Clinical Practice Guidelines Example Implementation Guide - Chronic Kidney Disease
1.0.0 - ci-build
Clinical Practice Guidelines Example Implementation Guide - Chronic Kidney Disease
1.0.0 - ci-build
Clinical Practice Guidelines Example Implementation Guide - Chronic Kidney Disease - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://cqframework.org/cpg-example-ckd/ActivityDefinition/cc-cpg-activity-ultrasound-renal | Version: 1.0.0 | |||
| Active as of 2024-11-18 | Computable Name: UltrasoundRenalHistory | |||
Ultrasound, Renal; History: [add diagnosis, symptom(s)]; Question: [add reason for exam]
Generated Narrative: ActivityDefinition cc-cpg-activity-ultrasound-renal
CQF Knowledge capability: shareable
CQF Knowledge capability: computable
CQF Knowledge capability: publishable
CQF knowledge representation level: structured
version: 1.0.0
name: UltrasoundRenalHistory
title: Ultrasound, Renal; History: [add diagnosis, symptom(s)]; Question: [add reason for exam]
status: Active
experimental: true
date: 2024-11-18 18:20:09+0000
publisher: HL7 International - Clinical Decision Support WG
contact: HL7 International - Clinical Decision Support WG: http://www.hl7.org/Special/committees/dss/index.cfm
description:
Ultrasound, Renal; History: [add diagnosis, symptom(s)]; Question: [add reason for exam]
jurisdiction: World
relatedArtifact
type: Justification
display: Renal ultrasonography Perform ultrasonography to detect structural abnormalities when routine evaluation and urinalysis are inconclusive or to distinguish between acute and chronic kidney disease Small hyperechoic kidneys, cysts, or lesions are irregularities associated with chronic kidney disease Ultrasonography will also detect presence of stones, cysts, or masses that can affect renal function Diagnosis of chronic kidney disease requires abnormalities persisting beyond 3 months Differential Diagnosis Renal artery stenosis Narrowing of the renal arteries resulting in loss of kidney function and blood pressure alteration Both renal artery stenosis and chronic kidney disease present with hypertension and reduced GFR Although also a cause of chronic kidney disease, renal artery stenosis (usually from atherosclerosis) is present before the development of kidney disease Renal bruit is indicative of renal artery stenosis Duplex ultrasonography can identify blockage in the renal artery and high velocity flow rate, indicative of renal artery stenosis Neoplasm Neoplasm of the kidney is a tumor growth in the renal cells Both diseases present with RBCs in urine Neoplasia can be differentiated by detecting tumor mass on kidney Contrast-enhanced CT scanning or ultrasonography can identify renal neoplasias, which can then be further evaluated with MRI
citation:
Chronic Kidney Disease Clinical Overview. ClinicalKey. Source
Documents
Url http://himss19.ordersetsmanager.com/evidenceviewer/#/7CBBBE9B75E10232E05352E3610A5325/7CBBBE9B75D50232E05352E3610A5325
kind: ServiceRequest
code: Ultrasound of bilateral kidneys
timing: Events: ??
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| Practitioner |