ATTACHMENT D - Sample Conceptual Structure for Partial Order Set.docx

ATTACHMENT D – SAMPLE CONCEPTUAL STRUCTURE FOR PARTIAL ORDER SET

The sample conceptual structure shown below is from the referenced HL7 CDS KAS, Section 2.4.1.

Title: Heart Failure Admission to Med/Surg (partial order set) Venue: Inpatient Population: Adult Section: General

1) ADHERE Risk Model (click here to link to evidence)

2) Heart Failure Survival Score (click here to link to evidence) Section: Activity (CHOOSE ONE)

1) Ambulate

2) Bed rest Section: Nursing Orders Sub-section: Assessments (CHOOSE ANY)

1) Cardiac Monitor

2) Measure blood pressure; orthostatic Sub-section: Interventions (CHOOSE ANY)

1) Elevate head of bed

2) Urinary catheter initiation/management Section: Medications Sub-section: Angiotensin-Converting Enzyme Inhibitors (CHOOSE ONE)

1) For patients with diastolic heart failure [diastolic heart failure defined as _________________] who are intolerant to an ACE inhibitor, consider the use of an ARB [intolerance to ACE inhibitor defined as ________________]

2) For patients with systolic heart failure who are hemodynamically stable [hemodynamically stable defined as ______________] and are intolerant to an ACE inhibitor due to cough, use an ARB

3) Captopril 6.25 milligram orally 3 times a day

4) Lisinopril 2.5 milligram orally once a day Sub-section: Beta-Blockers (CHOOSE ONE)

1) For patients with diastolic heart failure and a previous MI, use a beta-blocker

2) For patients with diastolic heart failure, consider the use of a beta-blocker

3) For patients with systolic heart failure who are hemodynamically stable, use beta-blocker therapy (e.g., Bisoprolol, Carvedilol, Metoprolol extended release)

4) Bisoprolol 1.25 milligram orally once a day

5) Carvedilol 3.125 milligram orally 2 times a day

6) Carvedilol phosphate SR 10 mg multiphase 24 hr cap 1 capsule orally once a day

7) Metoprolol succinate SR 25 mg 24 hr tab 0.5 tablet orally once a day