{"id": "f2b33c4c-2651-4dc0-921b-3647b8035372", "key": "ckm-stage", "name": "Cardiovascular-Kidney-Metabolic Stage", "short_name": "CKM Stage", "description": "Hierarchical classification of cardiovascular-kidney-metabolic health using the highest qualifying CKM stage.", "clinical_domain": "Cardiovascular-Kidney-Metabolic Health", "assessment_type": "classification", "status": "published", "channels": {"patient": true, "professional": true, "api": true, "sdk": true, "population": true}, "published_version": "1.0", "schema_status": "published", "version": {"number": 1, "label": "1.0", "status": "published"}, "inputs": [{"key": "bmi", "label": "Body Mass Index", "description": "Body mass index.", "data_type": "decimal", "units": "kg/m2", "required": false, "minimum": 10.0, "maximum": 100.0, "population_dimension": true, "options": []}, {"key": "abdominal_obesity", "label": "Abdominal Obesity", "description": "Documented abdominal or central adiposity.", "data_type": "boolean", "units": "", "required": false, "minimum": null, "maximum": null, "population_dimension": true, "options": []}, {"key": "prediabetes", "label": "Prediabetes", "description": "Documented prediabetes.", "data_type": "boolean", "units": "", "required": false, "minimum": null, "maximum": null, "population_dimension": true, "options": []}, {"key": "insulin_resistance", "label": "Insulin Resistance", "description": "Documented insulin resistance.", "data_type": "boolean", "units": "", "required": false, "minimum": null, "maximum": null, "population_dimension": true, "options": []}, {"key": "fasting_glucose", "label": "Fasting Glucose", "description": "Fasting blood glucose.", "data_type": "decimal", "units": "mg/dL", "required": false, "minimum": 20.0, "maximum": 1000.0, "population_dimension": true, "options": []}, {"key": "a1c", "label": "Hemoglobin A1c", "description": "Hemoglobin A1c.", "data_type": "decimal", "units": "%", "required": false, "minimum": 2.0, "maximum": 25.0, "population_dimension": true, "options": []}, {"key": "hypertension", "label": "Hypertension", "description": "Documented hypertension.", "data_type": "boolean", "units": "", "required": false, "minimum": null, "maximum": null, "population_dimension": true, "options": []}, {"key": "triglycerides", "label": "Triglycerides", "description": "Serum triglyceride concentration.", "data_type": "decimal", "units": "mg/dL", "required": false, "minimum": 10.0, "maximum": 5000.0, "population_dimension": true, "options": []}, {"key": "hypertriglyceridemia", "label": "Hypertriglyceridemia", "description": "Documented hypertriglyceridemia.", "data_type": "boolean", "units": "", "required": false, "minimum": null, "maximum": null, "population_dimension": true, "options": []}, {"key": "type_2_diabetes", "label": "Type 2 Diabetes", "description": "Documented type 2 diabetes.", "data_type": "boolean", "units": "", "required": false, "minimum": null, "maximum": null, "population_dimension": true, "options": []}, {"key": "metabolic_syndrome", "label": "Metabolic Syndrome", "description": "Documented metabolic syndrome.", "data_type": "boolean", "units": "", "required": false, "minimum": null, "maximum": null, "population_dimension": true, "options": []}, {"key": "chronic_kidney_disease", "label": "Chronic Kidney Disease", "description": "Documented chronic kidney disease.", "data_type": "boolean", "units": "", "required": false, "minimum": null, "maximum": null, "population_dimension": true, "options": []}, {"key": "ckd_stage", "label": "CKD Stage", "description": "Documented chronic kidney disease stage from 1 to 5.", "data_type": "integer", "units": "", "required": false, "minimum": 1.0, "maximum": 5.0, "population_dimension": true, "options": []}, {"key": "egfr", "label": "Estimated GFR", "description": "Estimated glomerular filtration rate.", "data_type": "decimal", "units": "mL/min/1.73 m2", "required": false, "minimum": 0.0, "maximum": 200.0, "population_dimension": true, "options": []}, {"key": "very_high_risk_ckd", "label": "Very High-Risk CKD", "description": "Very high-risk chronic kidney disease based on confirmed kidney-risk classification.", "data_type": "boolean", "units": "", "required": false, "minimum": null, "maximum": null, "population_dimension": true, "options": []}, {"key": "kidney_failure", "label": "Kidney Failure", "description": "Documented kidney failure.", "data_type": "boolean", "units": "", "required": false, "minimum": null, "maximum": null, "population_dimension": true, "options": []}, {"key": "subclinical_ascvd", "label": "Subclinical ASCVD", "description": "Evidence of subclinical atherosclerotic cardiovascular disease.", "data_type": "boolean", "units": "", "required": false, "minimum": null, "maximum": null, "population_dimension": true, "options": []}, {"key": "subclinical_heart_failure", "label": "Subclinical Heart Failure", "description": "Evidence of subclinical heart failure.", "data_type": "boolean", "units": "", "required": false, "minimum": null, "maximum": null, "population_dimension": true, "options": []}, {"key": "prevent_10_year_total_cvd_risk", "label": "PREVENT 10-Year Total CVD Risk", "description": "PREVENT 10-year total cardiovascular disease risk provided as a decimal or percentage.", "data_type": "decimal", "units": "probability or %", "required": false, "minimum": 0.0, "maximum": 100.0, "population_dimension": true, "options": []}, {"key": "coronary_heart_disease", "label": "Clinical Coronary Heart Disease", "description": "Documented clinical coronary heart disease.", "data_type": "boolean", "units": "", "required": false, "minimum": null, "maximum": null, "population_dimension": true, "options": []}, {"key": "myocardial_infarction", "label": "Myocardial Infarction", "description": "History of myocardial infarction.", "data_type": "boolean", "units": "", "required": false, "minimum": null, "maximum": null, "population_dimension": true, "options": []}, {"key": "heart_failure", "label": "Heart Failure", "description": "Documented clinical heart failure.", "data_type": "boolean", "units": "", "required": false, "minimum": null, "maximum": null, "population_dimension": true, "options": []}, {"key": "atrial_fibrillation", "label": "Atrial Fibrillation", "description": "Documented atrial fibrillation.", "data_type": "boolean", "units": "", "required": false, "minimum": null, "maximum": null, "population_dimension": true, "options": []}, {"key": "stroke_or_tia", "label": "Stroke or TIA", "description": "History of stroke or transient ischemic attack.", "data_type": "boolean", "units": "", "required": false, "minimum": null, "maximum": null, "population_dimension": true, "options": []}, {"key": "peripheral_artery_disease", "label": "Peripheral Artery Disease", "description": "Documented peripheral artery disease.", "data_type": "boolean", "units": "", "required": false, "minimum": null, "maximum": null, "population_dimension": true, "options": []}], "outputs": [{"key": "stage", "label": "CKM Stage", "description": "Highest qualifying CKM stage from 0 through 4.", "output_type": "category", "units": "", "patient_visible": true, "professional_visible": true, "population_metric": true}, {"key": "stage_label", "label": "CKM Stage Label", "description": "Display label for the assigned CKM stage.", "output_type": "category", "units": "", "patient_visible": true, "professional_visible": true, "population_metric": true}, {"key": "stage_name", "label": "CKM Stage Name", "description": "Clinical description of the assigned CKM stage.", "output_type": "category", "units": "", "patient_visible": true, "professional_visible": true, "population_metric": true}, {"key": "qualifying_criteria", "label": "Qualifying Criteria", "description": "Clinical criteria responsible for the assigned stage.", "output_type": "metric", "units": "", "patient_visible": true, "professional_visible": true, "population_metric": false}, {"key": "clinical_cvd_present", "label": "Clinical CVD Present", "description": "Indicates the presence of clinical cardiovascular disease used in CKM classification.", "output_type": "flag", "units": "", "patient_visible": true, "professional_visible": true, "population_metric": true}, {"key": "subclinical_cvd_present", "label": "Subclinical CVD Present", "description": "Indicates the presence of subclinical cardiovascular disease used in CKM classification.", "output_type": "flag", "units": "", "patient_visible": true, "professional_visible": true, "population_metric": true}, {"key": "kidney_failure_present", "label": "Kidney Failure Present", "description": "Indicates kidney failure used in CKM classification.", "output_type": "flag", "units": "", "patient_visible": true, "professional_visible": true, "population_metric": true}, {"key": "very_high_risk_ckd_present", "label": "Very High-Risk CKD Present", "description": "Indicates very high-risk CKD used in CKM classification.", "output_type": "flag", "units": "", "patient_visible": true, "professional_visible": true, "population_metric": true}], "endpoints": {"execute": "/assessment-studio/api/v1/assessments/ckm-stage/execute/"}}