This page is part of the Clinical Guidelines (v1.0.0: STU 1) based on FHIR R4. This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
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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 "ckd-risk-screening"];
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/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 © 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><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>"
];
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/ckd-risk-screening"];
fhir:PlanDefinition.version [ fhir:value "1.0.0"];
fhir:PlanDefinition.name [ fhir:value "CKD_Risk_Screening"];
fhir:PlanDefinition.title [ fhir:value "Chronic Kidney Disease (CKD) risk screening"];
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 "Chronic Kidney Disease (CKD) risk screening"];
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:PlanDefinition.action.trigger [
fhir:index 0;
fhir:TriggerDefinition.type [ fhir:value "named-event" ];
fhir:TriggerDefinition.name [ fhir:value "patient-view" ] ];
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 or Diabetes" ] ] ];
fhir:PlanDefinition.action.action [
fhir:index 0;
fhir:PlanDefinition.action.title [ fhir:value "Order Renal Lab Panel" ];
fhir:PlanDefinition.action.description [ fhir:value "Order full renal lab panel, eGFR or UCAR indicates risk." ];
fhir:PlanDefinition.action.documentation [
fhir:index 0;
fhir:RelatedArtifact.type [ fhir:value "documentation" ];
fhir:RelatedArtifact.display [ fhir:value "NIDDK Quick Reference on UACR & GFR" ];
fhir:RelatedArtifact.url [ fhir:value "https://www.niddk.nih.gov/health-information/professionals/clinical-tools-patient-education-outreach/quick-reference-uacr-gfr" ] ];
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 "Needs eGFR Lab" ] ] ];
fhir:PlanDefinition.action.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/action-type" ];
fhir:Coding.code [ fhir:value "create" ] ] ];
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "http://hl7.org/fhir/uv/cpg/ActivityDefinition/ckd-risk-renal-lab-order";
fhir:link <http://hl7.org/fhir/uv/cpg/ActivityDefinition/ckd-risk-renal-lab-order> ];
fhir:PlanDefinition.action.dynamicValue [
fhir:index 0;
fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "action.description" ];
fhir:PlanDefinition.action.dynamicValue.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "NeedsGFRDetail" ] ] ], [
fhir:index 1;
fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "activity.extension" ];
fhir:PlanDefinition.action.dynamicValue.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "NeedsGFRSeverity" ] ] ] ], [
fhir:index 1;
fhir:PlanDefinition.action.title [ fhir:value "2-year Kidney Failure Risk" ];
fhir:PlanDefinition.action.documentation [
fhir:index 0;
fhir:RelatedArtifact.type [ fhir:value "documentation" ];
fhir:RelatedArtifact.display [ fhir:value "Kidney Failure Risk Equation" ];
fhir:RelatedArtifact.url [ fhir:value "http://kidneyfailurerisk.com/#about-the-equation" ] ];
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 Abnormal eGFR" ] ] ];
fhir:PlanDefinition.action.dynamicValue [
fhir:index 0;
fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "action.description" ];
fhir:PlanDefinition.action.dynamicValue.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "2-YearRiskDetail" ] ] ], [
fhir:index 1;
fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "activity.extension" ];
fhir:PlanDefinition.action.dynamicValue.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "2-YearRiskSeverity" ] ] ] ], [
fhir:index 2;
fhir:PlanDefinition.action.title [ fhir:value "5-year Kidney Failure Risk" ];
fhir:PlanDefinition.action.documentation [
fhir:index 0;
fhir:RelatedArtifact.type [ fhir:value "documentation" ];
fhir:RelatedArtifact.display [ fhir:value "Kidney Failure Risk Equation" ];
fhir:RelatedArtifact.url [ fhir:value "http://kidneyfailurerisk.com/#about-the-equation" ] ];
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 Abnormal eGFR" ] ] ];
fhir:PlanDefinition.action.dynamicValue [
fhir:index 0;
fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "action.description" ];
fhir:PlanDefinition.action.dynamicValue.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "5-YearRiskDetail" ] ] ], [
fhir:index 1;
fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "activity.extension" ];
fhir:PlanDefinition.action.dynamicValue.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "5-YearRiskSeverity" ] ] ] ], [
fhir:index 3;
fhir:PlanDefinition.action.title [ fhir:value "Recommend Nephrology Referral" ];
fhir:PlanDefinition.action.documentation [
fhir:index 0;
fhir:RelatedArtifact.type [ fhir:value "documentation" ];
fhir:RelatedArtifact.display [ fhir:value "National Kidney Disease Education Program" ];
fhir:RelatedArtifact.url [ fhir:value "https://www.niddk.nih.gov/health-information/communication-programs/nkdep" ] ];
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 "Recommend Nephrology Referral" ] ] ];
fhir:PlanDefinition.action.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/action-type" ];
fhir:Coding.code [ fhir:value "create" ] ] ];
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "http://hl7.org/fhir/uv/cpg/ActivityDefinition/ckd-risk-referral-nephrology";
fhir:link <http://hl7.org/fhir/uv/cpg/ActivityDefinition/ckd-risk-referral-nephrology> ];
fhir:PlanDefinition.action.dynamicValue [
fhir:index 0;
fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "action.description" ];
fhir:PlanDefinition.action.dynamicValue.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "NephrologyReferralDetail" ] ] ], [
fhir:index 1;
fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "activity.extension" ];
fhir:PlanDefinition.action.dynamicValue.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "NephrologyReferralSeverity" ] ] ] ]
].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.