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 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

: CKD VA Recommendations Plan Definition - XML Representation

Active as of 2024-11-26

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<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 class="res-header-id"><b>Generated Narrative: PlanDefinition va-ckd-recommendations</b></p><a name="va-ckd-recommendations"> </a><a name="hcva-ckd-recommendations"> </a><a name="va-ckd-recommendations-en-US"> </a><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>url</b>: <a href="PlanDefinition-va-ckd-recommendations.html">PlanDefinition VACKDRecommendations</a></p><p><b>identifier</b>: VA_CKD_Recommendations (use: official, ), <a href="http://terminology.hl7.org/6.1.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt 

This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: 

Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.

This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:oid:2.16.840.1.113883.4.642.40.48.34.38</p><p><b>version</b>: 2.0.0</p><p><b>name</b>: VACKDRecommendations</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/plan-definition-type eca-rule}">ECA Rule</span></p><p><b>status</b>: Active</p><p><b>experimental</b>: true</p><p><b>date</b>: 2024-11-26 06:42:34+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>: </p><div><p>VA CKD Recommendations</p>
</div><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><a href="http://terminology.hl7.org/6.1.0/CodeSystem-usage-context-type.html#usage-context-type-focus">UsageContextType focus</a>: Clinical Focus</td><td><span title="Codes:{http://snomed.info/sct 709044004}">Chronic kidney disease (disorder)</span></td></tr></table><p><b>jurisdiction</b>: <span title="Codes:{http://unstats.un.org/unsd/methods/m49/m49.htm 001}">World</span></p><p><b>topic</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/definition-topic treatment}">Treatment</span></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>001</blockquote><p><b>Strength of recommendation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/recommendation-strength weak}">Weak</span></p><p><b>CPG Direction Of Recommendation Extension</b>: <span title="Codes:{http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-recommendation-direction-cs for}">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><h3>Documents</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Url</b></td></tr><tr><td style="display: none">*</td><td><a href="http://www.healthquality.va.gov">http://www.healthquality.va.gov</a></td></tr></table></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>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>
  <url
       value="http://hl7.org/fhir/uv/cpg/PlanDefinition/va-ckd-recommendations"/>
  <identifier>
    <use value="official"/>
    <value value="VA_CKD_Recommendations"/>
  </identifier>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.40.48.34.38"/>
  </identifier>
  <version value="2.0.0"/>
  <name value="VACKDRecommendations"/>
  <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="2024-11-26T06:42:34+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>