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" : "CarePlan",
"id" : "chf-scenario1",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>planFor</b>: <a href=\"EpisodeOfCare-chf-scenario1.html\">Generated Summary: status: active; period: Jan 31, 2019 5:03:00 AM --> (ongoing)</a></p><p><b>instantiatesCanonical</b>: <a href=\"http://hl7.org/fhir/uv/cpg/PlanDefinition/chf-pathway\">http://hl7.org/fhir/uv/cpg/PlanDefinition/chf-pathway</a></p><p><b>status</b>: active</p><p><b>intent</b>: plan</p><p><b>category</b>: <span title=\"Codes: \">Heart Failure Care Pathway</span></p><p><b>title</b>: Heart Failure Care Pathway</p><p><b>description</b>: Care Pathway for treatment of congestive heart failure</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><p><b>period</b>: Jan 31, 2019 7:00:00 AM --> (ongoing)</p><p><b>created</b>: Jan 31, 2019 7:00:00 AM</p><p><b>careTeam</b>: <a href=\"CareTeam-chf-scenario1.html\">Generated Summary: status: active; name: CHF Care Team</a></p><p><b>addresses</b>: <a href=\"Condition-chf-scenario1.html\">Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span>; <span title=\"Codes: {http://snomed.info/sct 42343007}\">Congestive heart failure (disorder)</span>; onset: Jan 31, 2019 5:03:00 AM</a></p><p><b>goal</b>: </p><ul><li><a href=\"Goal-chf-scenario1-weight.html\">Generated Summary: lifecycleStatus: active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/goal-achievement improving}\">Improving</span>; <span title=\"Codes: \">Body weight 92kg</span></a></li><li><a href=\"Goal-chf-scenario1-weight-change.html\">Generated Summary: lifecycleStatus: active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/goal-achievement improving}\">Improving</span>; <span title=\"Codes: \">Body weight change 0.5-1.5 kg/day</span></a></li><li><a href=\"Goal-chf-scenario1-urine-out.html\">Generated Summary: lifecycleStatus: active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/goal-achievement improving}\">Improving</span>; <span title=\"Codes: \">Urine output 3-5 L/day</span></a></li><li><a href=\"Goal-chf-scenario1-net-io.html\">Generated Summary: lifecycleStatus: active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/goal-achievement improving}\">Improving</span>; <span title=\"Codes: \">Net intake/output -1.5 L/day</span></a></li><li><a href=\"Goal-chf-scenario1-jvp.html\">Generated Summary: lifecycleStatus: active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/goal-achievement improving}\">Improving</span>; <span title=\"Codes: \">Jugular venous pressure < 8.0 cmH2O</span></a></li><li><a href=\"Goal-chf-scenario1-o2-sat.html\">Generated Summary: lifecycleStatus: active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/goal-achievement improving}\">Improving</span>; <span title=\"Codes: \">Oxygen saturation > 94% SaO2</span></a></li><li><a href=\"Goal-chf-scenario1-potassium.html\">Generated Summary: lifecycleStatus: active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/goal-achievement improving}\">Improving</span>; <span title=\"Codes: \">Potassium 3.5-5.0 mEq/L</span></a></li><li><a href=\"Goal-chf-scenario1-creatinine.html\">Generated Summary: lifecycleStatus: active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/goal-achievement improving}\">Improving</span>; <span title=\"Codes: \">Creatinine < 1.2 mg/dL</span></a></li><li><a href=\"Goal-chf-scenario1-egfr.html\">Generated Summary: lifecycleStatus: active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/goal-achievement improving}\">Improving</span>; <span title=\"Codes: \">eGFR > 60 mol/mm/m2</span></a></li><li><a href=\"Goal-chf-scenario1-lasix-iv.html\">Generated Summary: lifecycleStatus: active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/goal-achievement improving}\">Improving</span>; <span title=\"Codes: \">Transition to PO</span></a></li><li><a href=\"Goal-chf-scenario1-lasix-po.html\">Generated Summary: lifecycleStatus: active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/goal-achievement improving}\">Improving</span>; <span title=\"Codes: \">PO 24 hr Prior to Discharge</span></a></li><li><a href=\"Goal-chf-scenario1-cardiology-consultation.html\">Generated Summary: lifecycleStatus: active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/goal-achievement improving}\">Improving</span>; <span title=\"Codes: \">Cardiology Consultation Within 24 Hours</span></a></li></ul><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"RequestGroup-chf-scenario1-daily-management.html\">Generated Summary: instantiatesCanonical: http://hl7.org/fhir/uv/cpg/PlanDefinition/chf-daily-management; status: active; intent: plan</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"RequestGroup-chf-scenario1-hypervolemia.html\">Generated Summary: instantiatesCanonical: http://hl7.org/fhir/uv/cpg/PlanDefinition/chf-hypervolemia; status: active; intent: plan</a></p></blockquote></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-planFor",
"valueReference" : {
"reference" : "EpisodeOfCare/chf-scenario1"
}
}
],
"instantiatesCanonical" : [
"http://hl7.org/fhir/uv/cpg/PlanDefinition/chf-pathway"
],
"status" : "active",
"intent" : "plan",
"category" : [
{
"text" : "Heart Failure Care Pathway"
}
],
"title" : "Heart Failure Care Pathway",
"description" : "Care Pathway for treatment of congestive heart failure",
"subject" : {
"reference" : "Patient/chf-scenario1"
},
"encounter" : {
"reference" : "Encounter/chf-scenario1"
},
"period" : {
"start" : "2019-01-31T07:00:00Z"
},
"created" : "2019-01-31T07:00:00Z",
"careTeam" : [
{
"reference" : "CareTeam/chf-scenario1"
}
],
"addresses" : [
{
"reference" : "Condition/chf-scenario1"
}
],
"goal" : [
{
"reference" : "Goal/chf-scenario1-weight"
},
{
"reference" : "Goal/chf-scenario1-weight-change"
},
{
"reference" : "Goal/chf-scenario1-urine-out"
},
{
"reference" : "Goal/chf-scenario1-net-io"
},
{
"reference" : "Goal/chf-scenario1-jvp"
},
{
"reference" : "Goal/chf-scenario1-o2-sat"
},
{
"reference" : "Goal/chf-scenario1-potassium"
},
{
"reference" : "Goal/chf-scenario1-creatinine"
},
{
"reference" : "Goal/chf-scenario1-egfr"
},
{
"reference" : "Goal/chf-scenario1-lasix-iv"
},
{
"reference" : "Goal/chf-scenario1-lasix-po"
},
{
"reference" : "Goal/chf-scenario1-cardiology-consultation"
}
],
"activity" : [
{
"reference" : {
"reference" : "RequestGroup/chf-scenario1-daily-management"
}
},
{
"reference" : {
"reference" : "RequestGroup/chf-scenario1-hypervolemia"
}
}
]
}