CODEX+ CELIDA Recommendations
1.5.2 - ci-build

CODEX+ CELIDA Recommendations - Local Development build (v1.5.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Knowledge Artifacts: Activity Definitions

These define activities that can be performed as part of content in this implementation guide.

Abdominal Positioning

In ARDS and a PaO2/FiO2 < 150 mmHg, abdominal positioning should be consistently performed, with an abdominal positioning interval of at least 16 hours.

Antithrombotic prophylaxis with Certoparin

Antithrombotic prophylaxis with Certoparin in hospitalised COVID-19 patients (in absence of contraindications for LWMH)

Antithrombotic prophylaxis with Dalteparin

Antithrombotic prophylaxis with Dalteparin in hospitalised COVID-19 patients (in absence of contraindications for LWMH)

Antithrombotic prophylaxis with Enoxaparin

Antithrombotic prophylaxis with Enoxaparin in hospitalised COVID-19 patients (in absence of contraindications for LWMH)

Antithrombotic prophylaxis with Fondaparinux

Antithrombotic prophylaxis with Fondaparinux in hospitalised COVID-19 patients (when contraindications for LWMH exist)

Antithrombotic prophylaxis with Nadroparin

Antithrombotic prophylaxis with Nadroparin in hospitalised COVID-19 patients (in absence of contraindications for LWMH)

Antithrombotic prophylaxis with Tinzaparin

Antithrombotic prophylaxis with Tinzaparin in hospitalised COVID-19 patients

NO Therapeutic Anticoagulation Treatment with Fondaparinux

No Therapeutic Anticoagulation Treatment with Fondaparinux for non-intensive care hospitalised COVID-19 patients patients with no specific indications (i.e., pulmonary embolism)

No Therapeutic Anticoagulation Treatment with Argatroban

No Therapeutic Anticoagulation Treatment with Argatroban for non-intensive care hospitalised COVID-19 patients patients with no specific indications (i.e., pulmonary embolism)

No Therapeutic Anticoagulation Treatment with Certoparin

No Therapeutic Anticoagulation Treatment with Certoparin for non-intensive care hospitalised COVID-19 patients patients with no specific indications (i.e., pulmonary embolism)

No Therapeutic Anticoagulation Treatment with Dalteparin

No Therapeutic Anticoagulation Treatment with Dalteparin for non-intensive care hospitalised COVID-19 patients patients with no specific indications (i.e., pulmonary embolism)

No Therapeutic Anticoagulation Treatment with Dalteparin

No Therapeutic Anticoagulation Treatment with Dalteparin for non-intensive care hospitalised COVID-19 patients patients with no specific indications (i.e., pulmonary embolism)

No Therapeutic Anticoagulation Treatment with Dalteparin

No Therapeutic Anticoagulation Treatment with Dalteparin for non-intensive care hospitalised COVID-19 patients patients with no specific indications (i.e., pulmonary embolism)

No Therapeutic Anticoagulation Treatment with Enoxaparin

No Therapeutic Anticoagulation Treatment with Enoxaparin for non-intensive care hospitalised COVID-19 patients patients with no specific indications (i.e., pulmonary embolism)

No Therapeutic Anticoagulation Treatment with Enoxaparin

No Therapeutic Anticoagulation Treatment with Enoxaparin for non-intensive care hospitalised COVID-19 patients patients with no specific indications (i.e., pulmonary embolism)

No Therapeutic Anticoagulation Treatment with Nadroparin

No Therapeutic Anticoagulation Treatment with Nadroparin for non-intensive care hospitalised COVID-19 patients patients with no specific indications (i.e., pulmonary embolism)

No Therapeutic Anticoagulation Treatment with Tinzaparin

No Therapeutic Anticoagulation Treatment with Tinzaparin for non-intensive care hospitalised COVID-19 patients patients with no specific indications (i.e., pulmonary embolism)

No Therapeutic Anticoagulation Treatment with UFH

No Therapeutic Anticoagulation Treatment with UFH for non-intensive care hospitalised COVID-19 patients patients with no specific indications (i.e., pulmonary embolism)

Prophylactic Anticoagulation Treatment with UFH subcutaneous

Prophylactic Treatment with UFH subcutaneous for non-intensive care hospitalised COVID-19 patients

Therapeutic Anticoagulation Treatment UFH

Therapeutic Anticoagulation Treatment (UFH) for non-intensive care hospitalised COVID-19 patients patients with high risk (D-Dimer >= 2mg/l)

Therapeutic Anticoagulation Treatment with Argatroban

Therapeutic Anticoagulation Treatment with Argatroban for non-intensive care hospitalised COVID-19 patients patients with no specific indications (i.e., pulmonary embolism)

Therapeutic Anticoagulation Treatment with Certoparin

Therapeutic Anticoagulation Treatment (NMH) for non-intensive care hospitalised COVID-19 patients patients with high risk (D-Dimer >= 2mg/l) with Certoparin

Therapeutic Anticoagulation Treatment with Dalteparin

Therapeutic Anticoagulation Treatment (NMH) for non-intensive care hospitalised COVID-19 patients patients with high risk (D-Dimer >= 2mg/l) with Dalteparin

Therapeutic Anticoagulation Treatment with Dalteparin

Therapeutic Anticoagulation Treatment (NMH) for non-intensive care hospitalised COVID-19 patients patients with high risk (D-Dimer >= 2mg/l) with Dalteparin

Therapeutic Anticoagulation Treatment with Dalteparin

Therapeutic Anticoagulation Treatment (NMH) for non-intensive care hospitalised COVID-19 patients patients with high risk (D-Dimer >= 2mg/l) with Dalteparin

Therapeutic Anticoagulation Treatment with Enoxaparin

Therapeutic Anticoagulation Treatment (NMH) for non-intensive care hospitalised COVID-19 patients patients with high risk (D-Dimer >= 2mg/l) with Enoxaparin

Therapeutic Anticoagulation Treatment with Enoxaparin

Therapeutic Anticoagulation Treatment (NMH) for non-intensive care hospitalised COVID-19 patients patients with high risk (D-Dimer >= 2mg/l) with Enoxaparin

Therapeutic Anticoagulation Treatment with Fondaparinux

Therapeutic Anticoagulation Treatment with Fondaparinux for non-intensive care hospitalised COVID-19 patients patients with no specific indications (i.e., pulmonary embolism)

Therapeutic Anticoagulation Treatment with Nadroparin

Therapeutic Anticoagulation Treatment (NMH) for non-intensive care hospitalised COVID-19 patientswith high risk (D-Dimer >= 2mg/l) with Nadroparin

Therapeutic Anticoagulation Treatment with Tinzaparin

Therapeutic Anticoagulation Treatment (NMH) for non-intensive care hospitalised COVID-19 patients patients with high risk (D-Dimer >= 2mg/l) with Tinzaparin

Knowledge Artifacts: Plan Definitions

These define workflows, rules, strategies, or protocols as part of content in this implementation guide.

Abdominal positioning for ventilated patients with ARDS and a PaO2/FiO2 < 150 mmHg

Abdominal positioning for ventilated patients with ARDS and a PaO2/FiO2 < 150 mmHg

Abdominal positioning plan in case of ARDS and a PaO2/FiO2 < 150 mmHg

In ARDS and a PaO2/FiO2 < 150 mmHg, abdominal positioning should be consistently performed, with an abdominal positioning interval of at least 16 hours.

Anticoagulation Plan for hospitalized intensive-care COVID-19 patients with no specific indication

In intensive care patients without a specific indication (e.g. pulmonary embolism), therapeutic anticoagulation should not be given.

Antithrombotic prophylaxis with Fondaparinux

Antithrombotic prophylaxis with Fondaparinux in hospitalised COVID-19 patients

Antithrombotic prophylaxis with LWMH

Hospitalized patients with COVID-19 should receive standard drug thromboembolism prophylaxis with low molecular weight heparin in the absence of contraindications. Alternatively, fondaparinux may be used.

No therapeutic anticoagulation for intensive care COVID-19 patients with no specific indication

No therapeutic anticoagulation for intensive care COVID-19 patients with no specific indication

PEEP Intervention Plan for Population: Ventilated COVID-19 Patients, inspiratory oxygen fraction currently 0.0

PEEP Intervention Plan for Ventilated COVID-19 Patients, inspiratory oxygen fraction currently 0.0 - 0.39

PEEP Intervention Plan for Population: Ventilated COVID-19 Patients, inspiratory oxygen fraction currently 0.4

PEEP Intervention Plan for Ventilated COVID-19 Patients, inspiratory oxygen fraction currently 043 - 0.49

PEEP Intervention Plan for Population: Ventilated COVID-19 Patients, inspiratory oxygen fraction currently 0.5

PEEP Intervention Plan for Ventilated COVID-19 Patients, inspiratory oxygen fraction currently 0.5 - 0.59

PEEP Intervention Plan for Population: Ventilated COVID-19 Patients, inspiratory oxygen fraction currently 0.6

PEEP Intervention Plan for Ventilated COVID-19 Patients, inspiratory oxygen fraction currently 0.6 - 0.69

PEEP Intervention Plan for Population: Ventilated COVID-19 Patients, inspiratory oxygen fraction currently 0.7

PEEP Intervention Plan for Ventilated COVID-19 Patients, inspiratory oxygen fraction currently 0.7 - 0.79

PEEP Intervention Plan for Population: Ventilated COVID-19 Patients, inspiratory oxygen fraction currently 0.8

PEEP Intervention Plan for Ventilated COVID-19 Patients, inspiratory oxygen fraction currently 0.8 - 0.89

PEEP Intervention Plan for Population: Ventilated COVID-19 Patients, inspiratory oxygen fraction currently 0.9

PEEP Intervention Plan for Ventilated COVID-19 Patients, inspiratory oxygen fraction currently 0.9 - 0.99

PEEP Intervention Plan for Population: Ventilated COVID-19 Patients, inspiratory oxygen fraction currently 1.0

PEEP Intervention Plan for Ventilated COVID-19 Patients, inspiratory oxygen fraction currently 1.0 - 1.09

PEEP for ventilated COVID-19 patients

PEEP for ventilated COVID-19 patients

Prophylactic anticoagulation in hospitalized COVID-19 patients

Prophylactic anticoagulation in hospitalized COVID-19 patients

Therapeutic Anticoagulation Plan (hospitalised, non-intensive care, COVID-19 patients with no renal function impairment (eGFR >= 30ml/min))

In hospitalized, non-intensive care patients with COVID-19 and increased risk (e.g., D-dimers ≥ 2 mg/l), therapeutic anticoagulation can be considered if the risk of bleeding is low. Anticoagulation, preferentially with NMH or UFH, can be considered.

Therapeutic anticoagulation in non-intensive care, high-risk COVID-19 patients

Therapeutic anticoagulation in non-intensive care, high-risk COVID-19 patients

Tidal volume / end-inspiratory airway pressure for ventilated COVID-19 patients with ARDS

Tidal volume / end-inspiratory airway pressure for ventilated COVID-19 patients with ARDS

Tidal volume for ventilated patients with ARDS

Tidal volume for ventilated patients with ARDS

Ventilation Plan for COVID-19 patients with ARDS

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.

Ventilation Plan for patients with ARDS

We recommend ventilating patients with ARDS with a VT ≤ 6 ml/kg standard body weight (bw). (Table 1, Appendix)

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

CODEX-CELIDA

Concepts required in recommendations that are not defined elsewhere

KontaktArtDe

Klassifizierung eines Kontaktes mit einer Gesundheitseinrichtung

Other

These are resources that are used within this implementation guide that do not fit into one of the other categories.

Hospitalised COVID-19 patients, treated on ICU, without thrombembolic complication

Hospitalised COVID-19 patients, treated on ICU, without thrombembolic complication

Population: Hospitalised COVID-19 patients with existing contraindications to LWMH

Population for recommendation 15: Hospitalised COVID-19 patients with existing contraindications to LWMH

Population: Hospitalised COVID-19 patients without contraindications to LWMH

Population for recommendation 15: Hospitalised COVID-19 patients without contraindications to LWMH

Population: Hospitalised COVID-19 patients without the need for intensive care therapy considered high-risk for developing venous thrombosis

Population for recommendation 17 from guideline from https://www.awmf.org/leitlinien/detail/ll/113-001LG.html with characteristics: without the need for intensive care therapy, considered high-risk for developing venous thrombosis

Population: Ventilated COVID-19 Patients with ARDS

Ventilated COVID-19 patients with ARDS

Population: Ventilated COVID-19 Patients with severe ARDS

Ventilated COVID-19 patients with severe ARDS, defined by oxygenation failure (Horovitz Quotient lower than 150)

Population: Ventilated COVID-19 Patients, inspiratory oxygen fraction currently 0.0

Ventilated COVID-19 patients, inspiratory oxygen fraction currently 0.0 - 0.39

Population: Ventilated COVID-19 Patients, inspiratory oxygen fraction currently 0.4

Ventilated COVID-19 patients, inspiratory oxygen fraction currently 0.4 - 0.49

Population: Ventilated COVID-19 Patients, inspiratory oxygen fraction currently 0.5

Ventilated COVID-19 patients, inspiratory oxygen fraction currently 0.5 - 0.59

Population: Ventilated COVID-19 Patients, inspiratory oxygen fraction currently 0.6

Ventilated COVID-19 patients, inspiratory oxygen fraction currently 0.6 - 0.69

Population: Ventilated COVID-19 Patients, inspiratory oxygen fraction currently 0.7

Ventilated COVID-19 patients, inspiratory oxygen fraction currently 0.7 - 0.79

Population: Ventilated COVID-19 Patients, inspiratory oxygen fraction currently 0.8

Ventilated COVID-19 patients, inspiratory oxygen fraction currently 0.8 - 0.89

Population: Ventilated COVID-19 Patients, inspiratory oxygen fraction currently 0.9

Ventilated COVID-19 patients, inspiratory oxygen fraction currently 0.9 - 0.99

Population: Ventilated COVID-19 Patients, inspiratory oxygen fraction currently 1.0

Ventilated COVID-19 patients, inspiratory oxygen fraction currently 1.0

Population: Ventilated patients with ARDS

Patients with ARDS