Clinical Practice Guidelines (CPG) on EBMonFHIR
1.0.2 - qa-preview
This page is part of the CPG-on-EBMonFHIR Implementation Guide (1.0.2).
Generated Narrative: Bundle GuidelineRecommendationExample
Bundle GuidelineRecommendationExample of type collection
Entry 1 - fullUrl = https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/guidelines/guideline-example
Resource Composition:
Generated Narrative: Composition GuidelineExample
identifier: Resource identifier/guideline example
version: 0.1.0
status: Final
type: Guidelines
category: Evidence- and consensus-based guideline
date: 2022-01-28
author: Organization Example Organization
title: Example Guideline
RelatesTos
Type ResourceReference Citation Citation ExampleGuidelineCitation
Entry 2 - fullUrl = https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/guidelines/guideline-example/citation
Resource Citation:
Generated Narrative: Citation ExampleGuidelineCitation
name: ExampleGuidelineCitation
status: Active
citedArtifact
identifier: ceoysy/exampleIdentifier
Versions
Value 1.0-alpha1 currentState: Archived
Titles
Text Example Citation
WebLocations
Url https://example.com/guideline/exampleIdentifier Classifications
Type Classifier Publication Type Clinical practice guideline
Entry 3 - fullUrl = https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/guidelines/guideline-example/recommendation
Resource PlanDefinition:
Generated Narrative: PlanDefinition ExampleRecommendation
knowledgeCapability: computable
knowledgeRepresentationLevel: structured
Action Combination Method
- method: At Least
- threshold: 2
url: PlanDefinition Recommendation
version: 1.0
name: Recommendation
title: Recommendation
type: Workflow Definition
status: Active
experimental: true
date: 2022-02-14
publisher: CPGonEBMonFHIR
description:
Example Recommendation
RelatedArtifacts
Type Classifier ResourceReference Justification Recommendation rating ArtifactAssessment: extension = 0.1.0,active; date = 2020-01-03; artifact[x] = ->PlanDefinition Recommendation Plan Citation Clinical practice guideline recommendation Citation ExampleRecommendationCitation Citation Clinical practice guideline Citation ExampleGuidelineCitation action
title: example recommendation
description:
Example recommendation
code: Guideline-based Care
definition: Recommendation Plan
action
title: example recommendation
description:
Example recommendation
code: Guideline-based Care
definition: Recommendation Plan
Entry 4 - fullUrl = https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/guidelines/guideline-example/recommendation-plan
Resource PlanDefinition:
Generated Narrative: PlanDefinition ExampleRecommendationPlan
knowledgeCapability: computable
knowledgeRepresentationLevel: structured
partOf: Recommendation
Action Combination Method
- method: Exactly
- threshold: 1
url: PlanDefinition Recommendation Plan
version: 1.0
name: RecommendationPlan
title: Recommendation Plan
type: ECA Rule
status: Active
experimental: true
subject: PopulationExample
date: 2022-02-14
publisher: CPGonEBMonFHIR
description:
Example Recommendation Plan
goal
id
ventilator-management-goalcategory: Ventilator care and adjustment (regime/therapy)
description: The ventilator should be set up to provide a breath reate of at least 20 and at most per minute.
Targets
Measure Detail[x] Breath rate mechanical --on ventilator 20-24 goal
id
lab-ddimer-concentration-goalcategory: Lab findings surveillance (regime/therapy)
description: D-Dimer concentration shall be below 250 ng/mL
Targets
Measure Detail[x] Fibrin D-dimer DDU [Mass/volume] in Platelet poor plasma ?-250 action
code: Administration of substance (procedure)
definition: DrugAdministrationAction
action
code: Positioning patient (procedure)
goalId: ventilator-management-goal
definition: DrugAdministrationAction
action
code: Ventilator care management (procedure)
goalId: ventilator-management-goal
action
Action Combination Method
- method: One or More
code: Combined (qualifier value)
Actions
Code GoalId Ventilator care management (procedure) ventilator-management-goal
Entry 5 - fullUrl = https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/guidelines/guideline-example/recommendation-action
Resource ActivityDefinition:
Generated Narrative: ActivityDefinition ExampleDrugAdministrationAction
knowledgeCapability: computable
knowledgeRepresentationLevel: structured
url: ActivityDefinition DrugAdministrationAction
version: 1.0
name: DrugAdministrationAction
status: Active
experimental: true
subject: Patient
publisher: CPGonEBMonFHIR
description:
A drug administration that should be performed.
kind: MedicationRequest
code: Administration of substance (procedure)
product: Dexamethasone (substance)
dosage
Dosage Condition
- type: Body weight
- value: ?-70
timing: Count 10 times, Duration 10days , Once per 1 days
route: Oral route
DoseAndRates
Dose[x] Rate[x] 6 mg (Details: UCUM codemg = 'mg') 1 /d (Details: UCUM code/d = '/d')
Entry 6 - fullUrl = https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/guidelines/guideline-example/population
Resource EvidenceVariable:
Generated Narrative: EvidenceVariable ExampleRecommendationEligibilityCriteria
url: EvidenceVariable PopulationExample
name: PopulationExample
status: Active
characteristic
DefinitionByTypeAndValues
Type Value[x] Clinical finding (finding) Disease caused by Severe acute respiratory syndrome coronavirus 2 (disorder)
Entry 7 - fullUrl = https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/guidelines/guideline-example/recommendation-justification
Resource ArtifactAssessment:
Generated Narrative: ArtifactAssessment ExampleRecommendationJustification
ArtifactAssessment Version: 0.1.0
ArtifactAssessment Publication Status: active
date: 2020-01-03
artifact: PlanDefinition Recommendation Plan
content
informationType: Rating
type: Strength of recommendation
classifier: Strong for an intervention
content
informationType: Rating
type: Overall certainty
classifier: Very low quality
content
informationType: Rating
type: Consensus
classifier: Strong
content
informationType: Container
type: Certainty of evidence rating
RelatedArtifacts
Type Classifier ResourceReference Justification Certainty of evidence rating ArtifactAssessment: extension = 0.1.1,active; date = 2022-03-11; artifact[x] = ->Evidence ExampleStudyOutcomeEvidence content
informationType: Container
type: Net effect
RelatedArtifacts
Type Classifier ResourceReference Supported With Net effect Evidence NetEffectExample
Entry 8 - fullUrl = https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/guidelines/guideline-example/certainty-of-evidence-rating
Resource ArtifactAssessment:
Generated Narrative: ArtifactAssessment ExampleCertaintyOfEvidenceRating
ArtifactAssessment Version: 0.1.1
ArtifactAssessment Publication Status: active
date: 2022-03-11
artifact: Evidence ExampleStudyOutcomeEvidence
content
informationType: Rating
type: Overall certainty
classifier: Moderate quality
content
informationType: Rating
type: Risk of bias
classifier: serious concern
content
informationType: Rating
type: Imprecision
classifier: serious concern
content
informationType: Rating
type: Large effect
classifier: increase rating: +2
content
informationType: Rating
type: Plausible confounding
classifier: increase rating: +1
Entry 9 - fullUrl = https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/guidelines/guideline-example/study-outcome-evidence
Resource Evidence:
Generated Narrative: Evidence ExampleStudyOutcomeEvidence
name: ExampleStudyOutcomeEvidence
status: Active
RelatedArtifacts
Type ResourceReference Citation Citation ExampleCitation variableDefinition
variableRole: population
observed: Group: type = person; membership = definitional; quantity = 20
variableDefinition
variableRole: measured variable
observed: EvidenceVariable Mortality
synthesisType: not applicable
Entry 10 - fullUrl = https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/guidelines/guideline-example/outcome-evidence-synthesis
Resource Evidence:
Generated Narrative: Evidence ExampleOutcomeEvidenceSynthesis
name: ExampleOutcomeEvidenceSynthesis
status: Active
RelatedArtifacts
Type ResourceReference Citation Citation ExampleCitation variableDefinition
variableRole: population
observed: Group: type = person; membership = definitional; quantity = 20
variableDefinition
variableRole: measured variable
observed: EvidenceVariable Mortality
synthesisType: not applicable
Entry 11 - fullUrl = https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/guidelines/guideline-example/study-eligbility-criteria
Resource EvidenceVariable:
Generated Narrative: EvidenceVariable ExampleStudyEligibilityCriteria
name: ExampleStudyEligibilityCriteria
status: Active
characteristic
DefinitionByTypeAndValues
Type Value[x] Clinical finding (finding) Disease caused by Severe acute respiratory syndrome coronavirus 2 (disorder)
Entry 12 - fullUrl = https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/guidelines/guideline-example/study-citation
Resource Citation:
Generated Narrative: Citation ExampleStudyCitation
name: ExampleCitation
status: Active
citedArtifact
identifier: ceoysy/exampleIdentifier
Titles
Text Example Citation
Classifications
Type Classifier Publication Type Journal Article
Entry 13 - fullUrl = https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/guidelines/guideline-example/outcome
Resource EvidenceVariable:
Generated Narrative: EvidenceVariable ExampleOutcome
identifier:
https://www.ceosys.de
/outcome-examplename: Mortality
status: Active
characteristic
exclude: false
DefinitionByTypeAndValues
Type Value[x] Mortality rate (observable entity) percent (Details: UCUM code% = '%') handling: dichotomous variable
Entry 14 - fullUrl = https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/guidelines/guideline-example/recommendation-citation
Resource Citation:
Generated Narrative: Citation ExampleRecommendationCitation
name: ExampleRecommendationCitation
status: Active
citedArtifact
identifier: ceoysy/exampleIdentifier
Versions
Value 1.0-alpha1 currentState: Archived
Titles
Text Example Citation
Classifications
Type Classifier Publication Type Clinical practice guideline recommendation
Entry 15 - fullUrl = https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/example/guidelines/guideline-example/net-effect-estimate
Resource Evidence:
Generated Narrative: Evidence ExampleNetEffectEstimate
name: NetEffectExample
status: Unknown
VariableDefinitions
VariableRole Intended measured variable EvidenceVariable Mortality statistic
description:
Net Effect
statisticType: Net Effect
quantity: 1.7 % (Details: UCUM code% = '%')
AttributeEstimates
Type Level Range Confidence interval 0.95 1.5-1.9 modelCharacteristic
code: Relative importance weighting for use in weighted linear combinations
value: 1
Variables
VariableDefinition EvidenceVariable Mortality