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
Active as of 2024-11-21 |
<PlanDefinition xmlns="http://hl7.org/fhir">
<id value="cpg-common-pathway"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: PlanDefinition cpg-common-pathway</b></p><a name="cpg-common-pathway"> </a><a name="hccpg-common-pathway"> </a><a name="cpg-common-pathway-en-US"> </a><p><b>StructureDefinition Work Group</b>: cds</p><p><b>url</b>: <a href="PlanDefinition-cpg-common-pathway.html">PlanDefinition CPG Common Pathway</a></p><p><b>identifier</b>: CPG_Common_Pathway (use: official, ), <a href="http://terminology.hl7.org/6.1.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt
This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid:
Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.
This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:oid:2.16.840.1.113883.4.642.40.48.34.36</p><p><b>version</b>: 2.0.0</p><p><b>name</b>: CPG_Common_Pathway</p><p><b>title</b>: CPG Common Pathway</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/plan-definition-type clinical-protocol}">Clinical Protocol</span></p><p><b>status</b>: Active</p><p><b>date</b>: 2024-11-21 04:10:48+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>: </p><div><p>Common patient care pathway</p>
</div><p><b>jurisdiction</b>: <span title="Codes:{http://unstats.un.org/unsd/methods/m49/m49.htm 001}">World</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>: <span title="Codes:{http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs registration}">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>: <span title="Codes:{http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs triage}">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>: <span title="Codes:{http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs local-urgent-care}">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>: <span title="Codes:{http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs history-and-physical}">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>: <span title="Codes:{http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs provide-counseling}">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>: <span title="Codes:{http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs diagnostic-testing}">Conduct Diagnostic Tests</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>: <span title="Codes:{http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs determine-diagnosis}">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>: <span title="Codes:{http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs guideline-based-care}">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>: <span title="Codes:{http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs dispense-medications}">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>: <span title="Codes:{http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs emergency-care}">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>: <span title="Codes:{http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs actue-tertiary-care}">Acute/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>: <span title="Codes:{http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs charge-for-service}">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>: <span title="Codes:{http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs discharge-referral-of-patient}">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>: <span title="Codes:{http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs record-and-report}">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>: <span title="Codes:{http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs monitor-and-follow-up-of-patient}">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>: <span title="Codes:{http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs alerts-reminders-education}">Alerts Reminders Education</span></p></blockquote></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="cds"/>
</extension>
<url value="http://hl7.org/fhir/uv/cpg/PlanDefinition/cpg-common-pathway"/>
<identifier>
<use value="official"/>
<value value="CPG_Common_Pathway"/>
</identifier>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.4.642.40.48.34.36"/>
</identifier>
<version value="2.0.0"/>
<name value="CPG_Common_Pathway"/>
<title value="CPG Common Pathway"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
<code value="clinical-protocol"/>
<display value="Clinical Protocol"/>
</coding>
</type>
<status value="active"/>
<date value="2024-11-21T04:10:48+00:00"/>
<publisher value="HL7 International / Clinical Decision Support"/>
<contact>
<name value="HL7 International / Clinical Decision Support"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/dss"/>
</telecom>
</contact>
<description value="Common patient care pathway"/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<action id="001">
<title value="Registration"/>
<description value="Identifying and recording the subject of care."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
<code value="registration"/>
<display value="Registration"/>
</coding>
</code>
</action>
<action id="002">
<title value="Triage"/>
<description
value="Performing basic triage to identify any signs that emergency care is required."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
<code value="triage"/>
<display value="Triage"/>
</coding>
</code>
</action>
<action id="003">
<title value="Local Urgent Care"/>
<description
value="Providing local urgent care based on the outcome of a triage process."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
<code value="local-urgent-care"/>
<display value="Local Urgent Care"/>
</coding>
</code>
</action>
<action id="004">
<title value="History and Phyiscal"/>
<description
value="Gathering clinical history and performing and recording observations regarding the patient's health (e.g. blood pressure, temperature, etc.)"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
<code value="history-and-physical"/>
<display value="History and Physical"/>
</coding>
</code>
</action>
<action id="005">
<title value="Provide Counseling"/>
<description
value="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."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
<code value="provide-counseling"/>
<display value="Provide Counseling"/>
</coding>
</code>
</action>
<action id="006">
<title value="Diagnostic Testing"/>
<description
value="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."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
<code value="diagnostic-testing"/>
<display value="Conduct Diagnostic Tests"/>
</coding>
</code>
</action>
<action id="007">
<title value="Determine Diagnosis"/>
<description
value="Using available information from the patient's history, current examinations, tests, and assessments to assist in developing a diagnosis."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
<code value="determine-diagnosis"/>
<display value="Determine Diagnosis"/>
</coding>
</code>
</action>
<action id="008">
<title value="Guideline-based Care"/>
<description
value="Performing and recording observations, interventions, and treatment plans recommended by specific guidelines."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
<code value="guideline-based-care"/>
<display value="Guideline-based Care"/>
</coding>
</code>
</action>
<action id="009">
<title value="Dispense Medications"/>
<description
value="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."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
<code value="dispense-medications"/>
<display value="Dispense Medications"/>
</coding>
</code>
</action>
<action id="010">
<title value="Emergency Care"/>
<description
value="Providing emergency care in trauma cases or as part of guildeline-based care escalation."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
<code value="emergency-care"/>
<display value="Emergency Care"/>
</coding>
</code>
</action>
<action id="011">
<title value="Acute/Tertiary Care"/>
<description
value="Providing acute or tertiary care, either as an escalation from emergency care, or from primary care due to guideline-based referral patterns."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
<code value="actue-tertiary-care"/>
<display value="Acute/Tertiary Care"/>
</coding>
</code>
</action>
<action id="012">
<title value="Charge for Service"/>
<description
value="Charging for services rendered, regardless of the mechanism of coverage."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
<code value="charge-for-service"/>
<display value="Charge for Service"/>
</coding>
</code>
</action>
<action id="013">
<title value="Discharge/Referral of Patient"/>
<description
value="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.)."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
<code value="discharge-referral-of-patient"/>
<display value="Discharge/Referral of Patient"/>
</coding>
</code>
</action>
<action id="014">
<title value="Record and Report"/>
<description
value="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."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
<code value="record-and-report"/>
<display value="Record and Report"/>
</coding>
</code>
</action>
<action id="015">
<title value="Monitor and Follow-up of Patient"/>
<description
value="Monitoring and tracking progress for each patient based on guideline recommendations."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
<code value="monitor-and-follow-up-of-patient"/>
<display value="Monitor and Follow-up of Patient"/>
</coding>
</code>
</action>
<action id="016">
<title value="Alerts Reminders Education"/>
<description
value="Providing alerts, reminders, and education to patients, providers, and health system managers."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
<code value="alerts-reminders-education"/>
<display value="Alerts Reminders Education"/>
</coding>
</code>
</action>
</PlanDefinition>