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{
  "resourceType": "Questionnaire",
  "id": "Intensivscores",
  "url": "https://tiplu.de/fhir/Questionnaire/intensiv-scores",
  "title": "Intensivscores (SAPS/TISS)",
  "name": "Intensivscores_SAPS_TISS",
  "description": "Questionnaire Instanz für das Erfassen von Intensivscores SAPS II und TISS",
  "status": "active",
  "subjectType": [
    "Patient"
  ],
  "version": "1.0.0",
  "item": [
    {
      "linkId": "Intensivscores",
      "type": "group",
      "text": "Berechnung der Aufwandspunkte für die Intensivmedizinische Komplexbehandlung bei Erwachsenen (SAPS, TISS)",
      "item": [
        {
          "text": "Datum",
          "linkId": "Datum",
          "required": true,
          "type": "date"
        },
        {
          "text": "ID",
          "linkId": "Id",
          "type": "string"
        },
        {
          "linkId": "SAPS",
          "type": "group",
          "text": "SAPS II",
          "item": [
            {
              "linkId": "SAPS_Messwerte",
              "text": "SAPS II: Für die medizinischen Messwerte jeweils zu vergebende Punkte",
              "type": "group",
              "item": [
                {
                  "linkId": "Herzfrequenz_Punkte",
                  "type": "choice",
                  "text": "Herzfrequenz",
                  "initial": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    }
                  ],
                  "answerOption": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "2",
                        "display": "2"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "4",
                        "display": "4"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "7",
                        "display": "7"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "11",
                        "display": "11"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Systolischer_Blutdruck_Punkte",
                  "type": "choice",
                  "text": "Systolischer Blutdruck",
                  "initial": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    }
                  ],
                  "answerOption": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "2",
                        "display": "2"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "5",
                        "display": "5"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "13",
                        "display": "13"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Koerpertemperatur_Punkte",
                  "type": "choice",
                  "text": "Körpertemperatur",
                  "initial": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    }
                  ],
                  "answerOption": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "3",
                        "display": "3"
                      }
                    }
                  ]
                },
                {
                  "linkId": "PaO2_FiO2_Punkte",
                  "type": "choice",
                  "text": "PaO2/FiO2",
                  "initial": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    }
                  ],
                  "answerOption": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "6",
                        "display": "6"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "9",
                        "display": "9"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "11",
                        "display": "11"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Ausfuhr_Urin_Punkte",
                  "type": "choice",
                  "text": "Ausfuhr Urin",
                  "initial": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    }
                  ],
                  "answerOption": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "4",
                        "display": "4"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "11",
                        "display": "11"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Harnstoff_im_Serum_Punkte",
                  "type": "choice",
                  "text": "Harnstoff im Serum",
                  "initial": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    }
                  ],
                  "answerOption": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "6",
                        "display": "6"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "10",
                        "display": "10"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Leukozyten_Punkte",
                  "type": "choice",
                  "text": "Leukozyten",
                  "initial": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    }
                  ],
                  "answerOption": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "3",
                        "display": "3"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "12",
                        "display": "12"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Kalium_im_Serum_Punkte",
                  "type": "choice",
                  "text": "Kalium im Serum",
                  "initial": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    }
                  ],
                  "answerOption": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "3",
                        "display": "3"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Natrium_im_Serum_Punkte",
                  "type": "choice",
                  "text": "Natrium im Serum",
                  "initial": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    }
                  ],
                  "answerOption": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "1",
                        "display": "1"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "5",
                        "display": "5"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Bicarbonat_im_Serum_Punkte",
                  "type": "choice",
                  "text": "Bicarbonat im Serum",
                  "initial": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    }
                  ],
                  "answerOption": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "3",
                        "display": "3"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "6",
                        "display": "6"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Bilirubin_im_Serum_Punkte",
                  "type": "choice",
                  "text": "Bilirubin im Serum",
                  "initial": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    }
                  ],
                  "answerOption": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "4",
                        "display": "4"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "9",
                        "display": "9"
                      }
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "SAPS_ChronischeLeiden",
              "type": "group",
              "text": "SAPS II: Für die Kriterien Chronische Leiden und Aufnahmestatus zu vergebende Punkte",
              "item": [
                {
                  "linkId": "ChronischeLeiden_Punkte",
                  "type": "choice",
                  "text": "Chronische Leiden",
                  "initial": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    }
                  ],
                  "answerOption": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "9",
                        "display": "9"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "10",
                        "display": "10"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "17",
                        "display": "17"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Aufnahmestatus_Punkte",
                  "type": "choice",
                  "text": "Aufnahmestatus",
                  "initial": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    }
                  ],
                  "answerOption": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "6",
                        "display": "6"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "8",
                        "display": "8"
                      }
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "weitere_Punkte",
              "type": "group",
              "text": "Weitere Kriterien",
              "item": [
                {
                  "linkId": "PunkteFuerAlter",
                  "type": "choice",
                  "text": "SAPS II: Für das Alter zu vergebende Punkte",
                  "initial": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    }
                  ],
                  "answerOption": [
                    {
                      "valueCoding": {
                        "code": "0",
                        "display": "0"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "7",
                        "display": "7"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "12",
                        "display": "12"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "15",
                        "display": "15"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "16",
                        "display": "16"
                      }
                    },
                    {
                      "valueCoding": {
                        "code": "18",
                        "display": "18"
                      }
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "linkId": "TISS",
          "type": "group",
          "text": "TISS: Punkte pro Tag für die täglich zu erfassenden 10 aufwendigsten Leistungen",
          "item": [
            {
              "linkId": "Apparative_Beatmung",
              "type": "boolean",
              "text": "Apparative Beatmung",
              "initial": [
                {
                  "valueBoolean": false
                }
              ]
            },
            {
              "linkId": "Infusion_multipler_Katecholamine",
              "type": "boolean",
              "text": "Infusion multipler Katecholamine",
              "initial": [
                {
                  "valueBoolean": false
                }
              ]
            },
            {
              "linkId": "Fluessigkeitsersatz_in_hohen_Mengen",
              "type": "boolean",
              "text": "Flüssigkeitsersatz in hohen Mengen",
              "initial": [
                {
                  "valueBoolean": false
                }
              ]
            },
            {
              "linkId": "Peripherer_arterieller_Katheter",
              "type": "boolean",
              "text": "Peripherer arterieller Katheter",
              "initial": [
                {
                  "valueBoolean": false
                }
              ]
            },
            {
              "linkId": "Linksvorhof_Katheter_Pulmonalis_Katheter",
              "type": "boolean",
              "text": "Linksvorhof-Katheter/Pulmonalis-Katheter",
              "initial": [
                {
                  "valueBoolean": false
                }
              ]
            },
            {
              "linkId": "Haemofiltration_Dialyse",
              "type": "boolean",
              "text": "Hämofiltration/Dialyse",
              "initial": [
                {
                  "valueBoolean": false
                }
              ]
            },
            {
              "linkId": "Intrakranielle_Druckmessung",
              "type": "boolean",
              "text": "Intrakranielle Druckmessung",
              "initial": [
                {
                  "valueBoolean": false
                }
              ]
            },
            {
              "linkId": "Behandlung_einer_metabolischen_Azidose_Alkalose",
              "type": "boolean",
              "text": "Behandlung einer metabolischen Azidose/Alkalose",
              "initial": [
                {
                  "valueBoolean": false
                }
              ]
            },
            {
              "linkId": "Spezielle_Interventionen_auf_der_ITS",
              "type": "boolean",
              "text": "Spezielle Interventionen auf der ITS (z.B. Tracheotomie, Kardioversion)",
              "initial": [
                {
                  "valueBoolean": false
                }
              ]
            },
            {
              "linkId": "Aktionen_ausserhalb_der_Station",
              "type": "boolean",
              "text": "Aktionen außerhalb der Station (Diagnostik / Operation)",
              "initial": [
                {
                  "valueBoolean": false
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}

name : Intensivscores_SAPS_TISS

{

}