CODEX+ CELIDA Recommendations
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: Ventilation Plan for COVID-19 patients with ARDS - JSON Representation

Active as of 2022-02

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{
  "resourceType" : "PlanDefinition",
  "id" : "VentilatedCOVID19PatientsWithARDSVentilationPlan",
  "meta" : {
    "profile" : [
      🔗 "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/recommendation-plan"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: PlanDefinition VentilatedCOVID19PatientsWithARDSVentilationPlan</b></p><a name=\"VentilatedCOVID19PatientsWithARDSVentilationPlan\"> </a><a name=\"hcVentilatedCOVID19PatientsWithARDSVentilationPlan\"> </a><a name=\"VentilatedCOVID19PatientsWithARDSVentilationPlan-en-US\"> </a><p><b>url</b>: <a href=\"PlanDefinition-VentilatedCOVID19PatientsWithARDSVentilationPlan.html\">PlanDefinition Ventilation parameters for COVID-19 patients with ARDS</a></p><p><b>version</b>: 7.0</p><p><b>name</b>: Ventilation_Plan</p><p><b>title</b>: Ventilation parameters for COVID-19 patients with ARDS</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/plan-definition-type eca-rule}\">ECA Rule</span></p><p><b>status</b>: Active</p><p><b>experimental</b>: true</p><p><b>subject</b>: <a href=\"EvidenceVariable-PopulationVentilatedCOVID19patientsWithARDS.html\">Population: Ventilated COVID-19 Patients with ARDS</a></p><p><b>date</b>: 2022-02</p><p><b>publisher</b>: NUM CODEX+ CELIDA</p><p><b>description</b>: </p><div><p>In ventilated patients with COVID-19 and ARDS, tidal volume should be ≤ 6 ml/kg standard body weight, end-inspiratory airway pressure ≤ 30 cm H2O.</p>\n</div><blockquote><p><b>goal</b></p><blockquote><p><b>id</b></p>tidal-volume-goal</blockquote><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 385857005}\">Ventilator care and adjustment (regime/therapy)</span></p><p><b>description</b>: <span title=\"Codes:\">Tidal volume ≤ 6 ml/kg standard body weight</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><span title=\"Codes:{https://www.netzwerk-universitaetsmedizin.de/fhir/codex-celida/CodeSystem/codex-celida tvpibw}\">Tidal volume / ideal body weight (ARDSnet)</span></td><td>?-6</td></tr></table></blockquote><blockquote><p><b>goal</b></p><blockquote><p><b>id</b></p>end-inspiratory-pressure-goal</blockquote><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 385857005}\">Ventilator care and adjustment (regime/therapy)</span></p><p><b>description</b>: <span title=\"Codes:\">End-inspiratory airway pressure ≤ 30 cm H2O</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><span title=\"Codes:{http://loinc.org 76259-1}\">Pressure.plateau Respiratory system airway --on ventilator</span></td><td>?-30</td></tr></table></blockquote><blockquote><p><b>action</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 410210009}\">Ventilator care management (procedure)</span></p><p><b>goalId</b>: tidal-volume-goal, end-inspiratory-pressure-goal</p></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/codex-celida/guideline/covid19-inpatient-therapy/recommendation/ventilation-plan-ards-tidal-volume"
    },
    {
      "extension" : [
        {
          "url" : "method",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-action-combination-method",
                "code" : "all"
              }
            ]
          }
        }
      ],
      "url" : "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ext-action-combination-method"
    }
  ],
  "url" : "https://www.netzwerk-universitaetsmedizin.de/fhir/codex-celida/guideline/covid19-inpatient-therapy/intervention-plan/ventilation-plan",
  "version" : "7.0",
  "name" : "Ventilation_Plan",
  "title" : "Ventilation parameters for COVID-19 patients with ARDS",
  "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/codex-celida/guideline/covid19-inpatient-therapy/population/ventilated-covid19-patients-with-ards",
  "date" : "2022-02",
  "publisher" : "NUM CODEX+ CELIDA",
  "description" : "In ventilated patients with COVID-19 and ARDS, tidal volume should be ≤ 6 ml/kg standard body weight, end-inspiratory airway pressure ≤ 30 cm H2O.",
  "goal" : [
    {
      "id" : "tidal-volume-goal",
      "category" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "385857005",
            "display" : "Ventilator care and adjustment (regime/therapy)"
          }
        ]
      },
      "description" : {
        "text" : "Tidal volume ≤ 6 ml/kg standard body weight"
      },
      "target" : [
        {
          "measure" : {
            "coding" : [
              {
                "system" : "https://www.netzwerk-universitaetsmedizin.de/fhir/codex-celida/CodeSystem/codex-celida",
                "code" : "tvpibw",
                "display" : "Tidal volume / ideal body weight (ARDSnet)"
              }
            ]
          },
          "detailRange" : {
            "high" : {
              "value" : 6,
              "unit" : "ml/kg",
              "system" : "http://unitsofmeasure.org",
              "code" : "ml/kg"
            }
          }
        }
      ]
    },
    {
      "id" : "end-inspiratory-pressure-goal",
      "category" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "385857005",
            "display" : "Ventilator care and adjustment (regime/therapy)"
          }
        ]
      },
      "description" : {
        "text" : "End-inspiratory airway pressure ≤ 30 cm H2O"
      },
      "target" : [
        {
          "measure" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "76259-1",
                "display" : "Pressure.plateau Respiratory system airway --on ventilator"
              }
            ]
          },
          "detailRange" : {
            "high" : {
              "value" : 30,
              "unit" : "cm[H2O]",
              "system" : "http://unitsofmeasure.org",
              "code" : "cm[H2O]"
            }
          }
        }
      ]
    }
  ],
  "action" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "410210009",
            "display" : "Ventilator care management (procedure)"
          }
        ]
      },
      "goalId" : [
        "tidal-volume-goal",
        "end-inspiratory-pressure-goal"
      ]
    }
  ]
}