Clinical Practice Guidelines
2.0.0-ballot - ballot International flag

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 - XML Representation

Active as of 2024-04-14

Raw xml | Download



<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="va-ckd-recommendations"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"/>
    <profile
             value="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-computableplandefinition"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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 (use: official)</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>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability">
    <valueCode value="shareable"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability">
    <valueCode value="computable"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability">
    <valueCode value="publishable"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel">
    <valueCode value="structured"/>
  </extension>
  <url
       value="http://hl7.org/fhir/uv/cpg/PlanDefinition/va-ckd-recommendations"/>
  <identifier>
    <use value="official"/>
    <value value="VA_CKD_Recommendations"/>
  </identifier>
  <version value="2.0.0-ballot"/>
  <name value="VACKDRecommendations"/>
  <title value="VA CKD Recommendations Plan Definition"/>
  <type>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
      <code value="eca-rule"/>
      <display value="ECA Rule"/>
    </coding>
  </type>
  <status value="active"/>
  <experimental value="true"/>
  <date value="2024-04-14T20:00:23+00:00"/>
  <publisher value="HL7 International / Clinical Decision Support"/>
  <contact>
    <name value="HL7 International / Clinical Decision Support"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/dss"/>
    </telecom>
  </contact>
  <description value="VA CKD Recommendations"/>
  <useContext>
    <code>
      <system
              value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
      <code value="focus"/>
      <display value="Clinical Focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="709044004"/>
        <display value="Chronic kidney disease (disorder)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <topic>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/definition-topic"/>
      <code value="treatment"/>
      <display value="Treatment"/>
    </coding>
  </topic>
  <action id="001">
    <extension
               url="http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/recommendation-strength"/>
          <code value="weak"/>
          <display value="Weak"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension
               url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-directionOfRecommendation">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-recommendation-direction-cs"/>
          <code value="for"/>
          <display value="For"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <title value="CKD Protein Diet"/>
    <description
                 value="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 value="documentation"/>
      <display
               value="VA/DoD Clinical Practice Guideline for The management of Chronic Kidney Disease in Primary care"/>
      <url value="http://www.healthquality.va.gov"/>
      <document>
        <url value="http://www.healthquality.va.gov"/>
      </document>
    </documentation>
    <condition>
      <kind value="applicability"/>
      <expression>
        <language value="text/cql"/>
        <expression value="Has CKD stage 3 or 4"/>
      </expression>
    </condition>
  </action>
</PlanDefinition>