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 |
{
"resourceType" : "PlanDefinition",
"id" : "va-ckd-protocol",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pathwaydefinition"
]
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"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PlanDefinition</b><a name=\"va-ckd-protocol\"> </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 "va-ckd-protocol" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/HL7/cqf-recommendations//StructureDefinition-cpg-pathwaydefinition.html\">CPG Pathway 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/va-ckd-protocol</code></p><p><b>identifier</b>: VA_CKD_Protocol\u00a0(use:\u00a0OFFICIAL)</p><p><b>version</b>: 1.0.0</p><p><b>name</b>: VACKDProtocol</p><p><b>title</b>: VA CKD Protocol Pathway</p><p><b>type</b>: Clinical Protocol <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>#clinical-protocol)</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>: VA CKD Protocol</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><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>001</blockquote><p><b>title</b>: History and Phyiscal</p><p><b>description</b>: Obtain initial clinical information: medical history (including risk factors for kidney disease), physical examination and review existing laboratory results.</p><p><b>code</b>: History and Physical <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://build.fhir.org/ig/HL7/cqf-recommendations//CodeSystem-cpg-common-process-cs.html\">CPG Common Process Code System</a>#history-and-physical)</span></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>002</blockquote><p><b>title</b>: At-Risk Population</p><p><b>description</b>: Evaluate at-risk patients for CKD: obtain SCr, eGFR, urinalysis, & spot urine UAER.</p><p><b>code</b>: History and Physical <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://build.fhir.org/ig/HL7/cqf-recommendations//CodeSystem-cpg-common-process-cs.html\">CPG Common Process Code System</a>#history-and-physical)</span></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>003</blockquote><p><b>title</b>: Urgent/Emergent Conditions</p><p><b>description</b>: Does patient have an urgent or emergent condition?</p><p><b>code</b>: Triage <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://build.fhir.org/ig/HL7/cqf-recommendations//CodeSystem-cpg-common-process-cs.html\">CPG Common Process Code System</a>#triage)</span></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>003.1</blockquote><p><b>title</b>: Refer to emergency department.</p><p><b>description</b>: Refer to emergency department to manage or stabilize.</p><p><b>code</b>: Triage <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://build.fhir.org/ig/HL7/cqf-recommendations//CodeSystem-cpg-common-process-cs.html\">CPG Common Process Code System</a>#triage)</span></p></blockquote></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>004</blockquote><p><b>title</b>: Criteria for Confirmed CKD</p><p><b>description</b>: Does patient have evidence of CKD?</p><p><b>code</b>: Determine Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://build.fhir.org/ig/HL7/cqf-recommendations//CodeSystem-cpg-common-process-cs.html\">CPG Common Process Code System</a>#determine-diagnosis)</span></p><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 evidence of CKD?</td></tr></table></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>004.1</blockquote><p><b>title</b>: Stages of CKD.</p><p><b>description</b>: Complete clinical assessment. Determine stage of CKD.</p><p><b>code</b>: Determine Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://build.fhir.org/ig/HL7/cqf-recommendations//CodeSystem-cpg-common-process-cs.html\">CPG Common Process Code System</a>#determine-diagnosis)</span></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>004.2</blockquote><p><b>title</b>: Strategies to Slow Progression.</p><p><b>description</b>: Establish primary etiology of CKD and treatment plan to slow progression.</p><p><b>code</b>: Guideline-based Care <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://build.fhir.org/ig/HL7/cqf-recommendations//CodeSystem-cpg-common-process-cs.html\">CPG Common Process Code System</a>#guideline-based-care)</span></p></blockquote></blockquote></div>"
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
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{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode" : "computable"
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"url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode" : "publishable"
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"url" : "http://hl7.org/fhir/uv/cpg/ckd/PlanDefinition/va-ckd-protocol",
"identifier" : [
{
"use" : "official",
"value" : "VA_CKD_Protocol"
}
],
"version" : "1.0.0",
"name" : "VACKDProtocol",
"title" : "VA CKD Protocol Pathway",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
"code" : "clinical-protocol",
"display" : "Clinical Protocol"
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"status" : "active",
"experimental" : true,
"date" : "2024-03-01T20:11:40+00:00",
"publisher" : "HL7 International - Clinical Decision Support WG",
"contact" : [
{
"name" : "HL7 International - Clinical Decision Support WG",
"telecom" : [
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"system" : "url",
"value" : "http://www.hl7.org/Special/committees/dss/index.cfm"
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"description" : "VA CKD Protocol",
"useContext" : [
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "focus",
"display" : "Clinical Focus"
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"valueCodeableConcept" : {
"coding" : [
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"system" : "http://snomed.info/sct",
"code" : "709044004",
"display" : "Chronic kidney disease (disorder)"
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}
],
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001",
"display" : "World"
}
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}
],
"topic" : [
{
"coding" : [
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"code" : "treatment",
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"action" : [
{
"id" : "001",
"title" : "History and Phyiscal",
"description" : "Obtain initial clinical information: medical history (including risk factors for kidney disease), physical examination and review existing laboratory results.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs",
"code" : "history-and-physical",
"display" : "History and Physical"
}
]
}
]
},
{
"id" : "002",
"title" : "At-Risk Population",
"description" : "Evaluate at-risk patients for CKD: obtain SCr, eGFR, urinalysis, & spot urine UAER.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs",
"code" : "history-and-physical",
"display" : "History and Physical"
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{
"id" : "003",
"title" : "Urgent/Emergent Conditions",
"description" : "Does patient have an urgent or emergent condition?",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs",
"code" : "triage",
"display" : "Triage"
}
]
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],
"action" : [
{
"id" : "003.1",
"title" : "Refer to emergency department.",
"description" : "Refer to emergency department to manage or stabilize.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs",
"code" : "triage",
"display" : "Triage"
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}
]
}
]
},
{
"id" : "004",
"title" : "Criteria for Confirmed CKD",
"description" : "Does patient have evidence of CKD?",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs",
"code" : "determine-diagnosis",
"display" : "Determine Diagnosis"
}
]
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql",
"expression" : "Has evidence of CKD?"
}
}
],
"action" : [
{
"id" : "004.1",
"title" : "Stages of CKD.",
"description" : "Complete clinical assessment. Determine stage of CKD.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs",
"code" : "determine-diagnosis",
"display" : "Determine Diagnosis"
}
]
}
]
},
{
"id" : "004.2",
"title" : "Strategies to Slow Progression.",
"description" : "Establish primary etiology of CKD and treatment plan to slow progression.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs",
"code" : "guideline-based-care",
"display" : "Guideline-based Care"
}
]
}
]
}
]
}
]
}
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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