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fixed recommendations
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glichtner committed Nov 20, 2023
1 parent bb4917d commit 782a869
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Showing 10 changed files with 23 additions and 142 deletions.
2 changes: 2 additions & 0 deletions input/fsh/aliases.fsh
Original file line number Diff line number Diff line change
Expand Up @@ -63,3 +63,5 @@ Alias: $cs-gts-timing = http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation

Alias: $cs-codex-celida = https://www.netzwerk-universitaetsmedizin.de/fhir/codex-celida/CodeSystem/codex-celida
Alias: $cs-common-process = http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process

Alias: $cs-gts-abbreviation = http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation
4 changes: 2 additions & 2 deletions input/fsh/cs-celida.fsh
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Expand Up @@ -7,6 +7,6 @@ Title: "CODEX-CELIDA"
Description: "Concepts required in recommendations that are not defined elsewhere"
* ^url = $cs-celida
* #tvpibw "Tidal volume / ideal body weight (ARDSnet)" "Tidal volume per ideal body weight according to ARDSnet formula"
* #nudesc "Nursing delirium screening scale"
* #bps "Behavioral pain scale"
* #nudesc "Nursing Delirium Screening Scale (Nu-DESC)"
* #bps "Behavioral Pain Scale (BPS)"
* #cpot "Critical Care Pain Observation Tool (CPOT)"
10 changes: 5 additions & 5 deletions input/fsh/recommendation10_RASS_0/intervention10.fsh
Original file line number Diff line number Diff line change
Expand Up @@ -9,7 +9,7 @@ Description: "In ICU Patients RASS should be 0 or -1, with exeption for specific
* insert canonical-url(patients-icu-sedation-goal, intervention-plan/patients-icu-sedation-goal)
* insert publisher-experimental-version(7.0)
* name = "Intervention_Plan_ICU_Patients_Sedation_Goal"
* title = "Intervention plan for ICU Patients: Sedation Goal is RASS 0 to -1, with exeption for specificaly indicated deeper sedation "
* title = "Intervention plan for ICU Patients: Sedation Goal is RASS 0 to -1, with exeption for specificaly indicated deeper sedation"
* identifier.value = "InterventionPlanforICUPAtientsSedationGoal"
* date = "2023-11"
* status = #active
Expand All @@ -23,8 +23,8 @@ Description: "In ICU Patients RASS should be 0 or -1, with exeption for specific
* target
* measure = $sct-us#457441000124102 "Richmond agitation-sedation scale"
* detailRange
* low = -1 'score'
* high = 0 'score'
* low.value = -1
* high.value = 0
* action[sedationManagement][+]
* code = $sct#406187008 "Sedation management (procedure)"
* goalId[+] = "sedation-management-RASS-0-goal"
* code = $sct#406187008 "Sedation management (regime/therapy)"
* goalId[+] = "sedation-management-RASS-goal"
2 changes: 1 addition & 1 deletion input/fsh/recommendation10_RASS_0/population10.fsh
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Expand Up @@ -20,7 +20,7 @@ Description: "Population for recommendation 10: ICU Patients Sedation goal RASS
* definitionByTypeAndValue
* type = $loinc#78030-4 "Episode of care Type"
* valueCodeableConcept = $cs-kontaktart-de#intensivstationaer "Intensivstationär"
* characteristic[episodeOfCare][+].exclude = false
* characteristic[episodeOfCare][=].exclude = false
* characteristic[=].exclude = false

/*
Expand Down
2 changes: 1 addition & 1 deletion input/fsh/recommendation11_Delir/population11.fsh
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Expand Up @@ -20,5 +20,5 @@ Description: "Population for recommendation 9: ICU Patients Delirium Goal is no
* definitionByTypeAndValue
* type = $loinc#78030-4 "Episode of care Type"
* valueCodeableConcept = $cs-kontaktart-de#intensivstationaer "Intensivstationär"
* characteristic[episodeOfCare][+].exclude = false
* characteristic[episodeOfCare][=].exclude = false
* characteristic[=].exclude = false
12 changes: 6 additions & 6 deletions input/fsh/recommendation1_PainMonitoring/intervention1.fsh
Original file line number Diff line number Diff line change
Expand Up @@ -61,7 +61,7 @@ Description: "Pain Monitoring in ICU Patients with NRS"
* 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
* timingTiming.code = $cs-gts-abbreviation#Q8H

Instance: PainMonitoringVAS
InstanceOf: assessment-action
Expand All @@ -74,7 +74,7 @@ Description: "Pain Monitoring in ICU Patients with VAS"
* status = #active
* description = "Pain monitoring in ICU Patients with VAS"
* code = $loinc#38214-3 "Pain severity [Score] Visual analog score"
* timingTiming.code = #Q8H
* timingTiming.code = $cs-gts-abbreviation#Q8H

Instance: PainMonitoringVRS
InstanceOf: assessment-action
Expand All @@ -87,7 +87,7 @@ Description: "Pain Monitoring in ICU Patients with VRS"
* 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
* timingTiming.code = $cs-gts-abbreviation#Q8H

Instance: PainMonitoringFPS-R
InstanceOf: assessment-action
Expand All @@ -100,7 +100,7 @@ Description: "Pain Monitoring in ICU Patients with FPS-R"
* status = #active
* description = "Pain monitoring in ICU Patients with FPS-R"
* code = $loinc#57696-7 "Pain severity FPS-R"
* timingTiming.code = #Q8H
* timingTiming.code = $cs-gts-abbreviation#Q8H

Instance: PainMonitoringCPOT
InstanceOf: assessment-action
Expand All @@ -113,7 +113,7 @@ Description: "Pain Monitoring in ICU Patients with CPOT"
* status = #active
* description = "Pain monitoring in ICU Patients with CPOT"
* code = $cs-celida#cpot "Critical Care Pain Observation Tool (CPOT)"
* timingTiming.code = #Q8H
* timingTiming.code = $cs-gts-abbreviation#Q8H

Instance: PainMonitoringBPS
InstanceOf: assessment-action
Expand All @@ -126,4 +126,4 @@ Description: "Pain Monitoring in ICU Patients with BPS"
* status = #active
* description = "Pain monitoring in ICU Patients with BPS"
* code = $cs-celida#bps "Behavioral Pain Scale (BPS)"
* timingTiming.code = #Q8H
* timingTiming.code = $cs-gts-abbreviation#Q8H
2 changes: 1 addition & 1 deletion input/fsh/recommendation2_SedationGoal/intervention2.fsh
Original file line number Diff line number Diff line change
Expand Up @@ -35,5 +35,5 @@ Description: "Sedation Monitoring in ICU Patients with RASS"
* status = #active
* description = "Sedation monitoring in ICU Patients with RASS"
* code = $sct-us#457441000124102 "Richmond agitation-sedation scale"
* timingTiming.code = #Q8H
* timingTiming.code = $cs-gts-abbreviation#Q8H

4 changes: 2 additions & 2 deletions input/fsh/recommendation3_Delirium_8h/intervention3.fsh
Original file line number Diff line number Diff line change
Expand Up @@ -39,7 +39,7 @@ Description: "Delirium Monitoring in ICU Patients with RASS"
* 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
* timingTiming.code = $cs-gts-abbreviation#Q8H

Instance: DeliriumMonitoringNuDESC
InstanceOf: assessment-action
Expand All @@ -52,4 +52,4 @@ Description: "Delirium Monitoring in ICU Patients with NuDESC"
* status = #active
* description = "Delirium monitoring in ICU Patients with NuDESC"
* code = $cs-celida#nudesc "Nursing Delirium Screening Scale (Nu-DESC)"
* timingTiming.code = #Q8H
* timingTiming.code = $cs-gts-abbreviation#Q8H
123 changes: 1 addition & 122 deletions input/fsh/recommendation8_DAAS_8h/intervention8.fsh
Original file line number Diff line number Diff line change
Expand Up @@ -73,125 +73,4 @@ Description: "Anxiety Monitoring in ICU Patients with STAI"
* status = #active
* description = "Anxiety monitoring in ICU Patients with STAI"
* code = $sct#273830002 "Spielberger state-trait anxiety inventory (assessment scale)"
* timingTiming.code = #Q8H

/*
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
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
*/


* timingTiming.code = $cs-gts-abbreviation#Q8H
4 changes: 2 additions & 2 deletions input/fsh/recommendation9_NRS_4/intervention9.fsh
Original file line number Diff line number Diff line change
Expand Up @@ -26,7 +26,7 @@ Description: "In ICU Patients NRS should be <4"
* target
* measure = $loinc#72514-3 "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
* detailRange
* high = 3 'score'
* high.value = 3


/**********************/
Expand All @@ -46,5 +46,5 @@ Description: "Anxiety Monitoring in ICU Patients with STAI"
* status = #active
* description = "Anxiety monitoring in ICU Patients with STAI"
* code = $sct#273830002 "Spielberger state-trait anxiety inventory (assessment scale)"
* timingTiming.code = #Q8H
* timingTiming.code = $cs-gts-abbreviation#Q8H
*/

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