@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/uv/cpg/PlanDefinition/va-ckd-recommendations> a fhir:PlanDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "va-ckd-recommendations"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition>
     ] [
       fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-computableplandefinition"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-computableplandefinition>
     ] )
  ] ; # 
  fhir:language [ fhir:v "en"] ; # 
  fhir:text [
     fhir:status [ fhir:v "extensions" ] ;
     fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n  <table class=\"narrative-table\">\n    <tbody>\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Metadata</th>\n\n\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Version</th>\n\n\n\n<td class=\"content-container\">2.0.0</td>\n\n\n</tr>\n\n\n\n\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Identifier</th>\n\n\n\n<td class=\"content-container\">VA_CKD_Recommendations</td>\n\n\n</tr>\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Identifier</th>\n\n\n\n<td class=\"content-container\">urn:oid:2.16.840.1.113883.4.642.40.48.34.38</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Experimental</th>\n\n\n\n<td class=\"content-container\">true</td>\n\n\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Use Context</th>\n\n\n\n<td class=\"content-container\">\n    Clinical Focus\n\n = \n    Chronic kidney disease (disorder)\n\n\n</td>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Jurisdiction</th>\n\n\n\n<td class=\"content-container\">\n    World\n\n\n</td>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Topic</th>\n\n\n\n<td class=\"content-container\">\n    Treatment\n\n\n</td>\n\n\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Steward (Publisher)</th>\n\n\n\n<td class=\"content-container\">HL7 International / Clinical Decision Support</td>\n\n\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Steward Contact</th>\n\n\n\n<td class=\"content-container\">HL7 International / Clinical Decision Support</td>\n\n\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n\n<td class=\"content-container\"><div><p>VA CKD Recommendations</p>\n</div></td>\n\n\n</tr>\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Type</th>\n\n\n\n<td class=\"content-container\">\n    ECA Rule\n\n\n</td>\n\n\n</tr>\n\n\n\n\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">PlanDefinition Action</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Id</th>\n\n\n\n<td class=\"content-container\">001</td>\n\n\n</tr>\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Strength of Recommendation</th>\n\n\n\n<td class=\"content-container\">\n    Weak\n\n\n</td>\n\n\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Title</th>\n\n\n\n<td class=\"content-container\">CKD Protein Diet</td>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n\n<td class=\"content-container\">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).</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Condition</th>\n  <td class=\"content-container\">\n  <em>Kind</em>: Applicability\n  \n    <br/>\n    \n      \n      <em>Logic Definition</em>: <a href=\"null\">Has CKD stage 3 or 4</a> \n    \n   \n  </td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.5.4 of the sample-content-ig Liquid templates</th>\n</tr>\n\n    </tbody>\n  </table>\n</div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
     fhir:url [
       fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability>
     ] ;
     fhir:value [
       a fhir:Code ;
       fhir:v "shareable"
     ]
  ] [
     fhir:url [
       fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability>
     ] ;
     fhir:value [
       a fhir:Code ;
       fhir:v "computable"
     ]
  ] [
     fhir:url [
       fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability>
     ] ;
     fhir:value [
       a fhir:Code ;
       fhir:v "publishable"
     ]
  ] ) ; # 
  fhir:url [
     fhir:v "http://hl7.org/fhir/uv/cpg/PlanDefinition/va-ckd-recommendations"^^xsd:anyURI ;
     fhir:l <http://hl7.org/fhir/uv/cpg/PlanDefinition/va-ckd-recommendations>
  ] ; # 
  fhir:identifier ( [
     fhir:use [ fhir:v "official" ] ;
     fhir:value [ fhir:v "VA_CKD_Recommendations" ]
  ] [
     fhir:system [
       fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ;
       fhir:l <urn:ietf:rfc:3986>
     ] ;
     fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.40.48.34.38" ]
  ] ) ; # 
  fhir:version [ fhir:v "2.0.0"] ; # 
  fhir:name [ fhir:v "VACKDRecommendations"] ; # 
  fhir:type [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/plan-definition-type"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/plan-definition-type>
       ] ;
       fhir:code [ fhir:v "eca-rule" ] ;
       fhir:display [ fhir:v "ECA Rule" ]
     ] )
  ] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v true] ; # 
  fhir:date [ fhir:v "2026-04-29T15:06:55+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "HL7 International / Clinical Decision Support"] ; # 
  fhir:contact ( [
     fhir:name [ fhir:v "HL7 International / Clinical Decision Support" ] ;
     fhir:telecom ( [
       fhir:system [ fhir:v "url" ] ;
       fhir:value [ fhir:v "http://www.hl7.org/Special/committees/dss" ]
     ] )
  ] ) ; # 
  fhir:description [ fhir:v "VA CKD Recommendations"] ; # 
  fhir:useContext ( [
     fhir:code [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/usage-context-type>
       ] ;
       fhir:code [ fhir:v "focus" ] ;
       fhir:display [ fhir:v "Clinical Focus" ]
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         a sct:709044004 ;
         fhir:system [
           fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
           fhir:l <http://snomed.info/sct>
         ] ;
         fhir:code [ fhir:v "709044004" ] ;
         fhir:display [ fhir:v "Chronic kidney disease (disorder)" ]
       ] )
     ]
  ] ) ; # 
  fhir:jurisdiction ( [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ;
         fhir:l <http://unstats.un.org/unsd/methods/m49/m49.htm>
       ] ;
       fhir:code [ fhir:v "001" ] ;
       fhir:display [ fhir:v "World" ]
     ] )
  ] ) ; # 
  fhir:topic ( [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/definition-topic"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/definition-topic>
       ] ;
       fhir:code [ fhir:v "treatment" ] ;
       fhir:display [ fhir:v "Treatment" ]
     ] )
  ] ) ; # 
  fhir:action ( [
     fhir:id [ fhir:v "001" ] ;
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation>
       ] ;
       fhir:value [
         a fhir:CodeableConcept ;
         fhir:coding ( [
           fhir:system [
             fhir:v "http://terminology.hl7.org/CodeSystem/recommendation-strength"^^xsd:anyURI ;
             fhir:l <http://terminology.hl7.org/CodeSystem/recommendation-strength>
           ] ;
           fhir:code [ fhir:v "weak" ] ;
           fhir:display [ fhir:v "Weak" ]
         ] )
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-directionOfRecommendation"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-directionOfRecommendation>
       ] ;
       fhir:value [
         a fhir:CodeableConcept ;
         fhir:coding ( [
           fhir:system [
             fhir:v "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-recommendation-direction-cs"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-recommendation-direction-cs>
           ] ;
           fhir:code [ fhir:v "for" ] ;
           fhir:display [ fhir:v "For" ]
         ] )
       ]
     ] ) ;
     fhir:title [ fhir:v "CKD Protein Diet" ] ;
     fhir:description [ fhir:v "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)." ] ;
     fhir:documentation ( [
       fhir:type [ fhir:v "documentation" ] ;
       fhir:display [ fhir:v "VA/DoD Clinical Practice Guideline for The management of Chronic Kidney Disease in Primary care" ] ;
       fhir:url [
         fhir:v "http://www.healthquality.va.gov"^^xsd:anyURI ;
         fhir:l <http://www.healthquality.va.gov>
       ] ;
       fhir:document [
         fhir:url [
           fhir:v "http://www.healthquality.va.gov"^^xsd:anyURI ;
           fhir:l <http://www.healthquality.va.gov>
         ]
       ]
     ] ) ;
     fhir:condition ( [
       fhir:kind [ fhir:v "applicability" ] ;
       fhir:expression [
         fhir:language [ fhir:v "text/cql" ] ;
         fhir:expression [ fhir:v "Has CKD stage 3 or 4" ]
       ]
     ] )
  ] ) . # 

# -------------------------------------------------------------------------------------