FHIR Clinical Guidelines (v1.0.0) (STU1)

This page is part of the Clinical Guidelines (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

CKD_Risk_Screening

Formats: Narrative, XML, JSON, Turtle

Raw xml



<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="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>knowledgeCapability</b>: shareable</p><p><b>knowledgeCapability</b>: computable</p><p><b>knowledgeCapability</b>: publishable</p><p><b>knowledgeRepresentationLevel</b>: structured</p><p><b>url</b>: <code>http://hl7.org/fhir/uv/cpg/PlanDefinition/ckd-risk-screening</code></p><p><b>version</b>: 1.0.0</p><p><b>name</b>: CKD_Risk_Screening</p><p><b>title</b>: Chronic Kidney Disease (CKD) risk screening</p><p><b>type</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/plan-definition-type eca-rule}">ECA Rule</span></p><p><b>status</b>: draft</p><p><b>experimental</b>: true</p><p><b>date</b>: Jul 28, 2019 12:00:00 AM</p><p><b>publisher</b>: HL7 FHIR Clinical Guidelines Example Artifact</p><p><b>description</b>: Chronic Kidney Disease (CKD) risk screening</p><h3>UseContexts</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>jurisdiction</b>: <span title="Codes: {http://unstats.un.org/unsd/methods/m49/m49.htm 001}">World</span></p><p><b>copyright</b>: Copyright &copy; Example.org 2019.</p><p><b>approvalDate</b>: 2019-07-28</p><p><b>lastReviewDate</b>: 2019-07-28</p><p><b>effectivePeriod</b>: 2019-07-28 --&gt; (ongoing)</p><p><b>topic</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/definition-topic treatment}">Treatment</span></p><p><b>author</b>: Dave Carlson: </p><p><b>library</b>: <a href="http://hl7.org/fhir/uv/cpg/Library/CKDRiskLogic">http://hl7.org/fhir/uv/cpg/Library/CKDRiskLogic</a></p><blockquote><p><b>action</b></p><h3>Triggers</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><blockquote><p><b>condition</b></p><p><b>kind</b>: applicability</p><h3>Expressions</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Order Renal Lab Panel</p><p><b>description</b>: Order full renal lab panel, eGFR or UCAR indicates risk.</p><h3>Documentations</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><h3>Conditions</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>type</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/action-type create}">Create</span></p><p><b>definition</b>: <a href="http://hl7.org/fhir/uv/cpg/ActivityDefinition/ckd-risk-renal-lab-order">http://hl7.org/fhir/uv/cpg/ActivityDefinition/ckd-risk-renal-lab-order</a></p><h3>DynamicValues</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: 2-year Kidney Failure Risk</p><h3>Documentations</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><h3>Conditions</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><h3>DynamicValues</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: 5-year Kidney Failure Risk</p><h3>Documentations</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><h3>Conditions</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><h3>DynamicValues</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Recommend Nephrology Referral</p><h3>Documentations</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><h3>Conditions</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>type</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/action-type create}">Create</span></p><p><b>definition</b>: <a href="http://hl7.org/fhir/uv/cpg/ActivityDefinition/ckd-risk-referral-nephrology">http://hl7.org/fhir/uv/cpg/ActivityDefinition/ckd-risk-referral-nephrology</a></p><h3>DynamicValues</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></blockquote></div>
  </text>
  <extension
             url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
    <valueCode value="shareable"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
    <valueCode value="computable"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
    <valueCode value="publishable"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel">
    <valueCode value="structured"/>
  </extension>
  <url value="http://hl7.org/fhir/uv/cpg/PlanDefinition/ckd-risk-screening"/>
  <version value="1.0.0"/>
  <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="2019-07-28T00:00:00+00:00"/>
  <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="2019-07-28"/>
  </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="http://hl7.org/fhir/uv/cpg/Library/CKDRiskLogic"/>
  <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>
      <definitionCanonical
                           value="http://hl7.org/fhir/uv/cpg/ActivityDefinition/ckd-risk-renal-lab-order"/>
      <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>
      <definitionCanonical
                           value="http://hl7.org/fhir/uv/cpg/ActivityDefinition/ckd-risk-referral-nephrology"/>
      <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>