Clinical Practice Guidelines
2.0.0 - STU2 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 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

CodeSystem: CPG Common Process Code System

Official URL: http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs Version: 2.0.0
Active as of 2024-11-26 Computable Name: CPGCommonProcessCS
Other Identifiers: OID:2.16.840.1.113883.4.642.40.48.16.7

Common processes performed in providing guideline-based care, regardless of the specific guideline.

This Code system is referenced in the content logical definition of the following value sets:

Generated Narrative: CodeSystem cpg-common-process-cs

This case-sensitive code system http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs defines the following codes:

CodeDisplayDefinition
registration Registration Identifying and recording the subject of care.
triage Triage Performing basic triage to identify any signs that emergency care is required.
local-urgent-care Local Urgent Care Providing local urgent care based on the outcome of a triage process.
history-and-physical History and Physical Gathering clinical history and performing and recording observations regarding the patient's health (e.g. blood pressure, temperature, etc.)
provide-counseling Provide Counseling 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.
diagnostic-testing Conduct Diagnostic Tests 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.
determine-diagnosis Determine Diagnosis Using available information from the patient's history, current examinations, tests, and assessments to assist in developing a diagnosis.
guideline-based-care Guideline-based Care Performing and recording observations, interventions, and treatment plans recommended by specific guidelines.
dispense-medications Dispense Medications 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.
emergency-care Emergency Care Providing emergency care in trauma cases or as part of guildeline-based care escalation.
actue-tertiary-care Acute/Tertiary Care Providing acute or tertiary care, either as an escalation from emergency care, or from primary care due to guideline-based referral patterns.
charge-for-service Charge for Service Charging for services rendered, regardless of the mechanism of coverage.
discharge-referral-of-patient Discharge/Referral of Patient 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.).
record-and-report Record and Report 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.
monitor-and-follow-up-of-patient Monitor and Follow-up of Patient Monitoring and tracking progress for each patient based on guideline recommendations.
alerts-reminders-education Alerts Reminders Education Providing alerts, reminders, and education to patients, providers, and health system managers.