Evidence Based Medicine on FHIR Implementation Guide
2.0.0-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 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

Example Group: ConceptualCohortDefinition: Estimated glomerular filtration rate 45-59

Generated Narrative: Group 179897

version: 7; Last updated: 2024-11-16 19:29:59+0000

Profiles: ConceptualCohortDefinition, GroupR6

Artifact related artifact: No display for RelatedArtifact (type: cite-as; citation: CohortDefinition: Estimated glomerular filtration rate 45-59 [Group]. Contributors: Brian S. Alper [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 179897. Revised 2023-12-03. Available at: https://fevir.net/resources/Group/179897. Computable resource at: https://fevir.net/resources/Group/179897.)

Artifact Author: Brian S. Alper:

url: https://fevir.net/resources/Group/179897

identifier: FEvIR Object Identifier/https://fevir.net/FOI/179897

name: EGFR_45_59

title: ConceptualCohortDefinition: Estimated glomerular filtration rate 45-59

status: Active

publisher: Computable Publishing LLC

contact: support@computablepublishing.com

description:

A characteristic of estimated glomerular filtration rate (eGFR) of 45-59 mL/min/1.73m2 is shown here. LOINC Code guidance states 'If transitioning to the new 2021 calculations, note there are separate equations for male and female patients that need to be implemented. The same LOINC code is applied regardless of which sex-based equation is used to generate the result. Laboratories need to build each male and female equation within their LIS and validate per their accreditation requirements.' and 'While LOINC does not have a specific code for reporting the exact equation used to calculate eGFR, it may be appropriate for labs to transmit this information as part of the information contained in the result comment field. The individual laboratory should determine whether it is better to include the equation, or the author(s) of the equation, to identify the method used to perform the eGFR calculation.' This example uses Group.characteristic.determinedByExpression to show where the exact equation may be reported.

copyright:

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

membership: Conceptual

Characteristics

-CodeValue[x]ExcludeDescriptionDeterminedBy[x]
*Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (CKD-EPI 2021)45-59false

eGFR 45-59 mL/min/1.73m2 with CKD-EPI 2021 formula for a female

GFR = 141 * min(Scr/κ,1)^α * max(Scr/κ, 1)^-1.209 * 0.993^Age * 1.018("formula for female adults (in pseudo-code expression)")