CDS Connect: Rheumatology: Psoriatic Arthritis Order Set

Rheumatology: Psoriatic Arthritis Order Set

Description

The intent of the “Rheumatology: Psoriatic Arthritis Order Set” is to assist a primary care or other clinical provider with evaluation, early treatment, and referral to rheumatology for a patient with possible psoriatic arthritis.

Artifact Type
Creation Date
Version
1.0
Unique Identifier
d41ea9b1-89ab-55ac-885a-1e399ae4c3e3
Status
Experimental
True

Artifact Creation and Usage

Contributors
Amy Joseph, MD, Chief of Rheumatology, St Louis VA Medical Center (VAMC), 915 N. Grand, St. Louis, MO 63106 Professor of Medicine, Washington University School of Medicine
John Richards, MD, Chief of Rheumatology, Pittsburgh VAMC, University Drive C, Pittsburgh, PA 15240 Clinical Professor Medicine, University of Pittsburgh

Please contact Mr. Apurva Desai Apurva.desai@va.gov for additional information.

License
IP Attestation The author asserts that this artifact has been developed in compliance with the intellectual property rights attributed to the source material.
Copyrights

Copyright © 2018 Veterans Health Administration, Department of Veterans Affairs. All rights reserved. Contributions from external parties are property of respective copyright holders.

Implementation Details
Technical Files
Order Set11.49 KB
Repository Information
Approval Date
Publication Date
Last Review Date
Knowledge Level

Structured code that is interpretable by a computer (includes data elements, value sets, logic)

Purpose and Usage
Usage

 

Patient Age Group
Population 18 years old or older
Target User
Primary Care
Clinical Venue
Outpatient

 

Cautions

THE CLINICAL CONTENT IN THIS DOCUMENT IS NOT DIRECTLY SUITABLE FOR CLINICAL USE AS PRESENTED SINCE IT HAS NOT BEEN TESTED IN A CLINICAL ENVIRONMENT. IT HAS NEVER BEEN PILOTED, NEVER 100% REPRESENTS THE INTENT OF THE CLINICAL SUBJECT MATTER EXPERTS, AND MAY CAUSE HARM IF APPLIED AS-IS. THIS WORK IS MADE AVAILABLE WITHOUT ANY WARRANTY WHATSOEVER, AND WITHOUT CLAIMS, EXPRESSED OR IMPLIED, OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.

Supporting Evidence
Source Description

 

See attached resource files for additional details. Department of Veterans Affairs, Veterans Health Administration, Office of Informatics and Information Governance, Clinical Decision Support (CDS) Content and Health Level 7 (HL7)-Compliant Knowledge Artifacts (KNARTs) Eye Care Clinical Content White Paper, VA118-16-D-1008, Task Order VA-118-16-F-1008-0007, June, 2018.

Coates, L. C., Kavanaugh, A., Mease, P. J., Soriano, E. R., Laura Acosta-Felquer, M., Armstrong, A. W., et a. (2016). Group for Research and Assessment of Psoriasis and Psoriatic Arthritis 2015 Treatment Recommendations for Psoriatic Arthritis. Arthritis & Rheumatology (Hoboken, N.J.), 68(5), 1060–1071. https://doi.org/10.1002/art.39573
https://doi.org/10.1002/art.39573
Coates, L. C., Tillett, W., Chandler, D., Helliwell, P. S., Korendowych, E., Kyle, S., et al. BSR Clinical Affairs Committee & Standards, Audit and Guidelines Working Group and the BHPR. (2013). The 2012 BSR and BHPR guideline for the treatment of psoriatic arthritis with biologics. Rheumatology (Oxford, England), 52(10), 1754–1757. https://doi.org/10.1093/rheumatology/ket187
https://doi.org/10.1093/rheumatology/ket187
Smolen, J. S., Landewé, R., Bijlsma, J., Burmester, G., Chatzidionysiou, K., Dougados, M., … van der Heijde, D. (2017). EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs: 2016 update. Annals of the Rheumatic Diseases, 76(6), 960–977. https://doi.org/10.1136/annrheumdis-2016-210715
https://doi.org/10.1136/annrheumdis-2016-210715
Mandl, P., Navarro-Compán, V., Terslev, L., Aegerter, P., van der Heijde, D., D’Agostino, M. A., … European League Against Rheumatism (EULAR). (2015). EULAR recommendations for the use of imaging in the diagnosis and management of spondyloarthritis in clinical practice. Annals of the Rheumatic Diseases, 74(7), 1327–1339. https://doi.org/10.1136/annrheumdis-2014-206971
https://doi.org/10.1136/annrheumdis-2014-206971
National Library of Medicine. DailyMed - CELECOXIB - celecoxib capsule [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=27d813ea-7798-09cb-734b-b970d7248f1f
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=27d813ea-7798-09cb-734b-b970d7248f1f
National Library of Medicine. DailyMed - DICLOFENAC POTASSIUM- diclofenac potassium tablet, film coated [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=fac1f8e7-f2b4-4de3-bd5c-d798d12273c1
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=fac1f8e7-f2b4-4de3-bd5c-d798d12273c1
National Library of Medicine. DailyMed - ETODOLAC- etodolac capsule ETODOLAC- etodolac tablet, film coated [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ec82b108-6a6f-4d1b-82cb-831d4ed36c80
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ec82b108-6a6f-4d1b-82cb-831d4ed36c80
National Library of Medicine. DailyMed - FELDENE- piroxicam capsule [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=9d3e528b-a748-4bc5-b604-e7e9c5ab9183
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=9d3e528b-a748-4bc5-b604-e7e9c5ab9183
National Library of Medicine. DailyMed - FLURBIPROFEN- flurbiprofen tablet [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f56be63c-88e4-4b78-b12d-d80e3e8b3893
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f56be63c-88e4-4b78-b12d-d80e3e8b3893
National Library of Medicine. DailyMed - IBU- ibuprofen tablet [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=24731405-219c-79b4-ecf0-7d5fbfda94ba
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=24731405-219c-79b4-ecf0-7d5fbfda94ba
National Library of Medicine. DailyMed - INDOMETHACIN - indomethacin capsule [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1e65948c-489c-4a32-65ce-60441fb23dd9
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1e65948c-489c-4a32-65ce-60441fb23dd9
National Library of Medicine. DailyMed - KETOPROFEN- ketoprofen capsule [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=c2c99853-1268-4998-a44b-2bf0c0b70fd2
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=c2c99853-1268-4998-a44b-2bf0c0b70fd2
National Library of Medicine. DailyMed - MELOXICAM- meloxicam tablet [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=6513e46b-3229-685b-c83b-2209454fae71
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=6513e46b-3229-685b-c83b-2209454fae71
National Library of Medicine. DailyMed - NABUMETONE- nabumentone tablet [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=e21f89cf-ec07-4b07-9c9b-796b0111df39
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=e21f89cf-ec07-4b07-9c9b-796b0111df39
National Library of Medicine. DailyMed - NAPROSYN- naproxen tablet EC-NAPROSYN- naproxen tablet, delayed release NAPROSYN- naproxen suspension ANAPROX- naproxen sodium tablet ANAPROX DS- naproxen sodium tablet [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=68848217-03c9-4377-9be6-6f567e629129
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=68848217-03c9-4377-9be6-6f567e629129
National Library of Medicine. DailyMed - OXAPROZIN- oxaprozin tablet [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d9b0ca6c-4c53-4f6e-918b-02a8c472a194
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1622f694-4d63-4c56-8737-fae31f0ecfb7
National Library of Medicine. DailyMed - REDICARE IBUPROFEN- ibuprofen 200mg tablet, film coated [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=45eb33f0-71e2-11d5-e054-00144ff88e88
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=45eb33f0-71e2-11d5-e054-00144ff88e88
National Library of Medicine. DailyMed - SULINDAC- sulindac tablet [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d8b9d517-5dd4-4c6b-8aa0-736bce87e7b4
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d8b9d517-5dd4-4c6b-8aa0-736bce87e7b4
National Library of Medicine. DailyMed - TYLENOL REGULAR STRENGTH- acetaminophen tablet [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1622f694-4d63-4c56-8737-fae31f0ecfb7
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1622f694-4d63-4c56-8737-fae31f0ecfb7

 

References

 

See attached resource files for additional details. Department of Veterans Affairs, Veterans Health Administration, Office of Informatics and Information Governance, Clinical Decision Support (CDS) Content and Health Level 7 (HL7)-Compliant Knowledge Artifacts (KNARTs) Eye Care Clinical Content White Paper, VA118-16-D-1008, Task Order VA-118-16-F-1008-0007, June, 2018.

Coates, L. C., Kavanaugh, A., Mease, P. J., Soriano, E. R., Laura Acosta-Felquer, M., Armstrong, A. W., et a. (2016). Group for Research and Assessment of Psoriasis and Psoriatic Arthritis 2015 Treatment Recommendations for Psoriatic Arthritis. Arthritis & Rheumatology (Hoboken, N.J.), 68(5), 1060–1071. https://doi.org/10.1002/art.39573
https://doi.org/10.1002/art.39573
Coates, L. C., Tillett, W., Chandler, D., Helliwell, P. S., Korendowych, E., Kyle, S., et al. BSR Clinical Affairs Committee & Standards, Audit and Guidelines Working Group and the BHPR. (2013). The 2012 BSR and BHPR guideline for the treatment of psoriatic arthritis with biologics. Rheumatology (Oxford, England), 52(10), 1754–1757. https://doi.org/10.1093/rheumatology/ket187
https://doi.org/10.1093/rheumatology/ket187
Smolen, J. S., Landewé, R., Bijlsma, J., Burmester, G., Chatzidionysiou, K., Dougados, M., … van der Heijde, D. (2017). EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs: 2016 update. Annals of the Rheumatic Diseases, 76(6), 960–977. https://doi.org/10.1136/annrheumdis-2016-210715
https://doi.org/10.1136/annrheumdis-2016-210715
Mandl, P., Navarro-Compán, V., Terslev, L., Aegerter, P., van der Heijde, D., D’Agostino, M. A., … European League Against Rheumatism (EULAR). (2015). EULAR recommendations for the use of imaging in the diagnosis and management of spondyloarthritis in clinical practice. Annals of the Rheumatic Diseases, 74(7), 1327–1339. https://doi.org/10.1136/annrheumdis-2014-206971
https://doi.org/10.1136/annrheumdis-2014-206971
National Library of Medicine. DailyMed - CELECOXIB - celecoxib capsule [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=27d813ea-7798-09cb-734b-b970d7248f1f
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=27d813ea-7798-09cb-734b-b970d7248f1f
National Library of Medicine. DailyMed - DICLOFENAC POTASSIUM- diclofenac potassium tablet, film coated [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=fac1f8e7-f2b4-4de3-bd5c-d798d12273c1
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=fac1f8e7-f2b4-4de3-bd5c-d798d12273c1
National Library of Medicine. DailyMed - ETODOLAC- etodolac capsule ETODOLAC- etodolac tablet, film coated [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ec82b108-6a6f-4d1b-82cb-831d4ed36c80
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ec82b108-6a6f-4d1b-82cb-831d4ed36c80
National Library of Medicine. DailyMed - FELDENE- piroxicam capsule [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=9d3e528b-a748-4bc5-b604-e7e9c5ab9183
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=9d3e528b-a748-4bc5-b604-e7e9c5ab9183
National Library of Medicine. DailyMed - FLURBIPROFEN- flurbiprofen tablet [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f56be63c-88e4-4b78-b12d-d80e3e8b3893
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f56be63c-88e4-4b78-b12d-d80e3e8b3893
National Library of Medicine. DailyMed - IBU- ibuprofen tablet [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=24731405-219c-79b4-ecf0-7d5fbfda94ba
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=24731405-219c-79b4-ecf0-7d5fbfda94ba
National Library of Medicine. DailyMed - INDOMETHACIN - indomethacin capsule [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1e65948c-489c-4a32-65ce-60441fb23dd9
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1e65948c-489c-4a32-65ce-60441fb23dd9
National Library of Medicine. DailyMed - KETOPROFEN- ketoprofen capsule [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=c2c99853-1268-4998-a44b-2bf0c0b70fd2
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=c2c99853-1268-4998-a44b-2bf0c0b70fd2
National Library of Medicine. DailyMed - MELOXICAM- meloxicam tablet [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=6513e46b-3229-685b-c83b-2209454fae71
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=6513e46b-3229-685b-c83b-2209454fae71
National Library of Medicine. DailyMed - NABUMETONE- nabumentone tablet [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=e21f89cf-ec07-4b07-9c9b-796b0111df39
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=e21f89cf-ec07-4b07-9c9b-796b0111df39
National Library of Medicine. DailyMed - NAPROSYN- naproxen tablet EC-NAPROSYN- naproxen tablet, delayed release NAPROSYN- naproxen suspension ANAPROX- naproxen sodium tablet ANAPROX DS- naproxen sodium tablet [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=68848217-03c9-4377-9be6-6f567e629129
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=68848217-03c9-4377-9be6-6f567e629129
National Library of Medicine. DailyMed - OXAPROZIN- oxaprozin tablet [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d9b0ca6c-4c53-4f6e-918b-02a8c472a194
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1622f694-4d63-4c56-8737-fae31f0ecfb7
National Library of Medicine. DailyMed - REDICARE IBUPROFEN- ibuprofen 200mg tablet, film coated [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=45eb33f0-71e2-11d5-e054-00144ff88e88
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=45eb33f0-71e2-11d5-e054-00144ff88e88
National Library of Medicine. DailyMed - SULINDAC- sulindac tablet [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d8b9d517-5dd4-4c6b-8aa0-736bce87e7b4
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d8b9d517-5dd4-4c6b-8aa0-736bce87e7b4
National Library of Medicine. DailyMed - TYLENOL REGULAR STRENGTH- acetaminophen tablet [Internet]. 2018 [cited 2018 Jan 5]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1622f694-4d63-4c56-8737-fae31f0ecfb7
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1622f694-4d63-4c56-8737-fae31f0ecfb7

 

Artifact Representation
Testing Experience
Pilot Experience

None