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

Active as of 2026-04-29

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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>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
  <table class="narrative-table">
    <tbody>
<tr>


<th colspan="2" scope="row" class="row-header">Metadata</th>


</tr>



<tr>


<th scope="row" class="row-header">Version</th>



<td class="content-container">2.0.0</td>


</tr>







  
<tr>


<th scope="row" class="row-header">Identifier</th>



<td class="content-container">VA_CKD_Recommendations</td>


</tr>


  
<tr>


<th scope="row" class="row-header">Identifier</th>



<td class="content-container">urn:oid:2.16.840.1.113883.4.642.40.48.34.38</td>


</tr>








<tr>


<th scope="row" class="row-header">Experimental</th>



<td class="content-container">true</td>


</tr>




<tr>


<th scope="row" class="row-header">Use Context</th>



<td class="content-container">
    Clinical Focus

 = 
    Chronic kidney disease (disorder)


</td>


</tr>


<tr>


<th scope="row" class="row-header">Jurisdiction</th>



<td class="content-container">
    World


</td>


</tr>


<tr>


<th scope="row" class="row-header">Topic</th>



<td class="content-container">
    Treatment


</td>


</tr>







<tr>


<th scope="row" class="row-header">Steward (Publisher)</th>



<td class="content-container">HL7 International / Clinical Decision Support</td>


</tr>



<tr>


<th scope="row" class="row-header">Steward Contact</th>



<td class="content-container">HL7 International / Clinical Decision Support</td>


</tr>







<tr>


<th scope="row" class="row-header">Description</th>



<td class="content-container"><div><p>VA CKD Recommendations</p>
</div></td>


</tr>






<tr>


<th scope="row" class="row-header">Type</th>



<td class="content-container">
    ECA Rule


</td>


</tr>




<tr>


<th colspan="2" scope="row" class="row-header">PlanDefinition Action</th>


</tr>

<tr>


<th scope="row" class="row-header">Id</th>



<td class="content-container">001</td>


</tr>


  
<tr>


<th scope="row" class="row-header">Strength of Recommendation</th>



<td class="content-container">
    Weak


</td>


</tr>




<tr>


<th scope="row" class="row-header">Title</th>



<td class="content-container">CKD Protein Diet</td>


</tr>


<tr>


<th scope="row" class="row-header">Description</th>



<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>


</tr>









<tr>
  <th scope="row" class="row-header">Condition</th>
  <td class="content-container">
  <em>Kind</em>: Applicability
  
    <br/>
    
      
      <em>Logic Definition</em>: <a href="null">Has CKD stage 3 or 4</a> 
    
   
  </td>
</tr>



















<tr>
  <th colspan="2" scope="row" class="row-header">Generated using version 0.5.4 of the sample-content-ig Liquid templates</th>
</tr>

    </tbody>
  </table>
</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="2026-04-29T15:06:55+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>