Chronic Kidney Disease (CKD) risk screening Plan Definition - XML Representation - Clinical Practice Guidelines Example Implementation Guide

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: Chronic Kidney Disease (CKD) risk screening Plan Definition - XML Representation

Active as of 2024-11-18
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<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="ckd-risk-screening"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: PlanDefinition ckd-risk-screening</b></p><a name="ckd-risk-screening"> </a><a name="hcckd-risk-screening"> </a><a name="ckd-risk-screening-en-US"> </a><p><b>CQF Knowledge capability</b>: shareable</p><p><b>CQF Knowledge capability</b>: computable</p><p><b>CQF Knowledge capability</b>: publishable</p><p><b>CQF knowledge representation level</b>: structured</p><p><b>url</b>: <a href="PlanDefinition-ckd-risk-screening.html">PlanDefinition Chronic Kidney Disease (CKD) risk screening Plan Definition</a></p><p><b>version</b>: 1.0.0</p><p><b>name</b>: CKDRiskScreening</p><p><b>title</b>: Chronic Kidney Disease (CKD) risk screening Plan Definition</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>: Active</p><p><b>experimental</b>: true</p><p><b>date</b>: 2024-11-18 18:20:09+0000</p><p><b>publisher</b>: HL7 International - Clinical Decision Support WG</p><p><b>contact</b>: HL7 International - Clinical Decision Support WG: <a href="http://www.hl7.org/Special/committees/dss/index.cfm">http://www.hl7.org/Special/committees/dss/index.cfm</a></p><p><b>description</b>: </p><div><p>Chronic Kidney Disease (CKD) risk screening</p>
</div><h3>UseContexts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td><a href="http://terminology.hl7.org/6.0.2/CodeSystem-usage-context-type.html#usage-context-type-focus">UsageContextType focus</a>: Clinical Focus</td><td><span title="Codes:{http://snomed.info/sct 709044004}">Chronic kidney disease (disorder)</span></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>topic</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/definition-topic treatment}">Treatment</span></p><p><b>library</b>: <a href="Library-CKDRiskLogic.html">Chronic Kidney Disease (CKD) risk screening logic</a></p><blockquote><p><b>action</b></p><h3>Triggers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Name</b></td></tr><tr><td style="display: none">*</td><td>Named Event</td><td>patient-view</td></tr></table><blockquote><p><b>condition</b></p><p><b>kind</b>: Applicability</p><h3>Expressions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>CQL</td><td>Has CKD or Diabetes</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><blockquote><p><b>documentation</b></p><p><b>type</b>: Documentation</p><p><b>display</b>: NIDDK Quick Reference on UACR &amp; GFR</p><p><b>url</b>: <a href="https://www.niddk.nih.gov/health-information/professionals/clinical-tools-patient-education-outreach/quick-reference-uacr-gfr">https://www.niddk.nih.gov/health-information/professionals/clinical-tools-patient-education-outreach/quick-reference-uacr-gfr</a></p><h3>Documents</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Url</b></td></tr><tr><td style="display: none">*</td><td><a href="https://www.niddk.nih.gov/health-information/professionals/clinical-tools-patient-education-outreach/quick-reference-uacr-gfr">https://www.niddk.nih.gov/health-information/professionals/clinical-tools-patient-education-outreach/quick-reference-uacr-gfr</a></td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: Applicability</p><h3>Expressions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>CQL</td><td>Needs eGFR Lab</td></tr></table></blockquote><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/action-type create}">Create</span></p><p><b>definition</b>: <a href="ActivityDefinition-ckd-risk-renal-lab-order.html">Order Renal Lab Panel Activity Definition</a></p><blockquote><p><b>dynamicValue</b></p><p><b>path</b>: action.description</p><h3>Expressions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>CQL</td><td>NeedsGFRDetail</td></tr></table></blockquote><blockquote><p><b>dynamicValue</b></p><p><b>path</b>: activity.extension</p><h3>Expressions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>CQL</td><td>NeedsGFRSeverity</td></tr></table></blockquote></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: 2-year Kidney Failure Risk</p><blockquote><p><b>documentation</b></p><p><b>type</b>: Documentation</p><p><b>display</b>: Kidney Failure Risk Equation</p><p><b>url</b>: <a href="http://kidneyfailurerisk.com/#about-the-equation">http://kidneyfailurerisk.com/#about-the-equation</a></p><h3>Documents</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Url</b></td></tr><tr><td style="display: none">*</td><td><a href="http://kidneyfailurerisk.com/#about-the-equation">http://kidneyfailurerisk.com/#about-the-equation</a></td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: Applicability</p><h3>Expressions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>CQL</td><td>Has Abnormal eGFR</td></tr></table></blockquote><blockquote><p><b>dynamicValue</b></p><p><b>path</b>: action.description</p><h3>Expressions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>CQL</td><td>2-YearRiskDetail</td></tr></table></blockquote><blockquote><p><b>dynamicValue</b></p><p><b>path</b>: activity.extension</p><h3>Expressions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>CQL</td><td>2-YearRiskSeverity</td></tr></table></blockquote></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: 5-year Kidney Failure Risk</p><blockquote><p><b>documentation</b></p><p><b>type</b>: Documentation</p><p><b>display</b>: Kidney Failure Risk Equation</p><p><b>url</b>: <a href="http://kidneyfailurerisk.com/#about-the-equation">http://kidneyfailurerisk.com/#about-the-equation</a></p><h3>Documents</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Url</b></td></tr><tr><td style="display: none">*</td><td><a href="http://kidneyfailurerisk.com/#about-the-equation">http://kidneyfailurerisk.com/#about-the-equation</a></td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: Applicability</p><h3>Expressions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>CQL</td><td>Has Abnormal eGFR</td></tr></table></blockquote><blockquote><p><b>dynamicValue</b></p><p><b>path</b>: action.description</p><h3>Expressions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>CQL</td><td>5-YearRiskDetail</td></tr></table></blockquote><blockquote><p><b>dynamicValue</b></p><p><b>path</b>: activity.extension</p><h3>Expressions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>CQL</td><td>5-YearRiskSeverity</td></tr></table></blockquote></blockquote><blockquote><p><b>action</b></p><p><b>title</b>: Recommend Nephrology Referral</p><blockquote><p><b>documentation</b></p><p><b>type</b>: Documentation</p><p><b>display</b>: National Kidney Disease Education Program</p><p><b>url</b>: <a href="https://www.niddk.nih.gov/health-information/communication-programs/nkdep">https://www.niddk.nih.gov/health-information/communication-programs/nkdep</a></p><h3>Documents</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Url</b></td></tr><tr><td style="display: none">*</td><td><a href="https://www.niddk.nih.gov/health-information/communication-programs/nkdep">https://www.niddk.nih.gov/health-information/communication-programs/nkdep</a></td></tr></table></blockquote><blockquote><p><b>condition</b></p><p><b>kind</b>: Applicability</p><h3>Expressions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>CQL</td><td>Recommend Nephrology Referral</td></tr></table></blockquote><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/action-type create}">Create</span></p><p><b>definition</b>: <a href="ActivityDefinition-ckd-risk-referral-nephrology.html">Referral to Nephrologist Activity Definition</a></p><blockquote><p><b>dynamicValue</b></p><p><b>path</b>: action.description</p><h3>Expressions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>CQL</td><td>NephrologyReferralDetail</td></tr></table></blockquote><blockquote><p><b>dynamicValue</b></p><p><b>path</b>: activity.extension</p><h3>Expressions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style="display: none">*</td><td>CQL</td><td>NephrologyReferralSeverity</td></tr></table></blockquote></blockquote></blockquote></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability">
    <valueCode value="shareable"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability">
    <valueCode value="computable"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability">
    <valueCode value="publishable"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel">
    <valueCode value="structured"/>
  </extension>
  <url
       value="http://cqframework.org/cpg-example-ckd/PlanDefinition/ckd-risk-screening"/>
  <version value="1.0.0"/>
  <name value="CKDRiskScreening"/>
  <title value="Chronic Kidney Disease (CKD) risk screening Plan Definition"/>
  <type>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
      <code value="eca-rule"/>
      <display value="ECA Rule"/>
    </coding>
  </type>
  <status value="active"/>
  <experimental value="true"/>
  <date value="2024-11-18T18:20:09+00:00"/>
  <publisher value="HL7 International - Clinical Decision Support WG"/>
  <contact>
    <name value="HL7 International - Clinical Decision Support WG"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/dss/index.cfm"/>
    </telecom>
  </contact>
  <description value="Chronic Kidney Disease (CKD) risk screening"/>
  <useContext>
    <code>
      <system
              value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
      <code value="focus"/>
      <display value="Clinical Focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="709044004"/>
        <display value="Chronic kidney disease (disorder)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <topic>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/definition-topic"/>
      <code value="treatment"/>
      <display value="Treatment"/>
    </coding>
  </topic>
  <library
           value="http://cqframework.org/cpg-example-ckd/Library/CKDRiskLogic"/>
  <action>
    <trigger>
      <type value="named-event"/>
      <name value="patient-view"/>
    </trigger>
    <condition>
      <kind value="applicability"/>
      <expression>
        <language value="text/cql"/>
        <expression value="Has CKD or Diabetes"/>
      </expression>
    </condition>
    <action>
      <title value="Order Renal Lab Panel"/>
      <description
                   value="Order full renal lab panel, eGFR or UCAR indicates risk."/>
      <documentation>
        <type value="documentation"/>
        <display value="NIDDK Quick Reference on UACR &amp; GFR"/>
        <url
             value="https://www.niddk.nih.gov/health-information/professionals/clinical-tools-patient-education-outreach/quick-reference-uacr-gfr"/>
        <document>
          <url
               value="https://www.niddk.nih.gov/health-information/professionals/clinical-tools-patient-education-outreach/quick-reference-uacr-gfr"/>
        </document>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <expression>
          <language value="text/cql"/>
          <expression value="Needs eGFR Lab"/>
        </expression>
      </condition>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/action-type"/>
          <code value="create"/>
        </coding>
      </type>
      <definitionCanonical
                           value="http://cqframework.org/cpg-example-ckd/ActivityDefinition/ckd-risk-renal-lab-order"/>
      <dynamicValue>
        <path value="action.description"/>
        <expression>
          <language value="text/cql"/>
          <expression value="NeedsGFRDetail"/>
        </expression>
      </dynamicValue>
      <dynamicValue>
        <path value="activity.extension"/>
        <expression>
          <language value="text/cql"/>
          <expression value="NeedsGFRSeverity"/>
        </expression>
      </dynamicValue>
    </action>
    <action>
      <title value="2-year Kidney Failure Risk"/>
      <documentation>
        <type value="documentation"/>
        <display value="Kidney Failure Risk Equation"/>
        <url value="http://kidneyfailurerisk.com/#about-the-equation"/>
        <document>
          <url value="http://kidneyfailurerisk.com/#about-the-equation"/>
        </document>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <expression>
          <language value="text/cql"/>
          <expression value="Has Abnormal eGFR"/>
        </expression>
      </condition>
      <dynamicValue>
        <path value="action.description"/>
        <expression>
          <language value="text/cql"/>
          <expression value="2-YearRiskDetail"/>
        </expression>
      </dynamicValue>
      <dynamicValue>
        <path value="activity.extension"/>
        <expression>
          <language value="text/cql"/>
          <expression value="2-YearRiskSeverity"/>
        </expression>
      </dynamicValue>
    </action>
    <action>
      <title value="5-year Kidney Failure Risk"/>
      <documentation>
        <type value="documentation"/>
        <display value="Kidney Failure Risk Equation"/>
        <url value="http://kidneyfailurerisk.com/#about-the-equation"/>
        <document>
          <url value="http://kidneyfailurerisk.com/#about-the-equation"/>
        </document>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <expression>
          <language value="text/cql"/>
          <expression value="Has Abnormal eGFR"/>
        </expression>
      </condition>
      <dynamicValue>
        <path value="action.description"/>
        <expression>
          <language value="text/cql"/>
          <expression value="5-YearRiskDetail"/>
        </expression>
      </dynamicValue>
      <dynamicValue>
        <path value="activity.extension"/>
        <expression>
          <language value="text/cql"/>
          <expression value="5-YearRiskSeverity"/>
        </expression>
      </dynamicValue>
    </action>
    <action>
      <title value="Recommend Nephrology Referral"/>
      <documentation>
        <type value="documentation"/>
        <display value="National Kidney Disease Education Program"/>
        <url
             value="https://www.niddk.nih.gov/health-information/communication-programs/nkdep"/>
        <document>
          <url
               value="https://www.niddk.nih.gov/health-information/communication-programs/nkdep"/>
        </document>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <expression>
          <language value="text/cql"/>
          <expression value="Recommend Nephrology Referral"/>
        </expression>
      </condition>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/action-type"/>
          <code value="create"/>
        </coding>
      </type>
      <definitionCanonical
                           value="http://cqframework.org/cpg-example-ckd/ActivityDefinition/ckd-risk-referral-nephrology"/>
      <dynamicValue>
        <path value="action.description"/>
        <expression>
          <language value="text/cql"/>
          <expression value="NephrologyReferralDetail"/>
        </expression>
      </dynamicValue>
      <dynamicValue>
        <path value="activity.extension"/>
        <expression>
          <language value="text/cql"/>
          <expression value="NephrologyReferralSeverity"/>
        </expression>
      </dynamicValue>
    </action>
  </action>
</PlanDefinition>