This page is part of the Clinical Guidelines (v2.0.0: STU2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its 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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"id" : "chf-scenario1-hypervolemia",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup chf-scenario1-hypervolemia</b></p><a name=\"chf-scenario1-hypervolemia\"> </a><a name=\"hcchf-scenario1-hypervolemia\"> </a><a name=\"chf-scenario1-hypervolemia-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-chf-hypervolemia.html\">CHFHypervolemia</a></p><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>subject</b>: <a href=\"Patient-chf-scenario1-patient.html\">Patterson, Jeremy Male, DoB: 1949-03-17</a></p><p><b>encounter</b>: <a href=\"Encounter-chf-scenario1-encounter.html\">Encounter: status = in-progress; class = inpatient encounter (ActCode#IMP); type = Inpatient stay 9 days; priority = High priority; period = 2019-01-31 05:03:00+0000 --> (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-cs diagnostic-testing}\">Conduct Diagnostic Tests</span></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>jvp</blockquote><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-cs diagnostic-testing}\">Conduct Diagnostic Tests</span></p><p><b>timing</b>: Once per 1 days</p><p><b>resource</b>: <a href=\"ServiceRequest-chf-scenario1-jvp.html\">ServiceRequest Measure jugular venous pressure</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-cs diagnostic-testing}\">Conduct Diagnostic Tests</span></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>o2-sat</blockquote><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-cs diagnostic-testing}\">Conduct Diagnostic Tests</span></p><p><b>timing</b>: Once per 1 days</p><p><b>resource</b>: <a href=\"ServiceRequest-chf-scenario1-o2-sat.html\">ServiceRequest Oxygen saturation measurement (procedure)</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-cs diagnostic-testing}\">Conduct Diagnostic Tests</span></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>potassium</blockquote><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-cs diagnostic-testing}\">Conduct Diagnostic Tests</span></p><p><b>timing</b>: 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-cs diagnostic-testing}\">Conduct Diagnostic Tests</span></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>creatinine</blockquote><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-cs diagnostic-testing}\">Conduct Diagnostic Tests</span></p><p><b>timing</b>: 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-cs diagnostic-testing}\">Conduct Diagnostic Tests</span></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>egfr</blockquote><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-cs diagnostic-testing}\">Conduct Diagnostic Tests</span></p><p><b>timing</b>: 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-cs guideline-based-care}\">Guideline-based Care</span></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>lasix-iv</blockquote><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-cs dispense-medications}\">Dispense Medications</span></p><blockquote><p><b>condition</b></p><p><b>kind</b>: Stop</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>Should Stop LASIX IV</td></tr></table></blockquote><p><b>resource</b>: <a href=\"MedicationRequest-chf-scenario1-stop-lasix-iv.html\">MedicationRequest: status = draft; intent = proposal; priority = routine; doNotPerform = true; medication[x] = LASIX IV</a></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>lasix-po</blockquote><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-cs dispense-medications}\">Dispense Medications</span></p><blockquote><p><b>condition</b></p><p><b>kind</b>: Start</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql-identifier</td><td>Should Start LASIX PO</td></tr></table></blockquote><p><b>resource</b>: <a href=\"MedicationRequest-chf-scenario1-lasix-po-mr.html\">MedicationRequest: status = draft; intent = proposal; priority = routine; medication[x] = LASIX PO; 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-cs guideline-based-care}\">Guideline-based Care</span></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>cardiology-consultation</blockquote><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-cs guideline-based-care}\">Guideline-based Care</span></p><p><b>resource</b>: <a href=\"ServiceRequest-chf-scenario1-cardiology-consult-request.html\">ServiceRequest Cardiology Consultation</a></p></blockquote></blockquote></div>"
},
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🔗 "http://hl7.org/fhir/uv/cpg/PlanDefinition/chf-hypervolemia"
],
"status" : "active",
"intent" : "plan",
"subject" : {
🔗 "reference" : "Patient/chf-scenario1-patient"
},
"encounter" : {
🔗 "reference" : "Encounter/chf-scenario1-encounter"
},
"action" : [
{
"title" : "JVP",
"description" : "Measure JVP daily",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs",
"code" : "diagnostic-testing"
}
]
}
],
"action" : [
{
"id" : "jvp",
"title" : "JVP",
"description" : "Measure JVP daily",
"code" : [
{
"coding" : [
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"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs",
"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-cs",
"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-cs",
"code" : "diagnostic-testing"
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}
],
"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-cs",
"code" : "diagnostic-testing"
}
]
}
],
"action" : [
{
"id" : "potassium",
"title" : "Potassium",
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{
"coding" : [
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"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs",
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"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
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}
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},
{
"title" : "Creatinine",
"description" : "Monitor Creatinine",
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{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs",
"code" : "diagnostic-testing"
}
]
}
],
"action" : [
{
"id" : "creatinine",
"title" : "Creatinine",
"description" : "Monitor creatinine",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs",
"code" : "diagnostic-testing"
}
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"timingTiming" : {
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"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
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},
{
"title" : "eGFR",
"description" : "Monitor eGFR",
"code" : [
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"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs",
"code" : "diagnostic-testing"
}
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}
],
"action" : [
{
"id" : "egfr",
"title" : "eGFR",
"description" : "Monitor eGFR",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs",
"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-cs",
"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-cs",
"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-cs",
"code" : "dispense-medications"
}
]
}
],
"condition" : [
{
"kind" : "start",
"expression" : {
"language" : "text/cql-identifier",
"expression" : "Should Start LASIX PO"
}
}
],
"resource" : {
🔗 "reference" : "MedicationRequest/chf-scenario1-lasix-po-mr"
}
}
]
},
{
"title" : "Cardiology Consultation",
"description" : "Cardiology Consultation within 24 hours",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs",
"code" : "guideline-based-care"
}
]
}
],
"action" : [
{
"id" : "cardiology-consultation",
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"description" : "Cardiology Consultation",
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{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs",
"code" : "guideline-based-care"
}
]
}
],
"resource" : {
🔗 "reference" : "ServiceRequest/chf-scenario1-cardiology-consult-request"
}
}
]
}
]
}