Plandefinition-example-cardiology-os

R6 Ballot (2nd Draft)

Publish-box (todo)

Example PlanDefinition/example-cardiology-os (Narrative)

Clinical Decision Support Work Group

Maturity Level: N/A

Standards Status: Informative

Compartments: No defined compartments

This is the narrative for the resource. See also the XML, JSON or Turtle format. This example conforms to the profile PlanDefinition.

Generated Narrative: PlanDefinition example-cardiology-os

url: http://va.gov/kas/orderset/B5-Cardiology-ChestPainCAD-OS

identifier: Uniform Resource Identifier (URI)/urn:oid:2.16.840.1.113883.4.642.11.8, urn:va.gov:kbs:knart:artifact:r1/bb7ccea6-9744-4743-854a-bcffd87191f6 (use: official, ), urn:va.gov:kbs:contract:VA118-16-D-1008:to:VA-118-16-F-1008-0007/CLIN0004AG, urn:cognitivemedicine.com:lab:jira/KP-914

version: 0.1

name: ChestPainCoronaryArteryDiseaseOrderSetKNART

title: Chest Pain (CP) - Coronary Artery Disease (CAD) Order Set KNART

type: Order Set

status: active

date: 2017-08-29

publisher: HL7 International / Clinical Decision Support

contact: http://www.hl7.org/Special/committees/dss

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.

UseContexts

Code

Value[x]

UsageContextType focus: Clinical Focus

Heart disease (disorder)

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:

author: Bruce Bray MD: , Scott Wall MD: , Aiden Abidov MD, PhD:

relatedArtifact

library: cardiology-chestPain-logic

action
action
action

Generated Narrative: ActivityDefinition #referralToCardiologyConsult

status: draft
description:

Consider other consult modalities which might be available (e.g., e-consult or other rapidly iterative consult method. A simple consult is included here as the overarching clinical intent.

kind: ServiceRequest
timing: Events: ??
Participants

- Type

* practitioner

Generated Narrative: ActivityDefinition #metoprololTartrate25Prescription

status: draft
kind: MedicationRequest
product: Medication metoprolol tartrate 25 MG
dosage
dynamicValue
path: medicationRequest.priority
Expressions

- Language Expression

* text/cql routine

Generated Narrative: Medication #metoprololTartrate25Medication

code: Metoprolol Tartrate 25 MG
doseForm: Tablet dose form
ingredient
Items

- Reference

* Substance metoprolol
strength: 25 mg/1 {tbl}

Generated Narrative: Substance #metoprololTartrate25Substance

instance: false
Codes

- Concept

* Metoprolol

Generated Narrative: ActivityDefinition #metoprololTartrate50Prescription

status: draft
kind: MedicationRequest
product: Medication metoprolol tartrate 50 MG
dosage
dynamicValue
path: medicationRequest.priority
Expressions

- Language Expression

* text/cql routine

Generated Narrative: Medication #metoprololTartrate50Medication

code: Metoprolol Tartrate 50 MG
doseForm: Tablet dose form
ingredient
Items

- Reference

* Substance metoprolol
strength: 50 mg/1 {tbl}

Generated Narrative: Substance #metoprololTartrate50Substance

instance: false
Codes

- Concept

* Metoprolol

Generated Narrative: ActivityDefinition #nitroglycerinPrescription

status: draft
kind: MedicationRequest
product: Medication nitroglycerin 0.4 MG
dosage
dynamicValue
path: medicationRequest.priority
Expressions

- Language Expression

* text/cql routine

Generated Narrative: Medication #nitroglycerinMedication

code: Nitroglycerin 0.4 MG
doseForm: Tablet dose form
ingredient
Items

- Reference

* Substance nitroglycerin
strength: 0.4 mg/1 {tbl}

Generated Narrative: Substance #nitroglycerinSubstance

instance: false
Codes

- Concept

* Nitroglycerin

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.