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 "va-ckd-protocol"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pathwaydefinition"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pathwaydefinition> ] )
] ; #
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=\"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 (use: OFFICIAL)</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>"
] ; #
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/va-ckd-protocol"^^xsd:anyURI] ; #
fhir:identifier ( [
fhir:use [ fhir:v "official" ] ;
fhir:value [ fhir:v "VA_CKD_Protocol" ]
] ) ; #
fhir:version [ fhir:v "1.0.0"] ; #
fhir:name [ fhir:v "VACKDProtocol"] ; #
fhir:title [ fhir:v "VA CKD Protocol Pathway"] ; #
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/plan-definition-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "clinical-protocol" ] ;
fhir:display [ fhir:v "Clinical Protocol" ] ] )
] ; #
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 "VA CKD Protocol"] ; #
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:action ( [
fhir:id [ fhir:v "001" ] ;
fhir:title [ fhir:v "History and Phyiscal" ] ;
fhir:description [ fhir:v "Obtain initial clinical information: medical history (including risk factors for kidney disease), physical examination and review existing laboratory results." ] ;
( fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "history-and-physical" ] ;
fhir:display [ fhir:v "History and Physical" ] ] ) ] )
] [
fhir:id [ fhir:v "002" ] ;
fhir:title [ fhir:v "At-Risk Population" ] ;
fhir:description [ fhir:v "Evaluate at-risk patients for CKD: obtain SCr, eGFR, urinalysis, & spot urine UAER." ] ;
( fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "history-and-physical" ] ;
fhir:display [ fhir:v "History and Physical" ] ] ) ] )
] [
fhir:id [ fhir:v "003" ] ;
fhir:title [ fhir:v "Urgent/Emergent Conditions" ] ;
fhir:description [ fhir:v "Does patient have an urgent or emergent condition?" ] ;
( fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "triage" ] ;
fhir:display [ fhir:v "Triage" ] ] ) ] ) ;
( fhir:action [
fhir:id [ fhir:v "003.1" ] ;
fhir:title [ fhir:v "Refer to emergency department." ] ;
fhir:description [ fhir:v "Refer to emergency department to manage or stabilize." ] ;
( fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "triage" ] ;
fhir:display [ fhir:v "Triage" ] ] ) ] ) ] )
] [
fhir:id [ fhir:v "004" ] ;
fhir:title [ fhir:v "Criteria for Confirmed CKD" ] ;
fhir:description [ fhir:v "Does patient have evidence of CKD?" ] ;
( fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "determine-diagnosis" ] ;
fhir:display [ fhir:v "Determine Diagnosis" ] ] ) ] ) ;
( fhir:condition [
fhir:kind [ fhir:v "applicability" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "Has evidence of CKD?" ] ] ] ) ;
( fhir:action [
fhir:id [ fhir:v "004.1" ] ;
fhir:title [ fhir:v "Stages of CKD." ] ;
fhir:description [ fhir:v "Complete clinical assessment. Determine stage of CKD." ] ;
( fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "determine-diagnosis" ] ;
fhir:display [ fhir:v "Determine Diagnosis" ] ] ) ] ) ] [
fhir:id [ fhir:v "004.2" ] ;
fhir:title [ fhir:v "Strategies to Slow Progression." ] ;
fhir:description [ fhir:v "Establish primary etiology of CKD and treatment plan to slow progression." ] ;
( fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "guideline-based-care" ] ;
fhir:display [ fhir:v "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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