FHIR Clincal Guidelines (v0.1.0) (STU1 Ballot)

This page is part of the Clinical Guidelines (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

CPG_Common_Pathway

{
  "resourceType" : "PlanDefinition",
  "id" : "cpg-common-pathway",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: cpg-common-pathway</p><p><b>url</b>: <a href=\"http://hl7.org/fhir/uv/cpg/PlanDefinition/cpg-common-pathway\">http://hl7.org/fhir/uv/cpg/PlanDefinition/cpg-common-pathway</a></p><p><b>identifier</b>: CPG_Common_Pathway (OFFICIAL)</p><p><b>version</b>: 0.1.0</p><p><b>name</b>: CPG_Common_Pathway</p><p><b>title</b>: CPG Common Pathway</p><p><b>type</b>: Clinical Protocol <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/plan-definition-type code 'clinical-protocol' = 'Clinical Protocol', given as 'Clinical Protocol'})</span></p><p><b>status</b>: draft</p><p><b>date</b>: Jun 23, 2019 12:00:00 AM</p><p><b>jurisdiction</b>: World <span style=\"background: LightGoldenRodYellow\">(Details : {http://unstats.un.org/unsd/methods/m49/m49.htm code '001' = 'World', given as 'World'})</span></p><blockquote><p><b>action</b></p><p><b>id</b>: 001</p><p><b>title</b>: Registration</p><p><b>description</b>: Identifying and recording the subject of care.</p><p><b>code</b>: Registration <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process code 'registration' = 'Registration', given as 'Registration'})</span></p></blockquote><blockquote><p><b>action</b></p><p><b>id</b>: 002</p><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>: Triage <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process code 'triage' = 'Triage', given as 'Triage'})</span></p></blockquote><blockquote><p><b>action</b></p><p><b>id</b>: 003</p><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>: Local Urgent Care <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process code 'local-urgent-care' = 'Local Urgent Care', given as 'Local Urgent Care'})</span></p></blockquote><blockquote><p><b>action</b></p><p><b>id</b>: 004</p><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>: History and Physical <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process code 'history-and-physical' = 'History and Physical', given as 'History and Physical'})</span></p></blockquote><blockquote><p><b>action</b></p><p><b>id</b>: 005</p><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>: Provide Counseling <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process code 'provide-counseling' = 'Provide Counseling', given as 'Provide Counseling'})</span></p></blockquote><blockquote><p><b>action</b></p><p><b>id</b>: 006</p><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>: Conduct Diagnostic Tests <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process code 'diagnostic-testing' = 'Conduct Diagnostic Tests', given as 'Conduct Diagnostic Tests'})</span></p></blockquote><blockquote><p><b>action</b></p><p><b>id</b>: 007</p><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>: Determine Diagnosis <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process code 'determine-diagnosis' = 'Determine Diagnosis', given as 'Determine Diagnosis'})</span></p></blockquote><blockquote><p><b>action</b></p><p><b>id</b>: 008</p><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>: Guideline-based Care <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process code 'guideline-based-care' = 'Guideline-based Care', given as 'Guideline-based Care'})</span></p></blockquote><blockquote><p><b>action</b></p><p><b>id</b>: 009</p><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>: Dispense Medications <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process code 'dispense-medications' = 'Dispense Medications', given as 'Dispense Medications'})</span></p></blockquote><blockquote><p><b>action</b></p><p><b>id</b>: 010</p><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>: Emergency Care <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process code 'emergency-care' = 'Emergency Care', given as 'Emergency Care'})</span></p></blockquote><blockquote><p><b>action</b></p><p><b>id</b>: 011</p><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>: Acute/Tertiary Care <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process code 'actue-tertiary-care' = 'Acute/Tertiary Care', given as 'Acute/Tertiary Care'})</span></p></blockquote><blockquote><p><b>action</b></p><p><b>id</b>: 012</p><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>: Charge for Service <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process code 'charge-for-service' = 'Charge for Service', given as 'Charge for Service'})</span></p></blockquote><blockquote><p><b>action</b></p><p><b>id</b>: 013</p><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>: Discharge/Referral of Patient <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process code 'discharge-referral-of-patient' = 'Discharge/Referral of Patient', given as 'Discharge/Referral of Patient'})</span></p></blockquote><blockquote><p><b>action</b></p><p><b>id</b>: 014</p><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>: Record and Report <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process code 'record-and-report' = 'Record and Report', given as 'Record and Report'})</span></p></blockquote><blockquote><p><b>action</b></p><p><b>id</b>: 015</p><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>: Monitor and Follow-up of Patient <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process code 'monitor-and-follow-up-of-patient' = 'Monitor and Follow-up of Patient', given as 'Monitor and Follow-up of Patient'})</span></p></blockquote><blockquote><p><b>action</b></p><p><b>id</b>: 016</p><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>: Alerts Reminders Education <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process code 'alerts-reminders-education' = 'Alerts Reminders Education', given as 'Alerts Reminders Education'})</span></p></blockquote></div>"
  },
  "url" : "http://hl7.org/fhir/uv/cpg/PlanDefinition/cpg-common-pathway",
  "identifier" : [
    {
      "use" : "official",
      "value" : "CPG_Common_Pathway"
    }
  ],
  "version" : "0.1.0",
  "name" : "CPG_Common_Pathway",
  "title" : "CPG Common Pathway",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code" : "clinical-protocol",
        "display" : "Clinical Protocol"
      }
    ]
  },
  "status" : "draft",
  "date" : "2019-06-23T00:00:00-04:00",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "action" : [
    {
      "id" : "001",
      "title" : "Registration",
      "description" : "Identifying and recording the subject of care.",
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
              "code" : "registration",
              "display" : "Registration"
            }
          ]
        }
      ]
    },
    {
      "id" : "002",
      "title" : "Triage",
      "description" : "Performing basic triage to identify any signs that emergency care is required.",
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
              "code" : "triage",
              "display" : "Triage"
            }
          ]
        }
      ]
    },
    {
      "id" : "003",
      "title" : "Local Urgent Care",
      "description" : "Providing local urgent care based on the outcome of a triage process.",
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
              "code" : "local-urgent-care",
              "display" : "Local Urgent Care"
            }
          ]
        }
      ]
    },
    {
      "id" : "004",
      "title" : "History and Phyiscal",
      "description" : "Gathering clinical history and performing and recording observations regarding the patient's health (e.g. blood pressure, temperature, etc.)",
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
              "code" : "history-and-physical",
              "display" : "History and Physical"
            }
          ]
        }
      ]
    },
    {
      "id" : "005",
      "title" : "Provide Counseling",
      "description" : "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" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
              "code" : "provide-counseling",
              "display" : "Provide Counseling"
            }
          ]
        }
      ]
    },
    {
      "id" : "006",
      "title" : "Diagnostic Testing",
      "description" : "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" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
              "code" : "diagnostic-testing",
              "display" : "Conduct Diagnostic Tests"
            }
          ]
        }
      ]
    },
    {
      "id" : "007",
      "title" : "Determine Diagnosis",
      "description" : "Using available information from the patient's history, current examinations, tests, and assessments to assist in developing a diagnosis.",
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
              "code" : "determine-diagnosis",
              "display" : "Determine Diagnosis"
            }
          ]
        }
      ]
    },
    {
      "id" : "008",
      "title" : "Guideline-based Care",
      "description" : "Performing and recording observations, interventions, and treatment plans recommended by specific guidelines.",
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
              "code" : "guideline-based-care",
              "display" : "Guideline-based Care"
            }
          ]
        }
      ]
    },
    {
      "id" : "009",
      "title" : "Dispense Medications",
      "description" : "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" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
              "code" : "dispense-medications",
              "display" : "Dispense Medications"
            }
          ]
        }
      ]
    },
    {
      "id" : "010",
      "title" : "Emergency Care",
      "description" : "Providing emergency care in trauma cases or as part of guildeline-based care escalation.",
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
              "code" : "emergency-care",
              "display" : "Emergency Care"
            }
          ]
        }
      ]
    },
    {
      "id" : "011",
      "title" : "Acute/Tertiary Care",
      "description" : "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" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
              "code" : "actue-tertiary-care",
              "display" : "Acute/Tertiary Care"
            }
          ]
        }
      ]
    },
    {
      "id" : "012",
      "title" : "Charge for Service",
      "description" : "Charging for services rendered, regardless of the mechanism of coverage.",
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
              "code" : "charge-for-service",
              "display" : "Charge for Service"
            }
          ]
        }
      ]
    },
    {
      "id" : "013",
      "title" : "Discharge/Referral of Patient",
      "description" : "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" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
              "code" : "discharge-referral-of-patient",
              "display" : "Discharge/Referral of Patient"
            }
          ]
        }
      ]
    },
    {
      "id" : "014",
      "title" : "Record and Report",
      "description" : "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" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
              "code" : "record-and-report",
              "display" : "Record and Report"
            }
          ]
        }
      ]
    },
    {
      "id" : "015",
      "title" : "Monitor and Follow-up of Patient",
      "description" : "Monitoring and tracking progress for each patient based on guideline recommendations.",
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
              "code" : "monitor-and-follow-up-of-patient",
              "display" : "Monitor and Follow-up of Patient"
            }
          ]
        }
      ]
    },
    {
      "id" : "016",
      "title" : "Alerts Reminders Education",
      "description" : "Providing alerts, reminders, and education to patients, providers, and health system managers.",
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
              "code" : "alerts-reminders-education",
              "display" : "Alerts Reminders Education"
            }
          ]
        }
      ]
    }
  ]
}