{
  "description": "Chronic Kidney Disease (CKD) risk screening",
  "_filename": "example/PlanDefinition-ckd-risk-screening.json",
  "package_name": "hl7.fhir.uv.cpg",
  "date": "2019-07-27T20:00:00-04:00",
  "meta": {
    "profile": [ "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition" ]
  },
  "publisher": "HL7 FHIR Clinical Guidelines Example Artifact",
  "approvalDate": "2019-07-28",
  "jurisdiction": [ {
    "coding": [ {
      "code": "001",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "display": "World"
    } ]
  } ],
  "name": "CKD_Risk_Screening",
  "useContext": [ {
    "code": {
      "code": "focus",
      "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
      "display": "Clinical Focus"
    },
    "valueCodeableConcept": {
      "coding": [ {
        "code": "709044004",
        "system": "http://snomed.info/sct",
        "display": "Chronic kidney disease (disorder)"
      } ]
    }
  } ],
  "copyright": "Copyright © Example.org 2019.",
  "type": "{:coding [{:system \\\"http://terminology.hl7.org/CodeSystem/plan-definition-type\\\", :code \\\"eca-rule\\\", :display \\\"ECA Rule\\\"}]}",
  "experimental": "true",
  "topic": [ {
    "coding": [ {
      "code": "treatment",
      "system": "http://terminology.hl7.org/CodeSystem/definition-topic",
      "display": "Treatment"
    } ]
  } ],
  "resourceType": "PlanDefinition",
  "title": "Chronic Kidney Disease (CKD) risk screening",
  "library": [ "Library/ckd-risk-recommendations" ],
  "package_version": "0.1.0",
  "author": [ {
    "name": "Dave Carlson"
  } ],
  "status": "draft",
  "id": "1f7fe25e-4444-4434-8050-22ed81c029fa",
  "kind": null,
  "url": "http://hl7.org/fhir/uv/cpg/PlanDefinition/ckd-risk-screening",
  "lastReviewDate": "2019-07-28",
  "action": [ {
    "action": [ {
      "type": {
        "coding": [ {
          "code": "create",
          "system": "http://terminology.hl7.org/CodeSystem/action-type"
        } ]
      },
      "title": "Order Renal Lab Panel",
      "condition": [ {
        "kind": "applicability",
        "expression": {
          "language": "text/cql",
          "expression": "Needs eGFR Lab"
        }
      } ],
      "description": "Order full renal lab panel, eGFR or UCAR indicates risk.",
      "dynamicValue": [ {
        "path": "action.description",
        "expression": {
          "language": "text/cql",
          "expression": "NeedsGFRDetail"
        }
      }, {
        "path": "activity.extension",
        "expression": {
          "language": "text/cql",
          "expression": "NeedsGFRSeverity"
        }
      } ],
      "documentation": [ {
        "url": "https://www.niddk.nih.gov/health-information/professionals/clinical-tools-patient-education-outreach/quick-reference-uacr-gfr",
        "type": "documentation",
        "display": "NIDDK Quick Reference on UACR & GFR"
      } ]
    }, {
      "title": "2-year Kidney Failure Risk",
      "condition": [ {
        "kind": "applicability",
        "expression": {
          "language": "text/cql",
          "expression": "Has Abnormal eGFR"
        }
      } ],
      "dynamicValue": [ {
        "path": "action.description",
        "expression": {
          "language": "text/cql",
          "expression": "2-YearRiskDetail"
        }
      }, {
        "path": "activity.extension",
        "expression": {
          "language": "text/cql",
          "expression": "2-YearRiskSeverity"
        }
      } ],
      "documentation": [ {
        "url": "http://kidneyfailurerisk.com/#about-the-equation",
        "type": "documentation",
        "display": "Kidney Failure Risk Equation"
      } ]
    }, {
      "title": "5-year Kidney Failure Risk",
      "condition": [ {
        "kind": "applicability",
        "expression": {
          "language": "text/cql",
          "expression": "Has Abnormal eGFR"
        }
      } ],
      "dynamicValue": [ {
        "path": "action.description",
        "expression": {
          "language": "text/cql",
          "expression": "5-YearRiskDetail"
        }
      }, {
        "path": "activity.extension",
        "expression": {
          "language": "text/cql",
          "expression": "5-YearRiskSeverity"
        }
      } ],
      "documentation": [ {
        "url": "http://kidneyfailurerisk.com/#about-the-equation",
        "type": "documentation",
        "display": "Kidney Failure Risk Equation"
      } ]
    }, {
      "type": {
        "coding": [ {
          "code": "create",
          "system": "http://terminology.hl7.org/CodeSystem/action-type"
        } ]
      },
      "title": "Recommend Nephrology Referral",
      "condition": [ {
        "kind": "applicability",
        "expression": {
          "language": "text/cql",
          "expression": "Recommend Nephrology Referral"
        }
      } ],
      "dynamicValue": [ {
        "path": "action.description",
        "expression": {
          "language": "text/cql",
          "expression": "NephrologyReferralDetail"
        }
      }, {
        "path": "activity.extension",
        "expression": {
          "language": "text/cql",
          "expression": "NephrologyReferralSeverity"
        }
      } ],
      "documentation": [ {
        "url": "https://www.niddk.nih.gov/health-information/communication-programs/nkdep",
        "type": "documentation",
        "display": "National Kidney Disease Education Program"
      } ]
    } ],
    "trigger": [ {
      "name": "patient-view",
      "type": "named-event"
    } ],
    "condition": [ {
      "kind": "applicability",
      "expression": {
        "language": "text/cql",
        "expression": "Has CKD or Diabetes"
      }
    } ]
  } ],
  "version": "0.1.0",
  "effectivePeriod": {
    "start": "2019-07-28T00:00:00-04:00"
  }
}