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 
Formats: Narrative, XML, JSON, Turtle
Raw ttl
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:PlanDefinition;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "va-ckd-protocol"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pathwaydefinition";
fhir:index 0;
fhir:link <http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pathwaydefinition> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ];
fhir:Narrative.div "<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/va-ckd-protocol</code></p><p><b>identifier</b>: id: VA_CKD_Protocol (OFFICIAL)</p><p><b>version</b>: 1.0.0</p><p><b>name</b>: VA_CKD_Protocol</p><p><b>title</b>: VA CKD Protocol</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/plan-definition-type clinical-protocol}\">Clinical Protocol</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>: VA CKD Protocol</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 © 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 --> (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><blockquote><p><b>action</b></p><h3>Ids</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><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>: <span title=\"Codes: {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process history-and-physical}\">History and Physical</span></p></blockquote><blockquote><p><b>action</b></p><h3>Ids</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><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>: <span title=\"Codes: {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process history-and-physical}\">History and Physical</span></p></blockquote><blockquote><p><b>action</b></p><h3>Ids</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><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>: <span title=\"Codes: {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process triage}\">Triage</span></p><blockquote><p><b>action</b></p><h3>Ids</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>title</b>: Refer to emergency department.</p><p><b>description</b>: Refer to emergency department to manage or stabilize.</p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process triage}\">Triage</span></p></blockquote></blockquote><blockquote><p><b>action</b></p><h3>Ids</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>title</b>: Criteria for Confirmed CKD</p><p><b>description</b>: Does patient have evidence of CKD?</p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process determine-diagnosis}\">Determine Diagnosis</span></p><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><h3>Ids</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>title</b>: Stages of CKD.</p><p><b>description</b>: Complete clinical assessment. Determine stage of CKD.</p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process determine-diagnosis}\">Determine Diagnosis</span></p></blockquote><blockquote><p><b>action</b></p><h3>Ids</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>title</b>: Strategies to Slow Progression.</p><p><b>description</b>: Establish primary etiology of CKD and treatment plan to slow progression.</p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process guideline-based-care}\">Guideline-based Care</span></p></blockquote></blockquote></div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability" ];
fhir:Extension.valueCode [ fhir:value "shareable" ]
], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability" ];
fhir:Extension.valueCode [ fhir:value "computable" ]
], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability" ];
fhir:Extension.valueCode [ fhir:value "publishable" ]
], [
fhir:index 3;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel" ];
fhir:Extension.valueCode [ fhir:value "structured" ]
];
fhir:PlanDefinition.url [ fhir:value "http://hl7.org/fhir/uv/cpg/PlanDefinition/va-ckd-protocol"];
fhir:PlanDefinition.identifier [
fhir:index 0;
fhir:Identifier.use [ fhir:value "official" ];
fhir:Identifier.value [ fhir:value "VA_CKD_Protocol" ]
];
fhir:PlanDefinition.version [ fhir:value "1.0.0"];
fhir:PlanDefinition.name [ fhir:value "VA_CKD_Protocol"];
fhir:PlanDefinition.title [ fhir:value "VA CKD Protocol"];
fhir:PlanDefinition.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/plan-definition-type" ];
fhir:Coding.code [ fhir:value "clinical-protocol" ];
fhir:Coding.display [ fhir:value "Clinical Protocol" ] ]
];
fhir:PlanDefinition.status [ fhir:value "draft"];
fhir:PlanDefinition.experimental [ fhir:value "true"^^xsd:boolean];
fhir:PlanDefinition.date [ fhir:value "2019-07-28T00:00:00+00:00"^^xsd:dateTime];
fhir:PlanDefinition.publisher [ fhir:value "HL7 FHIR Clinical Guidelines Example Artifact"];
fhir:PlanDefinition.description [ fhir:value "VA CKD Protocol"];
fhir:PlanDefinition.useContext [
fhir:index 0;
fhir:UsageContext.code [
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
fhir:Coding.code [ fhir:value "focus" ];
fhir:Coding.display [ fhir:value "Clinical Focus" ] ];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:709044004;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "709044004" ];
fhir:Coding.display [ fhir:value "Chronic kidney disease (disorder)" ] ] ]
];
fhir:PlanDefinition.jurisdiction [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ];
fhir:Coding.code [ fhir:value "001" ];
fhir:Coding.display [ fhir:value "World" ] ]
];
fhir:PlanDefinition.copyright [ fhir:value "Copyright © Example.org 2019."];
fhir:PlanDefinition.approvalDate [ fhir:value "2019-07-28"^^xsd:date];
fhir:PlanDefinition.lastReviewDate [ fhir:value "2019-07-28"^^xsd:date];
fhir:PlanDefinition.effectivePeriod [
fhir:Period.start [ fhir:value "2019-07-28"^^xsd:date ]
];
fhir:PlanDefinition.topic [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/definition-topic" ];
fhir:Coding.code [ fhir:value "treatment" ];
fhir:Coding.display [ fhir:value "Treatment" ] ]
];
fhir:PlanDefinition.author [
fhir:index 0;
fhir:ContactDetail.name [ fhir:value "Dave Carlson" ]
];
fhir:PlanDefinition.action [
fhir:index 0;
fhir:Element.id [ fhir:value "001" ];
fhir:PlanDefinition.action.title [ fhir:value "History and Phyiscal" ];
fhir:PlanDefinition.action.description [ fhir:value "Obtain initial clinical information: medical history (including risk factors for kidney disease), physical examination and review existing laboratory results." ];
fhir:PlanDefinition.action.code [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
fhir:Coding.code [ fhir:value "history-and-physical" ];
fhir:Coding.display [ fhir:value "History and Physical" ] ] ]
], [
fhir:index 1;
fhir:Element.id [ fhir:value "002" ];
fhir:PlanDefinition.action.title [ fhir:value "At-Risk Population" ];
fhir:PlanDefinition.action.description [ fhir:value "Evaluate at-risk patients for CKD: obtain SCr, eGFR, urinalysis, & spot urine UAER." ];
fhir:PlanDefinition.action.code [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
fhir:Coding.code [ fhir:value "history-and-physical" ];
fhir:Coding.display [ fhir:value "History and Physical" ] ] ]
], [
fhir:index 2;
fhir:Element.id [ fhir:value "003" ];
fhir:PlanDefinition.action.title [ fhir:value "Urgent/Emergent Conditions" ];
fhir:PlanDefinition.action.description [ fhir:value "Does patient have an urgent or emergent condition?" ];
fhir:PlanDefinition.action.code [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
fhir:Coding.code [ fhir:value "triage" ];
fhir:Coding.display [ fhir:value "Triage" ] ] ];
fhir:PlanDefinition.action.action [
fhir:index 0;
fhir:Element.id [ fhir:value "003.1" ];
fhir:PlanDefinition.action.title [ fhir:value "Refer to emergency department." ];
fhir:PlanDefinition.action.description [ fhir:value "Refer to emergency department to manage or stabilize." ];
fhir:PlanDefinition.action.code [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
fhir:Coding.code [ fhir:value "triage" ];
fhir:Coding.display [ fhir:value "Triage" ] ] ] ]
], [
fhir:index 3;
fhir:Element.id [ fhir:value "004" ];
fhir:PlanDefinition.action.title [ fhir:value "Criteria for Confirmed CKD" ];
fhir:PlanDefinition.action.description [ fhir:value "Does patient have evidence of CKD?" ];
fhir:PlanDefinition.action.code [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
fhir:Coding.code [ fhir:value "determine-diagnosis" ];
fhir:Coding.display [ fhir:value "Determine Diagnosis" ] ] ];
fhir:PlanDefinition.action.condition [
fhir:index 0;
fhir:PlanDefinition.action.condition.kind [ fhir:value "applicability" ];
fhir:PlanDefinition.action.condition.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "Has evidence of CKD?" ] ] ];
fhir:PlanDefinition.action.action [
fhir:index 0;
fhir:Element.id [ fhir:value "004.1" ];
fhir:PlanDefinition.action.title [ fhir:value "Stages of CKD." ];
fhir:PlanDefinition.action.description [ fhir:value "Complete clinical assessment. Determine stage of CKD." ];
fhir:PlanDefinition.action.code [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
fhir:Coding.code [ fhir:value "determine-diagnosis" ];
fhir:Coding.display [ fhir:value "Determine Diagnosis" ] ] ] ], [
fhir:index 1;
fhir:Element.id [ fhir:value "004.2" ];
fhir:PlanDefinition.action.title [ fhir:value "Strategies to Slow Progression." ];
fhir:PlanDefinition.action.description [ fhir:value "Establish primary etiology of CKD and treatment plan to slow progression." ];
fhir:PlanDefinition.action.code [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
fhir:Coding.code [ fhir:value "guideline-based-care" ];
fhir:Coding.display [ fhir:value "Guideline-based Care" ] ] ] ]
].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.
© HL7.org (Clinical Decision Support WG). hl7.fhir.uv.cpg#1.0.0 based on FHIR v4.0.1. Generated 2021-02-11.
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