1. Example: Diabetes Type II ‘Protocol or Order set’ (Medications)
First Line Monotherapy (ADA 2017)
MetFORMIN HCl MG Oral Tablet; TAKE one TABLET Twice daily with meals; Qty: 60; Tablet; Days Supply: 30; Refill: 2
MetFORMIN HCl MG Oral Tablet; TAKE one DAILY WITH MEALS; Qty: 30; Tablet; Days Supply: 30; Refill: 2
MetFORMIN HCl ER (OSM) 500 MG Oral Tablet Extended Release 24 Hour; TAKE one TABLET Daily with evening meal; Qty: 30; Tablet Extended Release 24 Hour; Days Supply: 30; Refill: 2
Alternative Monotherapy
Glimepiride 1 MG Oral Tablet; TAKE one TABLET DAILY WITH BREAKFAST.; Qty: 30; Tablet; Days Supply: 30; Refill: 2
GlipiZIDE XL 5 MG Oral Tablet Extended Release 24 Hour; Take one daily 30 minutes before breakfast.; Qty: 30; Tablet
Extended Release 24 Hour; Days Supply: 30; Refill: 2
GlyBURIDE 5 MG Oral Tablet; Take one daily with main meal; Qty: 30; Tablet; Days Supply: 30; Refill: 2
Jardiance 10 MG Oral Tablet; TAKE one TABLET Daily; Qty: 30; 30 Ta Bottle; Days Supply: 30; Refill: 2
Pioglitazone HCl - 15 MG Oral Tablet; TAKE one TABLET Daily; Qty: 30; Tablet; Days Supply: 30; Refill: 2
Repaglinide 0.5 MG Oral Tablet; TAKE one TABLET Before each meal; Qty: 120; Days Supply: 30; Refill: 2

2. Diabetes Type II ‘Protocol or Order set’
Diabetic Supplies
Blood Glucose Monitor System w/Device Kit; USE AS DIRECTED.; Qty: 1
Fingerstix Lancets Miscellaneous; USE AS DIRECTED.; Qty: 1; 200 EA 200 EA Box; Refill: 2
Ketostix In Vitro Strip; USE AS DIRECTED.; Qty: 1; 100 EA 100 EA Box; Refill: 2
Initial Labs
Basic Metabolic Panel
Blood Glucose - Fasting
Blood Glucose - Fingerstick
Blood Glucose - Random
Comprehensive Metabolic Panel
Hb A1c
Hepatic Function Panel
Lipid Panel
Serum Thyroid Stimulating Hormone (TSH)
Urinalysis Routine
Urinalysis with Microscopy
Hypoglycemia Rescue Therapy
Blood Glucose Test In Vitro Strip; USE AS DIRECTED.; Qty: 1; 100 St Box; Refill: 2
Glucagon Emergency 1 MG Injection Kit; INJECT 1 MG Once PRN as needed for hypoglycemia; Qty: 1
Screening for Complications
Diabetic Foot Examination
Examination of Retina
Macular Exam
Monofilament Foot Sensation Test
Pedal Pulse Taking
Screening for Comorbities
Adult Depression Screening (age >= 18 yrs)
Sleep Study
Suicide Risk Assessment

3. Diabetes Type II ‘Protocol or Order set’
Immunizations
Hepatitis B; INJECT one ML Intramuscular
Influenza (Split PF); INJECT 0.5 ML Intramuscular
Pneumovax MCG/0.5ML Injection Injectable; INJECT 0.5 ML Intramuscular
Prevnar 13 Intramuscular Suspension; INJECT 0.5 ML Intramuscular
Reminders
Basic Metabolic Panel; Every 1 years
Basic Metabolic Panel; Every 3 months
Comprehensive Metabolic Panel; Every 1 years
Diabetic Foot Examination; Every 1 years
Hb A1c ; Every 6 months
Hb A1c ; Every 3 months
Hepatic Function Panel; Every 1 years
Lipid Panel; Every 6 weeks, end after 1 occurrences
Lipid Panel; Every 1 years
Monofilament Foot Sensation Test; Every 1 years
Pedal Pulse Taking; Every 1 years
Urine Microalbumin/Creatinine Ratio; Every 1 years
Urine Protein/Creatinine Ratio; Every 1 years
Dietary Recommendations
Diabetes diet, specified calories; Follow a diabetic diet with 1500 calories.
Diet, DASH; We want to put you on the DASH diet for {count1} calories.
Diet, high fiber; Start eating more fiber.
Diet, low sodium; Restrict the salt in your diet by avoiding highly salted foods.
Diet, low sodium, specified; Restrict your sodium (salt) intake to 2 grams per day.
Diet, Mediterranean; We recommend that you follow the "Mediterranean diet."
Diet, TLC; We want you to follow the Therapeutic Lifestyle Changes (TLC) diet.
Follow Ups
Follow Up in 1 Month
Follow Up in 2 Months
Follow Up in 3 Months
Follow Up in 6 Months
Follow Up in 6 Weeks
Referrals
Diabetes Educator Referral
Dietician Referral
Endocrinology Referral
Mental Health Counselor Referral
Nephrology Referral
Ophthalmology Referral
Optometry Referral
Podiatry Referral

4. ActivityDefinition Resource
Each item is an activityDefintion
What is an ActivityDefinition Resource?
A shareable, consumable description of some activity to be performed.
May be used to specify actions to be taken as part of a workflow, order set, or protocol, or it may be used independently as part of a catalog of activities such as orderables.
Provides a ‘template’ of an action to be performed
ActivityDefinition

5. PlanDefinition Resource
Pre-defined group of actions to be taken in particular circumstances
Process of applying a PlanDefinition to a particular context typically produces request resources representing the actions that should be performed
ActivityDefinition
Protocol/Template/orderSets
PlanDefinition
e.g. DM Type II
definition

6. Care Planning
The process of applying a PlanDefinition produces request resources (representing the actions that should be performed) within a CarePlan
ActivityDefinition
ActivityDefinition library
Protocol/Template/orderSets
PlanDefinition
e.g. DM Type II
definition
Patient specific
basedOn
Care Plan

7. actionDefintion (group)
ActivityDefinition
PlanDefinition
actionDefintion (group)
First Line Monotherapy Metformin HCL 500 mg
…..
description: Metformin HCl 500 MG Oral Tablet; TAKE one TABLET Twice daily with meals; 60 tablet; 2 refills
purpose: Defines a guideline supported prescription for the treatment of DM Type II
usage: This activity definition is used as part of Diabetes Mellitus, Type 2, Adult +MU care guides
approvalDate: 04/28/2017
lastReviewDate: 05/04/2017
effectivePeriod: 05/04/ > 05/04/2018
ActivityDefinition library
Protocol/Template/orderSets
PlanDefinition
e.g. DM Type II
definition
Patient specific
basedOn
Care Plan
Diet Recommendation – follow a 1500 calories diabetic diet
…..
description: Diabetes diet, specified calories; Follow a diabetic diet with 1500 calories.
purpose: Defines a guideline supported patient instructions for the treatment of DM Type II
usage: This activity definition is used as part of Diabetes Mellitus, Type 2, Adult +MU care guides
approvalDate: 04/28/2017
lastReviewDate: 05/04/2017
effectivePeriod: 05/04/ > 05/04/ …..
HealthConcern
identifies
Activity Request
e.g. ProcedureRequest
addresses
HealthGoal
fulfils
initiates
Activity Event – uses action resources
e.g. Procedure