﻿{"metaInformation":{"toolId":"0000000849","toolVersion":"1.0","toolType":"Dash&shy;board","toolName":"Cannabis Hy&shy;per&shy;eme&shy;sis Syn&shy;drome","creationDate":"2025\/Feb\/25","publishedDate":"","expiryDate":"","author":"Shan&shy;tanu Patil","columnList":["CHS Tool"],"setTimerClock":"false","setPdfbtn":"false","setResetbtn":"true","setCopyRightText":"false","setCustomizeCopyRightText":"false","customizeCopyRightText":"","setMoreInformation":"false","moreInformationLink":"","abbreviated_title":"","synonyms_titles":"","medical_specialty":"105,106","medical_device":"","approved_by":"","intended_purposes":"As&shy;sist clin&shy;i&shy;cians in di&shy;ag&shy;nos&shy;ing CHS in pa&shy;tients with T1DM and ke&shy;to&shy;sis","indication":"","prediction":"","caution":"","mathematical_formula":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Doc&shy;u&shy;ment<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\">\n<p>CHS={ True, if \u200b (Glu&shy;cose&ge;250)&and;(An&shy;ion Gap&gt;10)&and;(&beta;-Hy&shy;drox&shy;y&shy;bu&shy;tyrate&gt;0.6)&and;(pH&ge;7.4)&and;(Bi&shy;car&shy;bon&shy;ate&gt;15)&and;(Nau&shy;sea, Vom&shy;it&shy;ing, Pain)&and;(Cannabis Use)&and;(Type 1 Di&shy;a&shy;betes)<br \/>\nFalse, if&nbsp;Any of the above cri&shy;te&shy;ria are not met \u200b<\/p>\n\n<h4 data-end=\"2095\" data-start=\"2066\">&nbsp;<\/h4>\n<\/body>\n<\/html>\n","additional_explanations":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Doc&shy;u&shy;ment<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\"><\/body>\n<\/html>\n","interpretation":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Doc&shy;u&shy;ment<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\"><\/body>\n<\/html>\n","recommendations":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Doc&shy;u&shy;ment<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\"><\/body>\n<\/html>\n","original_reference":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Doc&shy;u&shy;ment<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\">\n<p><strong data-end=\"2158\" data-start=\"2096\">Amer&shy;i&shy;can Di&shy;a&shy;betes As&shy;so&shy;ci&shy;a&shy;tion (ADA) 2025 Stan&shy;dards of Care<\/strong>, Sec&shy;tion on <strong data-end=\"2230\" data-start=\"2171\">Di&shy;a&shy;betes Ke&shy;toaci&shy;do&shy;sis and Cannabis Hy&shy;per&shy;eme&shy;sis Syn&shy;drome<\/strong><\/p>\n<\/body>\n<\/html>\n","validation_reference":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Doc&shy;u&shy;ment<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\"><\/body>\n<\/html>\n","other_reference":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Doc&shy;u&shy;ment<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\"><\/body>\n<\/html>\n","reference_tool":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Doc&shy;u&shy;ment<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\"><\/body>\n<\/html>\n","principleValidated":"false","toolLanguage":"1","setAbbreviation":"true","abbreviation_text":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Doc&shy;u&shy;ment<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\">\n<table class=\"table\">\n\t<tbody>\n\t\t<tr>\n\t\t\t<td>CHS<\/td>\n\t\t\t<td>Cannabis hy&shy;per&shy;eme&shy;sis syn&shy;drome<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>pH<\/td>\n\t\t\t<td>Po&shy;ten&shy;tial of hy&shy;dro&shy;gen<\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n\n<p>&nbsp;<\/p>\n<\/body>\n<\/html>\n","setFootnote":"false","footnote_text":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Doc&shy;u&shy;ment<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\"><\/body>\n<\/html>\n","setToolProfileBtn":"true","indicated_in_patients":"Type 1 Diabetes Mellitus (T1DM) Hyperglycemia (Blood Glucose &ge;250 mg\/dL) Ketosis (&beta;-Hydroxybutyrate >0.6 mmol\/L) pH &ge;7.4 and Bicarbonate >15 mmol\/L (Min&shy;i&shy;mal or No Metabol&shy;ic Aci&shy;do&shy;sis) Clin&shy;i&shy;cal Symp&shy;toms: Se&shy;vere Nau&shy;sea, Ab&shy;dom&shy;i&shy;nal Pain, Vom&shy;it&shy;ing Re&shy;cent Cannabis Use","indicated_in_ff_interventions":"Di&shy;ag&shy;no&shy;sis of CHS in pa&shy;tients with T1DM","predicted_outcomes":"","prediction_period":"","setScoreWarningText":"false","setCustomizeWarningText":"false","customizeWarningText":"","setBlueHighlightForInput":"false","setRecommendationRejection":"false","setFeedbackButton":"false","setMindMapAvailable":"false","setDocumentStatus":"false","setToolTestedStatus":"false","tool_development_supported_text":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Doc&shy;u&shy;ment<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\"><\/body>\n<\/html>\n","promo_text":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Doc&shy;u&shy;ment<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\">\n<p>This CDS tool aids in the <strong data-end=\"323\" data-start=\"271\">de&shy;tec&shy;tion of Cannabis Hy&shy;per&shy;eme&shy;sis Syn&shy;drome (CHS)<\/strong> in in&shy;di&shy;vid&shy;u&shy;als with <strong data-end=\"379\" data-start=\"344\">Type 1 Di&shy;a&shy;betes Mel&shy;li&shy;tus (T1DM)<\/strong> ex&shy;pe&shy;ri&shy;enc&shy;ing <strong data-end=\"437\" data-start=\"393\">di&shy;a&shy;bet&shy;ic ke&shy;toaci&shy;do&shy;sis (DKA) with ke&shy;to&shy;sis<\/strong> but lack&shy;ing sig&shy;nif&shy;i&shy;cant metabol&shy;ic aci&shy;do&shy;sis. It eval&shy;u&shy;ates clin&shy;i&shy;cal and lab&shy;o&shy;ra&shy;to&shy;ry pa&shy;ram&shy;e&shy;ters to sup&shy;port dif&shy;fer&shy;en&shy;tial di&shy;ag&shy;no&shy;sis and guide man&shy;age&shy;ment de&shy;ci&shy;sions.<\/p>\n<\/body>\n<\/html>\n","sub_title":"Cannabis Hy&shy;per&shy;eme&shy;sis Syn&shy;drome in Type 1 Di&shy;a&shy;betes (ADA 2025 Stan&shy;dards)","feedback_link":"","feedback_option":"","feedback_email":"","selected_tool_type":"cdss","index_term":"Cannabis Hy&shy;per&shy;eme&shy;sis Syn&shy;drome (CHS), CHS (Cannabis Hy&shy;per&shy;eme&shy;sis Syn&shy;drome)","full_text":"","tool_category":"9","translatedLanguages":"1","primary_medical_specialty":"105","restorationCompatibleVersions":"","releaseVersion":"","releaseDate":"","releaseMode":"0"}}