Evidence Based Medicine on FHIR Implementation Guide
1.0.0-ballot2 - STU 1 ballot
Evidence Based Medicine on FHIR Implementation Guide
1.0.0-ballot2 - STU 1 ballot
Evidence Based Medicine on FHIR Implementation Guide, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ebm/ and changes regularly. See the Directory of published versions
| Page standards status: Informative |
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Die nosokomiale Pneumonie ist in Deutschland eine häufige hospitalerworbene Infektion, die mit einer hohen Morbidität und Mortalität einhergeht. Diagnostik und Therapie stellen hohe Ansprüche an die behandelnden Ärzte, die häufig interdisziplinär gelöst werden müssen. Das therapeutische Vorgehen hat erheblichen Einfluss auf die Entwicklung von Antibiotikaresistenzen bei den ursächlichen Erregern. Revision der bestehenden Leitlinie wurde erforderlich, da die Empfehlungen zur Standardisierung und Qualitätssicherung der Diagnostik und Therapie bei erwachsenen Patienten mit nosokomialen Pneumonien auf den aktuellsten Forschungsergebnissen angepasst werden müssen.</div>"
}
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "target-audience",
"display" : "Target Audience"
}
]
},
"section" : [
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "de"
}
],
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "language"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Die Leitlinie wendet sich an alle im Krankenhaus tätigen Ärzte, die mit der Diagnostik und Therapie nosokomialer Pneumonien konfrontiert sind. Hierzu gehören Fachärzte für Anästhesiologie, Chirurgie, Innere Medizin, Intensivmedizin, Klinische Infektiologie, Klinische Mikrobiologie, Hygiene, Pneumologie, Virologie, und Radiologie, aber auch Ärzten anderer Fachgebiete, die Patienten mit nosokomialen Infektionen betreuen. Zugleich soll sie als Orientierung für Personen, Organisationen, Kostenträger sowie medizinisch-wissenschaftliche Fachgesellschaften und Berufsverbände dienen, die direkt oder indirekt mit diesem Thema in Verbindung stehen.</div>"
}
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "keywords",
"display" : "Keywords"
}
]
},
"section" : [
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "de"
}
],
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "language"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pneumonie, nosokomial, hospital-acquired pneumonia, HAP, Ventilator-assoziierten Pneumonie, VAP, im Krankenhaus erworbene Lungenentzündung, Epidemiology, diagnosis and treatment of adult patients with nosocomial pneumonia</div>"
}
}
]
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "attachments",
"display" : "Attachments"
}
]
},
"section" : [
{
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "long-version",
"display" : "Long Version"
}
]
},
"entry" : [
{
"reference" : "DocumentReference/Guideline-020-013-LongVersion"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "short-version",
"display" : "Short Version"
}
]
},
"entry" : [
{
"reference" : "DocumentReference/Guideline-020-013-ShortVersion"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "guideline-report",
"display" : "Guideline Report"
}
]
},
"entry" : [
{
"reference" : "DocumentReference/Guideline-020-013-GuidelineReport"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "patient-version",
"display" : "Patient Version"
}
]
},
"entry" : [
{
"reference" : "DocumentReference/Guideline-020-013-PatientVersion"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "slide-deck"
}
]
},
"entry" : [
{
"reference" : "DocumentReference/Guideline-020-013-SlideDeck"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "implementation-guidance"
}
]
},
"entry" : [
{
"reference" : "DocumentReference/Guideline-020-013-ImplementationGuidance"
}
]
}
]
},
{
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "introduction",
"display" : "Introduction"
}
]
},
"section" : [
{
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "default-section"
}
]
},
"section" : [
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "de"
}
],
"title" : "Übersicht der Empfehlungen und Statements",
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"ltr\">Übersicht der Empfehlungen und Statements</div>"
}
},
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "en"
}
],
"title" : "Overview of Recommendations and Statements",
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"ltr\">Overview of Recommendations and Statements</div>"
}
},
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "ar"
}
],
"title" : "نظرة عامة على التوصيات والبيانات",
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"rtl\">نظرة عامة على التوصيات والبيانات</div>"
}
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "default-section"
}
]
},
"section" : [
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "de"
}
],
"title" : "Geltungsbereich und Zweck",
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"ltr\">Geltungsbereich und Zweck</div>"
}
},
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "en"
}
],
"title" : "Scope and Purpose",
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"ltr\">Scope and Purpose</div>"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "default-section"
}
]
},
"section" : [
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "de"
}
],
"title" : "Zielsetzung und Fragestellung",
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"ltr\">Zielsetzung und Fragestellung</div>"
}
},
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "en"
}
],
"title" : "Objective and Research Question",
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"ltr\">Objective and Research Question</div>"
}
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "default-section"
}
]
},
"section" : [
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "de"
}
],
"title" : "Versorgungsbereich",
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"ltr\">Versorgungsbereich</div>"
}
},
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "en"
}
],
"title" : "Healthcare Sector",
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"ltr\">Healthcare Sector</div>"
}
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "default-section"
}
]
},
"section" : [
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "de"
}
],
"title" : "Patientenzielgruppe",
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"ltr\">Patientenzielgruppe</div>"
}
},
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "en"
}
],
"title" : "Target Patient Group",
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"ltr\">Target Patient Group</div>"
}
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "default-section"
}
]
},
"section" : [
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "de"
}
],
"title" : "Adressaten",
"code" : {
"coding" : [
{
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"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"ltr\">Adressaten</div>"
}
},
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "en"
}
],
"title" : "Audience",
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"ltr\">Audience</div>"
}
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "default-section"
}
]
},
"section" : [
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "de"
}
],
"title" : "Gültigkeitsdauer und Aktualisierungsverfahren",
"code" : {
"coding" : [
{
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"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"ltr\">Gültigkeitsdauer und Aktualisierungsverfahren</div>"
}
},
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "en"
}
],
"title" : "Validity Period and Update Procedure",
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"ltr\">Validity Period and Update Procedure</div>"
}
}
]
}
]
},
{
"code" : {
"coding" : [
{
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"code" : "default-section"
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]
},
"section" : [
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "de"
}
],
"title" : "Methodische Grundlagen",
"code" : {
"coding" : [
{
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"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"ltr\">Methodische Grundlagen</div>"
}
},
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "en"
}
],
"title" : "Methodological Foundations",
"code" : {
"coding" : [
{
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"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"ltr\">Methodological Foundations</div>"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "default-section"
}
]
},
"section" : [
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "de"
}
],
"title" : "Kritische Bewertung der Evidenz",
"code" : {
"coding" : [
{
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"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"ltr\">Kritische Bewertung der Evidenz</div>"
}
},
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "en"
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],
"title" : "Critical Appraisal of Evidence",
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"ltr\">Critical Appraisal of Evidence</div>"
}
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "default-section"
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]
},
"section" : [
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "de"
}
],
"title" : "Strukturierte Konsensfindung",
"code" : {
"coding" : [
{
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"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"ltr\">Strukturierte Konsensfindung</div>"
}
},
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "en"
}
],
"title" : "Structured Consensus Process",
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"ltr\">Structured Consensus Process</div>"
}
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "default-section"
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]
},
"section" : [
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "de"
}
],
"title" : "Empfehlungsgraduierung und Feststellung der Konsensstärke",
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"ltr\">Empfehlungsgraduierung und Feststellung der Konsensstärke</div>"
}
},
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "en"
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],
"title" : "Recommendation Grading and Consensus Strength",
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"ltr\">Recommendation Grading and Consensus Strength</div>"
}
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "default-section"
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]
},
"section" : [
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "de"
}
],
"title" : "Statements",
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"ltr\">Statements</div>"
}
},
{
"extension" : [
{
"url" : "http://fhir.awmf.org/awmf.ig/StructureDefinition/ext-section-language",
"valueCode" : "en"
}
],
"title" : "Statements",
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "language"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" dir=\"ltr\">Statements</div>"
}
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-guideline-sections",
"code" : "default-section"
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]
},
"section" : [
{
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IG © 2024+ HL7 International / Clinical Decision Support. Package hl7.fhir.uv.ebm#1.0.0-ballot2 based on FHIR 6.0.0-ballot3. Generated 2025-10-09
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