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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{
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  "id" : "va-ckd-protocol",
  "meta" : {
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    "status" : "extensions",
    "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 &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" : "http://hl7.org/fhir/uv/cpg/PlanDefinition/va-ckd-protocol",
  "identifier" : [
    {
      "use" : "official",
      "value" : "VA_CKD_Protocol"
    }
  ],
  "version" : "1.0.0",
  "name" : "VA_CKD_Protocol",
  "title" : "VA CKD Protocol",
  "type" : {
    "coding" : [
      {
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        "code" : "clinical-protocol",
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  "experimental" : true,
  "date" : "2019-07-28T00:00:00+00:00",
  "publisher" : "HL7 FHIR Clinical Guidelines Example Artifact",
  "description" : "VA CKD Protocol",
  "useContext" : [
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        "code" : "focus",
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      "valueCodeableConcept" : {
        "coding" : [
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            "system" : "http://snomed.info/sct",
            "code" : "709044004",
            "display" : "Chronic kidney disease (disorder)"
          }
        ]
      }
    }
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  "copyright" : "Copyright © Example.org 2019.",
  "approvalDate" : "2019-07-28",
  "lastReviewDate" : "2019-07-28",
  "effectivePeriod" : {
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  "topic" : [
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    }
  ],
  "author" : [
    {
      "name" : "Dave Carlson"
    }
  ],
  "action" : [
    {
      "id" : "001",
      "title" : "History and Phyiscal",
      "description" : "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" : "history-and-physical",
              "display" : "History and Physical"
            }
          ]
        }
      ]
    },
    {
      "id" : "002",
      "title" : "At-Risk Population",
      "description" : "Evaluate at-risk patients for CKD: obtain SCr, eGFR, urinalysis, & spot urine UAER.",
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
              "code" : "history-and-physical",
              "display" : "History and Physical"
            }
          ]
        }
      ]
    },
    {
      "id" : "003",
      "title" : "Urgent/Emergent Conditions",
      "description" : "Does patient have an urgent or emergent condition?",
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
              "code" : "triage",
              "display" : "Triage"
            }
          ]
        }
      ],
      "action" : [
        {
          "id" : "003.1",
          "title" : "Refer to emergency department.",
          "description" : "Refer to emergency department to manage or stabilize.",
          "code" : [
            {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
                  "code" : "triage",
                  "display" : "Triage"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "id" : "004",
      "title" : "Criteria for Confirmed CKD",
      "description" : "Does patient have evidence of CKD?",
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
              "code" : "determine-diagnosis",
              "display" : "Determine Diagnosis"
            }
          ]
        }
      ],
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "language" : "text/cql",
            "expression" : "Has evidence of CKD?"
          }
        }
      ],
      "action" : [
        {
          "id" : "004.1",
          "title" : "Stages of CKD.",
          "description" : "Complete clinical assessment. Determine stage of CKD.",
          "code" : [
            {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
                  "code" : "determine-diagnosis",
                  "display" : "Determine Diagnosis"
                }
              ]
            }
          ]
        },
        {
          "id" : "004.2",
          "title" : "Strategies to Slow Progression.",
          "description" : "Establish primary etiology of CKD and treatment plan to slow progression.",
          "code" : [
            {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
                  "code" : "guideline-based-care",
                  "display" : "Guideline-based Care"
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              ]
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          ]
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}