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

CKD_Risk_Screening


<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="ckd-risk-screening"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"/>
  </meta>
  <text>
    <status value="generated"/>
    <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 --&gt; (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>
  </text>
  <url value="http://hl7.org/fhir/uv/cpg/PlanDefinition/ckd-risk-screening"/>
  <version value="0.1.0"/>
  <name value="CKD_Risk_Screening"/>
  <title value="Chronic Kidney Disease (CKD) risk screening"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
      <code value="eca-rule"/>
      <display value="ECA Rule"/>
    </coding>
  </type>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2019-07-27T20:00:00-04:00"/>
  <publisher value="HL7 FHIR Clinical Guidelines Example Artifact"/>
  <description value="Chronic Kidney Disease (CKD) risk screening"/>
  <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>
  <copyright value="Copyright © Example.org 2019."/>
  <approvalDate value="2019-07-28"/>
  <lastReviewDate value="2019-07-28"/>
  <effectivePeriod>
    <start value="2019-07-28T00:00:00-04:00"/>
  </effectivePeriod>
  <topic>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/definition-topic"/>
      <code value="treatment"/>
      <display value="Treatment"/>
    </coding>
  </topic>
  <author>
    <name value="Dave Carlson"/>
  </author>
  <library value="Library/ckd-risk-recommendations"/>
  <action>
    <trigger>
      <type value="named-event"/>
      <name value="patient-view"/>
    </trigger>
    <condition>
      <kind value="applicability"/>
      <expression>
        <language value="text/cql"/>
        <expression value="Has CKD or Diabetes"/>
      </expression>
    </condition>
    <action>
      <title value="Order Renal Lab Panel"/>
      <description
                   value="Order full renal lab panel, eGFR or UCAR indicates risk."/>
      <documentation>
        <type value="documentation"/>
        <display value="NIDDK Quick Reference on UACR &amp; GFR"/>
        <url
             value="https://www.niddk.nih.gov/health-information/professionals/clinical-tools-patient-education-outreach/quick-reference-uacr-gfr"/>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <expression>
          <language value="text/cql"/>
          <expression value="Needs eGFR Lab"/>
        </expression>
      </condition>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/action-type"/>
          <code value="create"/>
        </coding>
      </type>
      <dynamicValue>
        <path value="action.description"/>
        <expression>
          <language value="text/cql"/>
          <expression value="NeedsGFRDetail"/>
        </expression>
      </dynamicValue>
      <dynamicValue>
        <path value="activity.extension"/>
        <expression>
          <language value="text/cql"/>
          <expression value="NeedsGFRSeverity"/>
        </expression>
      </dynamicValue>
    </action>
    <action>
      <title value="2-year Kidney Failure Risk"/>
      <documentation>
        <type value="documentation"/>
        <display value="Kidney Failure Risk Equation"/>
        <url value="http://kidneyfailurerisk.com/#about-the-equation"/>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <expression>
          <language value="text/cql"/>
          <expression value="Has Abnormal eGFR"/>
        </expression>
      </condition>
      <dynamicValue>
        <path value="action.description"/>
        <expression>
          <language value="text/cql"/>
          <expression value="2-YearRiskDetail"/>
        </expression>
      </dynamicValue>
      <dynamicValue>
        <path value="activity.extension"/>
        <expression>
          <language value="text/cql"/>
          <expression value="2-YearRiskSeverity"/>
        </expression>
      </dynamicValue>
    </action>
    <action>
      <title value="5-year Kidney Failure Risk"/>
      <documentation>
        <type value="documentation"/>
        <display value="Kidney Failure Risk Equation"/>
        <url value="http://kidneyfailurerisk.com/#about-the-equation"/>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <expression>
          <language value="text/cql"/>
          <expression value="Has Abnormal eGFR"/>
        </expression>
      </condition>
      <dynamicValue>
        <path value="action.description"/>
        <expression>
          <language value="text/cql"/>
          <expression value="5-YearRiskDetail"/>
        </expression>
      </dynamicValue>
      <dynamicValue>
        <path value="activity.extension"/>
        <expression>
          <language value="text/cql"/>
          <expression value="5-YearRiskSeverity"/>
        </expression>
      </dynamicValue>
    </action>
    <action>
      <title value="Recommend Nephrology Referral"/>
      <documentation>
        <type value="documentation"/>
        <display value="National Kidney Disease Education Program"/>
        <url
             value="https://www.niddk.nih.gov/health-information/communication-programs/nkdep"/>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <expression>
          <language value="text/cql"/>
          <expression value="Recommend Nephrology Referral"/>
        </expression>
      </condition>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/action-type"/>
          <code value="create"/>
        </coding>
      </type>
      <dynamicValue>
        <path value="action.description"/>
        <expression>
          <language value="text/cql"/>
          <expression value="NephrologyReferralDetail"/>
        </expression>
      </dynamicValue>
      <dynamicValue>
        <path value="activity.extension"/>
        <expression>
          <language value="text/cql"/>
          <expression value="NephrologyReferralSeverity"/>
        </expression>
      </dynamicValue>
    </action>
  </action>
</PlanDefinition>