FHIR Clinical Guidelines (v1.0.0) (STU1)

Clinical Practice Guidelines, published by Clinical Decision Support WG. This is not an authorized publication; it is the continuous build for version 1.0.0). This version is based on the current content of https://github.com/HL7/cqf-recommendations/ and changes regularly. See the Directory of published versions

ReferralNephrology

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Raw xml



<ActivityDefinition xmlns="http://hl7.org/fhir">
  <id value="cc-cpg-activity-referral-nephrology"/>
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    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "cc-cpg-activity-referral-nephrology" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-cpg-computableactivity.html">CPGComputableActivityDefinition</a></p></div><p><b>knowledgeCapability</b>: shareable</p><p><b>knowledgeCapability</b>: computable</p><p><b>knowledgeCapability</b>: publishable</p><p><b>knowledgeRepresentationLevel</b>: structured</p><p><b>url</b>: <code>http://hl7.org/fhir/uv/cpg/ActivityDefinition/cc-cpg-activity-referral-nephrology</code></p><p><b>version</b>: 1.0.0</p><p><b>name</b>: ReferralNephrology</p><p><b>title</b>: Referral: Nephrology; History: [add diagnosis, symptom(s)]; Question: [add reason for referral]</p><p><b>status</b>: active</p><p><b>experimental</b>: true</p><p><b>date</b>: 2022-02-02T20:41:50Z</p><p><b>publisher</b>: Elsevier Inc</p><p><b>description</b>: Referral: Nephrology; History: [add diagnosis, symptom(s)]; Question: [add reason for referral]</p><p><b>jurisdiction</b>: World <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (m49.htm#001)</span></p><p><b>kind</b>: ServiceRequest</p><p><b>code</b>: Referral to nephrologist <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#306286007 "Referral to nephrologist (procedure)")</span></p><p><b>timing</b>: Events: Now()</p><h3>Participants</h3><table class="grid"><tr><td>-</td><td><b>Type</b></td></tr><tr><td>*</td><td>practitioner</td></tr></table></div>
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  <url
       value="http://hl7.org/fhir/uv/cpg/ActivityDefinition/cc-cpg-activity-referral-nephrology"/>
  <version value="1.0.0"/>
  <name value="ReferralNephrology"/>
  <title
         value="Referral: Nephrology; History: [add diagnosis, symptom(s)]; Question: [add reason for referral]"/>
  <status value="active"/>
  <experimental value="true"/>
  <date value="2022-02-02T20:41:50+00:00"/>
  <publisher value="Elsevier Inc"/>
  <description
               value="Referral: Nephrology; History: [add diagnosis, symptom(s)]; Question: [add reason for referral]"/>
  <jurisdiction>
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      <code value="001"/>
      <display value="World"/>
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  <relatedArtifact>
    <type value="justification"/>
    <display
             value="Refer to nephrologist for co-management of treatment plan in cases of:


	Unclear etiology of kidney disease



	Rapid progression of disease (GFR decline greater than 5 mL/minute/1.73 m&amp;sup2;/year)



	Acute kidney injury or abrupt sustained fall in GFR



	GFR less than 30 mL/minute/1.73 m&amp;sup2; (GFR categories G4-G5) to prepare for renal replacement therapy



	Consistent finding of significant albuminuria (albumin/creatinine ratio of 300 mg/g or more)



	Hypertension resistant to treatment with 4 or more antihypertensive agents



	Difficulty in decreasing the level of albuminuria despite institution of ACE inhibitor or angiotensin II receptor blocker therapy



	Persistent electrolyte abnormalities, including hyperkalemia or high serum phosphate



	Recurrent or extensive nephrolithiasis



	Hereditary kidney disease


&amp;nbsp;

Nephrologist involvement is recommended when the cause of chronic kidney disease is not clear


	Renal biopsy may be performed to determine the cause as well as to predict disease progression and response to therapy"/>
    <citation
              value="Chronic Kidney Disease Clinical Overview. ClinicalKey. Source"/>
    <url
         value="http://himss19.ordersetsmanager.com/evidenceviewer/#/7CBBBE9B75E10232E05352E3610A5325/7CBBBE9B75DA0232E05352E3610A5325"/>
    <document>
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    </document>
  </relatedArtifact>
  <kind value="ServiceRequest"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="306286007"/>
      <display value="Referral to nephrologist (procedure)"/>
    </coding>
    <text value="Referral to nephrologist"/>
  </code>
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  </timingTiming>
  <participant>
    <type value="practitioner"/>
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</ActivityDefinition>