Evidence Based Medicine on FHIR Implementation Guide
1.0.0-ballot - ballot International flag

Evidence Based Medicine on FHIR Implementation Guide, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ebm/ and changes regularly. See the Directory of published versions

Example Citation: Citation for FEvIR Evidence 7637: Critically appraised summary of primary outcome of multi-platform RCT of anticoagulation for non-critically ill COVID-19

Active as of 2022-01-10

Generated Narrative: Citation

Resource Citation "7638" Version "32" Updated "2023-12-02 12:42:05+0000"

url: https://fevir.net/resources/Citation/7638

identifier: FEvIR Object Identifier/7638

version: 1.0.0-ballot

title: Citation for FEvIR Evidence 7637: Critically appraised summary of primary outcome of multi-platform RCT of anticoagulation for non-critically ill COVID-19

status: active

date: 2022-01-10 13:30:43+0000

publisher: HL7 International / Clinical Decision Support

contact: HL7 International / Clinical Decision Support: http://www.hl7.org/Special/committees/dss

description: A Evidence Resource to demonstrate complex evidence reporting

UseContexts

-CodeValue[x]
*Program (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code program = 'Program', stated as 'Program')EBMonFHIR/COKA Demonstration ()
*FEvIR Platform Use (Details: http://hl7.org/fhir/citation-classification-type code fevir-platform-use = 'FEvIR Platform Use', stated as 'FEvIR Platform Use')Evidence (Citation Artifact Classifier#fhir-resource "FHIR Resource")

jurisdiction: World (m49.htm#001)

copyright: https://creativecommons.org/licenses/by-nc-sa/4.0/

author: Brian S. Alper:

Summaries

-StyleText
*Computable Publishing (Citation Summary Style#comppub)Critically appraised summary of primary outcome of multi-platform RCT of anticoagulation for non-critically ill patients with COVID-19 [FHIR Resource]. Contributors: Brian S Alper, Harold Lehmann, Ahmad Sofi-Mahmudi, Joanne Dehnbostel, Ilkka Kunnamo [Authors]; Janice Tufte, Vignesh Subbian, Bhagvan Kommadi, Alfonso Iorio, Muhammad Afzal, Kenneth J Wilkins, Surbhi Shah, Amy Price [Reviewers]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 7637. Published August 05, 2021. Created August 05, 2021. Revised August 25, 2021. Available at: https://fevir.net/resources/Evidence/7637. Computable resource at: https://fevir.net/resources/Evidence/7637.

Classifications

-TypeClassifier
*FEvIR Platform Use (Citation Classification Type#fevir-platform-use)Project Specific (Citation Artifact Classifier#project-specific)

citedArtifact

identifier: FEvIR Object Identifier/7637

relatedIdentifier: https://doi.org/10.1056/NEJMoa2105911

StatusDates

-ActivityActualPeriod
*Created (Cited Artifact Status Type#created)true2021-08-05 --> (ongoing)

title

type: Primary title (Title Type#primary), Human use (Title Type#human-use)

language: English (Tags for the Identification of Languages#en)

text: Critically appraised summary of primary outcome of multi-platform RCT of anticoagulation for non-critically ill patients with COVID-19

title

type: Different text in an earlier version (Title Type#earlier-title)

language: English (Tags for the Identification of Languages#en)

text: Critically appraised summary of primary outcome of multi-platform RCT of anticoagulation for non-critically ill COVID-19

abstract

type: Description (Evidence Based Medicine on FHIR Implementation Guide Code System#description)

language: English (Tags for the Identification of Languages#en)

text: Patients who were hospitalized for COVID-19 and who were not critically ill were randomized in a response-adaptive manner to therapeutic-dose anticoagulation with heparin vs. usual-care pharmacologic thromboprophylaxis. The outcome reported here is the effect on organ support-free days (i.e. days without oxygen delivered by high-flow nasal cannula, noninvasive or invasive mechanical ventilation, or the use of vasopressors or inotropes). The statistical result was a median adjusted odds ratio 1.27 (95% credible interval 1.03 to 1.58), based on 1,740 events among 2,219 participants with known outcome out of 2,244 enrolled participants. The probability of superiority of therapeutic-dose anticoagulation with heparin was 98.6%. The risk of bias in this effect estimate is of extremely serious concern based on a serious concern for confounding covariate bias (confounding difference in calendar time), a very serious concern for performance bias (inadequate blinding of intervention deliverers who may determine the outcome based in part on exposure status), and very serious concern for analysis bias (bias related to selection of the analysis, and early trial termination).

abstract

type: Assertion (Evidence Based Medicine on FHIR Implementation Guide Code System#assertion)

language: English (Tags for the Identification of Languages#en)

text: It is uncertain whether therapeutic-dose anticoagulation with heparin affects the rate of organ support-free days in hospitalized patients with COVID-19 who are not critically ill.

relatesTo

type: cites

classifier: Journal Article (Citation Artifact Classifier#D016428)

citation: Therapeutic Anticoagulation with Heparin in Noncritically Ill Patients with Covid-19 [Journal Article]. Contributors: The ATTACC, ACTIV-4a, and REMAP-CAP Investigators. In: The New England Journal of Medicine, DOI 10.1056/NEJMoa2105911. Published August 04, 2021. Available at: https://doi.org/10.1056/NEJMoa2105911.

Documents

-Url
*Anticoagulation for COVID-19 Combined RCTs in NEJM

resourceReference: FEvIR Object Identifier/7636

publicationForm

PublishedIns

-TypeTitlePublisherPublisherLocation
*Database (Published In Type#D019991)Fast Evidence Interoperability Resources (FEvIR) Platform: Computable Publishing LLCIpswich, MA, USA

articleDate: 2021-08-05

lastRevisionDate: 2021-08-25

language: English (Tags for the Identification of Languages#en)

copyright: https://creativecommons.org/licenses/by-nc-sa/4.0/

WebLocations

-ClassifierUrl
*Computable resource (Artifact Url Classifier#computable-resource), JSON (Artifact Url Classifier#json)Critically appraised summary of primary outcome of multi-platform RCT of anticoagulation for non-critically ill patients with COVID-19

classification

type: Knowledge Artifact Type (Cited Artifact Classification Type#knowledge-artifact-type)

classifier: FHIR Resource (Citation Artifact Classifier#fhir-resource)

classification

type: fhir-resource (Citation Artifact Classifier#fhir-resource "FHIR Resource")

classifier: Evidence (All FHIR Types#Evidence)

contributorship

complete: true

entry

contributor:

identifier: https://orcid.org//0000-0003-4300-4928

name: Brian S Alper

telecom: balper@computablepublishing.com

forenameInitials: BS

affiliation:

  • : Computable Publishing LLC
  • : Scientific Knowledge Accelerator Foundation
  • : COVID-19 Knowledge Accelerator

contributionType: Conceptualization (Artifact Contribution Type#conceptualization), Data curation (Artifact Contribution Type#data-curation), Investigation (Artifact Contribution Type#investigation), Methodology (Artifact Contribution Type#methodology), Software (Artifact Contribution Type#software), Writing - original draft (Artifact Contribution Type#writing-original-draft)

role: Author/Creator (Contributor Role#author)

ContributionInstances

-TypeTime
*Risk of bias assessment (Evidence Based Medicine on FHIR Implementation Guide Code System#defined-in-text "Defined in text")2021-08-05

correspondingContact: true

entry

contributor:

identifier: https://orcid.org//0000-0002-4346-3238

name: Janice Tufte

telecom: hassanahseattle@gmail.com

affiliation: : Hassanah Consulting

contributionType: Writing - review & editing (Artifact Contribution Type#writing-review-editing), Formal analysis (Artifact Contribution Type#formal-analysis), Investigation (Artifact Contribution Type#investigation), Validation (Artifact Contribution Type#validation)

role: Reviewer (Contributor Role#reviewer)

contributionInstance

type: Reviewed (Artifact Contribution Instance Type#reviewed)

time: 2021-08-05

contributionInstance

type: Reviewed (Artifact Contribution Instance Type#reviewed)

time: 2021-08-06

entry

contributor:

name: Harold Lehmann

telecom: lehmann@jhmi.edu

affiliation: : Johns Hopkins University

contributionType: Investigation (Artifact Contribution Type#investigation), Methodology (Artifact Contribution Type#methodology), Writing - original draft (Artifact Contribution Type#writing-original-draft)

role: Author/Creator (Contributor Role#author)

entry

contributor:

name: Ahmad Sofi-Mahmudi

telecom: a.sofimahmudi@gmail.com

affiliation: : Cochrane Iran Associate Centre

contributionType: Investigation (Artifact Contribution Type#investigation), Methodology (Artifact Contribution Type#methodology), Validation (Artifact Contribution Type#validation), Writing - review & editing (Artifact Contribution Type#writing-review-editing)

role: Author/Creator (Contributor Role#author)

entry

contributor:

name: Joanne Dehnbostel

telecom: jdehnbostel@computablepublishing.com

affiliation: : Computable Publishing LLC

contributionType: Project administration (Artifact Contribution Type#project-administration), Investigation (Artifact Contribution Type#investigation), Writing - review & editing (Artifact Contribution Type#writing-review-editing)

role: Author/Creator (Contributor Role#author)

entry

contributor:

name: Vignesh Subbian

telecom: vsubbian@arizona.edu

affiliation: : University of Arizona

contributionType: Formal analysis (Artifact Contribution Type#formal-analysis), Investigation (Artifact Contribution Type#investigation), Writing - review & editing (Artifact Contribution Type#writing-review-editing)

role: Reviewer (Contributor Role#reviewer)

ContributionInstances

-TypeTime
*Reviewed (Artifact Contribution Instance Type#reviewed)2021-08-07

entry

contributor:

identifier: https://orcid.org//0000-0002-4817-6991

name: Ilkka Kunnamo

telecom: ilkka.kunnamo@duodecim.fi

affiliation:

  • : Duodecim Medical Publications Ltd., Finland
  • : Scientific Knowledge Accelerator Foundation

contributionType: Writing - review & editing (Artifact Contribution Type#writing-review-editing)

role: Author/Creator (Contributor Role#author)

ContributionInstances

-TypeTime
*Reviewed (Artifact Contribution Instance Type#reviewed)2021-08-09

entry

contributor:

name: Bhagvan Kommadi

telecom: bhagvanarch@gmail.com

affiliation: : Value Momentum

contributionType: Methodology (Artifact Contribution Type#methodology), Validation (Artifact Contribution Type#validation)

role: Reviewer (Contributor Role#reviewer)

entry

contributor:

name: Alfonso Iorio

affiliation: : McMaster University

contributionType: Formal analysis (Artifact Contribution Type#formal-analysis), Writing - review & editing (Artifact Contribution Type#writing-review-editing)

role: Reviewer (Contributor Role#reviewer)

entry

contributor:

name: Muhammad Afzal

telecom: afzalse@gmail.com

affiliation: : Sejong University, Seoul, South Korea

contributionType: Formal analysis (Artifact Contribution Type#formal-analysis), Writing - review & editing (Artifact Contribution Type#writing-review-editing)

role: Reviewer (Contributor Role#reviewer)

entry

contributor:

name: Kenneth J Wilkins

affiliation: : National Institute of Diabetes & Digestive & Kidney Diseases

contributionType: Formal analysis (Artifact Contribution Type#formal-analysis), Writing - review & editing (Artifact Contribution Type#writing-review-editing)

role: Reviewer (Contributor Role#reviewer)

entry

contributor:

name: Surbhi Shah

affiliation: : Mayo Clinic Arizona

contributionType: Writing - review & editing (Artifact Contribution Type#writing-review-editing), Clinical commentary (Evidence Based Medicine on FHIR Implementation Guide Code System#defined-in-text "Defined in text")

role: Reviewer (Contributor Role#reviewer)

entry

contributor:

name: Amy Price

contributionType: Writing - review & editing (Artifact Contribution Type#writing-review-editing)

role: Reviewer (Contributor Role#reviewer)


Generated Narrative: Practitioner #contributor0

identifier: https://orcid.org//0000-0003-4300-4928

name: Brian S Alper

telecom: balper@computablepublishing.com


Generated Narrative: Practitioner #contributor1

identifier: https://orcid.org//0000-0002-4346-3238

name: Janice Tufte

telecom: hassanahseattle@gmail.com


Generated Narrative: Practitioner #contributor2

name: Harold Lehmann

telecom: lehmann@jhmi.edu


Generated Narrative: Practitioner #contributor3

name: Ahmad Sofi-Mahmudi

telecom: a.sofimahmudi@gmail.com


Generated Narrative: Practitioner #contributor4

name: Joanne Dehnbostel

telecom: jdehnbostel@computablepublishing.com


Generated Narrative: Practitioner #contributor5

name: Vignesh Subbian

telecom: vsubbian@arizona.edu


Generated Narrative: Practitioner #contributor6

identifier: https://orcid.org//0000-0002-4817-6991

name: Ilkka Kunnamo

telecom: ilkka.kunnamo@duodecim.fi


Generated Narrative: Practitioner #contributor7

name: Bhagvan Kommadi

telecom: bhagvanarch@gmail.com


Generated Narrative: Practitioner #contributor8

name: Alfonso Iorio


Generated Narrative: Practitioner #contributor9

name: Muhammad Afzal

telecom: afzalse@gmail.com


Generated Narrative: Practitioner #contributor10

name: Kenneth J Wilkins


Generated Narrative: Practitioner #contributor11

name: Surbhi Shah


Generated Narrative: Practitioner #contributor12

name: Amy Price