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lisavasiljewa committed Oct 12, 2023
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4 changes: 2 additions & 2 deletions input/fsh/recommendation11_Delir/population11.fsh
Original file line number Diff line number Diff line change
Expand Up @@ -35,6 +35,6 @@ Description: "Population for recommendation 9: ICU Patients with Delirium"
* definitionByTypeAndValue
* type = $loinc#54627-5 "Signs and symptoms of delirium (from CAM)"
//no existing value for that
* valueRange = ??
* characteristic[DeliriumObservableLOINCLOINC][=].exclude = false
* valueRange = ??
* characteristic[DeliriumObservableLOINC][=].exclude = false
* characteristic[=].exclude = false
148 changes: 148 additions & 0 deletions input/fsh/recommendation1_PainMonitoring/intervention1.fsh
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@@ -0,0 +1,148 @@
/*********************/
/* Recommendation Plan */
/*********************/
Instance: InterventionPatientsICUPainMonitoring
InstanceOf: recommendation-plan
Usage: #definition
Title: "Intervention plan for ICU Patients: Pain Monitoring"
Description: "ICU Patients: Pain Monitoring"
* insert canonical-url(patients-icu-pain-monitoring, intervention-plan/patients-icu-pain-monitoring)
* insert publisher-experimental-version(7.0)
* name = "Intervention_Plan_ICU_Patients_Pain_Monitoring"
* title = "Intervention plan for ICU Patients: Pain Monitoring"
* identifier.value = "InterventionPlanforICUPatientsPainMonitoring"
* date = "2023-10"
* status = #active
* description = "In intensive care patients pain should be monitored with validated pain scores at least 1 time per shift "
* subjectCanonical = Canonical(PopulationPatientsICUPainMonitoring)
* extension[partOf].valueCanonical = Canonical(RecommendationPatientsICUPainMonitoring)
//action PainMonitoring to be added by Gregor
* action[painMonitoring][+]
* definitionCanonical = Canonical (PainMonitoringNRS)
* selectionBehavior = #one-or-more
* code = $sct#710995003 "Pain monitoring(procedure)"
* action[painMonitoring][+]
* definitionCanonical = Canonical (PainMonitoringVAS)
* selectionBehavior = #one-or-more
* code = $sct#710995003 "Pain monitoring(procedure)"
* action[painMonitoring][+]
* definitionCanonical = Canonical (PainMonitoringVRS)
* selectionBehavior = #one-or-more
* code = $sct#710995003 "Pain monitoring(procedure)"
* action[painMonitoring][+]
* definitionCanonical = Canonical (PainMonitoringFPS-R)
* selectionBehavior = #one-or-more
* code = $sct#710995003 "Pain monitoring(procedure)"
// CELIDA eigener code (muss erstellt werden)
//* action[painMonitoring][+]
// * definitionCanonical = Canonical (PainMonitoringBPS)
//* selectionBehavior = #one-or-more
// * code = $sct#710995003 "Pain monitoring"
* action[painMonitoring][+]
* definitionCanonical = Canonical (PainMonitoringCPOT)
* selectionBehavior = #one-or-more
* code = $sct#710995003 "Pain monitoring(procedure)"
* action[painMonitoring][+]
* definitionCanonical = Canonical (PainMonitoringPIR)
* selectionBehavior = #one-or-more
* code = $sct#710995003 "Pain monitoring(procedure)"

/**********************/
/* Recommended Actions */
/**********************/
Instance: InterventionPainMonitoringNRS
InstanceOf: pain-monitoring-action
Usage: #definition
Title: "Pain Monitoring with NRS"
Description: "Pain Monitoring in ICU Patients with NRS"
* insert canonical-url(patients-icu-pain-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 = $sct#710995003 "Pain monitoring(procedure)"
* productCodeableConcept
* coding[loinc] = $loinc#72514-3 "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
* timing[+]
* Timing = #Q8H

Instance: InterventionPainMonitoringVAS
InstanceOf: pain-monitoring-action
Usage: #definition
Title: "Pain Monitoring with VAS"
Description: "Pain Monitoring in ICU Patients with VAS"
* insert canonical-url(patients-icu-pain-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 = $sct#710995003 "Pain monitoring(procedure)"
* productCodeableConcept
* coding[loinc] = $loinc#38214-3 "Pain severity [Score] Visual analog score"
* timing[+]
* Timing = #Q8H

Instance: InterventionPainMonitoringVRS
InstanceOf: pain-monitoring-action
Usage: #definition
Title: "Pain Monitoring with VRS"
Description: "Pain Monitoring in ICU Patients with VRS"
* insert canonical-url(patients-icu-pain-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 = $sct#710995003 "Pain monitoring(procedure)"
* productCodeableConcept
* coding[loinc] = $loinc#54834-7 "Rate pain severity during assessment period using verbal descriptor scale"
* timing[+]
* Timing = #Q8H

Instance: InterventionPainMonitoringFPS-R
InstanceOf: pain-monitoring-action
Usage: #definition
Title: "Pain Monitoring with FPS-R"
Description: "Pain Monitoring in ICU Patients with FPS-R"
* insert canonical-url(patients-icu-pain-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 = $sct#710995003 "Pain monitoring(procedure)"
* productCodeableConcept
* coding[loinc] = $loinc#57696-7 "Pain severity FPS-R"
* timing[+]
* Timing = #Q8H

Instance: InterventionPainMonitoringCPOT
InstanceOf: pain-monitoring-action
Usage: #definition
Title: "Pain Monitoring with CPOT"
Description: "Pain Monitoring in ICU Patients with CPOT"
* insert canonical-url(patients-icu-pain-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 = $sct#710995003 "Pain monitoring(procedure)"
* productCodeableConcept
* coding[omop] = $omop#722042 "Critical Care Pain Observation Tool (CPOT)"
* timing[+]
* Timing = #Q8H

Instance: InterventionPainMonitoringNRS
InstanceOf: pain-monitoring-action
Usage: #definition
Title: "Pain Monitoring with NRS"
Description: "Pain Monitoring in ICU Patients with NRS"
* insert canonical-url(patients-icu-pain-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 = $sct#710995003 "Pain monitoring(procedure)"
* productCodeableConcept
* coding[loinc] = $loinc#72514-3 "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
* timing[+]
* Timing = #Q8H

24 changes: 24 additions & 0 deletions input/fsh/recommendation1_PainMonitoring/recommendation1.fsh
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/**********************************/
/* Recommendation Plan */
/**********************************/
Instance: RecommendationPatientsICUPainMonitoring
InstanceOf: recommendation
Usage: #definition
Title: "Recommendation: ICU Patients: Pain Monitoring"
Description: "Recommendation for ICU Patients: Pain Monitoring"
* name = "Recommendation1-PainMonitoring"
* title = "Intervention for Population: ICU Patients - Pain Monitoring"
* version = "1.0"
* date = "2023-10-05"
* status = #active
* description = "In ICU Patients Pain should be monitored with a validated score at least once per shift"
* insert canonical-url(patients-icu-pain-monitoring, recommendation/patients-icu-pain-monitoring)
* experimental = true
//one action enough? or for each score an action needed?
* action[+]
* title = "Intervention_Plan_ICU_Patients_Pain_Monitoring"
* code = $cs-common-process#guideline-based-care
* description = "Intervention plan for ICU Patients: Pain Monitoring"
* definitionCanonical = Canonical(InterventionPatientsICUPainMonitoring)
* selectionBehavior = #at-most-one

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