FHIR Clincal Guidelines (v0.1.0) (STU1 Ballot)
This page is part of the Clinical Guidelines (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions 
{
"resourceType" : "PlanDefinition",
"id" : "ckd-risk-screening",
"meta" : {
"profile" : [
"http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: ckd-risk-screening</p><p><b>meta</b>: </p><p><b>url</b>: <a href=\"http://hl7.org/fhir/uv/cpg/PlanDefinition/ckd-risk-screening\">http://hl7.org/fhir/uv/cpg/PlanDefinition/ckd-risk-screening</a></p><p><b>version</b>: 0.1.0</p><p><b>name</b>: CKD_Risk_Screening</p><p><b>title</b>: Chronic Kidney Disease (CKD) risk screening</p><p><b>type</b>: ECA Rule <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})</span></p><p><b>status</b>: draft</p><p><b>experimental</b>: true</p><p><b>date</b>: Jul 27, 2019 8:00:00 PM</p><p><b>publisher</b>: HL7 FHIR Clinical Guidelines Example Artifact</p><p><b>description</b>: Chronic Kidney Disease (CKD) risk screening</p><p><b>useContext</b>: </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>copyright</b>: Copyright © Example.org 2019.</p><p><b>approvalDate</b>: Jul 28, 2019</p><p><b>lastReviewDate</b>: Jul 28, 2019</p><p><b>effectivePeriod</b>: Jul 28, 2019 12:00:00 AM --> (ongoing)</p><p><b>topic</b>: Treatment <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/definition-topic code 'treatment' = 'Treatment', given as 'Treatment'})</span></p><p><b>author</b>: </p><p><b>library</b>: <a href=\"Library/ckd-risk-recommendations\">Library/ckd-risk-recommendations</a></p><blockquote><p><b>action</b></p><p><b>trigger</b>: </p><h3>Conditions</h3><table class=\"grid\"><tr><td>-</td><td><b>Kind</b></td><td><b>Expression</b></td></tr><tr><td>*</td><td>applicability</td><td/></tr></table><h3>Actions</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></div>"
},
"url" : "http://hl7.org/fhir/uv/cpg/PlanDefinition/ckd-risk-screening",
"version" : "0.1.0",
"name" : "CKD_Risk_Screening",
"title" : "Chronic Kidney Disease (CKD) risk screening",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
"code" : "eca-rule",
"display" : "ECA Rule"
}
]
},
"status" : "draft",
"experimental" : true,
"date" : "2019-07-27T20:00:00-04:00",
"publisher" : "HL7 FHIR Clinical Guidelines Example Artifact",
"description" : "Chronic Kidney Disease (CKD) risk screening",
"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" : [
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"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001",
"display" : "World"
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]
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],
"copyright" : "Copyright © Example.org 2019.",
"approvalDate" : "2019-07-28",
"lastReviewDate" : "2019-07-28",
"effectivePeriod" : {
"start" : "2019-07-28T00:00:00-04:00"
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"topic" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/definition-topic",
"code" : "treatment",
"display" : "Treatment"
}
]
}
],
"author" : [
{
"name" : "Dave Carlson"
}
],
"library" : [
"Library/ckd-risk-recommendations"
],
"action" : [
{
"trigger" : [
{
"type" : "named-event",
"name" : "patient-view"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql",
"expression" : "Has CKD or Diabetes"
}
}
],
"action" : [
{
"title" : "Order Renal Lab Panel",
"description" : "Order full renal lab panel, eGFR or UCAR indicates risk.",
"documentation" : [
{
"type" : "documentation",
"display" : "NIDDK Quick Reference on UACR & GFR",
"url" : "https://www.niddk.nih.gov/health-information/professionals/clinical-tools-patient-education-outreach/quick-reference-uacr-gfr"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql",
"expression" : "Needs eGFR Lab"
}
}
],
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/action-type",
"code" : "create"
}
]
},
"dynamicValue" : [
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"path" : "action.description",
"expression" : {
"language" : "text/cql",
"expression" : "NeedsGFRDetail"
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},
{
"path" : "activity.extension",
"expression" : {
"language" : "text/cql",
"expression" : "NeedsGFRSeverity"
}
}
]
},
{
"title" : "2-year Kidney Failure Risk",
"documentation" : [
{
"type" : "documentation",
"display" : "Kidney Failure Risk Equation",
"url" : "http://kidneyfailurerisk.com/#about-the-equation"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql",
"expression" : "Has Abnormal eGFR"
}
}
],
"dynamicValue" : [
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"path" : "action.description",
"expression" : {
"language" : "text/cql",
"expression" : "2-YearRiskDetail"
}
},
{
"path" : "activity.extension",
"expression" : {
"language" : "text/cql",
"expression" : "2-YearRiskSeverity"
}
}
]
},
{
"title" : "5-year Kidney Failure Risk",
"documentation" : [
{
"type" : "documentation",
"display" : "Kidney Failure Risk Equation",
"url" : "http://kidneyfailurerisk.com/#about-the-equation"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql",
"expression" : "Has Abnormal eGFR"
}
}
],
"dynamicValue" : [
{
"path" : "action.description",
"expression" : {
"language" : "text/cql",
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{
"path" : "activity.extension",
"expression" : {
"language" : "text/cql",
"expression" : "5-YearRiskSeverity"
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]
},
{
"title" : "Recommend Nephrology Referral",
"documentation" : [
{
"type" : "documentation",
"display" : "National Kidney Disease Education Program",
"url" : "https://www.niddk.nih.gov/health-information/communication-programs/nkdep"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql",
"expression" : "Recommend Nephrology Referral"
}
}
],
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/action-type",
"code" : "create"
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"dynamicValue" : [
{
"path" : "action.description",
"expression" : {
"language" : "text/cql",
"expression" : "NephrologyReferralDetail"
}
},
{
"path" : "activity.extension",
"expression" : {
"language" : "text/cql",
"expression" : "NephrologyReferralSeverity"
}
}
]
}
]
}
]
}
© HL7.org (Clinical Decision Support WG). hl7.fhir.uv.cpg#0.1.0 based on FHIR v4.0.0 generated 05/08/2019.
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