Dissolve-E: FHIR Implementation Guide for the AWMF Guideline Registry
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Artifacts Summary

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

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

AWMF Guideline

AWMF Clinical Practice Guideline

AWMF Member Organization

An organization that is a member of the AWMF

AWMF S1 Guideline

AWMF S1 guideline representing expert recommendations developed through informal consensus.

AWMF S2e Guideline

AWMF S2e guideline based on systematic literature search and evaluation.

AWMF S2k Guideline

AWMF S2k guideline based on structured consensus by a representative panel.

AWMF S3 Guideline

AWMF S3 guideline based on systematic evidence review and structured consensus by a representative panel.

Certainty of Evidence Rating

A structured assessment of the certainty of evidence for a specific outcome.

Evidence Assessment AGREE II

A structured assessment of the quality of guidelines using the AGREE II instrument.

Evidence Assessment AMSTAR 2

A structured assessment of the certainty of evidence using AMSTAR 2.

Evidence Assessment Cochrane Risk of Bias

Structured assessment of risk of bias using Cochrane RoB tool.

Evidence Assessment GRADE

A structured assessment of the certainty of evidence for a specific outcome, including GRADE rating.

Evidence Assessment Oxford 2011

A structured assessment of the certainty of evidence for a specific outcome, including Oxford 2011 rating.

Evidence Assessment ROBIS

Structured assessment of risk of bias using ROBIS (Risk of Bias in Systematic Reviews).

Guideline

Clinical Practice Guideline

Guideline Attachment

Attachment to a Clinical Practice Guideline

Guideline Author

A person that authored a guideline.

Guideline Author Role

The role of the author of the guideline.

Outcome Evidence

Represents evidence supporting a specific outcome within a body of clinical or scientific evidence.

Recommendation

Clinical Practice Guideline Recommendation

Recommendation Justification

A structured assessment of the evidence and consensus that underpins a recommendation.

Recommendation Justification AWMF

A structured assessment of the evidence and consensus that underpins a recommendation, including AWMF rating.

Recommendation Justification GRADE

A structured assessment of the evidence and consensus that underpins a recommendation, including GRADE rating.

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

Artifact Contact (Extended)

This extension provides additional contact details for individuals or organizations associated with an artifact (e.g., a clinical document, guideline, or other composition).

Author Language

This extension allows for the specification of the language(s) the author contributed to a section in a FHIR Composition.

Consultation Period

This extension allows for the indication of the period during which the guideline is open for consultation.

First Publication Date

This extension allows for the indication of the date when the guideline was first published.

Guideline Author Role

This extension allows for the indication of the role of the author of the guideline.

Planned Completion Date

This extension allows for the indication of the date when the guideline is planned to be completed.

Publication Date

This extensions allows for the indication of the date when the guideline was published.

Recommendation Version Status

This extension allows for the indication of the status of a recommendation in the context of an updated guideline version

Registration Date

This extensions allows for the indication of the date the guideline project was registered.

RelatesTo Classifier

This extension defines a classification for the 'relatesTo' relationship using a CodeableConcept.

RelatesTo Label

This extension defines a label for the 'relatesTo' relationship using a CodeableConcept.

Section Coding

This extension allows for the assignment of a specific code to a section within a Composition resource. The code provides a standardized way to categorize or identify the content of the section, enabling better organization, searchability, and interoperability of clinical documents or other structured artifacts.

Section Intended Audience

This extension allows for the indication of the target audience for the section

Section Keyword

This extension allows for the indication of keywords associated with the section

Section Language

This extension allows for the indication of the Language of the Section.

Submission Date

This extension allows for the indication of the date when the guideline was submitted to the system.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

AGREE II Domains Value Set

ValueSet encompassing all domains from the AGREE II instrument.

AMSTAR 2 Confidence Ratings Value Set

ValueSet encompassing all overall confidence ratings from the AMSTAR 2 critical appraisal tool.

AWMF Guideline Class

ValueSet listing values representing guideline classes according to the AWMF.

AWMF Guideline Status

ValueSet listing values to define the guideline status according to the AWMF.

Body System Conditions

ValueSet listing various body system conditions

Care Level

ValueSet listing levels of care.

CareStage

ValueSet listing stages of care from prevention to rehabilitation.

Clinical Application Type

ValueSet listing different clinical application types

Content Types

ValueSet listing types of content that can be part of a guideline or recommendation.

Dissemination Website

ValueSet listing types of dissemination websites

Encounter Type

ValueSet listing types of patient encounters based on hospitalization status.

Evidence Rating System Value Set

Value set of commonly used evidence rating and appraisal systems

Guideline Author Role

ValueSet listing roles that a author can have in a guideline.

Guideline Contact Point VS

ValueSet listing contact points relevant to guidelines, such as registrants, coordinators, and main contacts.

Guideline Release Type

ValueSet listing different guideline release types

Guideline Sections

ValueSet listing values to use to define guideline sections

Intended Audience Value Set

ValueSet listing codes representing intended audiences for a section

Level Of Consensus

ValueSet listing values to define the level of consensus for a recommendation.

OCEBM 2011 Levels of Evidence Value Set

ValueSet encompassing all levels from the OCEBM 2011 Levels of Evidence.

ROBIS Judgment of Risk of Bias Value Set

ValueSet encompassing all risk of bias judgment values from the ROBIS tool.

ROBIS Risk of Bias Domains Value Set

ValueSet encompassing all risk of bias domains from the ROBIS tool.

Rating Acceptability

ValueSet defining if the alternatives are acceptable for the target population and its implementors?

Rating Benefits And Harms

ValueSet listing values to represent the summary of the most important benefits and harms

Rating Certainty Of Evidence

Codes from EvidenceCertaintyRating related to certainty of evidence

Rating Concern Degree

ValueSet listing codes from EvidenceCertaintyRating related to degree of concern

Rating Equity

ValueSet listing values to represent how the different alternatives affect equity

Rating Feasibility

ValueSet listing values to reprensent how feasible will it be to implement the different alternatives and if there are any issues

Rating Preference And Values

ValueSet listing typical patient preferences and values as well as common issues or expected variability

Rating Resources

ValueSet listing values to indicate if there are issues related to costs or resource use.

Recommendation Strength (AWMF) ValueSet

ValueSet of strength of recommendations as defined in AWMF guideline methodology.

Recommendation Synthesis Type

ValueSet listing different synthesis Types of recommendations

Recommendation Tags

ValueSet listing different tags to use for recommendations

Recommendation Version Status Value Set

ValueSet representing the version-related status of a recommendation in a new guideline version

Remark Type

ValueSet listing types of remarks that can be associated with guidelines, including restrictions, warnings, and additional notes.

RoB2 Overall Judgment ValueSet

ValueSet listing values to represent the overall judgment of risk of bias assessed by the RoB2 tool for evaluating risk of bias for randomized trials.

Target Patient Group

ValueSet listing patient population categories for guidelines, such as adults and children/adolescents.

Terminology: Code Systems

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

AGREE II Domains

CodeSystem representing the domains assessed by the AGREE II instrument for evaluating the quality of clinical practice guidelines.

AMSTAR 2 Overall Confidence Ratings

CodeSystem representing the overall confidence ratings from the AMSTAR 2 critical appraisal tool.

AWMF Guideline Class

As part of the project planning for the creation or updating of a guideline, a decision should be made at an early stage about the planned level classification ("S classification") according to the AWMF's system of rules (1-3). The S-classification scheme of the AWMF differentiates between the classes S1 treatment recommendation as well as S2e, S2k and S3 guideline. The "S" stands for the extent of the applied systematic approach in the development process of a guideline. Each class thus stands for a specific methodological concept that must be presented in a way that is comprehensible to the users. The choice of class is based on the question of how much effort is appropriate and feasible. The need for legitimacy for the implementation of the guideline (convincing the target group) must be taken into account. When choosing a higher S-classification in the context of updating a guideline, the adaptation to the corresponding methodology has to be considered.

AWMF Guideline Status

CodeSystem representing the guideline status according to the AWMF.

Body System Conditions

CodeSystem representing various body system conditions.

Care Setting

CodeSystem defining different care settings, including levels of care, healthcare services, and treatment contexts.

Clinical Application Type

CodeSystem defining different clinical application types

Contact Point

CodeSystem defining types of contact points for a guideline

Evidence Rating System Code System

CodeSystem for identifying evidence rating and appraisal frameworks used in systematic reviews, guideline development, and clinical decision support.

Evidence To Decision Certainty Rating

CodeSystem defining GRADE Evidence to Decision (EtD) Framework Certainty Ratings

Evidence To Decision Certainty type

CodeSystem defining values to represent the GRADE Evidence to Decision (EtD) Framework Certainty Type

Guideline Author Role

CodeSystem defining roles for the author of the guideline.

Guideline Release Type

CodeSystem defining different guideline release types

Guideline Sections

Sections of a guideline, describing various aspects such as its intention, target patient group, care setting, and other relevant contextual information.

Intended Audience Code System

CodeSystem defining possible intended audiences for a section

Level of Consensus

CodeSystem defining the values representing the level of consensus for a recommendation.

Medical Subject Categories

CodeSystem defining values to classify medical subjects into different categories.

OCEBM 2011 Levels of Evidence

CodeSystem representing the Oxford Centre for Evidence-Based Medicine 2011 Levels of Evidence.

ROBIS Judgment of Risk of Bias

CodeSystem representing the judgment of risk of bias assessed by the ROBIS tool for evaluating risk of bias in systematic reviews.

ROBIS Risk of Bias Domains

CodeSystem representing the domains assessed by the ROBIS tool for evaluating risk of bias in systematic reviews.

Recommendation Strength (AWMF)

CodeSystem defining the grading of recommendations according to German guideline methodology as used in AWMF S3 guidelines.

Recommendation Synthesis Type

CodeSystem defining values representing the synthesis type of a recommendation

Recommendation Tags

CodeSystem defining codes to represent tags for recommendations

Recommendation Version Status Code System

CodeSystem defining values indicating how a recommendation relates to a new version of the guideline

Related Artifact Types

CodeSystem defining types of related artifacts that can be part of a guideline.

Remark Type

CodeSystem defining different types of remarks that can be associated with guidelines, including restrictions, warnings, and additional notes.

RoB2 Overall Judgment

CodeSystem representing the overall judgment of risk of bias assessed by the RoB2 tool for evaluating risk of bias for randomized trials.

Target Patient Group

CodeSystem defining the intended patient population for whom the guideline is applicable.

awmf

CodeSystem representing different codes of interest for the Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF)

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

AWMF Guideline Example

An example of an AWMF guideline.

AWMF Guideline S1 Example

An example of an AWMF S1 guideline.

AWMF Guideline S2e Example

An example of an AWMF S2e guideline.

AWMF Guideline S2k Example

An example of an AWMF S2k guideline.

AWMF Guideline S3 Example

An example of an AWMF S3 guideline.

AWMF Member Organization Example

An example of an AWMF member organization.

Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF)

Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF)

Certainty of Evidence Rating for Multiplex-PCR-Diagnostik - Antibiotic Days

Certainty of evidence rating for the impact of Multiplex-PCR-Diagnostik on antibiotic days

Certainty of Evidence Rating for Multiplex-PCR-Diagnostik - Mortality

Certainty of evidence rating for the impact of Multiplex-PCR-Diagnostik on mortality

Certainty of Evidence Rating for Multiplex-PCR-Diagnostik - Time to Deescalation

Certainty of evidence rating for the impact of Multiplex-PCR-Diagnostik on time to deescalation

Concept map from concepts from standardized vocabularies (that are not standard OMOP concepts) to Concept IDs of OMOP standard Concepts

Concept map from concepts from standardized vocabularies that are not labelled as 'standard' in Athena – OHDSI Vocabularies Repository to Concept IDs from 'standard' concepts

DGAI

Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin e.V. (DGAI)

DGAI

Deutsche Gesellschaft für Pneumologie und Beatmungsmedizin e.V. (DGP)

DGCH

Deutsche Gesellschaft für Chirurgie e.V. (DGCH)

DGHM

Deutsche Gesellschaft für Hygiene und Mikrobiologie e.V. (DGHM)

DGI

Deutsche Gesellschaft für Infektiologie e.V. (DGI)

DGIIN

Deutsche Gesellschaft für Internistische Intensivmedizin und Notfallmedizin e.V. (DGIIN)

DGIM

Deutsche Gesellschaft für Innere Medizin e.V. (DGIM)

DRG

Deutsche Röntgengesellschaft, Gesellschaft für Medizinische Radiologie e.V. (DRG)

DSG

Deutsche Sepsis-Gesellschaft e.V. (DSG)

Evidence-Multiplex PCR Diagnostic-Antibiotic Days

Evidence for the impact of Multiplex-PCR-Diagnostik on antibiotic days

Evidence-Multiplex PCR Diagnostic-Mortality

Evidence for the impact of Multiplex-PCR-Diagnostik on mortality

Evidence-Multiplex PCR Diagnostic-Time to Deescalation

Evidence for the impact of Multiplex-PCR-Diagnostik on time to deescalation

Foliensatz

Foliensatz Leitlinie 020-013

GfV

Gesellschaft für Virologie e.V. (GfV)

Guideline Attachment Example

An example of a guideline attachment.

Guideline Author Example

An example of a guideline author.

Guideline Author Role Example

An example of a guideline author role.

Guideline Example

An example of a guideline.

Guideline Example

An example of a guideline.

Guideline Example

An example of a guideline.

Guideline Example

An example of a guideline.

Guideline Example

An example of a guideline.

Guideline Example

An example of a guideline.

Guideline Example

An example of a guideline.

Guideline Example

An example of a guideline.

Guideline Example

An example of a guideline.

Guideline Example

An example of a guideline.

Guideline Example

An example of a guideline.

Guideline Example

An example of a guideline.

Guideline Example

An example of a guideline.

Guideline Example

An example of a guideline.

Guideline Example

An example of a guideline.

Guideline Example

An example of a guideline.

Guideline Example

An example of a guideline.

Guideline with contributing author referencing Practitioner (fails invariant)

Fails because the contributing author points to a Practitioner instead of an Organization.

Guideline with leading author referencing Organization (passes invariant)

Passes because the leading author points to an Organization.

Guideline with leading author referencing Practitioner (fails invariant)

Fails because the leading author points to a Practitioner instead of an Organization.

HAP Diagnose

Wie wird eine HAP klinisch diagnostiziert und welche Differenzialdiagnosen sind zu beachten?

HAP Diagnose - Empfehlung A

Wie wird eine HAP klinisch diagnostiziert und welche Differenzialdiagnosen sind zu beachten?

HAP Diagnose - Empfehlung B

Wie wird eine HAP klinisch diagnostiziert und welche Differenzialdiagnosen sind zu beachten?

Implementierungshilfe

Implementierungshilfe Leitlinie 020-013

Jessica Rademacher

Jessica Rademacher

Jessica Rademacher for DGP in the context of 020-013

Jessica Rademacher for DGP in the context of 020-013

Kurzfassung

Kurzfassung Leitlinie 020-013

Langfassung

Langfassung Leitlinie 020-013

Leitlinienreport

Leitlinienreport Leitlinie 020-013

Multiplex-PCR-Diagnostik

Wird der Einsatz von Multiplex-PCR im Rahmen der mikrobiologischen Diagnostik bei Patienten mit Verdacht auf nosokomiale Pneumonie empfohlen?

Netzwerk chronisch pulmonale Aspergillose (CPAnet)

Netzwerk chronisch pulmonale Aspergillose (CPAnet)

Outcome Antibiotic Days

Outcome Antibiotic Days

Outcome Mortality

Outcome Mortality

Outcome Time to Deescalation

Outcome Time to Deescalation

PEG

Paul-Ehrlich-Gesellschaft für Infektionstherapie e.V. (PEG)

Patienteninformation

Patienteninformation Leitlinie 020-013

Recommendation Example

An example of a recommendation.

Recommendation-PlanDefinition-example
RecommendationHAPDiagnosis-A-Justification

Justification for Recommendation HAP Diagnose A

RecommendationHAPDiagnosis-B-Justification

Justification for Recommendation HAP Diagnose B

RecommendationMultiplexPCRDiagnostic-Justification

Justification for Recommendation Multiplex-PCR-Diagnostik

Robert Koch-Institut

Robert Koch-Institut

S3-Leitlinie Epidemiologie, Diagnostik und Therapie erwachsener Patienten mit nosokomialer Pneumonie

S3-Leitlinie zur Epidemiologie, Diagnostik und Therapie erwachsener Patienten mit nosokomialer Pneumonie