Evidence Based Medicine on FHIR Implementation Guide
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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 2.0.0-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

: ConceptualCohortDefinition: Proxy criteria for surgical candidates - XML Representation

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<Group xmlns="http://hl7.org/fhir">
  <id value="179507"/>
  <meta>
    <versionId value="6"/>
    <lastUpdated value="2024-11-16T19:34:27.903Z"/>
    <profile
             value="http://hl7.org/fhir/uv/ebm/StructureDefinition/conceptual-cohort-definition"/>
  </meta>
  <text>
    <status value="empty"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/artifact-author">
    <valueContactDetail>
      <name value="Brian S. Alper"/>
    </valueContactDetail>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact">
    <valueRelatedArtifact>
      <type value="cite-as"/>
      <citation
                value="ConceptualCohortDefinition: Proxy criteria for surgical candidates [Database Entry: FHIR Group Resource]. Contributors: Brian S. Alper [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 179507. Revised 2024-11-16. Available at: https://fevir.net/resources/Group/179507. Computable resource at: https://fevir.net/resources/Group/179507."/>
    </valueRelatedArtifact>
  </extension>
  <url value="https://fevir.net/resources/Group/179507"/>
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    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="ACSN"/>
        <display value="Accession ID"/>
      </coding>
      <text value="FEvIR Object Identifier"/>
    </type>
    <system value="urn:ietf:rfc:3986"/>
    <value value="https://fevir.net/FOI/179507"/>
    <assigner>
      <display value="Computable Publishing LLC"/>
    </assigner>
  </identifier>
  <name
        value="ConceptualCohortDefinition_Proxy_criteria_for_surgical_candidates"/>
  <title
         value="ConceptualCohortDefinition: Proxy criteria for surgical candidates"/>
  <status value="active"/>
  <publisher value="Computable Publishing LLC"/>
  <contact>
    <telecom>
      <system value="email"/>
      <value value="support@computablepublishing.com"/>
    </telecom>
  </contact>
  <description
               value="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 &gt; 14.0%."/>
  <useContext>
    <code>
      <system value="https://fevir.net/resources/CodeSystem/179423"/>
      <code value="evidence-communication"/>
      <display value="Evidence Communication"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="https://fevir.net/resources/CodeSystem/179423"/>
        <code value="CohortDefinition"/>
        <display value="CohortDefinition"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <copyright value="https://creativecommons.org/licenses/by-nc-sa/4.0/"/>
  <membership value="conceptual"/>
  <combinationMethod value="all-of"/>
  <characteristic>
    <code>
      <text value="Defined by Reference"/>
    </code>
    <valueReference>🔗 
      <reference value="Group/170442"/>
      <type value="Group"/>
      <display value="CohortDefinition: Cardiovascular event"/>
    </valueReference>
    <exclude value="true"/>
    <description
                 value="Cardiovascular event (myocardial infarction, acute coronary syndrome, coronary artery angioplasty or bypass, stroke) in the past six months."/>
    <timing>
      <contextCode>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="450332002"/>
          <display
                   value="Assessment of eligibility for clinical trial (procedure)"/>
        </coding>
      </contextCode>
      <offsetRange>
        <low>
          <value value="-6"/>
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          <system value="http://unitsofmeasure.org"/>
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          <value value="0"/>
          <unit value="months"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mo"/>
        </high>
      </offsetRange>
      <text
            value="occurrence within the range is equivalent to 'in the past six months'"/>
    </timing>
  </characteristic>
  <characteristic>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="64572001"/>
        <display value="Disease (disorder)"/>
      </coding>
      <coding>
        <system value="http://hl7.org/fhir/fhir-types"/>
        <code value="Condition"/>
        <display value="Condition"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="59282003"/>
        <display value="Pulmonary embolism (disorder)"/>
      </coding>
    </valueCodeableConcept>
    <exclude value="true"/>
    <description value="Pulmonary embolus in the past six months."/>
    <timing>
      <contextCode>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="450332002"/>
          <display
                   value="Assessment of eligibility for clinical trial (procedure)"/>
        </coding>
      </contextCode>
      <offsetRange>
        <low>
          <value value="-6"/>
          <unit value="months"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mo"/>
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        <high>
          <value value="0"/>
          <unit value="months"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mo"/>
        </high>
      </offsetRange>
      <text value="in the past six months"/>
    </timing>
  </characteristic>
  <characteristic>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="64572001"/>
        <display value="Disease (disorder)"/>
      </coding>
      <coding>
        <system value="http://hl7.org/fhir/fhir-types"/>
        <code value="Condition"/>
        <display value="Condition"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="64156001"/>
        <display value="Thrombophlebitis (disorder)"/>
      </coding>
    </valueCodeableConcept>
    <exclude value="true"/>
    <description value="Thrombophlebitis in the past six months."/>
    <timing>
      <contextCode>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="450332002"/>
          <display
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          <value value="0"/>
          <unit value="months"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mo"/>
        </high>
      </offsetRange>
      <text value="in the past six months"/>
    </timing>
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  <characteristic>
    <code>
      <text value="Defined by Reference"/>
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    <valueReference>🔗 
      <reference value="Group/170441"/>
      <type value="Group"/>
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    </valueReference>
    <exclude value="true"/>
    <description
                 value="Cancer of any kind (except basal cell skin cancer or cancer in situ) unless documented to be disease-free for five years."/>
  </characteristic>
  <characteristic>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="718-7"/>
        <display value="Hemoglobin [Mass/volume] in Blood"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="-1"/>
      <comparator value="&lt;="/>
      <unit value="g/dL"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="g/dL"/>
    </valueQuantity>
    <exclude value="true"/>
    <description
                 value="Significant anemia (hemoglobin 1.0 g or more below normal range)"/>
    <offset>
      <coding>
        <system value="http://hl7.org/fhir/characteristic-offset"/>
        <code value="LNL"/>
        <display value="Lower Normal Limit"/>
      </coding>
    </offset>
  </characteristic>
  <characteristic>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="2160-0"/>
        <display value="Creatinine [Mass/volume] in Serum or Plasma"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="1.5"/>
      <comparator value="&gt;="/>
      <unit value="mg/dl"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mg/dL"/>
    </valueQuantity>
    <exclude value="true"/>
    <description value="Serum creatinine ≥ 1.5 mg/dl"/>
  </characteristic>
  <characteristic>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="59261-8"/>
        <display
                 value="Hemoglobin A1c/Hemoglobin.total in Blood by IFCC protocol"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="14"/>
      <comparator value="&gt;="/>
      <unit value="%"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="%"/>
    </valueQuantity>
    <exclude value="true"/>
    <description value="HbA1c ≥ 14.0%"/>
  </characteristic>
</Group>