Clinical Practice Guidelines Example Implementation Guide - Chronic Kidney Disease
1.0.0 - ci-build International flag

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

ActivityDefinition: Ultrasound, Renal; History: [add diagnosis, symptom(s)]; Question: [add reason for exam] (Experimental)

Official URL: http://hl7.org/fhir/uv/cpg/ckd/ActivityDefinition/cc-cpg-activity-ultrasound-renal Version: 1.0.0
Active as of 2024-03-01 Computable Name: UltrasoundRenalHistory

Ultrasound, Renal; History: [add diagnosis, symptom(s)]; Question: [add reason for exam]

Generated Narrative: ActivityDefinition

Resource ActivityDefinition "cc-cpg-activity-ultrasound-renal"

Profile: CPG Computable Activity Definition

CQF Knowledge capability: shareable

CQF Knowledge capability: computable

CQF Knowledge capability: publishable

CQF knowledge representation level: structured

url: http://hl7.org/fhir/uv/cpg/ckd/ActivityDefinition/cc-cpg-activity-ultrasound-renal

version: 1.0.0

name: UltrasoundRenalHistory

title: Ultrasound, Renal; History: [add diagnosis, symptom(s)]; Question: [add reason for exam]

status: active

experimental: true

date: 2024-03-01 20:11:40+0000

publisher: HL7 International - Clinical Decision Support WG

contact: HL7 International - Clinical Decision Support WG: http://www.hl7.org/Special/committees/dss/index.cfm

description: Ultrasound, Renal; History: [add diagnosis, symptom(s)]; Question: [add reason for exam]

jurisdiction: World (m49.htm#001)

relatedArtifact

type: justification

display: Renal ultrasonography Perform ultrasonography to detect structural abnormalities when routine evaluation and urinalysis are inconclusive or to distinguish between acute and chronic kidney disease Small hyperechoic kidneys, cysts, or lesions are irregularities associated with chronic kidney disease Ultrasonography will also detect presence of stones, cysts, or masses that can affect renal function Diagnosis of chronic kidney disease requires abnormalities persisting beyond 3 months   Differential Diagnosis Renal artery stenosis Narrowing of the renal arteries resulting in loss of kidney function and blood pressure alteration Both renal artery stenosis and chronic kidney disease present with hypertension and reduced GFR Although also a cause of chronic kidney disease, renal artery stenosis (usually from atherosclerosis) is present before the development of kidney disease Renal bruit is indicative of renal artery stenosis Duplex ultrasonography can identify blockage in the renal artery and high velocity flow rate, indicative of renal artery stenosis Neoplasm Neoplasm of the kidney is a tumor growth in the renal cells Both diseases present with RBCs in urine Neoplasia can be differentiated by detecting tumor mass on kidney Contrast-enhanced CT scanning or ultrasonography can identify renal neoplasias, which can then be further evaluated with MRI

citation: Chronic Kidney Disease Clinical Overview. ClinicalKey. Source

url: http://himss19.ordersetsmanager.com/evidenceviewer/#/7CBBBE9B75E10232E05352E3610A5325/7CBBBE9B75D50232E05352E3610A5325

document

kind: ServiceRequest

code: Ultrasound of bilateral kidneys (SNOMED CT#13301000087109 "Ultrasonography of bilateral kidneys (procedure)")

timing: Events: Now()

Participants

-Type
*practitioner