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

VA_CKD_Protocol

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Raw xml



<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="va-ckd-protocol"/>
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    <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 &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><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, &amp; 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>
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  <url value="http://hl7.org/fhir/uv/cpg/PlanDefinition/va-ckd-protocol"/>
  <identifier>
    <use value="official"/>
    <value value="VA_CKD_Protocol"/>
  </identifier>
  <version value="1.0.0"/>
  <name value="VA_CKD_Protocol"/>
  <title value="VA CKD Protocol"/>
  <type>
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      <system value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
      <code value="clinical-protocol"/>
      <display value="Clinical Protocol"/>
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  <status value="draft"/>
  <experimental value="true"/>
  <date value="2019-07-28T00:00:00+00:00"/>
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  <description value="VA CKD Protocol"/>
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        <code value="709044004"/>
        <display value="Chronic kidney disease (disorder)"/>
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  <copyright value="Copyright © Example.org 2019."/>
  <approvalDate value="2019-07-28"/>
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  <author>
    <name value="Dave Carlson"/>
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    <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>
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        <code value="history-and-physical"/>
        <display value="History and Physical"/>
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  </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>
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    <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"/>
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    </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>