ReferralNephrology

{
  "resourceType" : "ActivityDefinition",
  "id" : "cc-cpg-activity-referral-nephrology",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: cc-cpg-activity-referral-nephrology</p><p><b>url</b>: <a href=\"http://hl7.org/fhir/uv/cpg/ActivityDefinition/cc-cpg-activity-referral-nephrology\">http://hl7.org/fhir/uv/cpg/ActivityDefinition/cc-cpg-activity-referral-nephrology</a></p><p><b>version</b>: 0.1.0</p><p><b>name</b>: ReferralNephrology</p><p><b>title</b>: Referral: Nephrology; History: [add diagnosis, symptom(s)]; Question: [add reason for referral]</p><p><b>status</b>: active</p><p><b>experimental</b>: true</p><p><b>date</b>: Aug 5, 2019 12:02:55 PM</p><p><b>publisher</b>: Elsevier Inc</p><p><b>description</b>: Referral: Nephrology; History: [add diagnosis, symptom(s)]; Question: [add reason for referral]</p><p><b>jurisdiction</b>: World <span style=\"background: LightGoldenRodYellow\">(Details : {http://unstats.un.org/unsd/methods/m49/m49.htm code '001' = 'World', given as 'World'})</span></p><p><b>relatedArtifact</b>: </p><p><b>kind</b>: ServiceRequest</p><p><b>code</b>: Referral to nephrologist <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '306286007' = 'Referral to nephrologist', given as 'Referral to nephrologist (procedure)'})</span></p><p><b>timing</b>: </p><p><b style=\"color: maroon\">Exception generating Narrative: null</b></p></div>"
  },
  "url" : "http://hl7.org/fhir/uv/cpg/ActivityDefinition/cc-cpg-activity-referral-nephrology",
  "version" : "0.1.0",
  "name" : "ReferralNephrology",
  "title" : "Referral: Nephrology; History: [add diagnosis, symptom(s)]; Question: [add reason for referral]",
  "status" : "active",
  "experimental" : true,
  "date" : "2019-08-05T12:02:55-04:00",
  "publisher" : "Elsevier Inc",
  "description" : "Referral: Nephrology; History: [add diagnosis, symptom(s)]; Question: [add reason for referral]",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "relatedArtifact" : [
    {
      "type" : "justification",
      "display" : "<p>Refer to nephrologist for co-management of treatment plan in cases of:</p>\n\n<ul>\n\t<li>Unclear etiology of kidney disease</li>\n</ul>\n\n<ul>\n\t<li>Rapid progression of disease (GFR decline greater than 5 mL/minute/1.73 m&sup2;/year)</li>\n</ul>\n\n<ul>\n\t<li>Acute kidney injury or abrupt sustained fall in GFR</li>\n</ul>\n\n<ul>\n\t<li>GFR less than 30 mL/minute/1.73 m&sup2; (GFR categories G4-G5) to prepare for renal replacement therapy</li>\n</ul>\n\n<ul>\n\t<li>Consistent finding of significant albuminuria (albumin/creatinine ratio of 300 mg/g or more)</li>\n</ul>\n\n<ul>\n\t<li>Hypertension resistant to treatment with 4 or more antihypertensive agents</li>\n</ul>\n\n<ul>\n\t<li>Difficulty in decreasing the level of albuminuria despite institution of ACE inhibitor or angiotensin II receptor blocker therapy</li>\n</ul>\n\n<ul>\n\t<li>Persistent electrolyte abnormalities, including hyperkalemia or high serum phosphate</li>\n</ul>\n\n<ul>\n\t<li>Recurrent or extensive nephrolithiasis</li>\n</ul>\n\n<ul>\n\t<li>Hereditary kidney disease</li>\n</ul>\n\n<p>&nbsp;</p>\n\n<p>Nephrologist involvement is recommended when the cause of chronic kidney disease is not clear</p>\n\n<ul>\n\t<li>Renal biopsy may be performed to determine the cause as well as to predict disease progression and response to therapy</li>\n</ul>",
      "citation" : "Chronic Kidney Disease Clinical Overview. ClinicalKey. <a href='https://www.clinicalkey.com/#!/content/clinical_overview/67-s2.0-26a91efc-ff97-4e11-b49f-c70331e79cee' target='_blank'>Source</a>",
      "url" : "http://himss19.ordersetsmanager.com/evidenceviewer/#/7CBBBE9B75E10232E05352E3610A5325/7CBBBE9B75DA0232E05352E3610A5325"
    }
  ],
  "kind" : "ServiceRequest",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "306286007",
        "display" : "Referral to nephrologist (procedure)"
      }
    ],
    "text" : "Referral to nephrologist"
  },
  "timingTiming" : {
    "_event" : [
      {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/cqf-expression",
            "valueExpression" : {
              "language" : "text/cql",
              "expression" : "Now()"
            }
          }
        ]
      }
    ]
  },
  "participant" : [
    {
      "type" : "practitioner"
    }
  ]
}