Obesity Assessment Protocol (id = "protocol-example")

<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir"><id value="protocol-example"/><text ><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p ><b >id: </b>example, 
 </p><p ><b >identifier: </b>, 
 <b >system: </b>http://acme.org, 
 <b >value: </b>example-1, 
 </p><p ><b >title: </b>Obesity Assessment Protocol, 
 </p><p ><b >status: </b>draft, 
 </p><p ><b >type: </b>condition, 
 </p><p ><b >purpose: </b>Example of A medical algorithm for assessment and treatment of overweight and obesity,
 
 </p><p ><b >author: </b>, 
 <b >display: </b>National Heart, Lung, and Blood Institute http://www.nhlbi.nih.gov/health-pro/guidelines/curr
 ent/obesity-guidelines/e_textbook/txgd/algorthm/algorthm.htm, 
 </p><p ><b >step: </b>, 
 <b >name: </b>Measure BMI, 
 <b >description: </b>Measure, Weight, Height, Waist, Circumference; Calculate BMI Weight must be measured
 so that the BMI can be calculated. Most charts are based on weights obtained with
 the patient wearing undergarments and no shoes. BMI can be manually calculated
 (kg/[height in meters]2), but is more easily obtained from a nomogram. Waist circumference
 is important because evidence suggests that abdominal fat is a particularly strong
 determinant of cardiovascular risk in those with a BMI of 25 to 34.9 kg/m2. Increased
 waist circumference can also be a marker of increased risk even in persons of normal
 weight. The technique for measuring waist circumference is described in the text.
 A nutrition assessment will also help to assess the diet and physical activity
 habits of overweight patients, 
 <b >precondition: </b>, 
 <b >union: </b>, 
 <b >description: </b>The practitioner must seek to determine whether the patient has ever been overweight.
 While a technical definition is provided, a simple question such as 'Have you ever
 been overweight?' will accomplish the same goal. Questions directed towards weight
 history, dietary habits, physical activities, and medications may provide useful
 information about the origins of obesity in particular patients., 
 <b >condition: </b>, 
 <b >type: </b>, 
 <b >coding: </b>, 
 <b >system: </b>http://acme.org, 
 <b >code: </b>1234, 
 <b >display: </b>Obesity, 
 <b >valueBoolean: </b>true, 
 <b >union: </b>, 
 <b >description: </b>BMI Measured in Past 2 Years For those who have not been overweight, a 2 year
 interval is appropriate for the reassessment of BMI. While this time span is not
 evidence-based, it is believed to be a reasonable compromise between the need to
 identify weight gain at an early stage and the need to limit the time, effort,
 and cost of repeated measurements., 
 <b >condition: </b>, 
 <b >type: </b>, 
 <b >text: </b>BMI in last 2 years, 
 <b >valueBoolean: </b>false, 
 <b >activity: </b>, 
 <b >detail: </b>, 
 <b >category: </b>procedure, 
 <b >code: </b>, 
 <b >coding: </b>, 
 <b >system: </b>http://loinc.org, 
 <b >code: </b>39156-5, 
 <b >display: </b>Body mass index (BMI) [Ratio], 
 <b >performer: </b>, 
 <b >display: </b>Nurse Ratched, 
 <b >description: </b>Extra information on activity , 
 </p></div></text><contained ><ActivityDefinition><id value="procedure"/><status value="draft"/><description value="Extra information on activity "/><kind value="ServiceRequest"/><code ><coding ><system value="http://loinc.org"/><code value="39156-5"/><display value="Body mass index (BMI) [Ratio]"/></coding></code><participant ><type value="practitioner"/><role ><coding ><system value="http://terminology.hl7.org/CodeSystem/practitioner-role"/><code value="doctor"/><display value="Doctor"/></coding></role></participant></ActivityDefinition></contained><identifier ><system value="http://acme.org"/><value value="example-1"/></identifier><name value="ObesityAssessmentProtocol"/><title value="Obesity Assessment Protocol"/><type ><coding ><code value="clinical-protocol"/></coding></type><status value="draft"/><description value="Obesity Assessment Protocol"/><useContext ><code ><code value="focus"/></code><valueCodeableConcept ><coding><systemvalue="http://snomed.info/sct"/><codevalue="414916001"/><displayvalue="Obesity (disorder)"/></coding></valueCodeableConcept></useContext><purpose value="Example of A medical algorithm for assessment and treatment of overweight and obesity"/><author ><name value="National Heart, Lung, and Blood Institute"/><telecom ><system value="url"/><value value="https://www.nhlbi.nih.gov/health-pro/guidelines"/></telecom></author><relatedArtifact ><type value="derived-from"/><display value="Overweight and Obesity Treatment Guidelines"/><document ><url value="http://www.nhlbi.nih.gov/health-pro/guidelines/current/obesity-guidelines/e_textbook/txgd/alg
 orthm/algorthm.htm"/></document></relatedArtifact><goal id="reduce-bmi-ratio"><category ><text value="Treatment"/></category><description ><text value="Reduce BMI to below 25"/></description><priority ><text value="medium-priority"/></priority><start ><text value="When the patient's BMI Ratio is at or above 25"/></start><addresses ><coding ><system value="http://snomed.info/sct"/><code value="414916001"/><display value="Obesity (disorder)"/></coding></addresses><documentation ><type value="justification"/><display value="Evaluation and Treatment Strategy"/><document ><url value="https://www.nhlbi.nih.gov/health-pro/guidelines/current/obesity-guidelines/e_textbook/txgd/42
 .htm"/></document></documentation><target ><measure ><coding ><system value="http://loinc.org"/><code value="39156-5"/><display value="Body mass index (BMI) [Ratio]"/></coding></measure><detailRange ><high><valuevalue="24.9"/><unitvalue="kg/m2"/></high></detailRange><due ><value value="1"/><unit value="a"/></due></target></goal><action ><title value="Measure BMI"/><description value="Measure, Weight, Height, Waist, Circumference; Calculate BMI"/><textEquivalent value="Weight must be measured so that the BMI can be calculated. Most charts are based
 on weights obtained with the patient wearing undergarments and no shoes. BMI can
 be manually calculated (kg/[height in meters]2), but is more easily obtained from
 a nomogram. Waist circumference is important because evidence suggests that abdominal
 fat is a particularly strong determinant of cardiovascular risk in those with a
 BMI of 25 to 34.9 kg/m2. Increased waist circumference can also be a marker of
 increased risk even in persons of normal weight. The technique for measuring waist
 circumference is described in the text. A nutrition assessment will also help to
 assess the diet and physical activity habits of overweight patients"/><goalId value="reduce-bmi-ratio"/><condition ><kind value="applicability"/><expression ><description value="The practitioner must seek to determine whether the patient has ever been overweight.
 While a technical definition is provided, a simple question such as 'Have you ever
 been overweight?' will accomplish the same goal. Questions directed towards weight
 history, dietary habits, physical activities, and medications may provide useful
 information about the origins of obesity in particular patients. For those who
 have not been overweight, a 2 year interval is appropriate for the reassessment
 of BMI. While this time span is not evidence-based, it is believed to be a reasonable
 compromise between the need to identify weight gain at an early stage and the need
 to limit the time, effort, and cost of repeated measurements."/><language value="text/cql"/><expression value="exists ([Condition: Obesity]) or not exists ([Observation: BMI] O where O.effectiveDateTime
 2 years or less before Today())"/></expression></condition><requiredBehavior value="must-unless-documented"/><cardinalityBehavior value="single"/><definitionCanonical value="#procedure"/></action></PlanDefinition>