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

: chf-scenario1-hypervolemia - XML Representation

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<RequestGroup xmlns="http://hl7.org/fhir">
  <id value="chf-scenario1-hypervolemia"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: RequestGroup chf-scenario1-hypervolemia</b></p><a name="chf-scenario1-hypervolemia"> </a><a name="hcchf-scenario1-hypervolemia"> </a><a name="chf-scenario1-hypervolemia-en-US"> </a><p><b>instantiatesCanonical</b>: <a href="PlanDefinition-chf-hypervolemia.html">CHFHypervolemia</a></p><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>subject</b>: <a href="Patient-chf-scenario1-patient.html">Patterson, Jeremy Male, DoB: 1949-03-17</a></p><p><b>encounter</b>: <a href="Encounter-chf-scenario1-encounter.html">Encounter: status = in-progress; class = inpatient encounter (ActCode#IMP); type = Inpatient stay 9 days; priority = High priority; period = 2019-01-31 05:03:00+0000 --&gt; (ongoing)</a></p><blockquote><p><b>action</b></p><p><b>title</b>: JVP</p><p><b>description</b>: Measure JVP daily</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><p><b>action</b></p><blockquote><p><b>id</b></p>jvp</blockquote><p><b>title</b>: JVP</p><p><b>description</b>: Measure JVP daily</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><p><b>timing</b>: Once per 1 days</p><p><b>resource</b>: <a href="ServiceRequest-chf-scenario1-jvp.html">ServiceRequest Measure jugular venous pressure</a></p></blockquote></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: O2 Sat</p><p><b>description</b>: Monitor O2 Sat</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><p><b>action</b></p><blockquote><p><b>id</b></p>o2-sat</blockquote><p><b>title</b>: O2 Sat</p><p><b>description</b>: Monitor oxygen saturation</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><p><b>timing</b>: Once per 1 days</p><p><b>resource</b>: <a href="ServiceRequest-chf-scenario1-o2-sat.html">ServiceRequest Oxygen saturation measurement (procedure)</a></p></blockquote></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Potassium</p><p><b>description</b>: Monitor Potassium</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><p><b>action</b></p><blockquote><p><b>id</b></p>potassium</blockquote><p><b>title</b>: Potassium</p><p><b>description</b>: Monitor potassium</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><p><b>timing</b>: Once per 1 days</p></blockquote></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Creatinine</p><p><b>description</b>: Monitor Creatinine</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><p><b>action</b></p><blockquote><p><b>id</b></p>creatinine</blockquote><p><b>title</b>: Creatinine</p><p><b>description</b>: Monitor creatinine</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><p><b>timing</b>: Once per 1 days</p></blockquote></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: eGFR</p><p><b>description</b>: Monitor eGFR</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><p><b>action</b></p><blockquote><p><b>id</b></p>egfr</blockquote><p><b>title</b>: eGFR</p><p><b>description</b>: Monitor eGFR</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><p><b>timing</b>: Once per 1 days</p></blockquote></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: LASIX</p><p><b>description</b>: LASIX</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><p><b>action</b></p><blockquote><p><b>id</b></p>lasix-iv</blockquote><p><b>title</b>: LASIX IV</p><p><b>description</b>: Administer LASIX IV</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><p><b>condition</b></p><p><b>kind</b>: Stop</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>text/cql-identifier</td><td>Should Stop LASIX IV</td></tr></table></blockquote><p><b>resource</b>: <a href="MedicationRequest-chf-scenario1-stop-lasix-iv.html">MedicationRequest: status = draft; intent = proposal; priority = routine; doNotPerform = true; medication[x] = LASIX IV</a></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>lasix-po</blockquote><p><b>title</b>: LASIX PO</p><p><b>description</b>: Administer LASIX PO</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><p><b>condition</b></p><p><b>kind</b>: Start</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>text/cql-identifier</td><td>Should Start LASIX PO</td></tr></table></blockquote><p><b>resource</b>: <a href="MedicationRequest-chf-scenario1-lasix-po-mr.html">MedicationRequest: status = draft; intent = proposal; priority = routine; medication[x] = LASIX PO; instantiatesCanonical = http://hl7.org/fhir/uv/cpg/ActivityDefinition/chf-lasix-po</a></p></blockquote></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Cardiology Consultation</p><p><b>description</b>: Cardiology Consultation within 24 hours</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><p><b>action</b></p><blockquote><p><b>id</b></p>cardiology-consultation</blockquote><p><b>title</b>: Cardiology Consultation</p><p><b>description</b>: Cardiology Consultation</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><p><b>resource</b>: <a href="ServiceRequest-chf-scenario1-cardiology-consult-request.html">ServiceRequest Cardiology Consultation</a></p></blockquote></blockquote></div>
  </text>
  <instantiatesCanonical
                         value="http://hl7.org/fhir/uv/cpg/PlanDefinition/chf-hypervolemia"/>
  <status value="active"/>
  <intent value="plan"/>
  <subject>🔗 
    <reference value="Patient/chf-scenario1-patient"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/chf-scenario1-encounter"/>
  </encounter>
  <action>
    <title value="JVP"/>
    <description value="Measure JVP daily"/>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
        <code value="diagnostic-testing"/>
      </coding>
    </code>
    <action id="jvp">
      <title value="JVP"/>
      <description value="Measure JVP daily"/>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
          <code value="diagnostic-testing"/>
        </coding>
      </code>
      <timingTiming>
        <repeat>
          <frequency value="1"/>
          <period value="1"/>
          <periodUnit value="d"/>
        </repeat>
      </timingTiming>
      <resource>🔗 
        <reference value="ServiceRequest/chf-scenario1-jvp"/>
      </resource>
    </action>
  </action>
  <action>
    <title value="O2 Sat"/>
    <description value="Monitor O2 Sat"/>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
        <code value="diagnostic-testing"/>
      </coding>
    </code>
    <action id="o2-sat">
      <title value="O2 Sat"/>
      <description value="Monitor oxygen saturation"/>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
          <code value="diagnostic-testing"/>
        </coding>
      </code>
      <timingTiming>
        <repeat>
          <frequency value="1"/>
          <period value="1"/>
          <periodUnit value="d"/>
        </repeat>
      </timingTiming>
      <resource>🔗 
        <reference value="ServiceRequest/chf-scenario1-o2-sat"/>
      </resource>
    </action>
  </action>
  <action>
    <title value="Potassium"/>
    <description value="Monitor Potassium"/>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
        <code value="diagnostic-testing"/>
      </coding>
    </code>
    <action id="potassium">
      <title value="Potassium"/>
      <description value="Monitor potassium"/>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
          <code value="diagnostic-testing"/>
        </coding>
      </code>
      <timingTiming>
        <repeat>
          <frequency value="1"/>
          <period value="1"/>
          <periodUnit value="d"/>
        </repeat>
      </timingTiming>
    </action>
  </action>
  <action>
    <title value="Creatinine"/>
    <description value="Monitor Creatinine"/>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
        <code value="diagnostic-testing"/>
      </coding>
    </code>
    <action id="creatinine">
      <title value="Creatinine"/>
      <description value="Monitor creatinine"/>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
          <code value="diagnostic-testing"/>
        </coding>
      </code>
      <timingTiming>
        <repeat>
          <frequency value="1"/>
          <period value="1"/>
          <periodUnit value="d"/>
        </repeat>
      </timingTiming>
    </action>
  </action>
  <action>
    <title value="eGFR"/>
    <description value="Monitor eGFR"/>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
        <code value="diagnostic-testing"/>
      </coding>
    </code>
    <action id="egfr">
      <title value="eGFR"/>
      <description value="Monitor eGFR"/>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
          <code value="diagnostic-testing"/>
        </coding>
      </code>
      <timingTiming>
        <repeat>
          <frequency value="1"/>
          <period value="1"/>
          <periodUnit value="d"/>
        </repeat>
      </timingTiming>
    </action>
  </action>
  <action>
    <title value="LASIX"/>
    <description value="LASIX"/>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
        <code value="guideline-based-care"/>
      </coding>
    </code>
    <action id="lasix-iv">
      <title value="LASIX IV"/>
      <description value="Administer LASIX IV"/>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
          <code value="dispense-medications"/>
        </coding>
      </code>
      <condition>
        <kind value="stop"/>
        <expression>
          <language value="text/cql-identifier"/>
          <expression value="Should Stop LASIX IV"/>
        </expression>
      </condition>
      <resource>🔗 
        <reference value="MedicationRequest/chf-scenario1-stop-lasix-iv"/>
      </resource>
    </action>
    <action id="lasix-po">
      <title value="LASIX PO"/>
      <description value="Administer LASIX PO"/>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
          <code value="dispense-medications"/>
        </coding>
      </code>
      <condition>
        <kind value="start"/>
        <expression>
          <language value="text/cql-identifier"/>
          <expression value="Should Start LASIX PO"/>
        </expression>
      </condition>
      <resource>🔗 
        <reference value="MedicationRequest/chf-scenario1-lasix-po-mr"/>
      </resource>
    </action>
  </action>
  <action>
    <title value="Cardiology Consultation"/>
    <description value="Cardiology Consultation within 24 hours"/>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
        <code value="guideline-based-care"/>
      </coding>
    </code>
    <action id="cardiology-consultation">
      <title value="Cardiology Consultation"/>
      <description value="Cardiology Consultation"/>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
          <code value="guideline-based-care"/>
        </coding>
      </code>
      <resource>🔗 
        <reference
                   value="ServiceRequest/chf-scenario1-cardiology-consult-request"/>
      </resource>
    </action>
  </action>
</RequestGroup>