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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<RequestGroup xmlns="http://hl7.org/fhir">
  <id value="chf-scenario1-hypervolemia"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <instantiatesCanonical
                         value="http://hl7.org/fhir/uv/cpg/PlanDefinition/chf-hypervolemia"/>
  <status value="active"/>
  <intent value="plan"/>
  <subject>
    <reference value="Patient/chf-scenario1"/>
  </subject>
  <encounter>
    <reference value="Encounter/chf-scenario1"/>
  </encounter>
  <action>
    <title value="JVP"/>
    <description value="Measure JVP daily"/>
    <code>
      <coding>
        <system value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process"/>
        <code value="diagnostic-testing"/>
      </coding>
    </code>
    <action id="jvp">
      <title value="JVP"/>
      <description value="Measure JVP daily"/>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process"/>
          <code value="diagnostic-testing"/>
        </coding>
      </code>
      <timingTiming>
        <repeat>
          <frequency value="1"/>
          <period value="1"/>
          <periodUnit value="d"/>
        </repeat>
      </timingTiming>
      <resource>
        <reference value="ServiceRequest/chf-scenario1-jvp"/>
      </resource>
    </action>
  </action>
  <action>
    <title value="O2 Sat"/>
    <description value="Monitor O2 Sat"/>
    <code>
      <coding>
        <system value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process"/>
        <code value="diagnostic-testing"/>
      </coding>
    </code>
    <action id="o2-sat">
      <title value="O2 Sat"/>
      <description value="Monitor oxygen saturation"/>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process"/>
          <code value="diagnostic-testing"/>
        </coding>
      </code>
      <timingTiming>
        <repeat>
          <frequency value="1"/>
          <period value="1"/>
          <periodUnit value="d"/>
        </repeat>
      </timingTiming>
      <resource>
        <reference value="ServiceRequest/chf-scenario1-o2-sat"/>
      </resource>
    </action>
  </action>
  <action>
    <title value="Potassium"/>
    <description value="Monitor Potassium"/>
    <code>
      <coding>
        <system value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process"/>
        <code value="diagnostic-testing"/>
      </coding>
    </code>
    <action id="potassium">
      <title value="Potassium"/>
      <description value="Monitor potassium"/>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process"/>
          <code value="diagnostic-testing"/>
        </coding>
      </code>
      <timingTiming>
        <repeat>
          <frequency value="1"/>
          <period value="1"/>
          <periodUnit value="d"/>
        </repeat>
      </timingTiming>
    </action>
  </action>
  <action>
    <title value="Creatinine"/>
    <description value="Monitor Creatinine"/>
    <code>
      <coding>
        <system value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process"/>
        <code value="diagnostic-testing"/>
      </coding>
    </code>
    <action id="creatinine">
      <title value="Creatinine"/>
      <description value="Monitor creatinine"/>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process"/>
          <code value="diagnostic-testing"/>
        </coding>
      </code>
      <timingTiming>
        <repeat>
          <frequency value="1"/>
          <period value="1"/>
          <periodUnit value="d"/>
        </repeat>
      </timingTiming>
    </action>
  </action>
  <action>
    <title value="eGFR"/>
    <description value="Monitor eGFR"/>
    <code>
      <coding>
        <system value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process"/>
        <code value="diagnostic-testing"/>
      </coding>
    </code>
    <action id="egfr">
      <title value="eGFR"/>
      <description value="Monitor eGFR"/>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process"/>
          <code value="diagnostic-testing"/>
        </coding>
      </code>
      <timingTiming>
        <repeat>
          <frequency value="1"/>
          <period value="1"/>
          <periodUnit value="d"/>
        </repeat>
      </timingTiming>
    </action>
  </action>
  <action>
    <title value="LASIX"/>
    <description value="LASIX"/>
    <code>
      <coding>
        <system value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process"/>
        <code value="guideline-based-care"/>
      </coding>
    </code>
    <action id="lasix-iv">
      <title value="LASIX IV"/>
      <description value="Administer LASIX IV"/>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process"/>
          <code value="dispense-medications"/>
        </coding>
      </code>
      <condition>
        <kind value="stop"/>
        <expression>
          <language value="text/cql-identifier"/>
          <expression value="Should Stop LASIX IV"/>
        </expression>
      </condition>
      <resource>
        <reference value="MedicationRequest/chf-scenario1-stop-lasix-iv"/>
      </resource>
    </action>
    <action id="lasix-po">
      <title value="LASIX PO"/>
      <description value="Administer LASIX PO"/>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process"/>
          <code value="dispense-medications"/>
        </coding>
      </code>
      <condition>
        <kind value="start"/>
        <expression>
          <language value="text/cql-identifier"/>
          <expression value="Should Start LASIX PO"/>
        </expression>
      </condition>
      <resource>
        <reference value="MedicationRequest/chf-scenario1-lasix-po"/>
      </resource>
    </action>
  </action>
  <action>
    <title value="Cardiology Consultation"/>
    <description value="Cardiology Consultation within 24 hours"/>
    <code>
      <coding>
        <system value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process"/>
        <code value="guideline-based-care"/>
      </coding>
    </code>
    <action id="cardiology-consultation">
      <title value="Cardiology Consultation"/>
      <description value="Cardiology Consultation"/>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process"/>
          <code value="guideline-based-care"/>
        </coding>
      </code>
      <resource>
        <reference value="ServiceRequest/chf-scenario1-cardiology-consultation"/>
      </resource>
    </action>
  </action>
</RequestGroup>