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).

Example Bundle: Guideline Recommendation Example

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

-TypeResourceReference
*CitationCitation 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

-TypeClassifier
*Publication TypeClinical 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

-TypeClassifierResourceReference
*JustificationRecommendation ratingArtifactAssessment: extension = 0.1.0,active; date = 2020-01-03; artifact[x] = ->PlanDefinition Recommendation Plan
*CitationClinical practice guideline recommendationCitation ExampleRecommendationCitation
*CitationClinical practice guidelineCitation 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-goal

category: 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

-MeasureDetail[x]
*Breath rate mechanical --on ventilator20-24

goal

id

lab-ddimer-concentration-goal

category: Lab findings surveillance (regime/therapy)

description: D-Dimer concentration shall be below 250 ng/mL

Targets

-MeasureDetail[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

-CodeGoalId
*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

-TypeValue[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

-TypeClassifierResourceReference
*JustificationCertainty of evidence ratingArtifactAssessment: extension = 0.1.1,active; date = 2022-03-11; artifact[x] = ->Evidence ExampleStudyOutcomeEvidence

content

informationType: Container

type: Net effect

RelatedArtifacts

-TypeClassifierResourceReference
*Supported WithNet effectEvidence 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

-TypeResourceReference
*CitationCitation ExampleCitation

variableDefinition

variableRole: population

observed: Group: type = person; membership = definitional; quantity = 20

intended: EvidenceVariable ExampleStudyEligibilityCriteria

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

-TypeResourceReference
*CitationCitation ExampleCitation

variableDefinition

variableRole: population

observed: Group: type = person; membership = definitional; quantity = 20

intended: EvidenceVariable ExampleStudyEligibilityCriteria

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

-TypeValue[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

-TypeClassifier
*Publication TypeJournal 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-example

name: Mortality

status: Active

characteristic

exclude: false

DefinitionByTypeAndValues

-TypeValue[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

-TypeClassifier
*Publication TypeClinical 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

-VariableRoleIntended
*measured variableEvidenceVariable Mortality

statistic

description:

Net Effect

statisticType: Net Effect

quantity: 1.7 % (Details: UCUM code% = '%')

AttributeEstimates

-TypeLevelRange
*Confidence interval0.951.5-1.9

modelCharacteristic

code: Relative importance weighting for use in weighted linear combinations

value: 1

Variables

-VariableDefinition
*EvidenceVariable Mortality