This page is part of the Clinical Guidelines (v1.0.0: STU 1) based on FHIR R4. This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
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{
"resourceType" : "RequestGroup",
"id" : "chf-scenario1-hypervolemia",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>instantiatesCanonical</b>: <a href=\"http://hl7.org/fhir/uv/cpg/PlanDefinition/chf-hypervolemia\">http://hl7.org/fhir/uv/cpg/PlanDefinition/chf-hypervolemia</a></p><p><b>status</b>: active</p><p><b>intent</b>: plan</p><p><b>subject</b>: <a href=\"Patient-chf-scenario1.html\">Generated Summary: active; Patterson, Jeremy; gender: male; birthDate: 1949-03-17; </a></p><p><b>encounter</b>: <a href=\"Encounter-chf-scenario1.html\">Generated Summary: status: in-progress; <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}\">inpatient encounter</span>; <span title=\"Codes: {http://snomed.info/sct 183807002}\">Inpatient stay 9 days</span>; <span title=\"Codes: {http://snomed.info/sct 394849002}\">High priority</span>; period: Jan 31, 2019 5:03:00 AM --> (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 diagnostic-testing}\">Conduct Diagnostic Tests</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>: 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 diagnostic-testing}\">Conduct Diagnostic Tests</span></p><p><b>timing</b>: Do Once per 1 days</p><p><b>resource</b>: <a href=\"ServiceRequest-chf-scenario1-jvp.html\">Generated Summary: instantiatesCanonical: http://hl7.org/fhir/uv/cpg/ActivityDefinition/chf-jvp; status: completed; intent: order; <span title=\"Codes: {http://snomed.info/sct 386053000}\">Evaluation</span>; <span title=\"Codes: {http://hl7.org/fhir/uv/cpg/CodeSystem/chf-codes measure-jvp}\">Measure jugular venous pressure</span>; occurrence: Feb 3, 2019 9:41:00 AM; authoredOn: 2019-02-03</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 diagnostic-testing}\">Conduct Diagnostic Tests</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>: 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 diagnostic-testing}\">Conduct Diagnostic Tests</span></p><p><b>timing</b>: Do Once per 1 days</p><p><b>resource</b>: <a href=\"ServiceRequest-chf-scenario1-o2-sat.html\">Generated Summary: instantiatesCanonical: http://hl7.org/fhir/uv/cpg/ActivityDefinition/chf-o2-sat; status: completed; intent: order; <span title=\"Codes: {http://snomed.info/sct 386053000}\">Evaluation</span>; <span title=\"Codes: {http://snomed.info/sct 104847001}\">Oxygen saturation measurement</span>; occurrence: Feb 3, 2019 1:00:00 PM; authoredOn: 2019-02-03</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 diagnostic-testing}\">Conduct Diagnostic Tests</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>: 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 diagnostic-testing}\">Conduct Diagnostic Tests</span></p><p><b>timing</b>: Do 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 diagnostic-testing}\">Conduct Diagnostic Tests</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>: 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 diagnostic-testing}\">Conduct Diagnostic Tests</span></p><p><b>timing</b>: Do 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 diagnostic-testing}\">Conduct Diagnostic Tests</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>: 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 diagnostic-testing}\">Conduct Diagnostic Tests</span></p><p><b>timing</b>: Do 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 guideline-based-care}\">Guideline-based Care</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>: 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 dispense-medications}\">Dispense Medications</span></p><h3>Conditions</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>resource</b>: <a href=\"MedicationRequest-chf-scenario1-stop-lasix-iv.html\">Generated Summary: status: draft; intent: proposal; priority: routine; doNotPerform; <span title=\"Codes: {http://hl7.org/fhir/uv/cpg/CodeSystem/chf-codes lasix-iv}\">LASIX IV</span></a></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>: 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 dispense-medications}\">Dispense Medications</span></p><h3>Conditions</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>resource</b>: <a href=\"MedicationRequest-chf-scenario1-lasix-po.html\">Generated Summary: status: draft; intent: proposal; priority: routine; <span title=\"Codes: {http://hl7.org/fhir/uv/cpg/CodeSystem/chf-codes lasix-po}\">LASIX PO</span>; 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 guideline-based-care}\">Guideline-based Care</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>: 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 guideline-based-care}\">Guideline-based Care</span></p><p><b>resource</b>: <a href=\"ServiceRequest-chf-scenario1-cardiology-consultation.html\">Generated Summary: instantiatesCanonical: http://hl7.org/fhir/uv/cpg/ActivityDefinition/chf-cardiology-consultation; status: active; intent: plan; <span title=\"Codes: {http://snomed.info/sct 386053000}\">Evaluation</span>; <span title=\"Codes: {http://hl7.org/fhir/uv/cpg/CodeSystem/chf-codes cardiology-consultation}\">Cardiology Consultation</span>; occurrence: Feb 3, 2019 11:00:00 AM --> Feb 4, 2019 11:00:00 AM; authoredOn: 2019-02-03</a></p></blockquote></blockquote></div>"
},
"instantiatesCanonical" : [
"http://hl7.org/fhir/uv/cpg/PlanDefinition/chf-hypervolemia"
],
"status" : "active",
"intent" : "plan",
"subject" : {
"reference" : "Patient/chf-scenario1"
},
"encounter" : {
"reference" : "Encounter/chf-scenario1"
},
"action" : [
{
"title" : "JVP",
"description" : "Measure JVP daily",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "diagnostic-testing"
}
]
}
],
"action" : [
{
"id" : "jvp",
"title" : "JVP",
"description" : "Measure JVP daily",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "diagnostic-testing"
}
]
}
],
"timingTiming" : {
"repeat" : {
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"resource" : {
"reference" : "ServiceRequest/chf-scenario1-jvp"
}
}
]
},
{
"title" : "O2 Sat",
"description" : "Monitor O2 Sat",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "diagnostic-testing"
}
]
}
],
"action" : [
{
"id" : "o2-sat",
"title" : "O2 Sat",
"description" : "Monitor oxygen saturation",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "diagnostic-testing"
}
]
}
],
"timingTiming" : {
"repeat" : {
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"resource" : {
"reference" : "ServiceRequest/chf-scenario1-o2-sat"
}
}
]
},
{
"title" : "Potassium",
"description" : "Monitor Potassium",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "diagnostic-testing"
}
]
}
],
"action" : [
{
"id" : "potassium",
"title" : "Potassium",
"description" : "Monitor potassium",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "diagnostic-testing"
}
]
}
],
"timingTiming" : {
"repeat" : {
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
}
}
]
},
{
"title" : "Creatinine",
"description" : "Monitor Creatinine",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "diagnostic-testing"
}
]
}
],
"action" : [
{
"id" : "creatinine",
"title" : "Creatinine",
"description" : "Monitor creatinine",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "diagnostic-testing"
}
]
}
],
"timingTiming" : {
"repeat" : {
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
}
}
]
},
{
"title" : "eGFR",
"description" : "Monitor eGFR",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "diagnostic-testing"
}
]
}
],
"action" : [
{
"id" : "egfr",
"title" : "eGFR",
"description" : "Monitor eGFR",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "diagnostic-testing"
}
]
}
],
"timingTiming" : {
"repeat" : {
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
}
}
]
},
{
"title" : "LASIX",
"description" : "LASIX",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "guideline-based-care"
}
]
}
],
"action" : [
{
"id" : "lasix-iv",
"title" : "LASIX IV",
"description" : "Administer LASIX IV",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "dispense-medications"
}
]
}
],
"condition" : [
{
"kind" : "stop",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "Should Stop LASIX IV"
}
}
],
"resource" : {
"reference" : "MedicationRequest/chf-scenario1-stop-lasix-iv"
}
},
{
"id" : "lasix-po",
"title" : "LASIX PO",
"description" : "Administer LASIX PO",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "dispense-medications"
}
]
}
],
"condition" : [
{
"kind" : "start",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "Should Start LASIX PO"
}
}
],
"resource" : {
"reference" : "MedicationRequest/chf-scenario1-lasix-po"
}
}
]
},
{
"title" : "Cardiology Consultation",
"description" : "Cardiology Consultation within 24 hours",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "guideline-based-care"
}
]
}
],
"action" : [
{
"id" : "cardiology-consultation",
"title" : "Cardiology Consultation",
"description" : "Cardiology Consultation",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "guideline-based-care"
}
]
}
],
"resource" : {
"reference" : "ServiceRequest/chf-scenario1-cardiology-consultation"
}
}
]
}
]
}