Clinical Practice Guidelines
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Clinical Practice Guidelines, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-recommendations/ and changes regularly. See the Directory of published versions

: VA CKD Recommendations Plan Definition - JSON Representation

Active as of 2024-04-14

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{
  "resourceType" : "PlanDefinition",
  "id" : "va-ckd-recommendations",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"🔗 ,
      "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-computableplandefinition"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PlanDefinition</b><a name=\"va-ckd-recommendations\"> </a><a name=\"hcva-ckd-recommendations\"> </a></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 PlanDefinition &quot;va-ckd-recommendations&quot; </p><p style=\"margin-bottom: 0px\">Profiles: <a href=\"StructureDefinition-cpg-recommendationdefinition.html\">CPG Recommendation Definition</a>, <a href=\"StructureDefinition-cpg-computableplandefinition.html\">CPG Computable Plan Definition</a></p></div><p><b>CQF Knowledge capability</b>: shareable</p><p><b>CQF Knowledge capability</b>: computable</p><p><b>CQF Knowledge capability</b>: publishable</p><p><b>CQF knowledge representation level</b>: structured</p><p><b>url</b>: <code>http://hl7.org/fhir/uv/cpg/PlanDefinition/va-ckd-recommendations</code></p><p><b>identifier</b>: VA_CKD_Recommendations\u00a0(use:\u00a0official)</p><p><b>version</b>: 2.0.0-ballot</p><p><b>name</b>: VACKDRecommendations</p><p><b>title</b>: VA CKD Recommendations Plan Definition</p><p><b>type</b>: ECA Rule <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-plan-definition-type.html\">PlanDefinitionType</a>#eca-rule)</span></p><p><b>status</b>: active</p><p><b>experimental</b>: true</p><p><b>date</b>: 2024-04-14 20:00:23+0000</p><p><b>publisher</b>: HL7 International / Clinical Decision Support</p><p><b>contact</b>: HL7 International / Clinical Decision Support: <a href=\"http://www.hl7.org/Special/committees/dss\">http://www.hl7.org/Special/committees/dss</a></p><p><b>description</b>: VA CKD Recommendations</p><h3>UseContexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code focus = 'Clinical Focus', stated as 'Clinical Focus')</td><td>Chronic kidney disease (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#709044004)</span></td></tr></table><p><b>jurisdiction</b>: World <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (m49.htm#001)</span></p><p><b>topic</b>: Treatment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-definition-topic.html\">DefinitionTopic</a>#treatment)</span></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>001</blockquote><p><b>Strength of recommendation</b>: Weak <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-recommendation-strength.html\">StrengthOfRecommendationRating</a>#weak)</span></p><p><b>CPG Direction Of Recommendation Extension</b>: For <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cpg-recommendation-direction-cs.html\">CPG Recommendation Direction Code System</a>#for)</span></p><p><b>title</b>: CKD Protein Diet</p><p><b>description</b>: In patients with stage 3 and 4 CKD, we suggest a protein diet of 0.6 to 0.8 g/kg/day as it may slow the decline in glomerular filtration rate (GFR) and progression to end-stage renal disease (ESRD).</p><blockquote><p><b>documentation</b></p><p><b>type</b>: documentation</p><p><b>display</b>: VA/DoD Clinical Practice Guideline for The management of Chronic Kidney Disease in Primary care</p><p><b>url</b>: <a href=\"http://www.healthquality.va.gov\">http://www.healthquality.va.gov</a></p><blockquote><p><b>document</b></p></blockquote></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>text/cql</td><td>Has CKD stage 3 or 4</td></tr></table></blockquote></blockquote></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
      "valueCode" : "shareable"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
      "valueCode" : "computable"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
      "valueCode" : "publishable"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel",
      "valueCode" : "structured"
    }
  ],
  "url" : "http://hl7.org/fhir/uv/cpg/PlanDefinition/va-ckd-recommendations",
  "identifier" : [
    {
      "use" : "official",
      "value" : "VA_CKD_Recommendations"
    }
  ],
  "version" : "2.0.0-ballot",
  "name" : "VACKDRecommendations",
  "title" : "VA CKD Recommendations Plan Definition",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code" : "eca-rule",
        "display" : "ECA Rule"
      }
    ]
  },
  "status" : "active",
  "experimental" : true,
  "date" : "2024-04-14T20:00:23+00:00",
  "publisher" : "HL7 International / Clinical Decision Support",
  "contact" : [
    {
      "name" : "HL7 International / Clinical Decision Support",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/dss"
        }
      ]
    }
  ],
  "description" : "VA CKD Recommendations",
  "useContext" : [
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "focus",
        "display" : "Clinical Focus"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "709044004",
            "display" : "Chronic kidney disease (disorder)"
          }
        ]
      }
    }
  ],
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "topic" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/definition-topic",
          "code" : "treatment",
          "display" : "Treatment"
        }
      ]
    }
  ],
  "action" : [
    {
      "id" : "001",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/recommendation-strength",
                "code" : "weak",
                "display" : "Weak"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-directionOfRecommendation",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-recommendation-direction-cs",
                "code" : "for",
                "display" : "For"
              }
            ]
          }
        }
      ],
      "title" : "CKD Protein Diet",
      "description" : "In patients with stage 3 and 4 CKD, we suggest a protein diet of 0.6 to 0.8 g/kg/day as it may slow the decline in glomerular filtration rate (GFR) and progression to end-stage renal disease (ESRD).",
      "documentation" : [
        {
          "type" : "documentation",
          "display" : "VA/DoD Clinical Practice Guideline for The management of Chronic Kidney Disease in Primary care",
          "url" : "http://www.healthquality.va.gov",
          "document" : {
            "url" : "http://www.healthquality.va.gov"
          }
        }
      ],
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "language" : "text/cql",
            "expression" : "Has CKD stage 3 or 4"
          }
        }
      ]
    }
  ]
}