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

Active as of 2022-02

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<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="VentilatedCOVID19PatientsWithARDSVentilationPlan"/>
  <meta>
    <profile
             value="https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/recommendation-plan"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
</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>
  </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/codex-celida/guideline/covid19-inpatient-therapy/recommendation/ventilation-plan-ards-tidal-volume"/>
  </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="all"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <url
       value="https://www.netzwerk-universitaetsmedizin.de/fhir/codex-celida/guideline/covid19-inpatient-therapy/intervention-plan/ventilation-plan"/>
  <version value="7.0"/>
  <name value="Ventilation_Plan"/>
  <title value="Ventilation parameters for COVID-19 patients with ARDS"/>
  <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/codex-celida/guideline/covid19-inpatient-therapy/population/ventilated-covid19-patients-with-ards"/>
  <date value="2022-02"/>
  <publisher value="NUM CODEX+ CELIDA"/>
  <description
               value="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 value="http://snomed.info/sct"/>
        <code value="385857005"/>
        <display value="Ventilator care and adjustment (regime/therapy)"/>
      </coding>
    </category>
    <description>
      <text value="Tidal volume ≤ 6 ml/kg standard body weight"/>
    </description>
    <target>
      <measure>
        <coding>
          <system
                  value="https://www.netzwerk-universitaetsmedizin.de/fhir/codex-celida/CodeSystem/codex-celida"/>
          <code value="tvpibw"/>
          <display value="Tidal volume / ideal body weight (ARDSnet)"/>
        </coding>
      </measure>
      <detailRange>
        <high>
          <value value="6"/>
          <unit value="ml/kg"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="ml/kg"/>
        </high>
      </detailRange>
    </target>
  </goal>
  <goal id="end-inspiratory-pressure-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="End-inspiratory airway pressure ≤ 30 cm H2O"/>
    </description>
    <target>
      <measure>
        <coding>
          <system value="http://loinc.org"/>
          <code value="76259-1"/>
          <display
                   value="Pressure.plateau Respiratory system airway --on ventilator"/>
        </coding>
      </measure>
      <detailRange>
        <high>
          <value value="30"/>
          <unit value="cm[H2O]"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="cm[H2O]"/>
        </high>
      </detailRange>
    </target>
  </goal>
  <action>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="410210009"/>
        <display value="Ventilator care management (procedure)"/>
      </coding>
    </code>
    <goalId value="tidal-volume-goal"/>
    <goalId value="end-inspiratory-pressure-goal"/>
  </action>
</PlanDefinition>