{
  "description": "VA CKD Recommendations",
  "_filename": "example/PlanDefinition-va-ckd-recommendations.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": "VA_CKD_Recommendations",
  "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": "VA CKD Recommendations",
  "library": [ "Library/va-ckd-guideline" ],
  "package_version": "0.1.0",
  "author": [ {
    "name": "Dave Carlson"
  } ],
  "status": "draft",
  "id": "967422f6-7ba3-4df1-83c0-cb32ac153089",
  "kind": null,
  "url": "http://hl7.org/fhir/uv/cpg/PlanDefinition/va-ckd-recommendations",
  "identifier": [ {
    "use": "official",
    "value": "VA_CKD_Recommendations"
  } ],
  "lastReviewDate": "2019-07-28",
  "action": [ {
    "id": "001",
    "title": "CKD Protein Diet",
    "condition": [ {
      "kind": "applicability",
      "expression": {
        "language": "text/cql",
        "expression": "Has CKD stage 3 or 4"
      }
    } ],
    "description": "In patients with stage 3 and 4 CKD, we suggest a protein diet of 0.6 to 0.8 g/kg/day as it may slow the decline in glomerular filtration rate (GFR) and progression to end-stage renal disease (ESRD).",
    "documentation": [ {
      "url": "http://www.healthquality.va.gov",
      "type": "documentation",
      "display": "VA/DoD Clinical Practice Guideline for The management of Chronic Kidney Disease in Primary care",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "weak",
            "system": "http://terminology.hl7.org/CodeSystem/recommendation-strength",
            "display": "Weak"
          } ]
        }
      }, {
        "url": "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-directionOfRecommendation",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "for",
            "system": "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-recommendation-direction",
            "display": "For"
          } ]
        }
      } ]
    } ]
  } ],
  "version": "0.1.0",
  "effectivePeriod": {
    "start": "2019-07-28T00:00:00-04:00"
  }
}