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
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Raw json
{
"resourceType" : "PlanDefinition",
"id" : "va-ckd-protocol",
"meta" : {
"profile" : [
"http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pathwaydefinition"
]
},
"text" : {
"status" : "extensions",
"div" : "<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 \"va-ckd-protocol\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-cpg-pathwaydefinition.html\">CPGPathwayDefinition</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/PlanDefinition/va-ckd-protocol</code></p><p><b>identifier</b>: id: VA_CKD_Protocol (OFFICIAL)</p><p><b>version</b>: 1.0.0</p><p><b>name</b>: VA_CKD_Protocol</p><p><b>title</b>: VA CKD Protocol</p><p><b>type</b>: Clinical Protocol <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-plan-definition-type.html\">PlanDefinitionType</a>#clinical-protocol)</span></p><p><b>status</b>: draft</p><p><b>experimental</b>: true</p><p><b>date</b>: 2019-07-28T00:00:00Z</p><p><b>publisher</b>: HL7 FHIR Clinical Guidelines Example Artifact</p><p><b>description</b>: VA CKD Protocol</p><p><b>jurisdiction</b>: World <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (m49.htm#001)</span></p><p><b>copyright</b>: Copyright © Example.org 2019.</p><p><b>approvalDate</b>: 2019-07-28</p><p><b>lastReviewDate</b>: 2019-07-28</p><p><b>effectivePeriod</b>: 2019-07-28 --> (ongoing)</p><p><b>topic</b>: Treatment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-definition-topic.html\">DefinitionTopic</a>#treatment)</span></p><p><b>author</b>: Dave Carlson: </p><blockquote><p><b>action</b></p><p><b>title</b>: History and Phyiscal</p><p><b>description</b>: Obtain initial clinical information: medical history (including risk factors for kidney disease), physical examination and review existing laboratory results.</p><p><b>code</b>: History and Physical <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cpg-common-process.html\">CPG Common Process</a>#history-and-physical)</span></p></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: At-Risk Population</p><p><b>description</b>: Evaluate at-risk patients for CKD: obtain SCr, eGFR, urinalysis, & spot urine UAER.</p><p><b>code</b>: History and Physical <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cpg-common-process.html\">CPG Common Process</a>#history-and-physical)</span></p></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Urgent/Emergent Conditions</p><p><b>description</b>: Does patient have an urgent or emergent condition?</p><p><b>code</b>: Triage <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cpg-common-process.html\">CPG Common Process</a>#triage)</span></p><blockquote><p><b>action</b></p><p><b>title</b>: Refer to emergency department.</p><p><b>description</b>: Refer to emergency department to manage or stabilize.</p><p><b>code</b>: Triage <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cpg-common-process.html\">CPG Common Process</a>#triage)</span></p></blockquote></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Criteria for Confirmed CKD</p><p><b>description</b>: Does patient have evidence of CKD?</p><p><b>code</b>: Determine Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cpg-common-process.html\">CPG Common Process</a>#determine-diagnosis)</span></p><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Stages of CKD.</p><p><b>description</b>: Complete clinical assessment. Determine stage of CKD.</p><p><b>code</b>: Determine Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cpg-common-process.html\">CPG Common Process</a>#determine-diagnosis)</span></p></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Strategies to Slow Progression.</p><p><b>description</b>: Establish primary etiology of CKD and treatment plan to slow progression.</p><p><b>code</b>: Guideline-based Care <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cpg-common-process.html\">CPG Common Process</a>#guideline-based-care)</span></p></blockquote></blockquote></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
"valueCode" : "shareable"
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
"valueCode" : "computable"
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
"valueCode" : "publishable"
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel",
"valueCode" : "structured"
}
],
"url" : "http://hl7.org/fhir/uv/cpg/PlanDefinition/va-ckd-protocol",
"identifier" : [
{
"use" : "official",
"value" : "VA_CKD_Protocol"
}
],
"version" : "1.0.0",
"name" : "VA_CKD_Protocol",
"title" : "VA CKD Protocol",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
"code" : "clinical-protocol",
"display" : "Clinical Protocol"
}
]
},
"status" : "draft",
"experimental" : true,
"date" : "2019-07-28T00:00:00+00:00",
"publisher" : "HL7 FHIR Clinical Guidelines Example Artifact",
"description" : "VA CKD Protocol",
"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"
}
]
}
],
"copyright" : "Copyright © Example.org 2019.",
"approvalDate" : "2019-07-28",
"lastReviewDate" : "2019-07-28",
"effectivePeriod" : {
"start" : "2019-07-28"
},
"topic" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/definition-topic",
"code" : "treatment",
"display" : "Treatment"
}
]
}
],
"author" : [
{
"name" : "Dave Carlson"
}
],
"action" : [
{
"id" : "001",
"title" : "History and Phyiscal",
"description" : "Obtain initial clinical information: medical history (including risk factors for kidney disease), physical examination and review existing laboratory results.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "history-and-physical",
"display" : "History and Physical"
}
]
}
]
},
{
"id" : "002",
"title" : "At-Risk Population",
"description" : "Evaluate at-risk patients for CKD: obtain SCr, eGFR, urinalysis, & spot urine UAER.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "history-and-physical",
"display" : "History and Physical"
}
]
}
]
},
{
"id" : "003",
"title" : "Urgent/Emergent Conditions",
"description" : "Does patient have an urgent or emergent condition?",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "triage",
"display" : "Triage"
}
]
}
],
"action" : [
{
"id" : "003.1",
"title" : "Refer to emergency department.",
"description" : "Refer to emergency department to manage or stabilize.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "triage",
"display" : "Triage"
}
]
}
]
}
]
},
{
"id" : "004",
"title" : "Criteria for Confirmed CKD",
"description" : "Does patient have evidence of CKD?",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "determine-diagnosis",
"display" : "Determine Diagnosis"
}
]
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql",
"expression" : "Has evidence of CKD?"
}
}
],
"action" : [
{
"id" : "004.1",
"title" : "Stages of CKD.",
"description" : "Complete clinical assessment. Determine stage of CKD.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "determine-diagnosis",
"display" : "Determine Diagnosis"
}
]
}
]
},
{
"id" : "004.2",
"title" : "Strategies to Slow Progression.",
"description" : "Establish primary etiology of CKD and treatment plan to slow progression.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "guideline-based-care",
"display" : "Guideline-based Care"
}
]
}
]
}
]
}
]
}
© HL7.org (Clinical Decision Support WG). hl7.fhir.uv.cpg#1.0.0 based on FHIR v4.0.1. Generated 2022-02-02.
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