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_Recommendations

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-recommendations"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition>     ]
  ];
  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-recommendations</code></p><p><b>identifier</b>: id: VA_CKD_Recommendations (OFFICIAL)</p><p><b>version</b>: 1.0.0</p><p><b>name</b>: VA_CKD_Recommendations</p><p><b>title</b>: VA CKD Recommendations</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>: VA CKD Recommendations</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>Ids</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>strengthOfRecommendation</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/recommendation-strength weak}\">Weak</span></p><p><b>directionOfRecommendation</b>: <span title=\"Codes: {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-recommendation-direction for}\">For</span></p><p><b>title</b>: CKD Protein Diet</p><p><b>description</b>: In patients with stage 3 and 4 CKD, we suggest a protein diet of 0.6 to 0.8 g/kg/day as it may slow the decline in glomerular filtration rate (GFR) and progression to end-stage renal disease (ESRD).</p><h3>Documentations</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></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-recommendations"];
  fhir:PlanDefinition.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.value [ fhir:value "VA_CKD_Recommendations" ]
  ];
  fhir:PlanDefinition.version [ fhir:value "1.0.0"];
  fhir:PlanDefinition.name [ fhir:value "VA_CKD_Recommendations"];
  fhir:PlanDefinition.title [ fhir:value "VA CKD Recommendations"];
  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 "eca-rule" ];
       fhir:Coding.display [ fhir:value "ECA Rule" ]     ]
  ];
  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 Recommendations"];
  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.library [
     fhir:value "http://hl7.org/fhir/uv/cpg/Library/CKDRiskLogic";
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/uv/cpg/Library/CKDRiskLogic>
  ];
  fhir:PlanDefinition.action [
     fhir:index 0;
     fhir:Element.id [ fhir:value "001" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/recommendation-strength" ];
           fhir:Coding.code [ fhir:value "weak" ];
           fhir:Coding.display [ fhir:value "Weak" ]         ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-directionOfRecommendation" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-recommendation-direction" ];
           fhir:Coding.code [ fhir:value "for" ];
           fhir:Coding.display [ fhir:value "For" ]         ]       ]     ];
     fhir:PlanDefinition.action.title [ fhir:value "CKD Protein Diet" ];
     fhir:PlanDefinition.action.description [ fhir:value "In patients with stage 3 and 4 CKD, we suggest a protein diet of 0.6 to 0.8 g/kg/day as it may slow the decline in glomerular filtration rate (GFR) and progression to end-stage renal disease (ESRD)." ];
     fhir:PlanDefinition.action.documentation [
       fhir:index 0;
       fhir:RelatedArtifact.type [ fhir:value "documentation" ];
       fhir:RelatedArtifact.display [ fhir:value "VA/DoD Clinical Practice Guideline for The management of Chronic Kidney Disease in Primary care" ];
       fhir:RelatedArtifact.url [ fhir:value "http://www.healthquality.va.gov" ]     ];
     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 CKD stage 3 or 4" ]       ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.