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CPE-010 · Context triggers
PC-13: Cardiometabolic assessment
Cardiometabolic assessment. Evaluates PCOS criteria met or probable.
Condition
- PCOS criteria met or probable
What it reports
- Assess BMI and waist, blood pressure and a lipid profile
- Metabolic syndrome criteria are counted when the values are entered
Diagnostic boundary
- Hands off to the metabolic engine.
Evidence
- EV-PCOS-2023Teede HJ, Tay CT, Laven JJE, et al. Recommendations From the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome. J Clin Endocrinol Metab. 2023;108(10):2447-2469.Supports: Adult diagnosis: irregular cycles plus hyperandrogenism once other causes are excluded; ultrasound or AMH when one is missing Adolescent criteria require both irregular cycles and hyperandrogenism Glycemic, cardiometabolic, sleep and mood assessment; endometrial risk in prolonged anovulation
Cases where this rule fires
Open a case to see this rule fire with real inputs, then change the values until it stops.
PCOS-FX-01
Irregular cycles and hirsutism, exclusions complete
A 26-year-old with 8 cycles a year and an mFG of 9.
PCOS-FX-02
Irregular cycles and polycystic ovaries
No hyperandrogenism, 22 follicles per ovary.
PCOS-FX-03
Hyperandrogenism and polycystic ovaries with regular cycles
Ovulatory phenotype.
PCOS-FX-05
Criteria met, no exclusion tests
TSH, prolactin and 17-OHP missing.
PCOS-FX-11
No period for five months
Prolonged anovulation.
PCOS-FX-12
No glycemic assessment on record
Criteria met.
PCOS-FX-13
Glycemic assessment 40 months ago
Overdue.
PCOS-FX-14
Waist 98 cm, triglycerides 190, HDL 40, BP 134/86
Metabolic syndrome criteria.
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