false
AND
Community Acquired Pneumonia: Hospital Admission, General Inpatient (Adult)
true
Admission Discharge Transfer
AND
true
Admit to hospital now
Z0001
$(today)
true
Admitting diagnosis is pneumonia
Z0002
Z0003
true
Add pneumonia to problem list
Z0004
Z0003
true
Admit to which unit
Z0005
$(admissionUnit)
false
Admitting service
305342007
$(admissionService)
true
Attending physician
Z0007
$(attendingPhysician)
false
Resident physician
Z0008
$(residentPhysician)
false
Code Status
XOR
false
Main Code Status
XOR
false
Patient is full code
Z0009
false
Do not intubate
Z0010
false
Do not resuscitate
Z0011
false
Additional code status instructions
Z0012
$(codeStatusInstructions)
false
Condition
XOR
false
Patient condition is good
Z0013
Z0014
false
Patient condition is fair
Z0013
Z0015
false
Patient condition is serious
Z0013
Z0016
false
Patient condition is critical
Z0013
Z0017
false
Patient condition
Z0013
$(patientCondition)
false
Allergy Assessment
OR
false
No known latex allergy
Z0018
false
No known drug allergies
Z0019
false
No known food allergy
Z0020
false
No known contrast media allergy
Z0021
false
No other known allergy
Z0022
false
Allergy #1
Z0023
$(allergen)
false
Allergy #2
Z0023
$(allergen)
false
Allergy #3
Z0023
$(allergen)
false
Allergy #4
Z0023
$(allergen)
false
Additional Admit, Discharge, Transfer Orders
OR
false
Additional ADT Order #1
Z7777
$(additionalADTOrder1)
false
Additional ADT Order #2
Z7777
$(additionalADTOrder2)
false
Additional ADT Order #3
Z7777
$(additionalADTOrder3)
false
Additional ADT Order #4
Z7777
$(additionalADTOrder4)
false
Additional ADT Order #5
Z7777
$(additionalADTOrder5)
true
Consults
OR
false
Infectious disease consult
Z0024
false
Pulmonology consult
Z0025
false
Respiratory therapy consult
Z0026
false
Social work consult
Z0027
false
Bedside Nicotine Program for smoking cessation
395700008
false
Additional Consult Orders
OR
false
Additional consult order #1
Z7777
$(consultOrder1)
false
Additional consult order #2
Z7777
$(consultOrder2)
false
Additional consult order #3
Z7777
$(consultOrder3)
false
Additional consult order #4
Z7777
$(consultOrder4)
false
Additional consult order #5
Z7777
$(consultOrder5)
true
Vital Signs Assessment
OR
true
Vital signs per protocol
Z0029
true
Obtain weight
Z0030
$(weightCollectionInterval)
true
Intake and Output
Z0031
$(intakeAndOutputInterval)
true
Calculate severity index
Z0032
false
Telemetry
Z0033
true
Pulse oximetry, continuous at bedside
Z0034
false
Call if $(callAttendingCondition)
Z0035
$(callAttendingCondition)
false
Goal: Lung sounds clear and undiminished
Z0036
false
Goal: No signs and symptoms of respiratory distress
Z0037
false
Additional Vitals/Assessment Orders
OR
false
Additional Vitals/Assessment Orders #1
Z7777
$(additionalVitalsOrder1)
false
Additional Vitals/Assessment Orders #2
Z7777
$(additionalVitalsOrder2)
false
Additional Vitals/Assessment Orders #3
Z7777
$(additionalVitalsOrder3)
false
Additional Vitals/Assessment Orders #4
Z7777
$(additionalVitalsOrder4)
false
Additional Vitals/Assessment Orders #5
Z7777
$(additionalVitalsOrder5)
true
Diet
OR
true
Encourage fluids
Z0037
true
Regular diet
Z0038
false
Weight stable at prescribed weight
Z0039
false
Nutrition Consult Indications
OR
false
Diet
OR
false
Nutrition assessment
Z0040
false
Nutrition support recommendations
Z0041
false
Education
OR
false
Educate on Diet Modification
Z0042
Z0043
false
Educate on
Z0042
$(educationTopic)
false
Nutritional Supplement Adult
OR
false
Boost High Protien PO with meals
Z0044
false
Boost Plus PO with meals
Z0045
false
Boost with fiber PO with meals
Z0046
false
Carnation Instant Breakfast PO with meals
Z0047
false
Carnation Instant Breakfast sugar free PO with meals
Z0048
false
Health Shake PO with meals
Z0049
false
Health Shake sugar free PO with meals
Z0050
false
Ice Cream Plus PO with meals
Z0051
false
Magnacal Renal PO with meals
Z0052
false
Milk, double strength PO with meals
Z0053
false
Milkshakes PO with meals
Z0054
false
Poylcose PO with meals
Z0055
false
Renal Shake PO with meals
Z0056
false
Resource Fruit Beverage PO with meals
Z0057
false
Scandishake PO with meals
Z0058
false
Supershake PO with meals
Z0059
false
Nutrition, diets
OR
false
General diet
Z0060
false
Advance to General Diet as tolerated
Z0061
false
Diet for age
Z0062
false
ADA x calorie diet
Z0063
$(ADACalories)
false
Bland, soft diet
Z0064
false
Clear liquid diet
Z0065
false
Clear liquids, then NPO after midnight
Z0066
false
Full liquid diet
Z0067
false
High calorie diet
Z0068
false
High fiber diet
Z0069
false
High protein diet
Z0070
false
Low cholesterol diet
Z0071
false
Low sodium diet: 2g/day
Z0072
2g/day
false
Low sodium diet: x g/day
Z0072
$(sodiumGramsPerDay)g/day
false
No salt added diet
Z0073
false
Gluten-free diet
Z0074
false
Lactose-free diet
Z0075
false
Restricted calorie diet
Z0076
$(caloriesPerDay)
false
Restricted fluid diet
Z0077
$(mlPerDay)
false
NPO except medications
Z0078
false
NPO after midnight before surgery
Z0079
false
NPO
Z0080
$(npoParameter)
false
Advance diet to x as tolerated
Z0081
$(dietType)
false
Kosher diet
Z0082
false
Additional Diet Orders
OR
false
Additional diet order #1
Z7777
$(additionalDietOrder1)
false
Additional diet order #2
Z7777
$(additionalDietOrder2)
false
Additional diet order #3
Z7777
$(additionalDietOrder3)
false
Additional diet order #4
Z7777
$(additionalDietOrder4)
false
Additional diet order #5
Z7777
$(additionalDietOrder5)
true
Activity
OR
false
Strict bedrest
Z0083
false
Bedrest with bathroom privileges
Z0084
false
Ambulate in hallway with assistance q shift
Z0085
false
Activity as tolerated
Z0086
false
Additional Activity Orders
OR
false
Additional activity order #1
Z7777
$(additionalActivityOrder1)
false
Additional activity order #2
Z7777
$(additionalActivityOrder2)
false
Additional activity order #3
Z7777
$(additionalActivityOrder3)
false
Additional activity order #4
Z7777
$(additionalActivityOrder4)
false
Additional activity order #5
Z7777
$(additionalActivityOrder5)
true
Laboratory
OR
false
Arterial Blood Gas
Z0087
true
Comprehensive Metabolic Panel
Z0088
false
Basic Metabolic Panel
Z0089
false
Complete blood count with differential/platelets
9564003
false
Liver Profile
Z0091
false
Protime and PTT
Z0092
false
Culture, blood, aer and anaer, x2 before antibiotics
30088009
false
Culture, sputum
Z0094
false
Culture, Legionella, sputum or bronchoalveolar lavage
Z0095
false
Culture, Legionella, DFA, sputum or bronchoalveolar lavage
Z0096
false
PPD
Z0097
false
Magnesium, blood
Z0098
false
Phosphorus, blood
Z0099
false
HIV1 and HIV2 Antibodies
Z0100
false
Urinalysis with microanalysis, catheterized
Z0101
false
Urinalysis with microanalysis, clean catch
Z0102
false
Call if x
Z7777
$(labCallCondition)
false
Additional Laboratory Orders
OR
false
Additional Laboratory Order #1
Z7777
$(additionalLabOrder1)
false
Additional Laboratory Order #2
Z7777
$(additionalLabOrder2)
false
Additional Laboratory Order #3
Z7777
$(additionalLabOrder3)
false
Additional Laboratory Order #4
Z7777
$(additionalLabOrder4)
false
Additional Laboratory Order #5
Z7777
$(additionalLabOrder5)
true
Ancillary
OR
false
Chest Xray, PA and Lateral-Indication: Pneumonia
399208008
Z0003
false
Chest Xray A/P Portable q day-Indication: Pneumonia
Z0104
Z0105
Z0003
false
Additional Ancillary Orders
OR
false
Additional ancillary order #1
$(ancillaryOrder1)
$(ancillaryOrder1Frequency)
$(ancillaryOrder1Indication)
false
Additional ancillary order #2
$(ancillaryOrder2)
$(ancillaryOrder2Frequency)
$(ancillaryOrder2Indication)
false
Additional ancillary order #3
$(ancillaryOrder3)
$(ancillaryOrder3Frequency)
$(ancillaryOrder3Indication)
false
Additional ancillary order #4
$(ancillaryOrder4)
$(ancillaryOrder4Frequency)
$(ancillaryOrder4Indication)
false
Additional ancillary order #5
$(ancillaryOrder5)
$(ancillaryOrder5Frequency)
$(ancillaryOrder5Indication)
true
Treatments
OR
false
Oxygen via nasal cannula, keep saturation above 90%
Z0106
$(nasalCanulaTargetO2Sat)
false
Oxygen via mask, keep saturation above 90%
Z0107
$(maskTargetO2Sat)
false
Respiratory Therapy to Manage Oxygen Therapy
Z0108
false
Goal:Maintain oxygen saturation greater than x
Z0109
$(O2SatGoal
true
Turn, cough and deep breathe per protocol
Z0110
false
Treatment call condition
Z0111
$(treatmentCallCondition)
false
Thoracentesis
OR
false
Laboratory
OR
false
Protein: pleural fluid
Z0112
false
Lactate Dehydrogenase (LDH): pleural fluid
Z0113
false
Glucose: pleural fluid
Z0114
false
Gram stain: pleural fluid
Z0115
false
Acid fast bacilli culture with smear: pleural fluid
Z0116
false
Culture: pleural fluid
Z0117
false
Ancillary
OR
false
Xray, chest: AP Portable-Indication: S/P Thoracentesis (immediately post procedure)
Z0118
$(thoracentesisChestAPPortable)
false
Treatments
OR
false
Thoracentesis tray to Floor NOW
Z0120
$(NOW=now)
false
Additional Treatment Orders
OR
false
Additional treatment order #1
Z7777
$(additionalTreatmentOrder1)
false
Additional treatment order #2
Z7777
$(additionalTreatmentOrder2)
false
Additional treatment order #3
Z7777
$(additionalTreatmentOrder3)
false
Additional treatment order #4
Z7777
$(additionalTreatmentOrder4)
false
Additional treatment order #5
Z7777
$(additionalTreatmentOrder5)
true
Education
OR
false
Goal: Verbalizes and/or demonstrates understanding of education
Z0121
false
Additional Education Orders
OR
false
Additional education order #1
Z7777
$(additionalEducationOrder1)
false
Additional education order #2
Z7777
$(additionalEducationOrder2)
false
Additional education order #3
Z7777
$(additionalEducationOrder3)
false
Additional education order #4
Z7777
$(additionalEducationOrder4)
false
Additional education order #5
Z7777
$(additionalEducationOrder5)
true
IV Fluids
OR
false
IV Fluids
OR
false
0.9% NACL IV Bolus X mL infuse over Y
Z0122
Z0123
$(naclIvBolus_mL)/$(naclIvBolusInfusionPeriod)
$(naclIvBolus_mL)
false
0.9% NACL IV X mL/hr
Z0122
Z0123
$(naclIvRate)
false
D5/0.45% NACL IV X mL/hr
Z0124
Z0123
$(d5_45nsIvRate)
false
D5/0.9% NACL IV X mL/hr
Z0125
Z0123
$(d5_9nsIvRate)
false
Dextrose 5%/Water IV X mL/hr
Z0126
Z0123
$(dextrose5WaterIvRate)
false
D5/0.45% NaCl w/KCL 20 mEq/L IV X mL/hr
Z0127
Z0123
$(d5_45nacl_kcl20meqIvRate)
false
Additional IV Orders
OR
false
Additional IV order #1
$(addIvOrdSubst1)
Z0123
$(addIvOrdSubst1Rate)
false
Additional IV order #2
$(addIvOrdSubst2)
Z0123
$(addIvOrdSubst2Rate)
false
Additional IV order #3
$(addIvOrdSubst3)
Z0123
$(addIvOrdSubst3Rate)
false
Additional IV order #4
$(addIvOrdSubst4)
Z0123
$(addIvOrdSubst4Rate)
false
Additional IV order #5
$(addIvOrdSubst5)
Z0123
$(addIvOrdSubst5Rate)
true
Medication
OR
false
Administer first dose of antibiotics within 4 hours of admission
Z0128
false
No recent antibiotic therapy
XOR
false
Macrolid plus Beta-lactam
AND
false
Ampicillin and sulbactam (Unasyn) 3 g IV Piggyback q6 hr
C33838
false
Azithromycin 500 mg IV Piggyback q day (Infuse over 1 hr)
C11448
false
Moxifloxacin 400 mg IV Piggyback q day
C17462
false
Recent antibiotic therapy excluding fluoroquinolones
OR
false
Moxifloxacin 400 mg IV Piggyback q day
C17462
false
Recent antibiotic therapy including fluoroquinolones
OR
false
Azithromycin 500 mg IV Piggyback q day (Infuse over 1 hr)
C11448
false
Ampicillin and sulbactam (Unasyn) 3 g IV Piggyback q6 hr
C33838
false
Antipyretic Agents, Adult
OR
false
Acetaminophen 325 mg 1-2 tab PO q4-6 hr prn (Max 4 g/day)
Z0135
false
Acetaminophen SUPP 325 mg 1 suppository PR q4-6 hr prn (Max 4 g/day)
Z0136
false
Acetaminophen Suppository 650 mg 1 suppository PR q4-6 hr prn (Max 4 g/day)
Z0137
false
Aspirin 325 mg 1-2 tab PO q4-6 hr (Max 3.9 g/day)
Z0138
false
Aspirin Suppository 300 mg 1 suppository PR q4-6 hr prn (Max 3.9 g/day)
Z0139
false
Aspirin Suppository 600 mg 1 suppository PR q4-6 hr prn (Max 3.9 g/day)
Z0140
false
Ibuprofen 400 mg PO q6 hr prn (Max 2.4 g/day)
Z0141
false
Bronchodilator
OR
false
Albuterol inhaled solution 0.5% mL nebulized q6 hr Mix with 0.9% NaCl
Z0142
false
Albuterol MDI 90 mcg/puff 1-2 puffs inhaled q6 hr
Z0143
false
Albuterol/ipratropium (Combivent) MDI 2 puffs inhaled q6 hr
Z0144
false
Albuterol/ipratropium (Duoneb) 3 mL nebulized q6 hr
Z0145
false
Ipratropium inhaled solution 0.02% 0.5 mg (2.5 mL) nebulized q6 hr
Z0146
false
Ipratropium MDI 1-2 puffs inhaled q6 hr
Z0147
false
Racepinephrine inhaled solution 2.25% 0.25-5 mL inhaled q4 hr prn
Z0148
false
Salmeterol MDI 21 mcg/puff 1-2 puffs inhaled bid
Z0149
false
Additional medication orders
OR
false
Additional medication order #1
Z0150
$(addMedOrd1)
false
Additional medication order #2
Z0150
$(addMedOrd2)
false
Additional medication order #3
Z0150
$(addMedOrd3)
false
Additional medication order #4
Z0150
$(addMedOrd4)
false
Additional medication order #5
Z0150
$(addMedOrd5)