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 |
<PlanDefinition xmlns="http://hl7.org/fhir">
<id value="va-ckd-protocol"/>
<meta>
<profile
value="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pathwaydefinition"/>
</meta>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability">
<valueCode value="shareable"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability">
<valueCode value="computable"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability">
<valueCode value="publishable"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel">
<valueCode value="structured"/>
</extension>
<url value="http://hl7.org/fhir/uv/cpg/ckd/PlanDefinition/va-ckd-protocol"/>
<identifier>
<use value="official"/>
<value value="VA_CKD_Protocol"/>
</identifier>
<version value="1.0.0"/>
<name value="VACKDProtocol"/>
<title value="VA CKD Protocol Pathway"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
<code value="clinical-protocol"/>
<display value="Clinical Protocol"/>
</coding>
</type>
<status value="active"/>
<experimental value="true"/>
<date value="2024-03-01T20:11:40+00:00"/>
<publisher value="HL7 International - Clinical Decision Support WG"/>
<contact>
<name value="HL7 International - Clinical Decision Support WG"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/dss/index.cfm"/>
</telecom>
</contact>
<description value="VA CKD Protocol"/>
<useContext>
<code>
<system
value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
<code value="focus"/>
<display value="Clinical Focus"/>
</code>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="709044004"/>
<display value="Chronic kidney disease (disorder)"/>
</coding>
</valueCodeableConcept>
</useContext>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<topic>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/definition-topic"/>
<code value="treatment"/>
<display value="Treatment"/>
</coding>
</topic>
<action id="001">
<title value="History and Phyiscal"/>
<description
value="Obtain initial clinical information: medical history (including risk factors for kidney disease), physical examination and review existing laboratory results."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
<code value="history-and-physical"/>
<display value="History and Physical"/>
</coding>
</code>
</action>
<action id="002">
<title value="At-Risk Population"/>
<description
value="Evaluate at-risk patients for CKD: obtain SCr, eGFR, urinalysis, & spot urine UAER."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
<code value="history-and-physical"/>
<display value="History and Physical"/>
</coding>
</code>
</action>
<action id="003">
<title value="Urgent/Emergent Conditions"/>
<description value="Does patient have an urgent or emergent condition?"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
<code value="triage"/>
<display value="Triage"/>
</coding>
</code>
<action id="003.1">
<title value="Refer to emergency department."/>
<description
value="Refer to emergency department to manage or stabilize."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
<code value="triage"/>
<display value="Triage"/>
</coding>
</code>
</action>
</action>
<action id="004">
<title value="Criteria for Confirmed CKD"/>
<description value="Does patient have evidence of CKD?"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
<code value="determine-diagnosis"/>
<display value="Determine Diagnosis"/>
</coding>
</code>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/cql"/>
<expression value="Has evidence of CKD?"/>
</expression>
</condition>
<action id="004.1">
<title value="Stages of CKD."/>
<description
value="Complete clinical assessment. Determine stage of CKD."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
<code value="determine-diagnosis"/>
<display value="Determine Diagnosis"/>
</coding>
</code>
</action>
<action id="004.2">
<title value="Strategies to Slow Progression."/>
<description
value="Establish primary etiology of CKD and treatment plan to slow progression."/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process-cs"/>
<code value="guideline-based-care"/>
<display value="Guideline-based Care"/>
</coding>
</code>
</action>
</action>
</PlanDefinition>
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
Links: Table of Contents |
QA Report
| Version History 
|