FHIR Clinical Guidelines (v1.0.0) (STU1)

This page is part of the Clinical Guidelines (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

CPG_Common_Pathway

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<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="cpg-common-pathway"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>url</b>: <code>http://hl7.org/fhir/uv/cpg/PlanDefinition/cpg-common-pathway</code></p><p><b>identifier</b>: id: CPG_Common_Pathway (OFFICIAL)</p><p><b>version</b>: 1.0.0</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>: draft</p><p><b>date</b>: 2019-06-23</p><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><h3>Ids</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><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 registration}">Registration</span></p></blockquote><blockquote><p><b>action</b></p><h3>Ids</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><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 triage}">Triage</span></p></blockquote><blockquote><p><b>action</b></p><h3>Ids</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><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 local-urgent-care}">Local Urgent Care</span></p></blockquote><blockquote><p><b>action</b></p><h3>Ids</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><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 history-and-physical}">History and Physical</span></p></blockquote><blockquote><p><b>action</b></p><h3>Ids</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><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 provide-counseling}">Provide Counseling</span></p></blockquote><blockquote><p><b>action</b></p><h3>Ids</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><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 diagnostic-testing}">Conduct Diagnostic Tests</span></p></blockquote><blockquote><p><b>action</b></p><h3>Ids</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><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 determine-diagnosis}">Determine Diagnosis</span></p></blockquote><blockquote><p><b>action</b></p><h3>Ids</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><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 guideline-based-care}">Guideline-based Care</span></p></blockquote><blockquote><p><b>action</b></p><h3>Ids</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><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 dispense-medications}">Dispense Medications</span></p></blockquote><blockquote><p><b>action</b></p><h3>Ids</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><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 emergency-care}">Emergency Care</span></p></blockquote><blockquote><p><b>action</b></p><h3>Ids</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><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 actue-tertiary-care}">Acute/Tertiary Care</span></p></blockquote><blockquote><p><b>action</b></p><h3>Ids</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><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 charge-for-service}">Charge for Service</span></p></blockquote><blockquote><p><b>action</b></p><h3>Ids</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><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 discharge-referral-of-patient}">Discharge/Referral of Patient</span></p></blockquote><blockquote><p><b>action</b></p><h3>Ids</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><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 record-and-report}">Record and Report</span></p></blockquote><blockquote><p><b>action</b></p><h3>Ids</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><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 monitor-and-follow-up-of-patient}">Monitor and Follow-up of Patient</span></p></blockquote><blockquote><p><b>action</b></p><h3>Ids</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><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 alerts-reminders-education}">Alerts Reminders Education</span></p></blockquote></div>
  </text>
  <url value="http://hl7.org/fhir/uv/cpg/PlanDefinition/cpg-common-pathway"/>
  <identifier>
    <use value="official"/>
    <value value="CPG_Common_Pathway"/>
  </identifier>
  <version value="1.0.0"/>
  <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="draft"/>
  <date value="2019-06-23"/>
  <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"/>
        <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"/>
        <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"/>
        <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&#39;s health (e.g. blood pressure, temperature, etc.)"/>
    <code>
      <coding>
        <system value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process"/>
        <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"/>
        <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"/>
        <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&#39;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"/>
        <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"/>
        <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"/>
        <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"/>
        <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"/>
        <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"/>
        <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"/>
        <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"/>
        <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"/>
        <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"/>
        <code value="alerts-reminders-education"/>
        <display value="Alerts Reminders Education"/>
      </coding>
    </code>
  </action>
</PlanDefinition>