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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Raw xml
<CarePlan xmlns="http://hl7.org/fhir">
<id value="chf-scenario1"/>
<text>
<status value="extensions"/>
<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>
</text>
<extension url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-planFor">
<valueReference>
<reference value="EpisodeOfCare/chf-scenario1"/>
</valueReference>
</extension>
<instantiatesCanonical
value="http://hl7.org/fhir/uv/cpg/PlanDefinition/chf-pathway"/>
<status value="active"/>
<intent value="plan"/>
<category>
<text value="Heart Failure Care Pathway"/>
</category>
<title value="Heart Failure Care Pathway"/>
<description value="Care Pathway for treatment of congestive heart failure"/>
<subject>
<reference value="Patient/chf-scenario1"/>
</subject>
<encounter>
<reference value="Encounter/chf-scenario1"/>
</encounter>
<period>
<start value="2019-01-31T07:00:00Z"/>
</period>
<created value="2019-01-31T07:00:00Z"/>
<careTeam>
<reference value="CareTeam/chf-scenario1"/>
</careTeam>
<addresses>
<reference value="Condition/chf-scenario1"/>
</addresses>
<goal>
<reference value="Goal/chf-scenario1-weight"/>
</goal>
<goal>
<reference value="Goal/chf-scenario1-weight-change"/>
</goal>
<goal>
<reference value="Goal/chf-scenario1-urine-out"/>
</goal>
<goal>
<reference value="Goal/chf-scenario1-net-io"/>
</goal>
<goal>
<reference value="Goal/chf-scenario1-jvp"/>
</goal>
<goal>
<reference value="Goal/chf-scenario1-o2-sat"/>
</goal>
<goal>
<reference value="Goal/chf-scenario1-potassium"/>
</goal>
<goal>
<reference value="Goal/chf-scenario1-creatinine"/>
</goal>
<goal>
<reference value="Goal/chf-scenario1-egfr"/>
</goal>
<goal>
<reference value="Goal/chf-scenario1-lasix-iv"/>
</goal>
<goal>
<reference value="Goal/chf-scenario1-lasix-po"/>
</goal>
<goal>
<reference value="Goal/chf-scenario1-cardiology-consultation"/>
</goal>
<activity>
<reference>
<reference value="RequestGroup/chf-scenario1-daily-management"/>
</reference>
</activity>
<activity>
<reference>
<reference value="RequestGroup/chf-scenario1-hypervolemia"/>
</reference>
</activity>
</CarePlan>