{
  "description": "VA CKD Protocol",
  "_filename": "example/PlanDefinition-va-ckd-protocol.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-protocoldefinition" ]
  },
  "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": "VA_CKD_Protocol",
  "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 \\\"clinical-protocol\\\", :display \\\"Clinical Protocol\\\"}]}",
  "experimental": "true",
  "topic": [ {
    "coding": [ {
      "code": "treatment",
      "system": "http://terminology.hl7.org/CodeSystem/definition-topic",
      "display": "Treatment"
    } ]
  } ],
  "resourceType": "PlanDefinition",
  "title": "VA CKD Protocol",
  "package_version": "0.1.0",
  "author": [ {
    "name": "Dave Carlson"
  } ],
  "status": "draft",
  "id": "917f1c6b-91af-4a3a-b210-76386ae8ac30",
  "kind": null,
  "url": "http://hl7.org/fhir/uv/cpg/PlanDefinition/va-ckd-protocol",
  "identifier": [ {
    "use": "official",
    "value": "VA_CKD_Protocol"
  } ],
  "lastReviewDate": "2019-07-28",
  "action": [ {
    "id": "001",
    "code": [ {
      "coding": [ {
        "code": "history-and-physical",
        "system": "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
        "display": "History and Physical"
      } ]
    } ],
    "title": "History and Phyiscal",
    "description": "Obtain initial clinical information: medical history (including risk factors for kidney disease), physical examination and review existing laboratory results."
  }, {
    "id": "002",
    "code": [ {
      "coding": [ {
        "code": "history-and-physical",
        "system": "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
        "display": "History and Physical"
      } ]
    } ],
    "title": "At-Risk Population",
    "description": "Evaluate at-risk patients for CKD: obtain SCr, eGFR, urinalysis, & spot urine UAER."
  }, {
    "id": "003",
    "code": [ {
      "coding": [ {
        "code": "triage",
        "system": "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
        "display": "Triage"
      } ]
    } ],
    "title": "Urgent/Emergent Conditions",
    "action": [ {
      "id": "003.1",
      "code": [ {
        "coding": [ {
          "code": "triage",
          "system": "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
          "display": "Triage"
        } ]
      } ],
      "title": "Refer to emergency department.",
      "description": "Refer to emergency department to manage or stabilize."
    } ],
    "description": "Does patient have an urgent or emergent condition?"
  }, {
    "id": "004",
    "code": [ {
      "coding": [ {
        "code": "determine-diagnosis",
        "system": "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
        "display": "Determine Diagnosis"
      } ]
    } ],
    "title": "Criteria for Confirmed CKD",
    "action": [ {
      "id": "004.1",
      "code": [ {
        "coding": [ {
          "code": "determine-diagnosis",
          "system": "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
          "display": "Determine Diagnosis"
        } ]
      } ],
      "title": "Stages of CKD.",
      "description": "Complete clinical assessment. Determine stage of CKD."
    }, {
      "id": "004.2",
      "code": [ {
        "coding": [ {
          "code": "guideline-based-care",
          "system": "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process",
          "display": "Guideline-based Care"
        } ]
      } ],
      "title": "Strategies to Slow Progression.",
      "description": "Establish primary etiology of CKD and treatment plan to slow progression."
    } ],
    "condition": [ {
      "kind": "applicability",
      "expression": {
        "language": "text/cql",
        "expression": "Has evidence of CKD?"
      }
    } ],
    "description": "Does patient have evidence of CKD?"
  } ],
  "version": "0.1.0",
  "effectivePeriod": {
    "start": "2019-07-28T00:00:00-04:00"
  }
}