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-ballot2 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
Generated Narrative: Group 346486
version: 2; Last updated: 2025-03-05 19:33:28+0000
Artifact Author: Brian S. Alper, MD, MSPH:
url: https://fevir.net/resources/Group/346486
identifier: FEvIR Object Identifier/https://fevir.net/FOI/346486, FEvIR Linking Identifier/CTIS2024-516402-32-00 Eligibility Criteria
name: CTIS2024_516402_32_00_Eligibility_Criteria
title: CTIS2024-516402-32-00 Eligibility Criteria
status: Active
publisher: Computable Publishing LLC
contact: support@computablepublishing.com
description:
This Group Resource is referenced in an example for the EBMonFHIR Implementation Guide.
copyright:
https://creativecommons.org/licenses/by-nc-sa/4.0/
membership: Conceptual
combinationMethod: All of
characteristic
code: Eligibility Criterion
value: Age ≥ 18 years
exclude: false
characteristic
code: Eligibility Criterion
value: Hospitalization forHE-aHUS within prior 10 days: o Presume acute renal failure (renal replacement therapy or serum creatinine ≥ 354μM). o Mechanical hemolysis including: anemia, thrombopenia, and: low haptoglobin (1,5UNL), or presence of schistocytes o Severe hypertension with systolic blood pressure >180mmHg and/or diastolic blood pressure>110mmHg o Target organ damage, including neurological involvement (notably hypertensive encephalopathy, headache, confusion, nausea, posterior reversible encephalopathy syndrome), or cardiovascular involvement (notably acute left ventricular failure, acute pulmonary edema, acute cardiac ischemia, chest pain, dyspnea, palpitations), or ophtalmological involvement (notably ischemic retinopathy or blurred vision)
exclude: false
characteristic
code: Eligibility Criterion
value: For women of childbearing potential: Effective contraception during the study and for at least 5 months after the last dose of treatment with eculizumab
exclude: false
characteristic
code: Eligibility Criterion
value: Subject affiliated to a social security regimen
exclude: false
characteristic
code: Eligibility Criterion
value: Subject having signed written informed consent
exclude: false
characteristic
code: Eligibility Criterion
value: Atrophic kidneys with maximum length<8cm on recent (<1 month) renal ultrasound, CT scan, or renal MRI
exclude: true
characteristic
code: Eligibility Criterion
value: Contra-indication to eculizumab or renin angiotensin system blockers
exclude: true
characteristic
code: Eligibility Criterion
value: Solid organ or haematopoietic transplant
exclude: true
characteristic
code: Eligibility Criterion
value: History (<1year) of active cancer or exposition to drugs associated with aHUS (< 3 months)
exclude: true
characteristic
code: Eligibility Criterion
value: Severe cognitive or psychiatric disorders, patients unable to give an informed consent
exclude: true
characteristic
code: Eligibility Criterion
value: PCR SARS-CoV2 positive
exclude: true
characteristic
code: Eligibility Criterion
value: Pregnant or breastfeeding woman or ineffective contraception
exclude: true
characteristic
code: Eligibility Criterion
value: Persons deprived of their liberty by judicial or administrative decision
exclude: true
characteristic
code: Eligibility Criterion
value: Persons under legal protection (guardianship, curatorship)
exclude: true
characteristic
code: Eligibility Criterion
value: Participation in another interventional study involving human participants or being in the exclusion period at the end of a previous study involving human participants
exclude: true
characteristic
code: Eligibility Criterion
value: High clinical suspicion of Complement-mediated aHUS (including familial history of aHUS)
exclude: true
characteristic
code: Eligibility Criterion
value: High clinical suspicion of typical HUS (including Shiga Toxin-producing E. Coli infection) or Thrombotic thrombocytopenic purpura
exclude: true
characteristic
code: Eligibility Criterion
value: High clinical suspicion of secondary HUS related to autoimmune disease (including lupus, scleroderma, antiphospholipid syndrome, ANCA vasculitis), or C3 glomerulopathy.
exclude: true
characteristic
code: Eligibility Criterion
value: High clinical suspicion of recent hemorrhagic or ischemic stroke
exclude: true
characteristic
code: Eligibility Criterion
value: ADAMTS 13<10%, HIV or HCV infection, positivity of 2 markers among: anticardiolipin IgG/antiBeta2 GP1 IgG/lupus anticoagulant, positivity of ANCA (ELISA PR3 or MPO)
exclude: true
characteristic
code: Eligibility Criterion
value: Active infection
exclude: true
characteristic
code: Eligibility Criterion
value: Subjects with unresolved Neisseria meningitidis infection
exclude: true
characteristic
code: Eligibility Criterion
value: Subjects refusing Neisseria meningitidis vaccination or refusing antibioprophylaxis with oracillin (In case of penicillin allergy, antibioprophylaxis with macrolide couldbeproposed according to ANSM recommendations (azithromycin or roxithromycin))
exclude: true