{
  "description": "Questionnaire Instanz für das Erfassen von Intensivscores SAPS II und TISS",
  "_filename": "examples/Questionnaire-Intensivscores.json",
  "package_name": "basisprofil.tiplu.de.r4.dev",
  "subjectType": [ "Patient" ],
  "date": null,
  "publisher": null,
  "name": "Intensivscores_SAPS_TISS",
  "item": [ {
    "item": [ {
      "text": "Datum",
      "type": "date",
      "linkId": "Datum",
      "required": true
    }, {
      "text": "ID",
      "type": "string",
      "linkId": "Id"
    }, {
      "item": [ {
        "item": [ {
          "text": "Herzfrequenz",
          "type": "choice",
          "linkId": "Herzfrequenz_Punkte",
          "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"
            }
          } ]
        }, {
          "text": "Systolischer Blutdruck",
          "type": "choice",
          "linkId": "Systolischer_Blutdruck_Punkte",
          "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"
            }
          } ]
        }, {
          "text": "Körpertemperatur",
          "type": "choice",
          "linkId": "Koerpertemperatur_Punkte",
          "initial": [ {
            "valueCoding": {
              "code": "0",
              "display": "0"
            }
          } ],
          "answerOption": [ {
            "valueCoding": {
              "code": "0",
              "display": "0"
            }
          }, {
            "valueCoding": {
              "code": "3",
              "display": "3"
            }
          } ]
        }, {
          "text": "PaO2/FiO2",
          "type": "choice",
          "linkId": "PaO2_FiO2_Punkte",
          "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"
            }
          } ]
        }, {
          "text": "Ausfuhr Urin",
          "type": "choice",
          "linkId": "Ausfuhr_Urin_Punkte",
          "initial": [ {
            "valueCoding": {
              "code": "0",
              "display": "0"
            }
          } ],
          "answerOption": [ {
            "valueCoding": {
              "code": "0",
              "display": "0"
            }
          }, {
            "valueCoding": {
              "code": "4",
              "display": "4"
            }
          }, {
            "valueCoding": {
              "code": "11",
              "display": "11"
            }
          } ]
        }, {
          "text": "Harnstoff im Serum",
          "type": "choice",
          "linkId": "Harnstoff_im_Serum_Punkte",
          "initial": [ {
            "valueCoding": {
              "code": "0",
              "display": "0"
            }
          } ],
          "answerOption": [ {
            "valueCoding": {
              "code": "0",
              "display": "0"
            }
          }, {
            "valueCoding": {
              "code": "6",
              "display": "6"
            }
          }, {
            "valueCoding": {
              "code": "10",
              "display": "10"
            }
          } ]
        }, {
          "text": "Leukozyten",
          "type": "choice",
          "linkId": "Leukozyten_Punkte",
          "initial": [ {
            "valueCoding": {
              "code": "0",
              "display": "0"
            }
          } ],
          "answerOption": [ {
            "valueCoding": {
              "code": "0",
              "display": "0"
            }
          }, {
            "valueCoding": {
              "code": "3",
              "display": "3"
            }
          }, {
            "valueCoding": {
              "code": "12",
              "display": "12"
            }
          } ]
        }, {
          "text": "Kalium im Serum",
          "type": "choice",
          "linkId": "Kalium_im_Serum_Punkte",
          "initial": [ {
            "valueCoding": {
              "code": "0",
              "display": "0"
            }
          } ],
          "answerOption": [ {
            "valueCoding": {
              "code": "0",
              "display": "0"
            }
          }, {
            "valueCoding": {
              "code": "3",
              "display": "3"
            }
          } ]
        }, {
          "text": "Natrium im Serum",
          "type": "choice",
          "linkId": "Natrium_im_Serum_Punkte",
          "initial": [ {
            "valueCoding": {
              "code": "0",
              "display": "0"
            }
          } ],
          "answerOption": [ {
            "valueCoding": {
              "code": "0",
              "display": "0"
            }
          }, {
            "valueCoding": {
              "code": "1",
              "display": "1"
            }
          }, {
            "valueCoding": {
              "code": "5",
              "display": "5"
            }
          } ]
        }, {
          "text": "Bicarbonat im Serum",
          "type": "choice",
          "linkId": "Bicarbonat_im_Serum_Punkte",
          "initial": [ {
            "valueCoding": {
              "code": "0",
              "display": "0"
            }
          } ],
          "answerOption": [ {
            "valueCoding": {
              "code": "0",
              "display": "0"
            }
          }, {
            "valueCoding": {
              "code": "3",
              "display": "3"
            }
          }, {
            "valueCoding": {
              "code": "6",
              "display": "6"
            }
          } ]
        }, {
          "text": "Bilirubin im Serum",
          "type": "choice",
          "linkId": "Bilirubin_im_Serum_Punkte",
          "initial": [ {
            "valueCoding": {
              "code": "0",
              "display": "0"
            }
          } ],
          "answerOption": [ {
            "valueCoding": {
              "code": "0",
              "display": "0"
            }
          }, {
            "valueCoding": {
              "code": "4",
              "display": "4"
            }
          }, {
            "valueCoding": {
              "code": "9",
              "display": "9"
            }
          } ]
        } ],
        "text": "SAPS II: Für die medizinischen Messwerte jeweils zu vergebende Punkte",
        "type": "group",
        "linkId": "SAPS_Messwerte"
      }, {
        "item": [ {
          "text": "Chronische Leiden",
          "type": "choice",
          "linkId": "ChronischeLeiden_Punkte",
          "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"
            }
          } ]
        }, {
          "text": "Aufnahmestatus",
          "type": "choice",
          "linkId": "Aufnahmestatus_Punkte",
          "initial": [ {
            "valueCoding": {
              "code": "0",
              "display": "0"
            }
          } ],
          "answerOption": [ {
            "valueCoding": {
              "code": "0",
              "display": "0"
            }
          }, {
            "valueCoding": {
              "code": "6",
              "display": "6"
            }
          }, {
            "valueCoding": {
              "code": "8",
              "display": "8"
            }
          } ]
        } ],
        "text": "SAPS II: Für die Kriterien Chronische Leiden und Aufnahmestatus zu vergebende Punkte",
        "type": "group",
        "linkId": "SAPS_ChronischeLeiden"
      }, {
        "item": [ {
          "text": "SAPS II: Für das Alter zu vergebende Punkte",
          "type": "choice",
          "linkId": "PunkteFuerAlter",
          "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"
            }
          } ]
        } ],
        "text": "Weitere Kriterien",
        "type": "group",
        "linkId": "weitere_Punkte"
      } ],
      "text": "SAPS II",
      "type": "group",
      "linkId": "SAPS"
    }, {
      "item": [ {
        "text": "Apparative Beatmung",
        "type": "boolean",
        "linkId": "Apparative_Beatmung",
        "initial": [ {
          "valueBoolean": false
        } ]
      }, {
        "text": "Infusion multipler Katecholamine",
        "type": "boolean",
        "linkId": "Infusion_multipler_Katecholamine",
        "initial": [ {
          "valueBoolean": false
        } ]
      }, {
        "text": "Flüssigkeitsersatz in hohen Mengen",
        "type": "boolean",
        "linkId": "Fluessigkeitsersatz_in_hohen_Mengen",
        "initial": [ {
          "valueBoolean": false
        } ]
      }, {
        "text": "Peripherer arterieller Katheter",
        "type": "boolean",
        "linkId": "Peripherer_arterieller_Katheter",
        "initial": [ {
          "valueBoolean": false
        } ]
      }, {
        "text": "Linksvorhof-Katheter/Pulmonalis-Katheter",
        "type": "boolean",
        "linkId": "Linksvorhof_Katheter_Pulmonalis_Katheter",
        "initial": [ {
          "valueBoolean": false
        } ]
      }, {
        "text": "Hämofiltration/Dialyse",
        "type": "boolean",
        "linkId": "Haemofiltration_Dialyse",
        "initial": [ {
          "valueBoolean": false
        } ]
      }, {
        "text": "Intrakranielle Druckmessung",
        "type": "boolean",
        "linkId": "Intrakranielle_Druckmessung",
        "initial": [ {
          "valueBoolean": false
        } ]
      }, {
        "text": "Behandlung einer metabolischen Azidose/Alkalose",
        "type": "boolean",
        "linkId": "Behandlung_einer_metabolischen_Azidose_Alkalose",
        "initial": [ {
          "valueBoolean": false
        } ]
      }, {
        "text": "Spezielle Interventionen auf der ITS (z.B. Tracheotomie, Kardioversion)",
        "type": "boolean",
        "linkId": "Spezielle_Interventionen_auf_der_ITS",
        "initial": [ {
          "valueBoolean": false
        } ]
      }, {
        "text": "Aktionen außerhalb der Station (Diagnostik / Operation)",
        "type": "boolean",
        "linkId": "Aktionen_ausserhalb_der_Station",
        "initial": [ {
          "valueBoolean": false
        } ]
      } ],
      "text": "TISS: Punkte pro Tag für die täglich zu erfassenden 10 aufwendigsten Leistungen",
      "type": "group",
      "linkId": "TISS"
    } ],
    "text": "Berechnung der Aufwandspunkte für die Intensivmedizinische Komplexbehandlung bei Erwachsenen (SAPS, TISS)",
    "type": "group",
    "linkId": "Intensivscores"
  } ],
  "type": null,
  "experimental": null,
  "resourceType": "Questionnaire",
  "title": "Intensivscores (SAPS/TISS)",
  "package_version": "1.0.0",
  "status": "active",
  "id": "4be1895a-b3fc-440d-aae7-78141fa42224",
  "kind": null,
  "url": "https://tiplu.de/fhir/Questionnaire/intensiv-scores",
  "version": "1.0.0"
}