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 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

RequestGroup/chf-scenario1-hypervolemia

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Raw ttl


@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:RequestGroup;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "chf-scenario1-hypervolemia"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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 --&gt; (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 --&gt; Feb 4, 2019 11:00:00 AM; authoredOn: 2019-02-03</a></p></blockquote></blockquote></div>"
  ];
  fhir:RequestGroup.instantiatesCanonical [
     fhir:value "http://hl7.org/fhir/uv/cpg/PlanDefinition/chf-hypervolemia";
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/uv/cpg/PlanDefinition/chf-hypervolemia>
  ];
  fhir:RequestGroup.status [ fhir:value "active"];
  fhir:RequestGroup.intent [ fhir:value "plan"];
  fhir:RequestGroup.subject [
     fhir:Reference.reference [ fhir:value "Patient/chf-scenario1" ]
  ];
  fhir:RequestGroup.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/chf-scenario1" ]
  ];
  fhir:RequestGroup.action [
     fhir:index 0;
     fhir:RequestGroup.action.title [ fhir:value "JVP" ];
     fhir:RequestGroup.action.description [ fhir:value "Measure JVP daily" ];
     fhir:RequestGroup.action.code [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
         fhir:Coding.code [ fhir:value "diagnostic-testing" ]       ]     ];
     fhir:RequestGroup.action.action [
       fhir:index 0;
       fhir:Element.id [ fhir:value "jvp" ];
       fhir:RequestGroup.action.title [ fhir:value "JVP" ];
       fhir:RequestGroup.action.description [ fhir:value "Measure JVP daily" ];
       fhir:RequestGroup.action.code [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
           fhir:Coding.code [ fhir:value "diagnostic-testing" ]         ]       ];
       fhir:RequestGroup.action.timingTiming [
         fhir:Timing.repeat [
           fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ];
           fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ];
           fhir:Timing.repeat.periodUnit [ fhir:value "d" ]         ]       ];
       fhir:RequestGroup.action.resource [
         fhir:Reference.reference [ fhir:value "ServiceRequest/chf-scenario1-jvp" ]       ]     ]
  ], [
     fhir:index 1;
     fhir:RequestGroup.action.title [ fhir:value "O2 Sat" ];
     fhir:RequestGroup.action.description [ fhir:value "Monitor O2 Sat" ];
     fhir:RequestGroup.action.code [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
         fhir:Coding.code [ fhir:value "diagnostic-testing" ]       ]     ];
     fhir:RequestGroup.action.action [
       fhir:index 0;
       fhir:Element.id [ fhir:value "o2-sat" ];
       fhir:RequestGroup.action.title [ fhir:value "O2 Sat" ];
       fhir:RequestGroup.action.description [ fhir:value "Monitor oxygen saturation" ];
       fhir:RequestGroup.action.code [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
           fhir:Coding.code [ fhir:value "diagnostic-testing" ]         ]       ];
       fhir:RequestGroup.action.timingTiming [
         fhir:Timing.repeat [
           fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ];
           fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ];
           fhir:Timing.repeat.periodUnit [ fhir:value "d" ]         ]       ];
       fhir:RequestGroup.action.resource [
         fhir:Reference.reference [ fhir:value "ServiceRequest/chf-scenario1-o2-sat" ]       ]     ]
  ], [
     fhir:index 2;
     fhir:RequestGroup.action.title [ fhir:value "Potassium" ];
     fhir:RequestGroup.action.description [ fhir:value "Monitor Potassium" ];
     fhir:RequestGroup.action.code [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
         fhir:Coding.code [ fhir:value "diagnostic-testing" ]       ]     ];
     fhir:RequestGroup.action.action [
       fhir:index 0;
       fhir:Element.id [ fhir:value "potassium" ];
       fhir:RequestGroup.action.title [ fhir:value "Potassium" ];
       fhir:RequestGroup.action.description [ fhir:value "Monitor potassium" ];
       fhir:RequestGroup.action.code [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
           fhir:Coding.code [ fhir:value "diagnostic-testing" ]         ]       ];
       fhir:RequestGroup.action.timingTiming [
         fhir:Timing.repeat [
           fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ];
           fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ];
           fhir:Timing.repeat.periodUnit [ fhir:value "d" ]         ]       ]     ]
  ], [
     fhir:index 3;
     fhir:RequestGroup.action.title [ fhir:value "Creatinine" ];
     fhir:RequestGroup.action.description [ fhir:value "Monitor Creatinine" ];
     fhir:RequestGroup.action.code [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
         fhir:Coding.code [ fhir:value "diagnostic-testing" ]       ]     ];
     fhir:RequestGroup.action.action [
       fhir:index 0;
       fhir:Element.id [ fhir:value "creatinine" ];
       fhir:RequestGroup.action.title [ fhir:value "Creatinine" ];
       fhir:RequestGroup.action.description [ fhir:value "Monitor creatinine" ];
       fhir:RequestGroup.action.code [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
           fhir:Coding.code [ fhir:value "diagnostic-testing" ]         ]       ];
       fhir:RequestGroup.action.timingTiming [
         fhir:Timing.repeat [
           fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ];
           fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ];
           fhir:Timing.repeat.periodUnit [ fhir:value "d" ]         ]       ]     ]
  ], [
     fhir:index 4;
     fhir:RequestGroup.action.title [ fhir:value "eGFR" ];
     fhir:RequestGroup.action.description [ fhir:value "Monitor eGFR" ];
     fhir:RequestGroup.action.code [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
         fhir:Coding.code [ fhir:value "diagnostic-testing" ]       ]     ];
     fhir:RequestGroup.action.action [
       fhir:index 0;
       fhir:Element.id [ fhir:value "egfr" ];
       fhir:RequestGroup.action.title [ fhir:value "eGFR" ];
       fhir:RequestGroup.action.description [ fhir:value "Monitor eGFR" ];
       fhir:RequestGroup.action.code [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
           fhir:Coding.code [ fhir:value "diagnostic-testing" ]         ]       ];
       fhir:RequestGroup.action.timingTiming [
         fhir:Timing.repeat [
           fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ];
           fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ];
           fhir:Timing.repeat.periodUnit [ fhir:value "d" ]         ]       ]     ]
  ], [
     fhir:index 5;
     fhir:RequestGroup.action.title [ fhir:value "LASIX" ];
     fhir:RequestGroup.action.description [ fhir:value "LASIX" ];
     fhir:RequestGroup.action.code [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
         fhir:Coding.code [ fhir:value "guideline-based-care" ]       ]     ];
     fhir:RequestGroup.action.action [
       fhir:index 0;
       fhir:Element.id [ fhir:value "lasix-iv" ];
       fhir:RequestGroup.action.title [ fhir:value "LASIX IV" ];
       fhir:RequestGroup.action.description [ fhir:value "Administer LASIX IV" ];
       fhir:RequestGroup.action.code [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
           fhir:Coding.code [ fhir:value "dispense-medications" ]         ]       ];
       fhir:RequestGroup.action.condition [
         fhir:index 0;
         fhir:RequestGroup.action.condition.kind [ fhir:value "stop" ];
         fhir:RequestGroup.action.condition.expression [
           fhir:Expression.language [ fhir:value "text/cql-identifier" ];
           fhir:Expression.expression [ fhir:value "Should Stop LASIX IV" ]         ]       ];
       fhir:RequestGroup.action.resource [
         fhir:Reference.reference [ fhir:value "MedicationRequest/chf-scenario1-stop-lasix-iv" ]       ]     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "lasix-po" ];
       fhir:RequestGroup.action.title [ fhir:value "LASIX PO" ];
       fhir:RequestGroup.action.description [ fhir:value "Administer LASIX PO" ];
       fhir:RequestGroup.action.code [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
           fhir:Coding.code [ fhir:value "dispense-medications" ]         ]       ];
       fhir:RequestGroup.action.condition [
         fhir:index 0;
         fhir:RequestGroup.action.condition.kind [ fhir:value "start" ];
         fhir:RequestGroup.action.condition.expression [
           fhir:Expression.language [ fhir:value "text/cql-identifier" ];
           fhir:Expression.expression [ fhir:value "Should Start LASIX PO" ]         ]       ];
       fhir:RequestGroup.action.resource [
         fhir:Reference.reference [ fhir:value "MedicationRequest/chf-scenario1-lasix-po" ]       ]     ]
  ], [
     fhir:index 6;
     fhir:RequestGroup.action.title [ fhir:value "Cardiology Consultation" ];
     fhir:RequestGroup.action.description [ fhir:value "Cardiology Consultation within 24 hours" ];
     fhir:RequestGroup.action.code [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
         fhir:Coding.code [ fhir:value "guideline-based-care" ]       ]     ];
     fhir:RequestGroup.action.action [
       fhir:index 0;
       fhir:Element.id [ fhir:value "cardiology-consultation" ];
       fhir:RequestGroup.action.title [ fhir:value "Cardiology Consultation" ];
       fhir:RequestGroup.action.description [ fhir:value "Cardiology Consultation" ];
       fhir:RequestGroup.action.code [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
           fhir:Coding.code [ fhir:value "guideline-based-care" ]         ]       ];
       fhir:RequestGroup.action.resource [
         fhir:Reference.reference [ fhir:value "ServiceRequest/chf-scenario1-cardiology-consultation" ]       ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.