#
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#     General EBMcalc System Change Log
#     Copyright 1998-2024
#     EBMcalc, LLC
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4/21/2024

LangDev Server 2.0 launched: the custom EBMcalc multi-language
development and content management platform. It Includes improved
security through SSL-based multi-factor authentication, and
enhanced access control and logging.

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3/24/2024

Policies page updated in public EBMcalc.com and EBMcalc FHIR
app builds.

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3/12/2024

Click reduction: when a calculator has an intial input field
for numeric or text data, that field will automatically gain
focus for input.

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2/20/2023

CIP (Critical Illness Prediction) Score and Sequential Organ Failure
Assessment (Modified): mSOFA Score made generally available (they
had been ib FHIR versions only).

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2/15/2024

New Appendix section added below References.  All large data tables
(eg LMS values, Normal table, Nomograms, calculator coefficient
tables) will be migrated to Appendix.

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2/6/24

Complete.EBMcalc.com now holds the Generally Available (GA) collection
of calculators.

Blood pressure percentiles, 0 to 17 years (2017 standard) updated
again with improved notes, including a better description of
height percentile calculation.


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1/2/2024

Blood pressure percentiles, 0 to 17 years (2017 standard) enhancements
made in calculation efficiency; calculation on keystroke is now
operational. A COMPLETE accounting of calculator equations and data tables
are now outlined in the Calculation Details and Variables section.

Blood Pressure Percentiles, 2 to 17 years (2004 standard) deprecated
and removed from the generally available collection.

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12/17/23

LOINC-Regenstrief Institute attribution/copyright/trademark
statement updated in all calculators that use or display LOINC's.
Verbage obtained from https://loinc.org (accessed 12/17/23).

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11/22/23

Cardiac Risk Index for Non-AAA Vascular Surgery (Lee)
simplified and renamed to
Revised Cardiac Risk Index for Non-AAA Vascular Surgery (Lee)

Cardiac Risk Index for Orthopedic Surgery (Lee)
simplified and renamed to
Revised Cardiac Risk Index for Orthopedic Surgery (Lee)


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10/20/2023

PELD Score for End-Stage Liver Disease (patients less than 12 years old)
renamed to
PELD Score for End-Stage Liver Disease in patients less than 12 years old (original)

Update calulator added:
PELD Score for End-Stage Liver Disease in patients less than 12 years old (2023 update)


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10/4/2023

Probability of heart failure with preserved ejection fraction
(H2FPEF score) in adults with dyspnea calculator note section
updated.  No functionality change.

EUTOS long-term survival (ELTS) score in adults with chronic myeloid
leukemia (conventional and SI units) calculator note section updated.
No functionality change.


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9/23/2023

Progressive Multifocal Leukoencephalopathy (PML) Risk in patients
Treated with Natalizumab calculator update: JC virus name attribution
error corrected to John Cunningham virus.

Update to GA (generally available) handheld build:

Home and Back navigation buttons are now in separate table cells
with new CSS style definitions. Clients may show or hide either
button by changing the display property of these new classes:

medCalcHomeButtonCell
medCalcBackButtonCell

Conventional unit to SI unit conversions: Chemistry tests
renamed to
Conventional unit to SI unit conversions: Chemistry and endocrine tests
But no change in content.  This now mirrors the SI to Conventional
converter name.

COPD Assessment Test (CAT) calculator formatting improved

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9/16/2023

QT Interval Correction (EKG, Multi-Equation) calculator added
to include Bazett, Fridericia, Framingham, and Hodges equations.

QT Interval Correction (EKG)
renamed to
QT Interval Correction (EKG, Bazett Equation)


Heart Failure Clinical Prediction Rule moved to generally
available collection.


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9/12/2023

Postoperative Cardiac Risk Prediction
renamed to
Gupta Perioperative Cardiac Risk Prediction


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8/14/2023

Calculator title changes (file names unchanged):

Atrial Fibrillation CHA(2)DS(2)-VASc Score for Stroke Risk
renamed to
CHADS-VASc Score for Stroke Risk in Arial Fibrillation (CHA[2]S[2]-VASc)

Atrial Fibrillation CHADS(2) Score for Stroke Risk
renamed to
CHADS2 Score for Stroke Risk in Atrial Fibrillation (CHADS[2])


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8/4/2023

PostOpCardiacRisk removed from generally available collection. All functionality
and improved accuracy maintained in the PostOpCardiacRisk calculator

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7/23/2023

FHIR version only: Growth graph title syntax/punctuation standardized:

CDC body mass index: BMI-for-age graph for males, 2 to 20 years
CDC body mass index: BMI-for-age graph for females, 2 to 20 years
CDC head circumference-for-age graph for females, 0 to 36 months
CDC head circumference-for-age graph for males, 0 to 36 months
CDC stature-for-age graph for females with Down Syndrome, 2 to 20 years
CDC stature-for-age graph for females, 2 to 20 years
CDC stature-for-age graph for males with Down Syndrome, 2 to 20 years
CDC stature-for-age graph for males, 2 to 20 years
CDC weight-for-age graph for females, 2 to 20 years
CDC weight-for-age graph for males, 2 to 20 years
WHO length-for-age graph for females, 0 to 24 months
WHO length-for-age graph for males, 0 to 24 months
WHO weight-for-age graph for females, 0 to 24 months
WHO weight-for-age graph for males, 0 to 24 months

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7/22/2023

Calculator title updates (file names unchanged):

Total Body Water in Women (Johansson formula) ==>
Total Body Water in Adult Females (Johansson formula)

Total Body Water in Women (Lee formula) ==>
Total Body Water in Adult Females (Lee formula)

Total Body Water in Women (Watson formula) ==>
Total Body Water in Adult Females (Watson formula)

Total Body Water in Women (Humes-Weyer formula)  ==>
Total Body Water in Adult Females (Humes-Weyer formula)

Calorie Requirements for Weight Maintenance and Weight Loss in Women (Patient information) ==>
Calorie Requirements for Weight Maintenance and Weight Loss in Adult Females (Patient information)

Cardiovascular Risk Assessment in Women (10-year risk, Framingham 2008)  ==>
Cardiovascular Risk Assessment in Adult Females (10-year risk, Framingham 2008)

Cardiovascular Risk Assessment in Women (10-year, Reynolds Risk Score 2007)  ==>
Cardiovascular Risk Assessment in Adult Females (10-year, Reynolds Risk Score 2007)

Total Body Water in Men (Humes-Weyer formula)  ==>
Total Body Water in Adult Males (Humes-Weyer formula)

Total Body Water in Men (Lee formula)  ==>
e|Total Body Water in Adult Males (Lee formula)

Total Body Water in Men (Johansson formula)  ==>
Total Body Water in Adult Males (Johansson formula)

Total Body Water in Men (Watson formula)  ==>
Total Body Water in Adult Males (Watson formula)

Calorie Requirements for Weight Maintenance and Weight Loss in Men (Patient information)  ==>
Calorie Requirements for Weight Maintenance and Weight Loss in Adult Males (Patient information)

Cardiovascular Risk Assessment in Men (10-year risk, Framingham 2008)  ==>
Cardiovascular Risk Assessment in Adult Males (10-year risk, Framingham 2008)

Respiratory Failure Risk in Men During Post Operative Period of Non-Cardiac Surgery  ==>
Respiratory Failure Risk in Adult Males During Post Operative Period of Non-Cardiac Surgery


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7/16/2023

Blood Pressure Percentiles for Girls 2 to 17 years old (2004 standard) and
Blood Pressure Percentiles for Boys 2 to 17 years old (2004 standard)

replaced by new calculator:

Blood Pressure Percentiles, 2 to 17 years (2004 standard)
This calculator is maintained for historical as well as research interest

Blood pressure percentiles for girls 0 to 17 years old (revised 2017) and
Blood pressure percentiles for boys 0 to 17 years old (revised 2017)

replaced by new calculator:

Blood pressure percentiles, 0 to 17 years (2017 standard)

All pediatric BP calculators now use Height Z-score interpolation  (see below)

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7/14/2023

All pediatric growth calculators updated to use result interpolation
when fractional ages are enter, e.g. 12.5 months. Calculator title
syntax/punctuation also standardized:

Body mass index (BMI) percentiles for females, 2 to 20 years
Body mass index (BMI) percentiles for males, 2 to 20 years
CDC height-for-age percentiles for females, 2 to 20 years
CDC height-for-age percentiles for males, 2 to 20 years
CDC Infant Growth Percentiles, 0 to 36 months
CDC infant head circumference-for-age percentiles, 0 to 36 months
CDC infant length-for-age percentiles, 0 to 36 months
CDC infant weight-for-age percentiles, 0 to 36 months
CDC infant weight-for-length percentiles, 0 to 36 months
CDC weight-for-age percentiles for females, 2 to 20 years
CDC weight-for-age percentiles for males, 2 to 20 years\
CDC weight-for-height percentiles for boys, 77 to 121 cm
CDC weight-for-height percentiles for girls, 77 to 121 cm
WHO assessment of malnutrition in females, 0 to 24 months
WHO assessment of malnutrition in females, 2 to 5 years
WHO assessment of malnutrition in males, 0 to 24 months
WHO assessment of malnutrition in males, 2 to 5 years
WHO Infant Growth Percentiles, 0 to 24 months *** New in Version 23.3 ***
WHO infant head circumference-for-age percentiles, 0 to 24 months
WHO infant length-for-age percentiles, 0 to 24 months
WHO infant weight-for-age percentiles, 0 to 24 months
WHO infant weight-for-length percentiles, 0 to 24 months

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7/3/23

NIH Stroke Score reference link break repaired

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5/1/2023

Breast cancer risk assessment incorporating breast density (BCSA 2015) renamed to
Breast cancer risk assessment incorporating breast density (BCSC 2015)
Filename BCSC.htm remains the same

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4/14/23

"nofollow" rel-tag added to external links to improve Google indexing

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3/29/23

PneumoniaMortalityNH_LR calculator update:  formula and paramaters clarified/simplified 

PneumoniaMortalityPred updated, and result interpretation table simplified

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3/21/23

CSV file change: All calulator titles are now surrounded by double quotation marks,
preserving any commas that may be in the calculator title.

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3/10/23

CSV files updated to include Source and Build file modification times and file/build
version number.  Note: the modification date/time stamps are UTC/GMT Excel time codes
for maximum flexibility in "Format Cells" options/sorting.

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1/23/23

eGFR calculator names updated to start with "Glomerular Filtration Rate Estimation (eGFR)"

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12/15/22

Pain Management specialty page reorganized:  Cardiac pain calculators removed.
FHIR version of original GRACEScore renamed from GRACEScoreF.htm to simply GRACEScore.htm
External link checking automated for regular refreshs/updates.

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12/6/22

Gail models of 1999 and 2007 retired/removed from generally available collection.
Replaced by:  Breast cancer risk assessment by Gail Model (2018).

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11/26/22

CKD-EPI eGFR calculators: Cystatin C-based (2012), Creatinine- and Cystatin C-based (2021),
and Creatinine-based (2021) now have optional inputs to calculate body surface area,
and "de-index" the BSA normalized results.

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8/26/22

Calculators that have both systolic and diastolic blood pressure input
parameters now check for input errors in which the diastolic reading is 
greater than the systolic reading.

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4/25/22

Literature reference search mechanism improved to reduce false positive search results.

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4/15/22

Modified Geneva score for estimation of the clinical probability of pulmonary embolism in adults
was renamed to:
Revised Geneva score for estimation of the clinical probability of pulmonary embolism in adults.


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4/10/22

Cardiovascular Risk Assessment (10-year, ACC/AHA 2013) renamed to
Cardiovascular Risk Assessment (10-year, ACC/AHA PCE: Pooled Cohort Equations) 

FHIR builds: Multiple calculators with LOINC encoded output configured
for FHIR Write.

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2/12/22

Rounding routines updated to omit trailng zeros after the
decimal point in results that round to integer values.


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1/19/22

Kidney Failure Risk Equation (KFRE) (8-variable) calculator
updated with 2016 coefficients and Two-year estimate.


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12/1/21

For accessibility: aria-label tags available for custom builds.
Tags explain the majority of input and output form elements.


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10/20/21

Specialty index format improvement

SUBSPEC programming created to custom remove subsets of calculator from
specialty indexes by client.


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9/14/21

Work begun to add an ARIA tag option for all inputs.


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6/11/21

MeSH terms added to content CSV files.

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6/4/2021

New units of measure config file (UOM.qcc) implemented unifying Basic.qcc, Growth.qcc, and Labs.qcc
Legacy source directories may stll use old style files.

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2/5/2021

MinMax checking improved in cases of unit-of-measure switches.

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3/12/2021

Osmolar Gap calculators updated to accept variable ETOH osmolality factors.

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10/22/2020

Anesthesia specialty renamed to Anesthesiology.

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4/29/2020

Heme/onc calculators added 3/25/2020 indexed to appear in appropriate Hematology and Oncology specialty pages
TOLAC calculators added to Women's Health specialty page
COWS added to Pain specialty page.


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4/19/2020

EBMcalc Complete Edition iOS app updated/available in the Apple App Store, version 20.2.1


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3/25/2020

The following existing calculators were made generally available:

Clinical Opioid Withdrawal Scale (COWS) for adults and adolescents
Thyroid Imaging Reporting and Data System (TI-RADS) with guidance on FNA of thyroid nodules in adults
Plasma sodium concentration correction for hyperglycemia in adults (conventional or SI units)
Venous segmental disease score for obstruction
Venous segmental disease score for reflux
Villalta score for severity of post-thrombotic syndrome
Weight loss indices following bariatric surgery in adults
Center for International Blood and Marrow Transplant Research (CIBMTR) chronic Graft-Versus-Host-Disease (GVHD) risk score
Dynamic International Prognostic Scoring System-Plus (DIPSS-Plus) for primary myelofibrosis (PMF) in adults and adolescents
Genetically inspired international prognostic scoring system (GIPSS) for primary myelofibrosis in adults
Khorana score for estimating venous thromboembolism risk in adults with cancer
Mutation and Karyotype-Enhanced International Prognostic Scoring System for Primary Myelofibrosis in adults 70 and younger (MIPSS70+ version 2.0)
PLASMIC score for estimating the likelihood of severe ADAMTS13 deficiency in adults with suspected TTP
Revised International Prognostic Scoring System (IPSS-R) in primary myelodysplastic syndrome in adults
Mayo chronic myelomonocytic leukemia (CMML) prognostic model in adults
Splenic Marginal Zone Lymphoma Study Group (SMZLSG) prognostic index in adults
Adjusted cerebrospinal fluid white blood cell count in the presence of red blood cells
Risk of paradoxical embolism (RoPE) score in adults
Pediatric ulcerative colitis activity index (PUCAI)
Maintenance fluid calculation for children based on hourly fluid requirements
Modified Geneva score for estimation of the clinical probability of pulmonary embolism in adults
REVEAL PAH score and estimated one-year survival for adult patients with pulmonary arterial hypertension
Mean arterial pressure (MAP) in adults and children (conventional or SI units)
Peak expiratory flow prediction in females (18 to 85 years)
Peak expiratory flow prediction in males (18 to 85 years)
Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) in adults

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1/23/2020

HemoglobinA1CfromMPG and HemoglobinA1CtoMPG were made "Not Generally Available" / out of date
Glycemic Assessment calculator renamed to Glycemic Assessment: A1C to Average Glucose Conversions
All radio button and check box text made clickable for improved accessability
Interpretation boxs:  result indicator switched from grey to blue for improved accessability.

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1/8/2020

AlcLiverDxSeverity_2 was made "Not Generally Available" / out of date
Lee Cardiac risk calulators for AAA, thoracic, and abdominal surgery  made "Not Generally Available" / out of date.

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12/28/19

POSSUMScore was updated to handle both conventional and SI units
POSSUMScoreSI was deprecated and removed from all future builds.


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12/15/19

Text associated with check boxes and radiobuttons made clickable.


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10/25/19

EpoprostenolInfusion was made "Not Generally Available"
AmikacinDosing was made "Not Generally Available."

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10/20/19

Change log (this document) reorganized to place most recent changes on the top of the list.


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10/17/19

The following three nephrology calculators were updated to change the default output
from mL/sec to the much more common mL/min:

Creatinine Clearance (measured, SI units)
Creatinine Clearance by Cockcroft-Gault (SI units)
Creatinine Clearance by Cockcroft-Gault with IBW (SI units)


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10/1/2019

Regarding the following files:

IronDextran was made "Not Generally Available."
IronReplacement was made "Not Generally Available."
CortGluco was made "Not Generally Available."
CortMineral was made "Not Generally Available."
Thyroid was made "Not Generally Available."
Benzo was made "Not Generally Available."
GentDose was made "Not Generally Available."


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9/27/2019

Waterlow Scale for Stratification of Pressure Sore Risk removed as "out of date."


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9/20/19

Carboplatin AUC Dose Calculation (Calvert formula) was made "Not Generally Available" / out of date.


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9/18/19

Parameter names that started with "Top Normal" updated to use  "ULN" instead (upper limit of normal).

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9/14/2019

The following Warfarin calculators were made "Not Generally Available / out of date

Warfarin Weekly Dose Estimate in Non-rheumatic A-fib
Warfarin Dosing Nomogram for 10 mg Initiation (Crowther) TreeCalc
Warfarin Dosing Nomogram for 10 mg Initiation (Kovacs) TreeCalc
Warfarin Dosing Nomogram for 5 mg Initiation (Crowther) TreeCalc


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9/10/19

Multiple references added to Converters and Growth Graph calculators.
CreatinineClearnce for Changing Creatinine levels removed as "out of date."
Red Blood Cell Volume by Radionucleotide Dilution removed as "out of date."
IME Adjusted Ratio for Medical Education Medicare Payments to Teaching Hospitals removed as "out of date."


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5/31/2019

Heart Failure Diagnosis calculator updated to accept numeric input for Age and NT-proBNP.


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5/20/2019

Unit conversion files for Weight, Length, Volume, Temperature, and Time
simplified for clinical use.  Non clinical and out-dated conversions removed.
The following non-clinical converter files were removed from our generally
available collection: Area, Basic, Comprehensive, Density, Force, Power,
Speed, and Textile.

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