Generated Narrative: PlanDefinition cpg-common-pathway

StructureDefinition Work Group: cds

url: PlanDefinition CPG Common Pathway

identifier: CPG_Common_Pathway (use: official, ), Uniform Resource Identifier (URI)/urn:oid:2.16.840.1.113883.4.642.40.48.34.36

version: 2.0.0

name: CPG_Common_Pathway

title: CPG Common Pathway

type: Clinical Protocol

status: Active

date: 2024-11-26 17:38:52+0000

publisher: HL7 International / Clinical Decision Support

contact: HL7 International / Clinical Decision Support: http://www.hl7.org/Special/committees/dss

description:

jurisdiction: World

action

id

001

title: Registration

description: Identifying and recording the subject of care.

code: Registration

action

id

002

title: Triage

description: Performing basic triage to identify any signs that emergency care is required.

code: Triage

action

id

003

title: Local Urgent Care

description: Providing local urgent care based on the outcome of a triage process.

code: Local Urgent Care

action

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: History and Physical

action

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: Provide Counseling

action

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: Conduct Diagnostic Tests

action

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: Determine Diagnosis

action

id

008

title: Guideline-based Care

description: Performing and recording observations, interventions, and treatment plans recommended by specific guidelines.

code: Guideline-based Care

action

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: Dispense Medications

action

id

010

title: Emergency Care

description: Providing emergency care in trauma cases or as part of guildeline-based care escalation.

code: Emergency Care

action

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: Acute/Tertiary Care

action

id

012

title: Charge for Service

description: Charging for services rendered, regardless of the mechanism of coverage.

code: Charge for Service

action

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: Discharge/Referral of Patient

action

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: Record and Report

action

id

015

title: Monitor and Follow-up of Patient

description: Monitoring and tracking progress for each patient based on guideline recommendations.

code: Monitor and Follow-up of Patient

action

id

016

title: Alerts Reminders Education

description: Providing alerts, reminders, and education to patients, providers, and health system managers.

code: Alerts Reminders Education