Clinical Practice Guidelines (CPG) on EBMonFHIR
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: Example Recommendation plan - JSON Representation

Active as of 2022-02-14

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{
  "resourceType" : "PlanDefinition",
  "id" : "ExampleRecommendationPlan",
  "meta" : {
    "profile" : [
      🔗 "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/recommendation-plan"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PlanDefinition</b><a name=\"ExampleRecommendationPlan\"> </a><a name=\"hcExampleRecommendationPlan\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">ResourcePlanDefinition &quot;ExampleRecommendationPlan&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-recommendation-plan.html\">Recommendation Plan</a></p></div><p><b>knowledgeCapability</b>: computable</p><p><b>knowledgeRepresentationLevel</b>: structured</p><p><b>partOf</b>: <a href=\"PlanDefinition-ExampleRecommendation.html\">Recommendation</a></p><blockquote><p><b>Action Combination Method</b></p><blockquote><p><b>url</b></p><code>method</code></blockquote><p><b>value</b>: Exactly <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cs-action-combination-method.html\">Action Combination Method</a>#exactly)</span></p><blockquote><p><b>url</b></p><code>threshold</code></blockquote><p><b>value</b>: 1</p></blockquote><p><b>url</b>: <code>https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-plan/example-recommendation-plan</code></p><p><b>version</b>: 1.0</p><p><b>name</b>: RecommendationPlan</p><p><b>title</b>: Recommendation Plan</p><p><b>type</b>: ECA Rule <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-plan-definition-type.html\">PlanDefinitionType</a>#eca-rule)</span></p><p><b>status</b>: active</p><p><b>experimental</b>: true</p><p><b>subject</b>: <a href=\"EvidenceVariable-ExampleRecommendationEligibilityCriteria.html\">PopulationExample</a></p><p><b>date</b>: 2022-02-14</p><p><b>publisher</b>: CPGonEBMonFHIR</p><p><b>description</b>: Example Recommendation Plan</p><blockquote><p><b>goal</b></p><blockquote><p><b>id</b></p>ventilator-management-goal</blockquote><p><b>category</b>: Ventilator care and adjustment (regime/therapy) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOWMED CT</a>#385857005)</span></p><p><b>description</b>: The ventilator should be set up to provide a breath reate of at least 20 and at most per minute. <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><h3>Targets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Measure</b></td><td><b>Detail[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>Breath rate mechanical --on ventilator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#33438-3)</span></td><td>20-24</td></tr></table></blockquote><blockquote><p><b>goal</b></p><blockquote><p><b>id</b></p>lab-ddimer-concentration-goal</blockquote><p><b>category</b>: Lab findings surveillance (regime/therapy) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOWMED CT</a>#410394004)</span></p><p><b>description</b>: D-Dimer concentration shall be below 250 ng/mL <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><h3>Targets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Measure</b></td><td><b>Detail[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>Fibrin D-dimer DDU [Mass/volume] in Platelet poor plasma <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#48066-5)</span></td><td>?-250</td></tr></table></blockquote><blockquote><p><b>action</b></p><p><b>code</b>: Administration of substance (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOWMED CT</a>#432102000)</span></p><p><b>definition</b>: <a href=\"Bundle-GuidelineRecommendationExample.html\">DrugAdministrationAction</a></p></blockquote><blockquote><p><b>action</b></p><p><b>code</b>: Positioning patient (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOWMED CT</a>#229824005)</span></p><p><b>goalId</b>: ventilator-management-goal</p><p><b>definition</b>: <a href=\"ActivityDefinition-ExampleBodyPositioningAction.html\">DrugAdministrationAction</a></p></blockquote><blockquote><p><b>action</b></p><p><b>code</b>: Ventilator care management (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOWMED CT</a>#410210009)</span></p><p><b>goalId</b>: ventilator-management-goal</p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>Action Combination Method</b></p><blockquote><p><b>url</b></p><code>method</code></blockquote><p><b>value</b>: One or More <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cs-action-combination-method.html\">Action Combination Method</a>#one-or-more)</span></p></blockquote><p><b>code</b>: Combined (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOWMED CT</a>#89780004)</span></p><h3>Actions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>GoalId</b></td></tr><tr><td style=\"display: none\">*</td><td>Ventilator care management (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOWMED CT</a>#410210009)</span></td><td>ventilator-management-goal</td></tr></table></blockquote></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
      "valueCode" : "computable"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel",
      "valueCode" : "structured"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-partOf",
      "valueCanonical" : "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-plan/example-recommendation"
    },
    {
      "extension" : [
        {
          "url" : "method",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-action-combination-method",
                "code" : "exactly"
              }
            ]
          }
        },
        {
          "url" : "threshold",
          "valuePositiveInt" : 1
        }
      ],
      "url" : "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-action-combination-method"
    }
  ],
  "url" : "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-plan/example-recommendation-plan",
  "version" : "1.0",
  "name" : "RecommendationPlan",
  "title" : "Recommendation Plan",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code" : "eca-rule"
      }
    ]
  },
  "status" : "active",
  "experimental" : true,
  "subjectCanonical" : "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-eligibility-criteria",
  "date" : "2022-02-14",
  "publisher" : "CPGonEBMonFHIR",
  "description" : "Example Recommendation Plan",
  "goal" : [
    {
      "id" : "ventilator-management-goal",
      "category" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "385857005",
            "display" : "Ventilator care and adjustment (regime/therapy)"
          }
        ]
      },
      "description" : {
        "text" : "The ventilator should be set up to provide a breath reate of at least 20 and at most per minute."
      },
      "target" : [
        {
          "measure" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "33438-3",
                "display" : "Breath rate mechanical --on ventilator"
              }
            ]
          },
          "detailRange" : {
            "low" : {
              "value" : 20,
              "system" : "http://unitsofmeasure.org",
              "code" : "/min"
            },
            "high" : {
              "value" : 24,
              "system" : "http://unitsofmeasure.org",
              "code" : "/min"
            }
          }
        }
      ]
    },
    {
      "id" : "lab-ddimer-concentration-goal",
      "category" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "410394004",
            "display" : "Lab findings surveillance (regime/therapy)"
          }
        ]
      },
      "description" : {
        "text" : "D-Dimer concentration shall be below 250 ng/mL"
      },
      "target" : [
        {
          "measure" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "48066-5",
                "display" : "Fibrin D-dimer DDU [Mass/volume] in Platelet poor plasma"
              }
            ]
          },
          "detailRange" : {
            "high" : {
              "value" : 250,
              "system" : "http://unitsofmeasure.org",
              "code" : "ng/mL"
            }
          }
        }
      ]
    }
  ],
  "action" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "432102000",
            "display" : "Administration of substance (procedure)"
          }
        ]
      },
      "definitionCanonical" : "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-action/drug-administration-example"
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "229824005",
            "display" : "Positioning patient (procedure)"
          }
        ]
      },
      "goalId" : [
        "ventilator-management-goal"
      ],
      "definitionCanonical" : "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-action/body-positioning-example"
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "410210009",
            "display" : "Ventilator care management (procedure)"
          }
        ]
      },
      "goalId" : [
        "ventilator-management-goal"
      ]
    },
    {
      "extension" : [
        {
          "extension" : [
            {
              "url" : "method",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-action-combination-method",
                    "code" : "one-or-more"
                  }
                ]
              }
            }
          ],
          "url" : "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-action-combination-method"
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "89780004",
            "display" : "Combined (qualifier value)"
          }
        ]
      },
      "action" : [
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "410210009",
                "display" : "Ventilator care management (procedure)"
              }
            ]
          },
          "goalId" : [
            "ventilator-management-goal"
          ]
        }
      ]
    }
  ]
}