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" : "va-ckd-protocol",
"meta" : {
"profile" : [
"http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-protocoldefinition"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: va-ckd-protocol</p><p><b>meta</b>: </p><p><b>url</b>: <a href=\"http://hl7.org/fhir/uv/cpg/PlanDefinition/va-ckd-protocol\">http://hl7.org/fhir/uv/cpg/PlanDefinition/va-ckd-protocol</a></p><p><b>identifier</b>: VA_CKD_Protocol (OFFICIAL)</p><p><b>version</b>: 0.1.0</p><p><b>name</b>: VA_CKD_Protocol</p><p><b>title</b>: VA CKD Protocol</p><p><b>type</b>: Clinical Protocol <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/plan-definition-type code 'clinical-protocol' = 'Clinical Protocol', given as 'Clinical Protocol'})</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>: VA CKD Protocol</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><blockquote><p><b>action</b></p><p><b>id</b>: 001</p><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\">(Details : {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process code 'history-and-physical' = 'History and Physical', given as 'History and Physical'})</span></p></blockquote><blockquote><p><b>action</b></p><p><b>id</b>: 002</p><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\">(Details : {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process code 'history-and-physical' = 'History and Physical', given as 'History and Physical'})</span></p></blockquote><blockquote><p><b>action</b></p><p><b>id</b>: 003</p><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\">(Details : {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process code 'triage' = 'Triage', given as 'Triage'})</span></p><h3>Actions</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>action</b></p><p><b>id</b>: 004</p><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\">(Details : {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process code 'determine-diagnosis' = 'Determine Diagnosis', given as 'Determine Diagnosis'})</span></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></table></blockquote></div>"
},
"url" : "http://hl7.org/fhir/uv/cpg/PlanDefinition/va-ckd-protocol",
"identifier" : [
{
"use" : "official",
"value" : "VA_CKD_Protocol"
}
],
"version" : "0.1.0",
"name" : "VA_CKD_Protocol",
"title" : "VA CKD Protocol",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
"code" : "clinical-protocol",
"display" : "Clinical Protocol"
}
]
},
"status" : "draft",
"experimental" : true,
"date" : "2019-07-27T20:00:00-04:00",
"publisher" : "HL7 FHIR Clinical Guidelines Example Artifact",
"description" : "VA CKD Protocol",
"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" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001",
"display" : "World"
}
]
}
],
"copyright" : "Copyright © Example.org 2019.",
"approvalDate" : "2019-07-28",
"lastReviewDate" : "2019-07-28",
"effectivePeriod" : {
"start" : "2019-07-28T00:00:00-04:00"
},
"topic" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/definition-topic",
"code" : "treatment",
"display" : "Treatment"
}
]
}
],
"author" : [
{
"name" : "Dave Carlson"
}
],
"action" : [
{
"id" : "001",
"title" : "History and Phyiscal",
"description" : "Obtain initial clinical information: medical history (including risk factors for kidney disease), physical examination and review existing laboratory results.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "history-and-physical",
"display" : "History and Physical"
}
]
}
]
},
{
"id" : "002",
"title" : "At-Risk Population",
"description" : "Evaluate at-risk patients for CKD: obtain SCr, eGFR, urinalysis, & spot urine UAER.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "history-and-physical",
"display" : "History and Physical"
}
]
}
]
},
{
"id" : "003",
"title" : "Urgent/Emergent Conditions",
"description" : "Does patient have an urgent or emergent condition?",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "triage",
"display" : "Triage"
}
]
}
],
"action" : [
{
"id" : "003.1",
"title" : "Refer to emergency department.",
"description" : "Refer to emergency department to manage or stabilize.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "triage",
"display" : "Triage"
}
]
}
]
}
]
},
{
"id" : "004",
"title" : "Criteria for Confirmed CKD",
"description" : "Does patient have evidence of CKD?",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "determine-diagnosis",
"display" : "Determine Diagnosis"
}
]
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql",
"expression" : "Has evidence of CKD?"
}
}
],
"action" : [
{
"id" : "004.1",
"title" : "Stages of CKD.",
"description" : "Complete clinical assessment. Determine stage of CKD.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "determine-diagnosis",
"display" : "Determine Diagnosis"
}
]
}
]
},
{
"id" : "004.2",
"title" : "Strategies to Slow Progression.",
"description" : "Establish primary etiology of CKD and treatment plan to slow progression.",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
"code" : "guideline-based-care",
"display" : "Guideline-based Care"
}
]
}
]
}
]
}
]
}
© 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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