Clinical Practice Guidelines
2.0.0 - trial-use
Clinical Practice Guidelines
2.0.0 - trial-use
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 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
{
"resourceType" : "Bundle",
"id" : "activity-example-administermedication-bundle",
"type" : "collection",
"entry" : [
{
"fullUrl" : "http://hl7.org/fhir/uv/cpg/Library/administermedication-asset-collection",
"resource" : {
"resourceType" : "Library",
"id" : "administermedication-asset-collection",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Library_administermedication-asset-collection\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Library administermedication-asset-collection</b></p><a name=\"administermedication-asset-collection\"> </a><a name=\"hcadministermedication-asset-collection\"> </a><a name=\"administermedication-asset-collection-en-US\"> </a><h2>Related Artifacts</h2><table class=\"grid\"><tr><td>Depends On</td><td><code>http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1</code></td></tr><tr><td>Depends On</td><td><code>http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</code></td></tr><tr><td>Depends On</td><td><a href=\"CodeSystem-cpg-activity-type-cs.html\">CPG Activity Type Code System</a></td></tr><tr><td>Composed Of</td><td><a href=\"ActivityDefinition-activity-example-administermedication-ad.html\">Activity Example Administer Medication AD</a></td></tr><tr><td>Composed Of</td><td><a href=\"Library-administermedication-library.html\">Administer Medication Library</a></td></tr><tr><td>Composed Of</td><td><a href=\"PlanDefinition-activity-example-administermedication-pd.html\">Activity Example Administer Medication PD</a></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode" : "shareable"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode" : "computable"
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{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode" : "publishable"
}
],
"url" : "http://hl7.org/fhir/uv/cpg/Library/administermedication-asset-collection",
"name" : "ActivityExampleAdministerMedicationLibrary",
"title" : "Activity Example - Administer Medication Library Collection",
"status" : "active",
"experimental" : true,
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "asset-collection"
}
]
},
"description" : "Asset collection of artifacts in the Administer Medication activity example",
"relatedArtifact" : [
{
"type" : "depends-on",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"
},
{
"type" : "depends-on",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
},
{
"type" : "depends-on",
"resource" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-activity-type-cs"
},
{
"type" : "composed-of",
"resource" : "http://hl7.org/fhir/uv/cpg/ActivityDefinition/activity-example-administermedication-ad"
},
{
"type" : "composed-of",
"resource" : "http://hl7.org/fhir/uv/cpg/Library/administermedication-library"
},
{
"type" : "composed-of",
"resource" : "http://hl7.org/fhir/uv/cpg/PlanDefinition/activity-example-administermedication-pd"
}
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}
},
{
"fullUrl" : "http://hl7.org/fhir/uv/cpg/Library/administermedication-library",
"resource" : {
"resourceType" : "Library",
"id" : "administermedication-library",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Library_administermedication-library\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Library administermedication-library</b></p><a name=\"administermedication-library\"> </a><a name=\"hcadministermedication-library\"> </a><a name=\"administermedication-library-en-US\"> </a><h2>Related Artifacts</h2><table class=\"grid\"><tr><td>Depends On</td><td><code>http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1</code></td></tr><tr><td>Depends On</td><td><code>http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</code></td></tr><tr><td>Depends On</td><td><a href=\"CodeSystem-cpg-activity-type-cs.html\">CPG Activity Type Code System</a></td></tr></table><h2>Parameters</h2><table class=\"grid\"><tr><td>Patient</td><td>out</td><td>0</td><td>1</td><td>Patient</td></tr><tr><td>Medication Proposal</td><td>out</td><td>0</td><td>*</td><td>MedicationRequest</td></tr><tr><td>Medication Not Proposed</td><td>out</td><td>0</td><td>*</td><td>MedicationRequest</td></tr><tr><td>Inclusion Criteria</td><td>out</td><td>0</td><td>1</td><td>boolean</td></tr><tr><td>Active or Completed Medication Administration</td><td>out</td><td>0</td><td>*</td><td>MedicationAdministration</td></tr><tr><td>Medication Administration Not Done</td><td>out</td><td>0</td><td>*</td><td>MedicationAdministration</td></tr><tr><td>Administer Proposal</td><td>out</td><td>0</td><td>*</td><td>Task</td></tr><tr><td>Administer Proposal Rejected</td><td>out</td><td>0</td><td>*</td><td>Task</td></tr><tr><td>Is Recommendation Applicable</td><td>out</td><td>0</td><td>1</td><td>boolean</td></tr></table><h2>Data Requirements</h2><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/medicationrequest.html\">MedicationRequest</a> (<a href=\"http://hl7.org/fhir/R4/medicationrequest.html\">MedicationRequest</a>)</td></tr></table><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/medicationrequest.html\">MedicationRequest</a> (<a href=\"http://hl7.org/fhir/R4/medicationrequest.html\">MedicationRequest</a>)</td></tr></table><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/medicationadministration.html\">MedicationAdministration</a> (<a href=\"http://hl7.org/fhir/R4/medicationadministration.html\">MedicationAdministration</a>)</td></tr></table><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/medicationadministration.html\">MedicationAdministration</a> (<a href=\"http://hl7.org/fhir/R4/medicationadministration.html\">MedicationAdministration</a>)</td></tr></table><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/task.html\">Task</a> (<a href=\"http://hl7.org/fhir/R4/task.html\">Task</a>)</td></tr></table><table class=\"grid\"><tr><td colspan=\"2\"><b>Type</b>: <a href=\"http://hl7.org/fhir/R4/task.html\">Task</a> (<a href=\"http://hl7.org/fhir/R4/task.html\">Task</a>)</td></tr></table><h2>Contents</h2><p><code>text/cql</code></p><pre><code class=\"language-sql\">library AdministerMedication\n\nusing FHIR version '4.0.1'\n\ninclude FHIRHelpers version '4.0.1'\n\ncodesystem "Activity Type": 'http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-activity-type-cs'\n\ncode "Administer medication": 'administer-medication' from "Activity Type"\n\ncontext Patient\n\n/* Recommendation to administer an existing order for a medication */\n\n/*\nPositive recommendation:\n\nIf the medication has been ordered but has not been administered\n Propose administering the medication\n\nGiven a proposal, the user can:\n Accept the proposal\n Ignore the proposal\n Reject the proposal without reason\n Reject the proposal with reason\n\nScenario 1: No event, no request, decision support should propose\nScenario 2: No event, active proposal, decision support should not propose\nScenario 3: No event, rejected proposal, decision support should not propose\nScenario 4: Event, no request, decision support should not propose\nScenario 5: Event, active proposal, decision support should not propose\nScenario 6: Event not done, no request, decision support should not propose\nScenario 7: Event not done, active proposal, decision support should not propose\n\n*/\n\ndefine "Inclusion Criteria":\n Patient.active\n and exists ("Medication Order")\n\ndefine "Active or Completed Medication Administration":\n [MedicationAdministration] M\n where M.status in { 'in-progress', 'on-hold', 'completed' }\n\ndefine "Medication Administration Not Done":\n [MedicationAdministration] M\n where M.status in { 'not-done', 'stopped' } // TODO: Is 'stopped' appropriate here?\n\ndefine "Medication Order":\n [MedicationRequest] M\n where M.status in { 'active' }\n and M.intent = 'order'\n and M.doNotPerform is not true\n\ndefine "Administer Proposal":\n [Task] R\n where R.code ~ "Administer medication"\n and R.status in { 'draft', 'requested', 'received', 'accepted', 'ready' }\n and doNotPerform(R) is not true\n\ndefine "Administer Proposal Rejected":\n [Task] R\n where R.code ~ "Administer medication"\n and R.status in { 'rejected' }\n and doNotPerform(R) is not true\n\ndefine "Is Recommendation Applicable":\n "Inclusion Criteria"\n and not exists (\n "Active or Completed Medication Administration"\n union "Medication Administration Not Done"\n )\n and not exists (\n "Administer Proposal"\n union "Administer Proposal Rejected"\n )\n\ndefine function doNotPerform(task Task):\n singleton from (\n task.modifierExtension E\n where E.url = 'http://hl7.org/fhir/StructureDefinition/request-doNotPerform'\n ).value as boolean\n</code></pre></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode" : "shareable"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode" : "computable"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode" : "publishable"
}
],
"url" : "http://hl7.org/fhir/uv/cpg/Library/administermedication-library",
"name" : "AdministerMedicationLibrary",
"title" : "Administer Medication Library",
"status" : "active",
"experimental" : true,
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "logic-library"
}
]
},
"description" : "Logic for an example recommendation to administer a medication",
"relatedArtifact" : [
{
"type" : "depends-on",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"
},
{
"type" : "depends-on",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
},
{
"type" : "depends-on",
"resource" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-activity-type-cs"
}
],
"parameter" : [
{
"name" : "Patient",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "Patient"
},
{
"name" : "Medication Proposal",
"use" : "out",
"min" : 0,
"max" : "*",
"type" : "MedicationRequest"
},
{
"name" : "Medication Not Proposed",
"use" : "out",
"min" : 0,
"max" : "*",
"type" : "MedicationRequest"
},
{
"name" : "Inclusion Criteria",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "boolean"
},
{
"name" : "Active or Completed Medication Administration",
"use" : "out",
"min" : 0,
"max" : "*",
"type" : "MedicationAdministration"
},
{
"name" : "Medication Administration Not Done",
"use" : "out",
"min" : 0,
"max" : "*",
"type" : "MedicationAdministration"
},
{
"name" : "Administer Proposal",
"use" : "out",
"min" : 0,
"max" : "*",
"type" : "Task"
},
{
"name" : "Administer Proposal Rejected",
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"min" : 0,
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"type" : "Task"
},
{
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"min" : 0,
"max" : "1",
"type" : "boolean"
}
],
"dataRequirement" : [
{
"type" : "MedicationRequest",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
]
},
{
"type" : "MedicationRequest",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
]
},
{
"type" : "MedicationAdministration",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/MedicationAdministration"
]
},
{
"type" : "MedicationAdministration",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/MedicationAdministration"
]
},
{
"type" : "Task",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Task"
]
},
{
"type" : "Task",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Task"
]
}
],
"content" : [
{
"contentType" : "text/cql",
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}
]
}
},
{
"fullUrl" : "http://hl7.org/fhir/uv/cpg/PlanDefinition/activity-example-administermedication-pd",
"resource" : {
"resourceType" : "PlanDefinition",
"id" : "activity-example-administermedication-pd",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"🔗 ,
"http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-computableplandefinition"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PlanDefinition_activity-example-administermedication-pd\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PlanDefinition activity-example-administermedication-pd</b></p><a name=\"activity-example-administermedication-pd\"> </a><a name=\"hcactivity-example-administermedication-pd\"> </a><a name=\"activity-example-administermedication-pd-en-US\"> </a><p><b>CQF Knowledge capability</b>: shareable</p><p><b>CQF Knowledge capability</b>: computable</p><p><b>CQF Knowledge capability</b>: publishable</p><p><b>url</b>: <a href=\"PlanDefinition-activity-example-administermedication-pd.html\">PlanDefinition Activity Example Administer Medication PD</a></p><p><b>name</b>: ActivityExampleAdministerMedicationPD</p><p><b>title</b>: Activity Example Administer Medication PD</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/plan-definition-type eca-rule}\">ECA Rule</span></p><p><b>status</b>: Active</p><p><b>experimental</b>: true</p><p><b>description</b>: </p><div><p>Example Plan Definition for a recommendation to administer a medication</p>\n</div><p><b>library</b>: <a href=\"Library-administermedication-library.html\">Administer Medication Library</a></p><blockquote><p><b>action</b></p><p><b>title</b>: Collect date of patient last visit</p><blockquote><p><b>condition</b></p><p><b>kind</b>: Applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>CQL</td><td>Is Recommendation Applicable</td></tr></table></blockquote><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/action-type create}\">Create</span></p><p><b>definition</b>: <a href=\"ActivityDefinition-activity-example-administermedication-ad.html\">Activity Example Administer Medication AD</a></p></blockquote></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode" : "shareable"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode" : "computable"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode" : "publishable"
}
],
"url" : "http://hl7.org/fhir/uv/cpg/PlanDefinition/activity-example-administermedication-pd",
"name" : "ActivityExampleAdministerMedicationPD",
"title" : "Activity Example Administer Medication PD",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
"code" : "eca-rule"
}
]
},
"status" : "active",
"experimental" : true,
"description" : "Example Plan Definition for a recommendation to administer a medication",
"library" : [
🔗 "http://hl7.org/fhir/uv/cpg/Library/administermedication-library"
],
"action" : [
{
"title" : "Collect date of patient last visit",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql",
"expression" : "Is Recommendation Applicable"
}
}
],
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/action-type",
"code" : "create"
}
]
},
"definitionCanonical" : "http://hl7.org/fhir/uv/cpg/ActivityDefinition/activity-example-administermedication-ad"
}
]
}
},
{
"fullUrl" : "http://hl7.org/fhir/uv/cpg/Bundle/am-scenario7-bundle",
"resource" : {
"resourceType" : "Bundle",
"id" : "am-scenario7-bundle",
"type" : "collection",
"entry" : [
{
"fullUrl" : "http://hl7.org/fhir/uv/cpg/GuidanceResponse/am-scenario7-gr",
"resource" : {
"resourceType" : "GuidanceResponse",
"id" : "am-scenario7-gr",
"contained" : [
{
"resourceType" : "Parameters",
"id" : "output",
"parameter" : [
{
"name" : "Inclusion Criteria",
"valueBoolean" : true
},
{
"name" : "Is Recommendation Applicable",
"valueBoolean" : false
}
]
}
],
"moduleCanonical" : "http://hl7.org/fhir/uv/cpg/Library/administermedication-library",
"status" : "success",
"subject" : {
🔗 "reference" : "Patient/am-scenario7-patient"
},
"outputParameters" : {
"reference" : "#output"
}
}
},
{
"fullUrl" : "http://hl7.org/fhir/uv/cpg/MedicationAdministration/am-scenario7",
"resource" : {
"resourceType" : "MedicationAdministration",
"id" : "am-scenario7",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-medicationadministration"
]
},
"status" : "not-done",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "333919005",
"display" : "Fentanyl 25micrograms/hour patch (product)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/am-scenario7-patient"
},
"effectivePeriod" : {
"start" : "2015-01-15T22:03:00+01:00",
"end" : "2015-01-16T02:03:00+01:00"
},
"request" : {
🔗 "reference" : "MedicationRequest/am-scenario7-mr"
},
"dosage" : {
"text" : "apply one patch three times per week",
"dose" : {
"value" : 1,
"unit" : "patch",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "PATCH"
}
}
}
},
{
"fullUrl" : "http://hl7.org/fhir/uv/cpg/MedicationRequest/am-scenario7-mr",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "am-scenario7-mr",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-medicationrequest"
]
},
"status" : "active",
"intent" : "order",
"priority" : "routine",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "333919005",
"display" : "Fentanyl 25micrograms/hour patch (product)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/am-scenario7-patient"
},
"dosageInstruction" : [
{
"sequence" : 1,
"text" : "apply one patch three times per week",
"timing" : {
"repeat" : {
"frequency" : 3,
"period" : 1,
"periodUnit" : "wk"
}
},
"doseAndRate" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "ordered",
"display" : "Ordered"
}
]
},
"doseQuantity" : {
"value" : 1,
"unit" : "patch",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "PATCH"
}
}
]
}
],
"dispenseRequest" : {
"validityPeriod" : {
"start" : "2015-01-15",
"end" : "2016-01-15"
},
"quantity" : {
"value" : 6,
"unit" : "patch",
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "PATCH"
},
"expectedSupplyDuration" : {
"value" : 14,
"unit" : "days",
"system" : "http://unitsofmeasure.org",
"code" : "d"
}
}
}
},
{
"fullUrl" : "http://hl7.org/fhir/uv/cpg/Patient/am-scenario7-patient",
"resource" : {
"resourceType" : "Patient",
"id" : "am-scenario7-patient",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-patient"
]
},
"active" : true,
"name" : [
{
"use" : "usual",
"text" : "Example Patient",
"family" : "Patient",
"given" : [
"Example"
]
}
],
"gender" : "female",
"birthDate" : "1990-10-01",
"deceasedBoolean" : false
}
},
{
"fullUrl" : "http://hl7.org/fhir/uv/cpg/Task/request-am-scenario7",
"resource" : {
"resourceType" : "Task",
"id" : "request-am-scenario7",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-administermedicationtask"🔗 ,
"http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-task"
]
},
"instantiatesCanonical" : "http://hl7.org/fhir/uv/cpg/ActivityDefinition/activity-example-administermedication-ad",
"status" : "in-progress",
"intent" : "order",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-activity-type-cs",
"code" : "administer-medication",
"display" : "Administer a medication"
}
]
},
"for" : {
🔗 "reference" : "Patient/am-scenario7-patient"
},
"input" : [
{
"type" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-activity-type-cs",
"code" : "administer-medication",
"display" : "Administer a medication"
}
]
},
"valueReference" : {
🔗 "reference" : "MedicationRequest/am-scenario7-mr"
}
}
]
}
}
]
}
}
]
}
IG © 2023+ HL7 International / Clinical Decision Support. Package hl7.fhir.uv.cpg#2.0.0 based on FHIR 4.0.1. Generated 2024-11-21
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