Sepsis Detection

Looking for signs of sepsis

A group of laboratory findings and vital signs can be used to screen for sepsis. This is the (begining of the) logic necessary (spread over several MLMs

http://218.232.111.68:8080/ardenml/Sepsis.jsp

HgA1C Reminder (object version)

Alert for needed HgA1C testing and diabetics.

Diabetics need to have their HgA1C measured routinely to monitor glucose control.
This is a simple example of an alert when the last HgA1C was LE 7 but occurred more than six months ago. 
A reminder is issued to order a HgA1C.

http://218.232.111.68:8080/ardenml/Diabetes_HgA1C_Object.jsp

HgA1C Reminder

Alert for needed HgA1C testing and diabetics.

Diabetics need to have their HgA1C measured routinely to monitor glucose control.
This is a simple example of an alert when the last HgA1C was LE 7 but occurred more than six months ago. 
A reminder is issued to order a HgA1C.

http://61.78.109.24:8080/ardenml/Diabetes_HgA1C.jsp


DRAFT USPSTF SCREENING FOR COLORECTAL CANCER

U.S. Preventive Services Task Force (USPSTF) recommendation statement on screening for colon cancer in the general population converted into standardized e-Recommendation statement. (recommendation version of 2008)

The USPSTF recommends regular screening for colorectal cancer using fecal occult blood testing, sigmoidoscopy, or colonoscopy in adults between the ages of 50 and 75 years. (Grade A recommendation)?
This recommendation statement applies to all population who meet the age criteria who are not at increased risk for colon cancer by virtue of a known history of colon cancer.
It also includes those patients with firstdegree relatives who have had colorectal adenomas or cancer.
For those patients with first-degree relatives who developed cancer at a younger age or those with multiple affected first-degree relatives, an earlier start to screening may be reasonable.
Patients with specific inherited syndromes (the Lynch syndrome or familial adenomatous polyposis, and those with inflammatory bowel syndrome) are excluded.

http://218.232.111.68:8080/ardenml/USPSTF_COLORECTAL_AB_REC.jsp


High Risk Factors

Identify high risk CAP patients

Identify patients with 3 or more CURB65 risk factors.

http://218.232.111.68:8080/ardenml/CAP_Protocol_CURB65_High.jsp


Screen for cryptosporidiosis

Screen for cryptosporidiosis for infection disease division.

The patient who has the stool culture with positive for cryptosporidium will trigger the action.

http://218.232.111.68:8080/ardenml/a_scrncrypto.jsp


Screen for T4 results

Screen for patients who have the periferal blood pathology report and get the CBC correspondant results.

This data is collected for AIDS Clinical Trial study.
The CD4 percentage is an indicator to measure the sickness for HIV patients.
It is triggered by the periferal blood of pathology report.
The T4 and T8 percentage, plus T4/T8 ratio will be extracted and simultaneously will check if there is the whole blood counts done for the same patient within the same day or 2 days before  or after.
If there is whole blood counts result, get the white blood cell counts and lymphocyte count.
The lymphocyte count is from the diff of whole blood counts.
It calculates the absolute T4 cell using the formula, (wbc*1000)*(%lymphocyte/100)*(%T4/100).

http://61.78.109.24:8080/ardenml/a_t4.jsp


Admission Screen for Acute Coronary Artery Disease

To notify investigators of the admission of a patient whose admission diagnosis suggests acute coronary artery disease.
IRB number 7205

http://61.78.109.24:8080/ardenml/ACUTE_CAD_1.jsp


Screen for new or worsening anemia based on intravascular hemoglobin

To alert the health care provider of new or worsening anemia based on the intravascular hemoglobin level.

http://61.78.109.24:8080/ardenml/anemia_monitor.jsp


Determine Testing for TB

Determine whethet to administer a Turberculin Skin Test.

The test is administered if the paitent
1) Has Not had a recent PPD
2) Has a serum creatinine LE 2.0
And two of the following are true:
1) 40 years or older
2) Has had a thiazide diuretic since age 20
3) Has an average of the last 2 Systolic BPs of greater than 120

http://61.78.109.24:8080/ardenml/Arden_for_Tuberculosis.jsp


(DRAFT) SCREENING FOR BREAST CANCER USING FILM MAMMOGRAPHY (B Recommendation only)

U.S. Preventive Services Task Force (USPSTF) recommendation statement on screening for breast cancer in the general population.

Importance: Breast cancer is the second-leading cause of cancer death among women in the United States.
Widespread use of screening, along with treatment advances in recent years, have been credited with significant reductions in breast cancer mortality.
Detection: Mammography, as well as physical examination of the breasts (CBE and BSE), can detect presymptomatic breast cancer.
Because of its demonstrated effectiveness in randomized, controlled trials of screening, film mammography is the standard for detecting breast cancer; in 2002, the USPSTF found convincing evidence of its adequate sensitivity and specificity.
Benefits of Detection and Early Intervention: There is convincing evidence that screening with film mammography reduces breast cancer mortality, with a greater absolute reduction for women aged 50 to 74 years than for women aged 40 to 49 years.
The strongest evidence for the greatest benefit is among women aged 60 to 69 years.

http://61.78.109.24:8080/ardenml/Mammo_Screening_Rules.jsp


Hepaxpert

Knowledge-based interpretation of hepatitis A, B, and C serology test results

The general aim to develop the Hepaxpert program was to make available precise and exhaustive interpretations of hepatitis serology test results by automatically generating clinically relevant, textual interpretations. (Hepatitis B Serology test dose not working now)

http://61.78.109.24:8080/ardenml/Hepaxpert_Arden_Main.jsp