VA_CKD_Protocol

<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="va-ckd-protocol"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-protocoldefinition"/>
  </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>: 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 --&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><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, &amp; 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>
  </text>
  <url value="http://hl7.org/fhir/uv/cpg/PlanDefinition/va-ckd-protocol"/>
  <identifier>
    <use value="official"/>
    <value value="VA_CKD_Protocol"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="VA_CKD_Protocol"/>
  <title value="VA CKD Protocol"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
      <code value="clinical-protocol"/>
      <display value="Clinical Protocol"/>
    </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="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>
  <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>
  <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"/>
        <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, &amp; spot urine UAER."/>
    <code>
      <coding>
        <system value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process"/>
        <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"/>
        <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"/>
          <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"/>
        <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"/>
          <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"/>
          <code value="guideline-based-care"/>
          <display value="Guideline-based Care"/>
        </coding>
      </code>
    </action>
  </action>
</PlanDefinition>