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

Active as of 2022-02-14

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<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="ExampleRecommendationPlan"/>
  <meta>
    <profile
             value="https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/recommendation-plan"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <extension
             url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
    <valueCode value="computable"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel">
    <valueCode value="structured"/>
  </extension>
  <extension url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-partOf">
    <valueCanonical
                    value="https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-plan/example-recommendation"/>
  </extension>
  <extension
             url="https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-action-combination-method">
    <extension url="method">
      <valueCodeableConcept>
        <coding>
          <system
                  value="https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-action-combination-method"/>
          <code value="exactly"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="threshold">
      <valuePositiveInt value="1"/>
    </extension>
  </extension>
  <url
       value="https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-plan/example-recommendation-plan"/>
  <version value="1.0"/>
  <name value="RecommendationPlan"/>
  <title value="Recommendation Plan"/>
  <type>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
      <code value="eca-rule"/>
    </coding>
  </type>
  <status value="active"/>
  <experimental value="true"/>
  <subjectCanonical
                    value="https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-eligibility-criteria"/>
  <date value="2022-02-14"/>
  <publisher value="CPGonEBMonFHIR"/>
  <description value="Example Recommendation Plan"/>
  <goal id="ventilator-management-goal">
    <category>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="385857005"/>
        <display value="Ventilator care and adjustment (regime/therapy)"/>
      </coding>
    </category>
    <description>
      <text
            value="The ventilator should be set up to provide a breath reate of at least 20 and at most per minute."/>
    </description>
    <target>
      <measure>
        <coding>
          <system value="http://loinc.org"/>
          <code value="33438-3"/>
          <display value="Breath rate mechanical --on ventilator"/>
        </coding>
      </measure>
      <detailRange>
        <low>
          <value value="20"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="/min"/>
        </low>
        <high>
          <value value="24"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="/min"/>
        </high>
      </detailRange>
    </target>
  </goal>
  <goal id="lab-ddimer-concentration-goal">
    <category>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="410394004"/>
        <display value="Lab findings surveillance (regime/therapy)"/>
      </coding>
    </category>
    <description>
      <text value="D-Dimer concentration shall be below 250 ng/mL"/>
    </description>
    <target>
      <measure>
        <coding>
          <system value="http://loinc.org"/>
          <code value="48066-5"/>
          <display
                   value="Fibrin D-dimer DDU [Mass/volume] in Platelet poor plasma"/>
        </coding>
      </measure>
      <detailRange>
        <high>
          <value value="250"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="ng/mL"/>
        </high>
      </detailRange>
    </target>
  </goal>
  <action>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="432102000"/>
        <display value="Administration of substance (procedure)"/>
      </coding>
    </code>
    <definitionCanonical
                         value="https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-action/drug-administration-example"/>
  </action>
  <action>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="229824005"/>
        <display value="Positioning patient (procedure)"/>
      </coding>
    </code>
    <goalId value="ventilator-management-goal"/>
    <definitionCanonical
                         value="https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/recommendation-action/body-positioning-example"/>
  </action>
  <action>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="410210009"/>
        <display value="Ventilator care management (procedure)"/>
      </coding>
    </code>
    <goalId value="ventilator-management-goal"/>
  </action>
  <action>
    <extension
               url="https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-action-combination-method">
      <extension url="method">
        <valueCodeableConcept>
          <coding>
            <system
                    value="https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-action-combination-method"/>
            <code value="one-or-more"/>
          </coding>
        </valueCodeableConcept>
      </extension>
    </extension>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="89780004"/>
        <display value="Combined (qualifier value)"/>
      </coding>
    </code>
    <action>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="410210009"/>
          <display value="Ventilator care management (procedure)"/>
        </coding>
      </code>
      <goalId value="ventilator-management-goal"/>
    </action>
  </action>
</PlanDefinition>