as needed for chest pain; maximum 3 tablets",
          "definitionCanonical" : "#nitroglycerinPrescription",
          "dynamicValue" : [{
            "path" : "status",
            "expression" : {
              "language" : "text/cql",
              "expression" : "'draft'"
            }
          },
          {
            "path" : "patient",
            "expression" : {
              "language" : "text/cql",
              "expression" : "CardiologyChestPainLogic.Patient"
            }
          },
          {
            "path" : "prescriber",
            "expression" : {
              "language" : "text/cql",
              "expression" : "CardiologyChestPainLogic.Practitioner"
            }
          }]
        }]
      }]
    }]
  }]
}