Evidence Based Medicine on FHIR Implementation Guide
1.0.0-ballot - ballot
Evidence Based Medicine on FHIR Implementation Guide
1.0.0-ballot - ballot
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
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Composition</b><a name=\"178426\"> </a><a name=\"hc178426\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">ResourceComposition "178426" Version "72" Updated "2024-04-27 17:32:10+0000" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-comparative-evidence-report.html\">ComparativeEvidenceReport</a></p></div><p><b>Artifact Description</b>: This example of a ComparativeEvidenceReport Profile shows a report from a single observational study with 2 baseline measures, 2 participant flow measures, and 4 outcome measures.</p><p><b>url</b>: <a href=\"https://fevir.net/resources/Composition/178426\">https://fevir.net/resources/Composition/178426</a></p><p><b>identifier</b>: FEvIR Object Identifier/178426</p><p><b>status</b>: final</p><p><b>type</b>: EvidenceReport <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-179423.html\">Evidence Based Medicine on FHIR Implementation Guide Code System</a>#EvidenceReport)</span></p><p><b>category</b>: Comparative Evidence Report <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-179423.html\">Evidence Based Medicine on FHIR Implementation Guide Code System</a>#ComparativeEvidenceReport "ComparativeEvidenceReport")</span></p><p><b>date</b>: 2024-04-27 17:32:10+0000</p><p><b>author</b>: </p><ul><li><span>: Brian S. Alper</span></li><li><span>: Khalid Shahin</span></li><li><span>: Joanne Dehnbostel</span></li></ul><p><b>title</b>: ComparativeEvidenceReport: Association of Bariatric Surgery vs Medical Obesity Treatment With Long-term Medical Complications and Obesity-Related Comorbidities (2018 Norwegian Cohort)</p><p><b>custodian</b>: <a href=\"Organization-118079.html\">Organization/118079: Computable Publishing LLC</a> "Computable_Publishing_LLC"</p><h3>RelatesTos</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td><td><b>Citation</b></td><td><b>ResourceReference</b></td></tr><tr><td style=\"display: none\">*</td><td>cite-as</td><td> </td><td>ComparativeEvidenceReport: Association of Bariatric Surgery vs Medical Obesity Treatment With Long-term Medical Complications and Obesity-Related Comorbidities (2018 Norwegian Cohort) [Database Entry: FHIR Composition Resource]. Contributors: Brian S. Alper, Khalid Shahin, Joanne Dehnbostel [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 178426. Revised 2024-04-27. Available at: https://fevir.net/resources/Composition/178426. Computable resource at: https://fevir.net/resources/Composition/178426.</td><td> </td></tr><tr><td style=\"display: none\">*</td><td>derived-from</td><td> </td><td> </td><td><a href=\"Citation-104116.html\">Citation/104116: JournalArticleCitation: Association of Bariatric Surgery with Complications and Comorbidities JAMA 2018 Norwegian Cohort</a></td></tr><tr><td style=\"display: none\">*</td><td>composed-of</td><td>GroupAssignment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-179423.html\">Evidence Based Medicine on FHIR Implementation Guide Code System</a>#GroupAssignment)</span></td><td> </td><td><a href=\"EvidenceVariable-183637.html\">EvidenceVariable/183637: GroupAssignment: ExposureDefinition: Bariatric Surgery (RYGB, VSG, LAGB, BPD) vs. ComparatorDefinition: NOT Bariatric Surgery (RYGB, VSG, LAGB, BPD)</a> "GroupAssignment_ExposureDefinition_Bariatric_Surgery_RYGB_VSG_LAGB_BPD_vs_ComparatorDefinition_NOT_Bariatric_Surgery_RYGB_VSG_LAGB_BPD"</td></tr></table></div>"
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"title" : "ComparativeEvidenceReport: Association of Bariatric Surgery vs Medical Obesity Treatment With Long-term Medical Complications and Obesity-Related Comorbidities (2018 Norwegian Cohort)",
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🔗 "reference" : "Organization/118079",
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><b>StudyGroup: Severely Obese Adults 2018 Norwegian Cohort</b> Cohort study with baseline data of exposures from November 2005 through July 2010 and follow-up data from 2006 until death or through December 2015 at a tertiary care outpatient center, Vestfold Hospital Trust, Norway. Consecutive treatment-seeking adult patients (n\u2009=\u20092109) with severe obesity assessed (221 patients excluded and 1888 patients included). (1888 participants)</div>"
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"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Bariatric surgery, mostly gastric bypass (92%) or sleeve gastrectomy (7%)</div>"
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"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">932 patients opted for bariatric surgery</div>"
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"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">956 opted for medical management without surgery</div>"
},
"entry" : [
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🔗 "reference" : "Group/172939",
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{
"title" : "Research Study",
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Title:</b> Norwegian Cohort Study Comparing Bariatric Surgery vs Medical Obesity Treatment for Long-term Medical Complications and Obesity-Related Comorbidities</p><br/><p><b>Description:</b> The main purpose of this study is, in combination with data from the Register and Biobank study and follow-up data from the Norwegian Prescription Database, to compare the long-term effects (4-10 years) of surgical and non-surgical treatment of morbid obesity on obesity\nrelated comorbidities by studying changes in medicine usage after treatment.\n\nHypotheses\n1. Primary hypothesis: As compared to non-surgical treatment, bariatric surgery will be associated with higher rates of remission, and lower rates of new-onset drug treated hypertension during a follow-up period of ≤ 10 years.\n2. Secondary hypotheses: Changes in the usage of other drugs, particularly drugs related to obesity related comorbidities, will differ significantly between patients undergoing bariatric surgery or non-surgical treatment during the follow-up period. </p><br/><p><b>Study Design:</b> Observational research (coded as: SEVCO:01002 from https://fevir.net/sevco); Parallel cohort design (coded as: SEVCO:01011 from https://fevir.net/sevco); Longitudinal data collection (coded as: SEVCO:01028 from https://fevir.net/sevco)</p></div>"
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🔗 "reference" : "ResearchStudy/208285",
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},
{
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],
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"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">As compared with medical patients, surgically treated patients were significantly younger with a higher BMI.</div>"
},
"section" : [
{
"title" : "Age",
"focus" : {
🔗 "reference" : "EvidenceVariable/179449",
"type" : "EvidenceVariable",
"display" : "Age"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Mean age 41.2 in Surgical Group vs. 45.7 in Medical Group (p < 0.001)</div>"
},
"section" : [
{
"title" : "Baseline Measure with comparator alone",
"code" : {
"coding" : [
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}
],
"text" : "Baseline Measure with comparator alone"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Age in Medical Group (n = 956) mean 45.7 years, SD 13.5 years</div>"
},
"entry" : [
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🔗 "reference" : "Evidence/179451",
"type" : "Evidence",
"display" : "BaselineMeasureEvidence: Age in 2018 Norwegian Cohort Medical Group"
}
]
},
{
"title" : "Baseline Measure with intervention alone",
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"display" : "Evidence with intervention alone"
}
],
"text" : "Baseline Measure with intervention alone"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Age in Surgical Group (n = 932) mean 41.2 years, SD 10.5 years</div>"
},
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🔗 "reference" : "Evidence/179452",
"type" : "Evidence",
"display" : "BaselineMeasureEvidence: Age in 2018 Norwegian Cohort Surgical Group"
}
]
},
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"title" : "Baseline Measure with total group",
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],
"text" : "Baseline Measure with total group"
},
"text" : {
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">[No data.]</div>"
},
"emptyReason" : {
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},
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"title" : "Baseline Measure with intervention vs. comparator",
"code" : {
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],
"text" : "Baseline Measure with intervention vs. comparator"
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"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">p < 0.001</div>"
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"entry" : [
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🔗 "reference" : "Evidence/179455",
"type" : "Evidence",
"display" : "ComparativeBaselineMeasureEvidence: Age in 2018 Norwegian Cohort Surgical Group vs. Medical Group"
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},
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"title" : "BMI",
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🔗 "reference" : "EvidenceVariable/179450",
"type" : "EvidenceVariable",
"display" : "BMI"
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"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Mean BMI 45.4 in Surgical Group vs. 42.9 in Medical Group (p < 0.001)</div>"
},
"section" : [
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"title" : "Baseline Measure with comparator alone",
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"text" : "Baseline Measure with comparator alone"
},
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"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">BMI in Medical Group (n = 956) mean 42.9 kg/m2, SD 5.7 kg/m2</div>"
},
"entry" : [
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🔗 "reference" : "Evidence/179458",
"type" : "Evidence",
"display" : "BaselineMeasureEvidence: BMI in 2018 Norwegian Cohort Medical Group"
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"title" : "Baseline Measure with intervention alone",
"code" : {
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],
"text" : "Baseline Measure with intervention alone"
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"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">BMI in Surgical Group (n = 932) mean 45.4 kg/m2, SD 6.2 kg/m2</div>"
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🔗 "reference" : "Evidence/179457",
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},
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">[No data.]</div>"
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],
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"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">p < 0.001</div>"
},
"entry" : [
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🔗 "reference" : "Evidence/179456",
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"display" : "ComparativeBaselineMeasureEvidence: BMI in 2018 Norwegian Cohort Surgical Group vs. Medical Group"
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},
{
"title" : "Participant Flow",
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"code" : "participant-flow",
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],
"text" : "Participant Flow"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">2109 patients included in baseline registry, 221 patients excluded, 1888 patients included in analysis (932 had opted for bariatric surgery, 956 had opted for medical treatment)</div>"
},
"section" : [
{
"title" : "Excluded from analysis",
"focus" : {
🔗 "reference" : "EvidenceVariable/179459",
"type" : "EvidenceVariable",
"display" : "Excluded from analysis"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">221 patients excluded from analysis</div>"
},
"section" : [
{
"title" : "Participant flow with comparator alone",
"code" : {
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{
"system" : "https://fevir.net/resources/CodeSystem/179423",
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}
],
"text" : "Participant flow with comparator alone"
},
"text" : {
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">[No data.]</div>"
},
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"title" : "Participant flow with intervention alone",
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"text" : {
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🔗 "reference" : "Evidence/179460",
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"title" : "Participant flow with intervention vs. comparator",
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"status" : "empty",
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},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Unavailable"
}
]
}
}
]
},
{
"title" : "Included in analysis",
"focus" : {
🔗 "reference" : "EvidenceVariable/179461",
"type" : "EvidenceVariable",
"display" : "Included in analysis"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">1888 patients included in analysis (932 had opted for bariatric surgery, 956 had opted for medical treatment)</div>"
},
"section" : [
{
"title" : "Participant flow with comparator alone",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-comparator-alone",
"display" : "Evidence with comparator alone"
}
],
"text" : "Participant flow with comparator alone"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">956 included in analysis</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/179464",
"type" : "Evidence",
"display" : "ParticipantFlow: 2018 Norwegian Cohort Medical Group Included in Analysis"
}
]
},
{
"title" : "Participant flow with intervention alone",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-alone",
"display" : "Evidence with intervention alone"
}
],
"text" : "Participant flow with intervention alone"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">932 included in analysis</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/179463",
"type" : "Evidence",
"display" : "ParticipantFlow: 2018 Norwegian Cohort Surgical Group Included in Analysis"
}
]
},
{
"title" : "Participant flow with total group",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-total-group",
"display" : "Evidence with total group"
}
],
"text" : "Participant flow with total group"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">1888 patients included in analysis</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/179462",
"type" : "Evidence",
"display" : "ParticipantFlow: 2018 Norwegian Cohort Included in Analysis"
}
]
},
{
"title" : "Participant flow with intervention vs. comparator",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-vs-comparator",
"display" : "Evidence with intervention vs. comparator"
}
],
"text" : "Participant flow with intervention vs. comparator"
},
"text" : {
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">[No data.]</div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "notasked",
"display" : "Not Asked"
}
]
}
}
]
}
]
},
{
"title" : "Outcomes",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "outcome-measures",
"display" : "Outcome Measures"
}
],
"text" : "Outcomes"
},
"text" : {
"status" : "empty",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">[No data.]</div>"
},
"section" : [
{
"title" : "Remission of diabetes",
"focus" : {
🔗 "reference" : "EvidenceVariable/104117",
"type" : "EvidenceVariable",
"display" : "Remission of diabetes"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This example expresses the variable 'Remission of diabetes' as a dichotomous variable with a definition using both definition.concept (for a SNOMED CT term) and definition.reference which references an OutcomeDefinition Profile of Group Resource. (dichotomous variable)</div>"
},
"section" : [
{
"title" : "Outcome with comparator alone",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-comparator-alone",
"display" : "Evidence with comparator alone"
}
],
"text" : "Outcome with comparator alone"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Risk of Remission of diabetes in control group was 14.8%.</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104396",
"type" : "Evidence",
"display" : "ComparatorOnlyEvidence: Remission of diabetes without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"
}
]
},
{
"title" : "Outcome with intervention alone",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-alone",
"display" : "Evidence with intervention alone"
}
],
"text" : "Outcome with intervention alone"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Risk of Remission of diabetes in intervention group was 57.5%.</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104401",
"type" : "Evidence",
"display" : "InterventionOnlyEvidence: Remission of diabetes with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study"
}
]
},
{
"title" : "Outcome with intervention vs. comparator",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-vs-comparator",
"display" : "Evidence with intervention vs. comparator"
}
],
"text" : "Outcome with intervention vs. comparator"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">greater likelihood of diabetes remission: AR, 57.5% vs 14.8%; RD, 42.7% [95% CI, 35.8%-49.7%], RR, 3.9 [95% CI, 2.8-5.4]\n<br/>\nCompared with specialized medical treatment, bariatric surgery appears to induce remission of diabetes.</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104121",
"type" : "Evidence",
"display" : "ComparativeEvidence: Bypass surgery effects on Remission of diabetes in JAMA 2018 Norwegian cohort study"
}
]
}
]
},
{
"title" : "New onset depression",
"focus" : {
🔗 "reference" : "EvidenceVariable/104118",
"type" : "EvidenceVariable",
"display" : "New onset depression"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This example expresses the variable 'New onset depression' as a dichotomous variable with a definition using definition.reference which references an OutcomeDefinition Profile of Group Resource. (dichotomous variable)</div>"
},
"section" : [
{
"title" : "Outcome with comparator alone",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-comparator-alone",
"display" : "Evidence with comparator alone"
}
],
"text" : "Outcome with comparator alone"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Risk of New onset depression in control group was 6.5%.</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104395",
"type" : "Evidence",
"display" : "ComparatorOnlyEvidence: New onset depression without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"
}
]
},
{
"title" : "Outcome with intervention alone",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-alone",
"display" : "Evidence with intervention alone"
}
],
"text" : "Outcome with intervention alone"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Risk of New onset depression in intervention group was 8.9%.</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104400",
"type" : "Evidence",
"display" : "InterventionOnlyEvidence: New onset depression with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study"
}
]
},
{
"title" : "Outcome with intervention vs. comparator",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-vs-comparator",
"display" : "Evidence with intervention vs. comparator"
}
],
"text" : "Outcome with intervention vs. comparator"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">greater risk of new-onset depression: AR, 8.9% vs 6.5%; RD, 2.4% [95% CI, 1.3%-3.5%], RR, 1.5 [95% CI, 1.4-1.7]\n<br/>\nCompared with specialized medical treatment, bariatric surgery may slightly increase the incidence of depression.</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104155",
"type" : "Evidence",
"display" : "ComparativeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study"
}
]
}
]
},
{
"title" : "Treatment with opioids",
"focus" : {
🔗 "reference" : "EvidenceVariable/104119",
"type" : "EvidenceVariable",
"display" : "Treatment with opioids"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This example expresses the variable 'Treatment with opioids' as a dichotomous variable with a simple definition using definition.concept.text (dichotomous variable)</div>"
},
"section" : [
{
"title" : "Outcome with comparator alone",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-comparator-alone",
"display" : "Evidence with comparator alone"
}
],
"text" : "Outcome with comparator alone"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Risk of Treatment with opioids in control group was 15.8%.</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104394",
"type" : "Evidence",
"display" : "ComparatorOnlyEvidence: Treatment with opioids without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"
}
]
},
{
"title" : "Outcome with intervention alone",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-alone",
"display" : "Evidence with intervention alone"
}
],
"text" : "Outcome with intervention alone"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Risk of Treatment with opioids in intervention group was 19.4%.</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104402",
"type" : "Evidence",
"display" : "InterventionOnlyEvidence: Treatment with opioids with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study"
}
]
},
{
"title" : "Outcome with intervention vs. comparator",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-vs-comparator",
"display" : "Evidence with intervention vs. comparator"
}
],
"text" : "Outcome with intervention vs. comparator"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">greater risk of treatment with opioids: AR, 19.4% vs 15.8%, RD, 3.6% [95% CI, 2.3%-4.9%], RR, 1.3 [95% CI, 1.2-1.4]\n<br/>\nCompared with specialized medical treatment, bariatric surgery may slightly increase the use of opioids.</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104156",
"type" : "Evidence",
"display" : "ComparativeEvidence: Bypass surgery effects on Treatment with opioids in JAMA 2018 Norwegian cohort study"
}
]
}
]
},
{
"title" : "Additional GI surgical procedure",
"focus" : {
🔗 "reference" : "EvidenceVariable/104120",
"type" : "EvidenceVariable",
"display" : "Additional GI surgical procedure"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This example expresses the variable 'Additional GI surgical procedure' as a dichotomous variable with a simple definition using definition.concept.text (dichotomous variable)</div>"
},
"section" : [
{
"title" : "Outcome with comparator alone",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-comparator-alone",
"display" : "Evidence with comparator alone"
}
],
"text" : "Outcome with comparator alone"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Risk of additional GI surgical procedure in control group was 15.5%.</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104385",
"type" : "Evidence",
"display" : "ComparatorOnlyEvidence: Additional GI surgical procedure without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"
}
]
},
{
"title" : "Outcome with intervention alone",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-alone",
"display" : "Evidence with intervention alone"
}
],
"text" : "Outcome with intervention alone"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Risk of additional GI surgical procedure in intervention group was 31.3%. 292 out of 932 observed with percentage of: 31.3%</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104398",
"type" : "Evidence",
"display" : "InterventionOnlyEvidence: Additional GI surgical procedure with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study"
}
]
},
{
"title" : "Outcome with intervention vs. comparator",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-vs-comparator",
"display" : "Evidence with intervention vs. comparator"
}
],
"text" : "Outcome with intervention vs. comparator"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Surgical patients had a greater risk for undergoing at least 1 additional gastrointestinal surgical procedure (AR, 31.3% vs 15.5%; RD, 15.8% [95% CI, 13.1%-18.5%]; RR, 2.0 [95% CI, 1.7-2.4]).\n<br/>\nCompared with specialized medical treatment, bariatric surgery appears to increase the rate of additional gastrointestinal surgical procedures.</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104157",
"type" : "Evidence",
"display" : "ComparativeEvidence: Bypass surgery effects on Additional GI surgical procedure in JAMA 2018 Norwegian cohort study"
}
]
}
]
}
]
}
]
}
IG © 2022+ HL7 International / Clinical Decision Support. Package hl7.fhir.uv.ebm#1.0.0-ballot based on FHIR 5.0.0. Generated 2024-05-16
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