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Rec 1,2,3 revised, Rec 8 new, all previus Recs moved to test
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/*********************/ | ||
/* Recommendation Plan */ | ||
/*********************/ | ||
Instance: InterventionPatientsICUDeliriumMonitoring | ||
InstanceOf: recommendation-plan | ||
Usage: #definition | ||
Title: "Intervention plan for ICU Patients: Delirium Monitoring" | ||
Description: "ICU Patients: Delirium Monitoring" | ||
* insert canonical-url(patients-icu-delirium-monitoring, intervention-plan/patients-icu-delirium-monitoring) | ||
* insert publisher-experimental-version(1.0) | ||
* name = "Intervention_Plan_ICU_Patients_Delirium_Monitoring" | ||
* title = "Intervention plan for ICU Patients: Delirium Monitoring with NuDESC or CAMICU" | ||
* identifier.value = "InterventionPlanforICUPatientsDeliriumMonitoring" | ||
* date = "2023-10" | ||
* status = #active | ||
* description = "In ICU Patients Findings ind Delirium Monitoring should be documented at least once per shift" | ||
* subjectCanonical = Canonical(PopulationPatientsICUDeliriumMonitoring) | ||
* extension[partOf].valueCanonical = Canonical(RecommendationPatientsICUDeliriumMonitoring) | ||
* action[assessment][+] | ||
* definitionCanonical = Canonical (DeliriumMonitoringCAMICU) | ||
* selectionBehavior = #one-or-more | ||
* code = $sct#386053000 "Evaluation procedure (procedure)" | ||
* action[assessment][+] | ||
* definitionCanonical = Canonical (DeliriumMonitoringNuDESC) | ||
* selectionBehavior = #one-or-more | ||
* code = $sct#386053000 "Evaluation procedure (procedure)" | ||
|
||
/**********************/ | ||
/* Recommended Actions */ | ||
/**********************/ | ||
Instance: DeliriumMonitoringCAMICU | ||
InstanceOf: assessment-action | ||
Usage: #definition | ||
Title: "Delirium Monitoring with CAMICU" | ||
Description: "Delirium Monitoring in ICU Patients with RASS" | ||
* insert canonical-url(patients-icu-delirium-monitoring, recommended-action/delirium-monitoring-CAMICU) | ||
* insert publisher-experimental-version(1.0) | ||
* name = "DeliriumMonitoringWithCAMICUPlan" | ||
* status = #active | ||
* description = "Delirium monitoring in ICU Patients with Confusion Assessment Method for Intensive Care Unit (CAMICU)" | ||
* code = $loinc#85649-2 "LCDS v3.00 - Signs and Symptoms of Delirium (from CAM) [CMS Assessment]" | ||
* timingTiming.code = #Q8H | ||
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||
Instance: DeliriumMonitoringNuDESC | ||
InstanceOf: assessment-action | ||
Usage: #definition | ||
Title: "Delirium Monitoring with NuDESC" | ||
Description: "Delirium Monitoring in ICU Patients with NuDESC" | ||
* insert canonical-url(patients-icu-delirium-monitoring, recommended-action/delirium-monitoring-NuDesc) | ||
* insert publisher-experimental-version(1.0) | ||
* name = "DeliriumMonitoringWithNuDESCPlan" | ||
* status = #active | ||
* description = "Delirium monitoring in ICU Patients with NuDESC" | ||
* code = $cs-celida#nudesc "Nursing Delirium Screening Scale (Nu-DESC)" | ||
* timingTiming.code = #Q8H |
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/**************/ | ||
/* Population */ | ||
/**************/ | ||
Instance: PopulationPatientsICUDeliriumMonitoring | ||
InstanceOf: recommendation-eligibility-criteria | ||
Usage: #definition | ||
Title: "Population: ICU Patients: Delirium Monitoring" | ||
Description: "Population for recommendation 3: Delirium Monitoring" | ||
* insert canonical-url(patients-icu-delirium-monitoring, population/patients-icu-delirium-monitoring) | ||
* name = "ICU_patients-DeliriumMonitoring" | ||
* description = "ICU Patients: Delirium Monitoring" | ||
* identifier.value = "ICU_Patients_Delirium_Monitoring" | ||
* identifier.system = $ceosys | ||
* status = #active | ||
// Include ICU Patients | ||
* characteristic[0].definitionByCombination | ||
* code = #all-of | ||
* characteristic[episodeOfCare][+] | ||
* linkId = "intensive-care-treatment" | ||
* definitionByTypeAndValue | ||
* type = $loinc#78030-4 "Episode of care Type" | ||
* valueCodeableConcept = $cs-kontaktart-de#intensivstationaer "Intensivstationär" | ||
* characteristic[episodeOfCare][=].exclude = false |
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/**********************************/ | ||
/* Recommendation Plan */ | ||
/**********************************/ | ||
Instance: RecommendationPatientsICUDeliriumMonitoring | ||
InstanceOf: recommendation | ||
Usage: #definition | ||
Title: "Recommendation: ICU Patients: Delirium Monitoring" | ||
Description: "Recommendation for ICU Patients: Delirium Monitoring" | ||
* name = "Recommendation3-DeliriumMonitoring" | ||
* title = "Intervention for Population: ICU Patients - Delirium Monitoring" | ||
* version = "1.0" | ||
* date = "2023-11-13" | ||
* status = #active | ||
* description = "In ICU Patients Findings ind Delirium Monitoring should be documented at least once per shift" | ||
* insert canonical-url(patients-icu-delirium-monitoring, recommendation/patients-icu-delirium-monitoring) | ||
* experimental = true | ||
* action[+] | ||
* title = "Intervention_Plan_ICU_Patients_Delirium_Monitoring" | ||
* code = $cs-common-process#guideline-based-care | ||
* description = "Intervention plan for ICU Patients: Delirium Monitoring" | ||
* definitionCanonical = Canonical(InterventionPatientsICUDeliriumMonitoring) | ||
* selectionBehavior = #all |
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/*********************/ | ||
/* Recommendation Plan */ | ||
/*********************/ | ||
Instance: InterventionPatientsICUDAASMonitoring | ||
InstanceOf: recommendation-plan | ||
Usage: #definition | ||
Title: "Intervention plan for ICU Patients: DAAS Monitoring" | ||
Description: "ICU Patients: DAAS Monitoring" | ||
* insert canonical-url(patients-icu-daas-monitoring, intervention-plan/patients-icu-daas-monitoring) | ||
* insert publisher-experimental-version(1.0) | ||
* name = "Intervention_Plan_ICU_Patients_DAAS_Monitoring" | ||
* title = "Intervention plan for ICU Patients: DAAS Monitoring with NuDESC or CAMICU" | ||
* identifier.value = "InterventionPlanforICUPatientsDAASMonitoring" | ||
* date = "2023-10" | ||
* status = #active | ||
* description = "In ICU Patients Findings ind DAAS Monitoring should be documented at least once per shift" | ||
* subjectCanonical = Canonical(PopulationPatientsICUDAASMonitoring) | ||
* extension[partOf].valueCanonical = Canonical(RecommendationPatientsICUDAASMonitoring) | ||
* action[assessment][+] | ||
* definitionCanonical = Canonical (DeliriumMonitoringCAMICU) | ||
* selectionBehavior = #one-or-more | ||
* code = $sct#386053000 "Evaluation procedure (procedure)" | ||
* action[assessment][+] | ||
* definitionCanonical = Canonical (DeliriumMonitoringNuDESC) | ||
* selectionBehavior = #one-or-more | ||
* code = $sct#386053000 "Evaluation procedure (procedure)" | ||
* action[assessment][+] | ||
* definitionCanonical = Canonical (SedationMonitoringRASS) | ||
* selectionBehavior = #one-or-more | ||
* code = $sct#386053000 "Evaluation procedure (procedure)" | ||
* action[assessment][+] | ||
* definitionCanonical = Canonical (PainMonitoringNRS) | ||
* selectionBehavior = #one-or-more | ||
* code = $sct#386053000 "Evaluation procedure (procedure)" | ||
* action[assessment][+] | ||
* definitionCanonical = Canonical (PainMonitoringVAS) | ||
* selectionBehavior = #one-or-more | ||
* code = $sct#386053000 "Evaluation procedure (procedure)" | ||
* action[assessment][+] | ||
* definitionCanonical = Canonical (PainMonitoringVRS) | ||
* selectionBehavior = #one-or-more | ||
* code = $sct#386053000 "Evaluation procedure (procedure)" | ||
* action[assessment][+] | ||
* definitionCanonical = Canonical (PainMonitoringFPS-R) | ||
* selectionBehavior = #one-or-more | ||
* code = $sct#386053000 "Evaluation procedure (procedure)" | ||
* action[assessment][+] | ||
* definitionCanonical = Canonical (PainMonitoringBPS) | ||
* selectionBehavior = #one-or-more | ||
* code = $cs-celida#bps "Behavioral Pain Scale" | ||
* action[assessment][+] | ||
* definitionCanonical = Canonical (PainMonitoringCPOT) | ||
* selectionBehavior = #one-or-more | ||
* code = $sct#386053000 "Evaluation procedure (procedure)" | ||
* action[assessment][+] | ||
* definitionCanonical = Canonical (AnxietyMonitoringSTAI) | ||
* selectionBehavior = #one-or-more | ||
* code = $sct#386053000 "Evaluation procedure (procedure)" | ||
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||
|
||
/**********************/ | ||
/* Recommended Actions */ | ||
/**********************/ | ||
Instance: PainMonitoringNRS | ||
InstanceOf: assessment-action | ||
Usage: #definition | ||
Title: "Pain Monitoring with NRS" | ||
Description: "Pain Monitoring in ICU Patients with NRS" | ||
* insert canonical-url(patients-icu-daas-monitoring, recommended-action/pain-monitoring-NRS) | ||
* insert publisher-experimental-version(0.1) | ||
* name = "PainMonitoringWithNRSPlan" | ||
* status = #active | ||
* description = "Pain monitoring in ICU Patients with NRS" | ||
* code = $loinc#72514-3 "Pain severity - 0-10 verbal numeric rating [Score] - Reported" | ||
* timingTiming.code = #Q8H | ||
|
||
Instance: PainMonitoringVAS | ||
InstanceOf: assessment-action | ||
Usage: #definition | ||
Title: "Pain Monitoring with VAS" | ||
Description: "Pain Monitoring in ICU Patients with VAS" | ||
* insert canonical-url(patients-icu-daas-monitoring, recommended-action/pain-monitoring-VAS) | ||
* insert publisher-experimental-version(0.1) | ||
* name = "PainMonitoringWithVASPlan" | ||
* status = #active | ||
* description = "Pain monitoring in ICU Patients with VAS" | ||
* code = $loinc#38214-3 "Pain severity [Score] Visual analog score" | ||
* timingTiming.code = #Q8H | ||
|
||
Instance: PainMonitoringVRS | ||
InstanceOf: assessment-action | ||
Usage: #definition | ||
Title: "Pain Monitoring with VRS" | ||
Description: "Pain Monitoring in ICU Patients with VRS" | ||
* insert canonical-url(patients-icu-daas-monitoring, recommended-action/pain-monitoring-VRS) | ||
* insert publisher-experimental-version(0.1) | ||
* name = "PainMonitoringWithVRSPlan" | ||
* status = #active | ||
* description = "Pain monitoring in ICU Patients with VRS" | ||
* code = $loinc#54834-7 "Rate pain severity during assessment period using verbal descriptor scale" | ||
* timingTiming.code = #Q8H | ||
|
||
Instance: PainMonitoringFPS-R | ||
InstanceOf: assessment-action | ||
Usage: #definition | ||
Title: "Pain Monitoring with FPS-R" | ||
Description: "Pain Monitoring in ICU Patients with FPS-R" | ||
* insert canonical-url(patients-icu-daas-monitoring, recommended-action/pain-monitoring-FPS-R) | ||
* insert publisher-experimental-version(0.1) | ||
* name = "PainMonitoringWithFPS-RPlan" | ||
* status = #active | ||
* description = "Pain monitoring in ICU Patients with FPS-R" | ||
* code = $loinc#57696-7 "Pain severity FPS-R" | ||
* timingTiming.code = #Q8H | ||
|
||
Instance: PainMonitoringCPOT | ||
InstanceOf: assessment-action | ||
Usage: #definition | ||
Title: "Pain Monitoring with CPOT" | ||
Description: "Pain Monitoring in ICU Patients with CPOT" | ||
* insert canonical-url(patients-icu-daas-monitoring, recommended-action/pain-monitoring-CPOT) | ||
* insert publisher-experimental-version(0.1) | ||
* name = "PainMonitoringWithCPOTPlan" | ||
* status = #active | ||
* description = "Pain monitoring in ICU Patients with CPOT" | ||
* code = $cs-celida#cpot "Critical Care Pain Observation Tool (CPOT)" | ||
* timingTiming.code = #Q8H | ||
|
||
Instance: PainMonitoringBPS | ||
InstanceOf: assessment-action | ||
Usage: #definition | ||
Title: "Pain Monitoring with BPS" | ||
Description: "Pain Monitoring in ICU Patients with BPS" | ||
* insert canonical-url(patients-icu-daas-monitoring, recommended-action/pain-monitoring-BPS) | ||
* insert publisher-experimental-version(0.1) | ||
* name = "PainMonitoringWithBPSPlan" | ||
* status = #active | ||
* description = "Pain monitoring in ICU Patients with BPS" | ||
* code = $cs-celida#bps "Behavioral Pain Scale (BPS)" | ||
* timingTiming.code = #Q8H | ||
|
||
Instance: SedationMonitoringRASS | ||
InstanceOf: assessment-action | ||
Usage: #definition | ||
Title: "Sedation Monitoring with RASS" | ||
Description: "Sedation Monitoring in ICU Patients with RASS" | ||
* insert canonical-url(patients-icu-daas-monitoring, recommended-action/sedation-monitoring-RASS) | ||
* insert publisher-experimental-version(1.0) | ||
* name = "SedationMonitoringWithRASSPlan" | ||
* status = #active | ||
* description = "Sedation monitoring in ICU Patients with RASS" | ||
* code = $sct-us#457441000124102 "Richmond agitation-sedation scale" | ||
* timingTiming.code = #Q8H | ||
|
||
Instance: DeliriumMonitoringCAMICU | ||
InstanceOf: assessment-action | ||
Usage: #definition | ||
Title: "Delirium Monitoring with CAMICU" | ||
Description: "Delirium Monitoring in ICU Patients with RASS" | ||
* insert canonical-url(patients-icu-daas-monitoring, recommended-action/delirium-monitoring-CAMICU) | ||
* insert publisher-experimental-version(1.0) | ||
* name = "DeliriumMonitoringWithCAMICUPlan" | ||
* status = #active | ||
* description = "Delirium monitoring in ICU Patients with Confusion Assessment Method for Intensive Care Unit (CAMICU)" | ||
* code = $loinc#85649-2 "LCDS v3.00 - Signs and Symptoms of Delirium (from CAM) [CMS Assessment]" | ||
* timingTiming.code = #Q8H | ||
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||
Instance: DeliriumMonitoringNuDESC | ||
InstanceOf: assessment-action | ||
Usage: #definition | ||
Title: "Delirium Monitoring with NuDESC" | ||
Description: "Delirium Monitoring in ICU Patients with NuDESC" | ||
* insert canonical-url(patients-icu-daas-monitoring, recommended-action/delirium-monitoring-NuDesc) | ||
* insert publisher-experimental-version(1.0) | ||
* name = "DeliriumMonitoringWithNuDESCPlan" | ||
* status = #active | ||
* description = "Delirium monitoring in ICU Patients with NuDESC" | ||
* code = $cs-celida#nudesc "Nursing Delirium Screening Scale (Nu-DESC)" | ||
* timingTiming.code = #Q8H | ||
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||
Instance: AnxietyMonitoringNuDESC | ||
InstanceOf: assessment-action | ||
Usage: #definition | ||
Title: "Anxiety Monitoring with NuDESC" | ||
Description: "Anxiety Monitoring in ICU Patients with NuDESC" | ||
* insert canonical-url(patients-icu-daas-monitoring, recommended-action/anxiety-monitoring-NuDesc) | ||
* insert publisher-experimental-version(1.0) | ||
* name = "DeliriumMonitoringWithNuDESCPlan" | ||
* status = #active | ||
* description = "Delirium monitoring in ICU Patients with STAI" | ||
* code = $sct#273830002 "Spielberger state-trait anxiety inventory (assessment scale)" | ||
* timingTiming.code = #Q8H |
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/**************/ | ||
/* Population */ | ||
/**************/ | ||
Instance: PopulationPatientsICUDAASMonitoring | ||
InstanceOf: recommendation-eligibility-criteria | ||
Usage: #definition | ||
Title: "Population: ICU Patients: DAAS Monitoring" | ||
Description: "Population for recommendation 8: DAAS Monitoring" | ||
* insert canonical-url(patients-icu-daas-monitoring, population/patients-icu-daas-monitoring) | ||
* name = "ICU_patients-DASMonitoring" | ||
* description = "ICU Patients: Delirium, Analgesia, Anxiety, Sedation Monitoring" | ||
* identifier.value = "ICU_Patients_Delirium_Monitoring" | ||
* identifier.system = $ceosys | ||
* status = #active | ||
// Include ICU Patients | ||
* characteristic[0].definitionByCombination | ||
* code = #all-of | ||
* characteristic[episodeOfCare][+] | ||
* linkId = "intensive-care-treatment" | ||
* definitionByTypeAndValue | ||
* type = $loinc#78030-4 "Episode of care Type" | ||
* valueCodeableConcept = $cs-kontaktart-de#intensivstationaer "Intensivstationär" | ||
* characteristic[episodeOfCare][=].exclude = false |
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/**********************************/ | ||
/* Recommendation Plan */ | ||
/**********************************/ | ||
Instance: RecommendationPatientsICUDeliriumMonitoring | ||
InstanceOf: recommendation | ||
Usage: #definition | ||
Title: "Recommendation: ICU Patients: DAAS Monitoring" | ||
Description: "Recommendation for ICU Patients: Delir, Anxiety, Analgesia, Sedation Monitoring" | ||
* name = "Recommendation8-DAASMonitoring" | ||
* title = "Intervention for Population: ICU Patients - DAAS Monitoring" | ||
* version = "1.0" | ||
* date = "2023-11" | ||
* status = #active | ||
* description = "The treatment goal and the current level of analgesia, sedation, anxiety, and delirium should be standardizedly documented at least once per shift (typically every 8 hours)" | ||
* insert canonical-url(patients-icu-daas-monitoring, recommendation/patients-icu-daas-monitoring) | ||
* experimental = true | ||
* action[+] | ||
* title = "Intervention_Plan_ICU_Patients_DAAS_Monitoring" | ||
* code = $cs-common-process#guideline-based-care | ||
* description = "Intervention plan for ICU Patients: DAAS Monitoring" | ||
* definitionCanonical = Canonical(InterventionPatientsICUDAASMonitoring) | ||
* selectionBehavior = #all |
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