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
This page provides indexes of the various artifacts (i.e. profiles, extensions, code systems, and other knowledge artifacts) defined by this implementation guide.
Describes the expected set of functionality required for a patient registry service that supports the common registration process defined in this implementation guide.
A type of activity that can be performed as part of the delivery of guideline-based care.
The type of a case feature, whether asserted (i.e. documented in the patient's record) or inferred (i.e. calculated from the case feature expression)
The pertinence of a case feature relative to a case, guideline, pathway, strategy, or recommendation.
Indicates the urgency/importance of what this recommendation conveys
Personas are the types of participants in the recommendations of a healthcare guideline, including practitioners, patients, nurses, community health workers, and care partners. The personas identified in this code system are defined based on the WHO recommendation for Classifying health workers. This recommendation uses codes from the International Standard Classification for Occupations but defines several additional categories of health workers. In addition, the codes in that recommendation are focused on health workers, so codes for patient and care partner personas need to be considered as well. Where a code from the ISCO exists, it is used. Where a WHO recommended health worker category is used, a code is constructed beginning with a W. Where a code is introduced by this implementation guide, it is constructed beginning with a C. Note that the content is incomplete, pending a computable representation of the WHO recommendations.
Common processes performed in providing guideline-based care, regardless of the specific guideline.
The direction of a recommendation, either for or against a particular action, taking into account the balance between desirable and undersirable outcomes; the confidence in the magnitude of estimates of effect; the confidence in values and preferences and their variability; and resource use.
A capability afforded by a knowledge artifact.
A knowledge representation level, narrative, semi-structured, structured, and executable
The URL of the questionnaire to be used to collect the information. If this information is not supplied as part of the activity definition, it is expected to be determined dynamically as part of realizing the activity.
The URL of the PlanDefinition (Strategy or Pathway) in which the patient should be enrolled.
Determines whether the activity is to enroll or unenroll the patient in the specified strategy or pathway.
The URL of the artifact that describes the report to be sent, a metric or measure, case report, or profile that describes the data to be reported.
Defines a knowledge capability afforded by this knowledge artifact.
Defines a knowledge representation level provided by this knowledge artifact.
Specifies a case (episode of care) which this care plan is managing.
Specifies a case (episode of care) which this clinical impression is for.
A clinician-friendly explanation for the recommendation; patient-friendly if the recommendation is patient-facing.
Specifies a case (episode of care), pathway, strategy, or recommendation which this summary is for.
Tracks the episode of care for a particular patient enrolled in a particular pathway.
The URL of the PlanDefinition (recommendation, strategy, or pathway) that the goal is related to, or defined in support of.
Provides a business identifier for the artifact.
A short, descriptive, user-friendly name for the artifact.
A copyright statement relating to the artifact and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the artifact.
Descriptive topics related to the content of the artifact. Topics provide a high-level categorization of the artifact that can be useful for filtering and searching.
Specifies which clinical practice guideline, pathway, strategy, or recommendation this is a summary definition for.
Specifies the author of the content.
Specified the editor of the content.
Specifies the reviewer of the content.
Specifies the endorser of the content.
Specifies additional artifacts related to the content.
Specifies whether the recommendation is "for" or "against" a particular activity. For example, the recommendation to prescribe a particular medication, versus the recommendation not to perform a particular procedure.
Specifies the canonical URL of a Pathway or Strategy that this definition is part of.
Determines whether the artifact on which it appears is Enabled, as opposed to just Known.
A CapabilityStatement that specifies what capabilities a device must have in order to participant in this action of a PlanDefinition.
The canonical URL for the source value set for the answer options, when those options are provided directly in the questionnaire.
An image to display as a visual accompaniment to the question being asked.
An image to display as a visual accompaniment to the response.
Describes whether the case feature is asserted or inferred.
Describes the pertinence of the case feature.
References the definition for this case feature.
Defines which guideline elements this case feature definition is a feature of.
Defines formal computational semantics for calculating the case feature if it is not asserted.
Defines formal computational semantics for the feature if it is asserted. This is typically only required if the case feature is of a different type than the profile (e.g. a boolean feature).
Defines formal computational semantics for the feature, combining the inference and assertion expressions. This is typically only required if the feature is of a different type than the profile (e.g. a boolean feature).
The pertinent positive or negative information relevant to the recommendation.
An extra warning about the correct use of the value set.
The apply operation applies a PlanDefinition to a given context
The apply operation applies any conditional logic within a CarePlan to a given context
Evaluates the contents of a library and returns the results as a Parameters resource.
Evaluates a CQL expression and returns the results as a Parameters resource.
The summary operation generates a patient summary for a patient
Definition of a proposal to administer a medication as part of a computable clinical practice guideline
Recommendation to administer a specific medication as part of the delivery of a computable clinical practice guideline
Defines the minimum expectations for an artifact bundle used to package and distribute artifact content
Profile of the Library resource to describe a collection of related knowledge assets. The collection is a general purpose organizational structure for the purposes of distribution and dependency-management
CPG care plan represents the care plan for a specific patient. The care plan may be associated with management of a specific condition, and instantiated based on a particular pathway or strategy, or it may be a combined care plan, focused on the patient, and managing treatment for multiple conditions, instantiated based on multiple pathways and strategies
CPG care team represents a care team for a specific patient
Defines the minimum expectations for a definitional care team for use with computable guideline content
CPG case represents a specific case of a patient enrolled in a particular pathway. The enrollment may have been automatic, prompted, or manual.
Profile of StructureDefinition to represent a case feature of a clinical practice guideline, optionally specifying formal computational semantics, as well as relationships to other case features and specific aspects of the guideline
CPG Case Plan Progressing Note combines relevant case features and feature groups with proposals, plans, and clinical impressions to provide a means to document patient progression with respect to a pathway in the context of a computable clinical practice guideline
CPG Case Plan Summary addresses information from the plan portion of the CPG, including patient-specific recommendations (i.e., proposals) along with their respective pertinent patient information and guideline recommendations that are either not applicable or not yet applicable to a specific patient
CPG Case Plan Summary Definition provides a computable definition for the case features and feature groups relevant to a particular pathway, strategy, or recommendation of a clinical practice guideline
CPG Case Summary is the set of case features and feature groups that completely represent the case data scoped by the clinical practice guideline. This expresses the complete patient state at any given point in time.
CPG Case Summary Definition provides a computable definition for all the case features and feature groups relevant to a clinical practice guideline
CPG Clinical Impression captures clinician judgement at any particular point, and related to the case features and pathway, strategies, and recommendations.
Definition of a recommendation to collect information using a specific questionnaire as part of a computable clinical practice guideline
Documents a communication with a patient or other participant as an activity within the context of a computable clinical practice guideline
Definition of a recommendation for a specific communication with the patient or other participant as part of a computable clinical practice guideline
Recommendation for a specific communication with the patient or other participant as part of the delivery of a computable clinical practice guideline
Defines the minimum expectations and behavior for a computable activity definition for use with content conforming to the CPG implementation guide
Profile of GraphDefinition to establish computable expectations for the use of the GraphDefinition resource
Profile of ImplementationGuide to describe a computable Clinical Practice Guideline
The computable library profile sets the minimum expectations for a computable CQL library
Defines the minimum expectations and behavior for a computable metric for use with content conforming to the CPG implementation guide
Defines the minimum expectations and behavior for a computable plan definition
Defines a computable value set as one that SHALL have an expression-based definition (i.e. a value set defined intensionally using expressions of the code systems involved) and MAY have an expansion included. The expression-based definition SHALL be represented in only one of three ways; using the compose element, using the expression extension, or using the rules-text extension to provide a step-by-step process for expanding the value set definition
CPG condition represents the minimum expectations for communicating condition/problem information as part of a CPG case
Documents a detected issue within the context of a computable clinical practice guideline
Definition of an activity to dispense a specific medication as part of a computable clinical practice guideline
Recommendation to dispense a specific medication as part of the delivery of a computable clinical practice guideline
Definition of an activity to document a specific medication as part of a computable clinical practice guideline
Recommendation to document the use of a specific medication as part of the delivery of a computable clinical practice guideline
CPG encounter represents the minimum expectations for communicating encounter information as part of a CPG case
Definition of an activity to enroll or unenroll a patient in a strategy or pathway as part of a computable clinical practice guideline
Proposal to enroll the patient in a strategy or pathway as part of a computable clinical practice guideline
This profile sets the minimum expectations for an executable CQL library. Specifically, the profile requires that the library contain one of ELM XML or JSON content, the compiled representation of the CQL logic.
Defines an executable value set as one that SHALL have an expansion included, as well as a usage warning indicating the expansion is a point-in-time snapshot and must be maintained over time for production usage.
Represents a flag on a patient record within the context of a computable clinical practice guideline
Definition of an activity to generate a metric, measure, or case report as part of a computable clinical practice guideline
Proposal to generate a metric, measure, or case report as part of a computable clinical practice guideline
Defines the expectations for the representation of goals used in computable guidelines
Defines an actual group of subjects, suitable for use in various contexts, such as a enrollment in a pathway or participant in a study
Represents the definition of a group of subjects, suitable for use in various contexts, such as a cohort definition, a recommendation inclusion or exclusion criteria, the members of a study, or a population criteria
Documents a particular immunization as an activity within the context of a computable clinical practice guideline
Definition of a recommendation for a particular immunization as part of a computable clinical practice guideline
Recommendation for a particular immunization as part of the delivery of a computable clinical practice guideline
CPG location represents the minimum expectations for communicating location information as part of a CPG case
CPG location represents the minimum expectations for communicating a definitional location as part of computable guideline content
Documents the administration of a particular medication as an activity within the context of a computable clinical practice guideline
Documents the dispensing of a particular medication as an activity within the context of a computable clinical practice guideline
Recommendation for a specific medication as part of the delivery of a computable clinical practice guideline
Definition of a recommendation for a specific medication as part of a computable clinical practice guideline
Documentation of the use of a particular medication as an activity within the context of a computable clinical practice guideline
Records a contextualized metric as calculated within the context of the implementation of a computable clinical practice guideline
Documents a specific observation as an activity within the context of a computable clinical practice guideline
Profile of PlanDefinition as a Order Set for use with CPG Implementation Guide
CPG organization represents the minimum expectations for communicating organization information as part of a CPG case
Profile of PlanDefinition as a Clinical Pathway for use with CPG Implementation Guide. A pathway provides groupings of strategies to provide a longitudinal view of the guideline
Profile of Patient for use with CPG Implementation Guide
Profile of Practitioner for use with CPG Implementation Guide
Profile of PractitionerRole for use with CPG Implementation Guide
Profile of PractitionerRole to establish definitional practitioner roles with the CPG Implementation Guide
Documents a procedure as an activity within the context of a computable clinical practice guideline
The definition of a recommendation to propose a specific diagnosis as part of a computable clinical practice guideline
Recommendation to propose a specific diagnosis as part of the delivery of a computable clinical practice guideline
Defines the minimum expectations for a publishable activity definition
Profile of StructureDefinition to represent the minimum expectations for a publishable case feature of a clinical practice guideline
Defines the expectations for publishable code systems used in computable content
Profile of GraphDefinition to describe the minimum expectations for a publishable Graph Definition
Profile of ImplementationGuide to describe the minimum expectations for a publishable Clinical Practice Guideline
The publishable library defines the must support elements that are important for implementers to use and understand a library
Defines the minimum expectations for a publishable metric for use with computable content
Profile of PlanDefinition that defines the minimum expectations for a publishable plan definition
Profile of Questionnaire to represent the minimum expectations for a publishable questionnaire used in a clinical practice guideline
Defines the expectations for publishable value sets used in computable content.
The response to a particular questionnaire as an activity within the context of a computable clinical practice guideline
Recommendation to collect specific information using a particular questionnaire as part of the delivery of a computable clinical practice guideline
Profile of PlanDefinition as a Recommendation Definition for use with CPG Implementation Guide
Definition of a recommendation to record a specific detected issue as part of a computable clinical practice guideline
Recommendation to record a specific detected issue as part of the delivery of a computable clinical practice guideline
Definition of a recommendation to record a specific inference as part of a computable clinical practice guideline
Recommendation to record a particular inference as part of the delivery of a computable clinical practice guideline
CPG related person defines the minimum expectations for a person related to a patient in a CPG case, such as a care partner, spouse, or other related person
Definition of a recommendation to report a particular flag as part of a computable clinical practice guideline
Recommendation to report a flag as part of the delivery of a computable clinical practice guideline
Recommendation for a particular procedure or referral to a specialist or instructions for self-care such as smoking cessation counseling or exercise
The definition of a recommendation for a particular procedure or referral to a specialist or instructions for self-care such as smoking cessation counseling or exercise
Defines the minimum expectations for a shareable activity definition for use with computable guideline content. This profile derives from the ShareableActivityDefinition profile defined in the base FHIR specification, and adds support for declaring knowledge representation level and knowledge artifact capabilities.
Defines the minimum expectations for a shareable code systems described for use with computable content. This profile derives from the ShareableCodeSystem profile defined in the base FHIR specification, and adds support declaring knowledge representation level and knowledge artifact capabilities.
Profile of GraphDefinition to establish minimum expectations for sharing an GraphDefinition resource, including URL, version, and name. This profile also provides the ability to declare knowledge representation level and knowledge artifact capabilities.
Profile of ImplementationGuide to establish minimum expectations for sharing an ImplementationGuide resource in support of computable content, including URL, version, and name. The profile also provides the ability to declare knowledge representation level and knowledge artifact capabilities.
Defines the minimum expectations for a shareable library for use with computable content. This profile derives from the ShareableLibrary profile defined in the base FHIR specification, and adds support for declaring knowledge representation level and knowledge artifact capabilities.
Defines the minimum expectations for a shareable metric definition described for use with computable content. This profile derives from the ShareableMeasure profile defined in the base FHIR specification, and adds support declaring knowledge representation level and knowledge artifact capabilities.
Defines the minimum expectations for a shareable plan definition for use with computable guideline content. This profile derives from the ShareablePlanDefinition profile defined in the base FHIR specification, and adds support for declaring knowledge representation level and knowledge artifact capabilities.
Profile of Questionnaire to establish minimum expectations for sharing a Questionnaire, including URL, version, and name. This profile also provides the ability to declare knowledge representation level and knowledge artifact capabilities
Profile of StructureDefinition to establish minimum expectations for sharing a StructureDefinition including URL, name, and version. This profile also provides the ability to declare knowledge representation level and knowledge artifact capabilities.
Defines the minimum expectations for shareable value sets described in support of computable content. This profile derives from the ShareableValueSet profile defined in the base FHIR specification, and adds support for declaring knowledge representation level and knowledge artifact capabilities.
Profile of RequestGroup as a Strategy for use with the CPG Implementation Guide. Strategies are patient-specific realiziations of strategy definitions and are used to represent aspects of a care plan that still contain optionality among related patient-specific recommendations, typically focused on a particular condition or state within the overall guideline or pathway
Profile of PlanDefinition as a Strategy Definition for use with CPG Implementation Guide. Strategies are used to group recommendations together, typically focused on a particular condition or state within the overall guideline or pathway
Defines the expectations common to tasks that represent activities used in computable guidelines
The CPG Test Case Bundle Profile describes a shareable, published test case for a specific artifact
Profile of PlanDefinition as a Workflow Definition for use with CPG Implementation Guide
A type of activity that can be performed as part of the delivery of guideline-based care
A type of activity that can be performed as part of the delivery of guideline-based care
A type of activity that can be performed as part of the delivery of guideline-based care
The direction of a recommendation, either for or against a particular action, taking into account the balance between desirable and undersirable outcomes; the confidence in the magnitude of estimates of effect; the confidence in values and preferences and their variability; and resource use.
A capability afforded by a knowledge artifact, e.g. shareable, computable, publishable, executable
A knowledge representation level, narrative, semi-structured, structured, and executable
Indicates the urgency/importance of what this recommendation conveys
Common personas used to describe roles and participants in computable content
Common processes used to describe the high-level, conceptual activities that occur as part of the delivery of guideline-based care