Evidence Based Medicine on FHIR Implementation Guide
1.0.0-ballot - ballot International flag

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-ballot 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

Example Group: CohortDefinition_Proxy_criteria_for_surgical_candidates

Generated Narrative: Group

Resource Group "179507" Version "4" Updated "2023-12-04 16:37:09+0000"

Profile: CohortDefinition

Artifact related artifact:

Artifact Title: CohortDefinition: Proxy criteria for surgical candidates

Artifact URL: https://fevir.net/resources/Group/179507

Artifact Publisher: Computable Publishing LLC

Artifact Copyright: https://creativecommons.org/licenses/by-nc-sa/4.0/

Artifact use context: Evidence Communication: CohortDefinition

Artifact Contact: support@computablepublishing.com

Artifact Author: Brian S. Alper:

CombinationMethod: all-of

modifierExtension[http://hl7.org/fhir/StructureDefinition/artifact-status]

identifier: FEvIR Object Identifier/179507

type: animal

membership: definitional

name: CohortDefinition_Proxy_criteria_for_surgical_candidates

description: Exclusion Criteria: Cardiovascular event (myocardial infarction, acute coronary syndrome, coronary artery angioplasty or bypass, stroke) in the past six months. Current evidence of congestive heart failure, angina pectoris, or symptomatic peripheral vascular disease. Cardiac stress test indicating that surgery or IMM would not be safe. Pulmonary embolus or thrombophlebitis in the past six months. Cancer of any kind (except basal cell skin cancer or cancer in situ) unless documented to be disease-free for five years. Significant anemia (hemoglobin 1.0 g or more below normal range) or history of coagulopathy. Serum creatinine ≥ 1.5 mg/dl. HbA1c > 14.0%.

characteristic

CharacteristicDescription: Cardiovascular event (myocardial infarction, acute coronary syndrome, coronary artery angioplasty or bypass, stroke) in the past six months.

CharacteristicTiming

url

contextCode

value: Assessment of eligibility for clinical trial (procedure) (SNOMED CT#450332002)

url

offset

value: -6-0 months

url

text

value: occurrence within the range is equivalent to 'in the past six months'

code: Defined by Reference ()

value: Group/170442: CohortDefinition: Cardiovascular event "CohortDefinition_Cardiovascular_event"

exclude: true

characteristic

CharacteristicDescription: Pulmonary embolus in the past six months.

CharacteristicTiming

url

contextCode

value: Assessment of eligibility for clinical trial (procedure) (SNOMED CT#450332002)

url

offset

value: -6-0 months

url

text

value: in the past six months

code: Disease (disorder) (SNOMED CT#64572001; All FHIR Types#Condition "Condition")

value: Pulmonary embolism (disorder) (SNOMED CT#59282003)

exclude: true

characteristic

CharacteristicDescription: Thrombophlebitis in the past six months.

CharacteristicTiming

url

contextCode

value: Assessment of eligibility for clinical trial (procedure) (SNOMED CT#450332002)

url

offset

value: -6-0 months

url

text

value: in the past six months

code: Disease (disorder) (SNOMED CT#64572001; All FHIR Types#Condition "Condition")

value: Thrombophlebitis (disorder) (SNOMED CT#64156001)

exclude: true

characteristic

CharacteristicDescription: Cancer of any kind (except basal cell skin cancer or cancer in situ) unless documented to be disease-free for five years.

code: Defined by Reference ()

value: Group/170441: CohortDefinition: Cancer of any kind (except basal cell skin cancer or cancer in situ) unless documented to be disease-free for five years "CohortDefinition_Cancer_of_any_kind_except_basal_cell_skin_cancer_or_cancer_in_situ_unless_documented_to_be_disease_free_for_five_years"

exclude: true

characteristic

CharacteristicDescription: Significant anemia (hemoglobin 1.0 g or more below normal range)

CharacteristicOffset: Lower Normal Limit (Characteristic Offset#LNL)

code: Hemoglobin [Mass/volume] in Blood (LOINC#718-7)

value: <=-1 g/dL (Details: UCUM code g/dL = 'g/dL')

exclude: true

characteristic

CharacteristicDescription: Serum creatinine ≥ 1.5 mg/dl

code: Creatinine [Mass/volume] in Serum or Plasma (LOINC#2160-0)

value: >=1.5 mg/dl (Details: UCUM code mg/dL = 'mg/dL')

exclude: true

characteristic

CharacteristicDescription: HbA1c ≥ 14.0%

code: Hemoglobin A1c/Hemoglobin.total in Blood by IFCC protocol (LOINC#59261-8)

value: >=14 % (Details: UCUM code % = '%')

exclude: true