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 2024-08-23 |
{
"resourceType" : "PlanDefinition",
"id" : "va-ckd-protocol",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pathwaydefinition"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: PlanDefinition va-ckd-protocol</b></p><a name=\"va-ckd-protocol\"> </a><a name=\"hcva-ckd-protocol\"> </a><a name=\"va-ckd-protocol-en-US\"> </a><p><b>url</b>: <a href=\"PlanDefinition-va-ckd-protocol.html\">PlanDefinition VA CKD Protocol Pathway</a></p><p><b>identifier</b>: VA_CKD_Protocol\u00a0(use:\u00a0official,\u00a0)</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>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/plan-definition-type clinical-protocol}\">Clinical Protocol</span></p><p><b>status</b>: Active</p><p><b>experimental</b>: true</p><p><b>date</b>: 2024-08-23 13:40:17+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>VA CKD Protocol</p>\n</div><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><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-usage-context-type.html#usage-context-type-focus\">UsageContextType</a> focus: Clinical Focus</td><td><span title=\"Codes:{http://snomed.info/sct 709044004}\">Chronic kidney disease (disorder)</span></td></tr></table><p><b>jurisdiction</b>: <span title=\"Codes:{http://unstats.un.org/unsd/methods/m49/m49.htm 001}\">World</span></p><p><b>topic</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/definition-topic treatment}\">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>: <span title=\"Codes:{http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs history-and-physical}\">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>: <span title=\"Codes:{http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs history-and-physical}\">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>: <span title=\"Codes:{http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs triage}\">Triage</span></p><blockquote><p><b>action</b></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>: <span title=\"Codes:{http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs determine-diagnosis}\">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>CQL</td><td>Has evidence of CKD?</td></tr></table></blockquote><blockquote><p><b>action</b></p></blockquote><blockquote><p><b>action</b></p></blockquote></blockquote></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode" : "shareable"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode" : "computable"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode" : "publishable"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel",
"valueCode" : "structured"
}
],
"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"
}
]
},
"status" : "active",
"experimental" : true,
"date" : "2024-08-23T13:40:17+00:00",
"publisher" : "HL7 International - Clinical Decision Support WG",
"contact" : [
{
"name" : "HL7 International - Clinical Decision Support WG",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/dss/index.cfm"
}
]
}
],
"description" : "VA CKD Protocol",
"useContext" : [
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "focus",
"display" : "Clinical Focus"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "709044004",
"display" : "Chronic kidney disease (disorder)"
}
]
}
}
],
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001",
"display" : "World"
}
]
}
],
"topic" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/definition-topic",
"code" : "treatment",
"display" : "Treatment"
}
]
}
],
"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"
}
]
}
]
},
{
"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"
}
]
}
],
"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"
}
]
}
]
}
]
},
{
"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 2024-08-23
Links: Table of Contents |
QA Report
| Version History 
|