Clinical Practice Guidelines Example Implementation Guide - Chronic Kidney Disease
1.0.0 - ci-build
Clinical Practice Guidelines Example Implementation Guide - Chronic Kidney Disease
1.0.0 - ci-build
Clinical Practice Guidelines Example Implementation Guide - Chronic Kidney Disease, published by HL7 International - Clinical Decision Support WG. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/cpg-example-ckd/ and changes regularly. See the Directory of published versions
| Active as of 2024-11-18 |
<ActivityDefinition xmlns="http://hl7.org/fhir">
<id value="cc-cpg-activity-referral-nephrology"/>
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<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ActivityDefinition cc-cpg-activity-referral-nephrology</b></p><a name="cc-cpg-activity-referral-nephrology"> </a><a name="hccc-cpg-activity-referral-nephrology"> </a><a name="cc-cpg-activity-referral-nephrology-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>CQF knowledge representation level</b>: structured</p><p><b>url</b>: <a href="ActivityDefinition-cc-cpg-activity-referral-nephrology.html">ActivityDefinition Referral: Nephrology; History: [add diagnosis, symptom(s)]; Question: [add reason for referral]</a></p><p><b>version</b>: 1.0.0</p><p><b>name</b>: ReferralNephrology</p><p><b>title</b>: Referral: Nephrology; History: [add diagnosis, symptom(s)]; Question: [add reason for referral]</p><p><b>status</b>: Active</p><p><b>experimental</b>: true</p><p><b>date</b>: 2024-11-18 18:20:09+0000</p><p><b>publisher</b>: HL7 International - Clinical Decision Support WG</p><p><b>contact</b>: HL7 International - Clinical Decision Support WG: <a href="http://www.hl7.org/Special/committees/dss/index.cfm">http://www.hl7.org/Special/committees/dss/index.cfm</a></p><p><b>description</b>: </p><div><p>Referral: Nephrology; History: [add diagnosis, symptom(s)]; Question: [add reason for referral]</p>
</div><p><b>jurisdiction</b>: <span title="Codes:{http://unstats.un.org/unsd/methods/m49/m49.htm 001}">World</span></p><blockquote><p><b>relatedArtifact</b></p><p><b>type</b>: Justification</p><p><b>display</b>: Refer to nephrologist for co-management of treatment plan in cases of:
Unclear etiology of kidney disease
Rapid progression of disease (GFR decline greater than 5 mL/minute/1.73 m&sup2;/year)
Acute kidney injury or abrupt sustained fall in GFR
GFR less than 30 mL/minute/1.73 m&sup2; (GFR categories G4-G5) to prepare for renal replacement therapy
Consistent finding of significant albuminuria (albumin/creatinine ratio of 300 mg/g or more)
Hypertension resistant to treatment with 4 or more antihypertensive agents
Difficulty in decreasing the level of albuminuria despite institution of ACE inhibitor or angiotensin II receptor blocker therapy
Persistent electrolyte abnormalities, including hyperkalemia or high serum phosphate
Recurrent or extensive nephrolithiasis
Hereditary kidney disease
&nbsp;
Nephrologist involvement is recommended when the cause of chronic kidney disease is not clear
Renal biopsy may be performed to determine the cause as well as to predict disease progression and response to therapy</p><p><b>citation</b>: </p><div><p>Chronic Kidney Disease Clinical Overview. ClinicalKey. Source</p>
</div><p><b>url</b>: <a href="http://himss19.ordersetsmanager.com/evidenceviewer/#/7CBBBE9B75E10232E05352E3610A5325/7CBBBE9B75DA0232E05352E3610A5325">http://himss19.ordersetsmanager.com/evidenceviewer/#/7CBBBE9B75E10232E05352E3610A5325/7CBBBE9B75DA0232E05352E3610A5325</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://himss19.ordersetsmanager.com/evidenceviewer/#/7CBBBE9B75E10232E05352E3610A5325/7CBBBE9B75DA0232E05352E3610A5325">http://himss19.ordersetsmanager.com/evidenceviewer/#/7CBBBE9B75E10232E05352E3610A5325/7CBBBE9B75DA0232E05352E3610A5325</a></td></tr></table></blockquote><p><b>kind</b>: ServiceRequest</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 306286007}">Referral to nephrologist</span></p><p><b>timing</b>: Events: ?? </p><h3>Participants</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>Practitioner</td></tr></table></div>
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<extension
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<url
value="http://cqframework.org/cpg-example-ckd/ActivityDefinition/cc-cpg-activity-referral-nephrology"/>
<version value="1.0.0"/>
<name value="ReferralNephrology"/>
<title
value="Referral: Nephrology; History: [add diagnosis, symptom(s)]; Question: [add reason for referral]"/>
<status value="active"/>
<experimental value="true"/>
<date value="2024-11-18T18:20:09+00:00"/>
<publisher value="HL7 International - Clinical Decision Support WG"/>
<contact>
<name value="HL7 International - Clinical Decision Support WG"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/dss/index.cfm"/>
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<description
value="Referral: Nephrology; History: [add diagnosis, symptom(s)]; Question: [add reason for referral]"/>
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<relatedArtifact>
<type value="justification"/>
<display
value="Refer to nephrologist for co-management of treatment plan in cases of:
Unclear etiology of kidney disease
Rapid progression of disease (GFR decline greater than 5 mL/minute/1.73 m&sup2;/year)
Acute kidney injury or abrupt sustained fall in GFR
GFR less than 30 mL/minute/1.73 m&sup2; (GFR categories G4-G5) to prepare for renal replacement therapy
Consistent finding of significant albuminuria (albumin/creatinine ratio of 300 mg/g or more)
Hypertension resistant to treatment with 4 or more antihypertensive agents
Difficulty in decreasing the level of albuminuria despite institution of ACE inhibitor or angiotensin II receptor blocker therapy
Persistent electrolyte abnormalities, including hyperkalemia or high serum phosphate
Recurrent or extensive nephrolithiasis
Hereditary kidney disease
&nbsp;
Nephrologist involvement is recommended when the cause of chronic kidney disease is not clear
Renal biopsy may be performed to determine the cause as well as to predict disease progression and response to therapy"/>
<citation
value="Chronic Kidney Disease Clinical Overview. ClinicalKey. Source"/>
<url
value="http://himss19.ordersetsmanager.com/evidenceviewer/#/7CBBBE9B75E10232E05352E3610A5325/7CBBBE9B75DA0232E05352E3610A5325"/>
<document>
<url
value="http://himss19.ordersetsmanager.com/evidenceviewer/#/7CBBBE9B75E10232E05352E3610A5325/7CBBBE9B75DA0232E05352E3610A5325"/>
</document>
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<kind value="ServiceRequest"/>
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<system value="http://snomed.info/sct"/>
<code value="306286007"/>
<display value="Referral to nephrologist (procedure)"/>
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<text value="Referral to nephrologist"/>
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<participant>
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