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
<RequestGroup xmlns="http://hl7.org/fhir">
<id value="chf-scenario1-hypervolemia"/>
<text>
<status value="generated"/>
<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>
</text>
<instantiatesCanonical
value="http://hl7.org/fhir/uv/cpg/PlanDefinition/chf-hypervolemia"/>
<status value="active"/>
<intent value="plan"/>
<subject>🔗
<reference value="Patient/chf-scenario1-patient"/>
</subject>
<encounter>🔗
<reference value="Encounter/chf-scenario1-encounter"/>
</encounter>
<action>
<title value="JVP"/>
<description value="Measure JVP daily"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
<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-cs"/>
<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-cs"/>
<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-cs"/>
<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-cs"/>
<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-cs"/>
<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-cs"/>
<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-cs"/>
<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-cs"/>
<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-cs"/>
<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-cs"/>
<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-cs"/>
<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-cs"/>
<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-mr"/>
</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-cs"/>
<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-cs"/>
<code value="guideline-based-care"/>
</coding>
</code>
<resource>🔗
<reference
value="ServiceRequest/chf-scenario1-cardiology-consult-request"/>
</resource>
</action>
</action>
</RequestGroup>