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 2024-03-01 |
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@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 -------------------------------------------------------------------
a fhir:PlanDefinition ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "ckd-risk-screening"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PlanDefinition</b><a name=\"ckd-risk-screening\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource PlanDefinition "ckd-risk-screening" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/HL7/cqf-recommendations//StructureDefinition-cpg-recommendationdefinition.html\">CPG Recommendation Definition</a></p></div><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>: <code>http://hl7.org/fhir/uv/cpg/ckd/PlanDefinition/ckd-risk-screening</code></p><p><b>version</b>: 1.0.0</p><p><b>name</b>: CKDRiskScreening</p><p><b>title</b>: Chronic Kidney Disease (CKD) risk screening Plan Definition</p><p><b>type</b>: ECA Rule <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-plan-definition-type.html\">PlanDefinitionType</a>#eca-rule)</span></p><p><b>status</b>: active</p><p><b>experimental</b>: true</p><p><b>date</b>: 2024-03-01 20:11:40+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>: Chronic Kidney Disease (CKD) risk screening</p><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>Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code focus = 'Clinical Focus', stated as 'Clinical Focus')</td><td>Chronic kidney disease (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#709044004)</span></td></tr></table><p><b>jurisdiction</b>: World <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (m49.htm#001)</span></p><p><b>topic</b>: Treatment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-definition-topic.html\">DefinitionTopic</a>#treatment)</span></p><p><b>library</b>: <a href=\"Library-CKDRiskLogic.html\">Chronic Kidney Disease (CKD) risk screening logic</a></p><blockquote><p><b>action</b></p><h3>Triggers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Name</b></td></tr><tr><td style=\"display: none\">*</td><td>named-event</td><td>patient-view</td></tr></table><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>text/cql</td><td>Has CKD or Diabetes</td></tr></table></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Order Renal Lab Panel</p><p><b>description</b>: Order full renal lab panel, eGFR or UCAR indicates risk.</p><blockquote><p><b>documentation</b></p></blockquote><blockquote><p><b>condition</b></p></blockquote><p><b>type</b>: Create <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-action-type.html\">ActionType</a>#create)</span></p><p><b>definition</b>: <a href=\"ActivityDefinition-ckd-risk-renal-lab-order.html\">Order Renal Lab Panel Activity Definition</a></p><blockquote><p><b>dynamicValue</b></p></blockquote><blockquote><p><b>dynamicValue</b></p></blockquote></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: 2-year Kidney Failure Risk</p><blockquote><p><b>documentation</b></p></blockquote><blockquote><p><b>condition</b></p></blockquote><blockquote><p><b>dynamicValue</b></p></blockquote><blockquote><p><b>dynamicValue</b></p></blockquote></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: 5-year Kidney Failure Risk</p><blockquote><p><b>documentation</b></p></blockquote><blockquote><p><b>condition</b></p></blockquote><blockquote><p><b>dynamicValue</b></p></blockquote><blockquote><p><b>dynamicValue</b></p></blockquote></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Recommend Nephrology Referral</p><blockquote><p><b>documentation</b></p></blockquote><blockquote><p><b>condition</b></p></blockquote><p><b>type</b>: Create <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-action-type.html\">ActionType</a>#create)</span></p><p><b>definition</b>: <a href=\"ActivityDefinition-ckd-risk-referral-nephrology.html\">Referral to Nephrologist Activity Definition</a></p><blockquote><p><b>dynamicValue</b></p></blockquote><blockquote><p><b>dynamicValue</b></p></blockquote></blockquote></blockquote></div>"
] ; #
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability"^^xsd:anyURI ] ;
fhir:value [ fhir:v "shareable" ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability"^^xsd:anyURI ] ;
fhir:value [ fhir:v "computable" ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability"^^xsd:anyURI ] ;
fhir:value [ fhir:v "publishable" ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel"^^xsd:anyURI ] ;
fhir:value [ fhir:v "structured" ]
] ) ; #
fhir:url [ fhir:v "http://hl7.org/fhir/uv/cpg/ckd/PlanDefinition/ckd-risk-screening"^^xsd:anyURI] ; #
fhir:version [ fhir:v "1.0.0"] ; #
fhir:name [ fhir:v "CKDRiskScreening"] ; #
fhir:title [ fhir:v "Chronic Kidney Disease (CKD) risk screening Plan Definition"] ; #
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/plan-definition-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "eca-rule" ] ;
fhir:display [ fhir:v "ECA Rule" ] ] )
] ; #
fhir:status [ fhir:v "active"] ; #
fhir:experimental [ fhir:v "true"^^xsd:boolean] ; #
fhir:date [ fhir:v "2024-03-01T20:11:40+00:00"^^xsd:dateTime] ; #
fhir:publisher [ fhir:v "HL7 International - Clinical Decision Support WG"] ; #
fhir:contact ( [
fhir:name [ fhir:v "HL7 International - Clinical Decision Support WG" ] ;
( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/dss/index.cfm" ] ] )
] ) ; #
fhir:description [ fhir:v "Chronic Kidney Disease (CKD) risk screening"] ; #
fhir:useContext ( [
fhir:code [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ;
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: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: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:code [ fhir:v "treatment" ] ;
fhir:display [ fhir:v "Treatment" ] ] )
] ) ; #
fhir:library ( [
fhir:v "http://hl7.org/fhir/uv/cpg/ckd/Library/CKDRiskLogic"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cpg/ckd/Library/CKDRiskLogic>
] ) ; #
fhir:action ( [
( fhir:trigger [
fhir:type [ fhir:v "named-event" ] ;
fhir:name [ fhir:v "patient-view" ] ] ) ;
( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "Has CKD or Diabetes" ] ] ] ) ;
( fhir:action [
fhir:title [ fhir:v "Order Renal Lab Panel" ] ;
fhir:description [ fhir:v "Order full renal lab panel, eGFR or UCAR indicates risk." ] ;
( fhir:documentation [
fhir:type [ fhir:v "documentation" ] ;
fhir:display [ fhir:v "NIDDK Quick Reference on UACR & GFR" ] ;
fhir:url [ fhir:v "https://www.niddk.nih.gov/health-information/professionals/clinical-tools-patient-education-outreach/quick-reference-uacr-gfr"^^xsd:anyURI ] ;
fhir:document [
fhir:url [ fhir:v "https://www.niddk.nih.gov/health-information/professionals/clinical-tools-patient-education-outreach/quick-reference-uacr-gfr"^^xsd:anyURI ] ] ] ) ;
( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "Needs eGFR Lab" ] ] ] ) ;
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/action-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "create" ] ] ) ] ;
fhir:definition [
fhir:v "http://hl7.org/fhir/uv/cpg/ckd/ActivityDefinition/ckd-risk-renal-lab-order"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cpg/ckd/ActivityDefinition/ckd-risk-renal-lab-order> ] ;
( fhir:dynamicValue [
fhir:path [ fhir:v "action.description" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "NeedsGFRDetail" ] ] ] [
fhir:path [ fhir:v "activity.extension" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "NeedsGFRSeverity" ] ] ] ) ] [
fhir:title [ fhir:v "2-year Kidney Failure Risk" ] ;
( fhir:documentation [
fhir:type [ fhir:v "documentation" ] ;
fhir:display [ fhir:v "Kidney Failure Risk Equation" ] ;
fhir:url [ fhir:v "http://kidneyfailurerisk.com/#about-the-equation"^^xsd:anyURI ] ;
fhir:document [
fhir:url [ fhir:v "http://kidneyfailurerisk.com/#about-the-equation"^^xsd:anyURI ] ] ] ) ;
( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "Has Abnormal eGFR" ] ] ] ) ;
( fhir:dynamicValue [
fhir:path [ fhir:v "action.description" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "2-YearRiskDetail" ] ] ] [
fhir:path [ fhir:v "activity.extension" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "2-YearRiskSeverity" ] ] ] ) ] [
fhir:title [ fhir:v "5-year Kidney Failure Risk" ] ;
( fhir:documentation [
fhir:type [ fhir:v "documentation" ] ;
fhir:display [ fhir:v "Kidney Failure Risk Equation" ] ;
fhir:url [ fhir:v "http://kidneyfailurerisk.com/#about-the-equation"^^xsd:anyURI ] ;
fhir:document [
fhir:url [ fhir:v "http://kidneyfailurerisk.com/#about-the-equation"^^xsd:anyURI ] ] ] ) ;
( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "Has Abnormal eGFR" ] ] ] ) ;
( fhir:dynamicValue [
fhir:path [ fhir:v "action.description" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "5-YearRiskDetail" ] ] ] [
fhir:path [ fhir:v "activity.extension" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "5-YearRiskSeverity" ] ] ] ) ] [
fhir:title [ fhir:v "Recommend Nephrology Referral" ] ;
( fhir:documentation [
fhir:type [ fhir:v "documentation" ] ;
fhir:display [ fhir:v "National Kidney Disease Education Program" ] ;
fhir:url [ fhir:v "https://www.niddk.nih.gov/health-information/communication-programs/nkdep"^^xsd:anyURI ] ;
fhir:document [
fhir:url [ fhir:v "https://www.niddk.nih.gov/health-information/communication-programs/nkdep"^^xsd:anyURI ] ] ] ) ;
( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "Recommend Nephrology Referral" ] ] ] ) ;
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/action-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "create" ] ] ) ] ;
fhir:definition [
fhir:v "http://hl7.org/fhir/uv/cpg/ckd/ActivityDefinition/ckd-risk-referral-nephrology"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cpg/ckd/ActivityDefinition/ckd-risk-referral-nephrology> ] ;
( fhir:dynamicValue [
fhir:path [ fhir:v "action.description" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "NephrologyReferralDetail" ] ] ] [
fhir:path [ fhir:v "activity.extension" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "NephrologyReferralSeverity" ] ] ] ) ] )
] ) . #
IG © 2023+ HL7 International - Clinical Decision Support WG. Package hl7.fhir.uv.cpg.ckd#1.0.0 based on FHIR 4.0.1. Generated 2024-03-01
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