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
| Active as of 2022-09-19 |
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:Evidence ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "104155"] ; # fhir:meta [ fhir:versionId [ fhir:v "11" ] ; fhir:lastUpdated [ fhir:v "2023-12-06T00:52:24.675Z"^^xsd:dateTime ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/uv/ebm/StructureDefinition/comparative-evidence"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/uv/ebm/StructureDefinition/comparative-evidence> ] [ fhir:v "http://hl7.org/fhir/uv/ebm/StructureDefinition/single-study-evidence"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/uv/ebm/StructureDefinition/single-study-evidence> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Evidence</b><a name=\"104155\"> </a><a name=\"hc104155\"> </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\">ResourceEvidence "104155" Version "11" Updated "2023-12-06 00:52:24+0000" </p><p style=\"margin-bottom: 0px\">Profiles: <a href=\"StructureDefinition-comparative-evidence.html\">ComparativeEvidence</a>, <a href=\"StructureDefinition-single-study-evidence.html\">SingleStudyEvidence</a></p></div><p><b>url</b>: <code>https://fevir.net/resources/Evidence/104155</code></p><p><b>identifier</b>: FEvIR Object Identifier/104155</p><p><b>version</b>: 1.0.0-ballot</p><p><b>name</b>: ComparativeEvidence_Bypass_surgery_effects_on_New_onset_depression_in_JAMA_2018_Norwegian_cohort_study</p><p><b>title</b>: ComparativeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study</p><p><b>status</b>: active</p><p><b>date</b>: 2022-09-19 21:16:07+0000</p><p><b>publisher</b>: HL7 International / Clinical Decision Support</p><p><b>contact</b>: HL7 International / Clinical Decision Support: <a href=\"http://www.hl7.org/Special/committees/dss\">http://www.hl7.org/Special/committees/dss</a></p><p><b>author</b>: Brian S. Alper: </p><h3>UseContexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>Evidence Communication (Details: Evidence Based Medicine on FHIR Implementation Guide Code System code evidence-communication = 'Evidence Communication', stated as 'Evidence Communication')</td><td>ComparativeEvidence <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>#ComparativeEvidence)</span></td></tr><tr><td style=\"display: none\">*</td><td>Evidence Communication (Details: Evidence Based Medicine on FHIR Implementation Guide Code System code evidence-communication = 'Evidence Communication', stated as 'Evidence Communication')</td><td>SingleStudyEvidence <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>#SingleStudyEvidence)</span></td></tr></table><p><b>copyright</b>: https://creativecommons.org/licenses/by-nc-sa/4.0/</p><blockquote><p><b>relatedArtifact</b></p><p><b>type</b>: derived-from</p><blockquote><p><b>document</b></p></blockquote></blockquote><blockquote><p><b>relatedArtifact</b></p><p><b>type</b>: cite-as</p><p><b>citation</b>: ComparativeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study [Evidence]. Contributors: Brian S. Alper [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 104155. Revised 2022-09-19. Available at: https://fevir.net/resources/Evidence/104155. Computable resource at: https://fevir.net/resources/Evidence/104155.</p></blockquote><p><b>description</b>: 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]</p><p><b>assertion</b>: Compared with specialized medical treatment, bariatric surgery may slightly increase the incidence of depression.</p><blockquote><p><b>variableDefinition</b></p><p><b>VariableDefinitionVariableRoleCode</b>: population</p><p><b>description</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 = 2109) with severe obesity assessed (221 patients excluded and 1888 patients included).</p><p><b>note</b>: population</p><p><b>variableRole</b>: Use extension:variableRoleCode instead. <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-variable-role.html\">EvidenceVariableRole</a>#population "population")</span></p><p><b>observed</b>: <a href=\"Group-178427.html\">Group/178427: StudyGroup: Severely Obese Adults 2018 Norwegian Cohort</a> "Severely_Obese_Adults_2018_Norwegian_Cohort"</p></blockquote><blockquote><p><b>variableDefinition</b></p><p><b>VariableDefinitionVariableRoleCode</b>: exposure</p><p><b>VariableDefinitionComparatorCategory</b>: no bariatric surgery</p><p><b>description</b>: bariatric surgery vs. specialized medical treatment without bariatric surgery</p><p><b>note</b>: exposure</p><p><b>variableRole</b>: Use extension:variableRoleCode instead. <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-variable-role.html\">EvidenceVariableRole</a>#exposure "exposure")</span></p><p><b>observed</b>: <a href=\"EvidenceVariable-172427.html\">EvidenceVariable/172427: GroupAssignment: Bariatric Surgery vs. no bariatric surgery</a> "GroupAssignment_Bariatric_Surgery_vs_no_bariatric_surgery"</p></blockquote><blockquote><p><b>variableDefinition</b></p><p><b>VariableDefinitionVariableRoleCode</b>: outcome</p><p><b>description</b>: New onset depression</p><p><b>note</b>: outcome</p><p><b>variableRole</b>: Use extension:variableRoleCode instead. <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-variable-role.html\">EvidenceVariableRole</a>#measuredVariable "measured variable")</span></p><p><b>observed</b>: <a href=\"EvidenceVariable-104118.html\">EvidenceVariable/104118: OutcomeVariable: New onset depression</a> "OutcomeVariable_New_onset_depression"</p></blockquote><p><b>synthesisType</b>: not applicable <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-synthesis-type.html\">StatisticSynthesisType</a>#NotApplicable)</span></p><p><b>studyDesign</b>: Observational research <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R5/codesystem-study-design.html\">Study Design</a>#SEVCO:01002)</span>, Parallel cohort design <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R5/codesystem-study-design.html\">Study Design</a>#SEVCO:01011)</span>, Longitudinal data collection <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R5/codesystem-study-design.html\">Study Design</a>#SEVCO:01028)</span></p><blockquote><p><b>statistic</b></p><p><b>description</b>: Relative risk 1.5; 95% CI 1.4 to 1.7</p><p><b>note</b>: Result observed without bariatric surgery was 6.5%, result observed with bariatric surgery was 8.9%</p><p><b>statisticType</b>: Relative Risk <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-statistic-type.html\">StatisticStatisticType</a>#C93152)</span></p><p><b>quantity</b>: 1.5</p><h3>SampleSizes</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>NumberOfStudies</b></td><td><b>NumberOfParticipants</b></td><td><b>KnownDataCount</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>1888</td><td>1888</td></tr></table><h3>AttributeEstimates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Type</b></td><td><b>Level</b></td><td><b>Range</b></td></tr><tr><td style=\"display: none\">*</td><td>95% CI 1.4 to 1.7</td><td>Confidence interval <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-attribute-estimate-type.html\">StatisticAttribute Estimate Type</a>#C53324)</span></td><td>0.95</td><td>1.4-1.7</td></tr></table></blockquote><h3>Certainties</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Type</b></td><td><b>Rating</b></td></tr><tr><td style=\"display: none\">*</td><td>rated down 2 levels due to observational study</td><td>Overall certainty <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R5/codesystem-certainty-type.html\">Evidence Certainty Type</a>#Overall)</span></td><td>Low quality <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-certainty-rating.html\">StatisticCertaintyRating</a>#low)</span></td></tr></table></div>" ] ; # fhir:url [ fhir:v "https://fevir.net/resources/Evidence/104155"^^xsd:anyURI] ; # fhir:identifier ( [ fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ; fhir:code [ fhir:v "ACSN" ] ; fhir:display [ fhir:v "Accession ID" ] ] ) ; fhir:text [ fhir:v "FEvIR Object Identifier" ] ] ; fhir:system [ fhir:v "https://fevir.net"^^xsd:anyURI ] ; fhir:value [ fhir:v "104155" ] ; fhir:assigner [ fhir:display [ fhir:v "Computable Publishing LLC" ] ] ] ) ; # fhir:version [ fhir:v "1.0.0-ballot"] ; # fhir:name [ fhir:v "ComparativeEvidence_Bypass_surgery_effects_on_New_onset_depression_in_JAMA_2018_Norwegian_cohort_study"] ; # fhir:title [ fhir:v "ComparativeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study"] ; # fhir:status [ fhir:v "active"] ; # fhir:date [ fhir:v "2022-09-19T21:16:07.557Z"^^xsd:dateTime] ; # fhir:publisher [ fhir:v "HL7 International / Clinical Decision Support"] ; # fhir:contact ( [ fhir:name [ fhir:v "HL7 International / Clinical Decision Support" ] ; ( fhir:telecom [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://www.hl7.org/Special/committees/dss" ] ] ) ] ) ; # fhir:author ( [ fhir:name [ fhir:v "Brian S. Alper" ] ] ) ; # fhir:useContext ( [ fhir:code [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "evidence-communication" ] ; fhir:display [ fhir:v "Evidence Communication" ] ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ComparativeEvidence" ] ; fhir:display [ fhir:v "ComparativeEvidence" ] ] ) ] ] [ fhir:code [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "evidence-communication" ] ; fhir:display [ fhir:v "Evidence Communication" ] ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "SingleStudyEvidence" ] ; fhir:display [ fhir:v "SingleStudyEvidence" ] ] ) ] ] ) ; # fhir:copyright [ fhir:v "https://creativecommons.org/licenses/by-nc-sa/4.0/"] ; # fhir:relatedArtifact ( [ fhir:type [ fhir:v "derived-from" ] ; fhir:document [ fhir:url [ fhir:v "https://jamanetwork.com/journals/jama/fullarticle/2669729"^^xsd:anyURI ] ] ] [ fhir:type [ fhir:v "cite-as" ] ; fhir:citation [ fhir:v "ComparativeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study [Evidence]. Contributors: Brian S. Alper [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 104155. Revised 2022-09-19. Available at: https://fevir.net/resources/Evidence/104155. Computable resource at: https://fevir.net/resources/Evidence/104155." ] ] ) ; # fhir:description [ fhir:v "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]"] ; # fhir:assertion [ fhir:v "Compared with specialized medical treatment, bariatric surgery may slightly increase the incidence of depression."] ; # fhir:variableDefinition ( [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/ebm/StructureDefinition/variable-definition-variable-role-code"^^xsd:anyURI ] ; fhir:value [ fhir:v "population" ] ] ) ; fhir:description [ fhir:v "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 = 2109) with severe obesity assessed (221 patients excluded and 1888 patients included)." ] ; ( fhir:note [ fhir:text [ fhir:v "population" ] ] ) ; fhir:variableRole [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/variable-role"^^xsd:anyURI ] ; fhir:code [ fhir:v "population" ] ; fhir:display [ fhir:v "population" ] ] ) ; fhir:text [ fhir:v "Use extension:variableRoleCode instead." ] ] ; fhir:observed [ fhir:reference [ fhir:v "Group/178427" ] ; fhir:type [ fhir:v "Group"^^xsd:anyURI ] ; fhir:display [ fhir:v "StudyGroup: Severely Obese Adults 2018 Norwegian Cohort" ] ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/ebm/StructureDefinition/variable-definition-variable-role-code"^^xsd:anyURI ] ; fhir:value [ fhir:v "exposure" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/ebm/StructureDefinition/variable-definition-comparator-category"^^xsd:anyURI ] ; fhir:value [ fhir:v "no bariatric surgery" ] ] ) ; fhir:description [ fhir:v "bariatric surgery vs. specialized medical treatment without bariatric surgery" ] ; ( fhir:note [ fhir:text [ fhir:v "exposure" ] ] ) ; fhir:variableRole [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/variable-role"^^xsd:anyURI ] ; fhir:code [ fhir:v "exposure" ] ; fhir:display [ fhir:v "exposure" ] ] ) ; fhir:text [ fhir:v "Use extension:variableRoleCode instead." ] ] ; fhir:observed [ fhir:reference [ fhir:v "EvidenceVariable/172427" ] ; fhir:type [ fhir:v "EvidenceVariable"^^xsd:anyURI ] ; fhir:display [ fhir:v "GroupAssignment: Bariatric Surgery vs. no bariatric surgery" ] ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/ebm/StructureDefinition/variable-definition-variable-role-code"^^xsd:anyURI ] ; fhir:value [ fhir:v "outcome" ] ] ) ; fhir:description [ fhir:v "New onset depression" ] ; ( fhir:note [ fhir:text [ fhir:v "outcome" ] ] ) ; fhir:variableRole [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/variable-role"^^xsd:anyURI ] ; fhir:code [ fhir:v "measuredVariable" ] ; fhir:display [ fhir:v "measured variable" ] ] ) ; fhir:text [ fhir:v "Use extension:variableRoleCode instead." ] ] ; fhir:observed [ fhir:reference [ fhir:v "EvidenceVariable/104118" ] ; fhir:type [ fhir:v "EvidenceVariable"^^xsd:anyURI ] ; fhir:display [ fhir:v "OutcomeVariable: New onset depression" ] ] ] ) ; # fhir:synthesisType [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/synthesis-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "NotApplicable" ] ; fhir:display [ fhir:v "not applicable" ] ] ) ] ; # fhir:studyDesign ( [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/study-design"^^xsd:anyURI ] ; fhir:code [ fhir:v "SEVCO:01002" ] ; fhir:display [ fhir:v "Observational research" ] ] ) ] [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/study-design"^^xsd:anyURI ] ; fhir:code [ fhir:v "SEVCO:01011" ] ; fhir:display [ fhir:v "Parallel cohort design" ] ] ) ] [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/study-design"^^xsd:anyURI ] ; fhir:code [ fhir:v "SEVCO:01028" ] ; fhir:display [ fhir:v "Longitudinal data collection" ] ] ) ] ) ; # fhir:statistic ( [ fhir:description [ fhir:v "Relative risk 1.5; 95% CI 1.4 to 1.7" ] ; ( fhir:note [ fhir:text [ fhir:v "Result observed without bariatric surgery was 6.5%, result observed with bariatric surgery was 8.9%" ] ] ) ; fhir:statisticType [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/statistic-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "C93152" ] ; fhir:display [ fhir:v "Relative Risk" ] ] ) ] ; fhir:quantity [ fhir:value [ fhir:v "1.5"^^xsd:decimal ] ] ; fhir:sampleSize [ fhir:numberOfStudies [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:numberOfParticipants [ fhir:v "1888"^^xsd:nonNegativeInteger ] ; fhir:knownDataCount [ fhir:v "1888"^^xsd:nonNegativeInteger ] ] ; ( fhir:attributeEstimate [ fhir:description [ fhir:v "95% CI 1.4 to 1.7" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/attribute-estimate-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "C53324" ] ; fhir:display [ fhir:v "Confidence interval" ] ] ) ] ; fhir:level [ fhir:v "0.95"^^xsd:decimal ] ; fhir:range [ fhir:low [ fhir:value [ fhir:v "1.4"^^xsd:decimal ] ] ; fhir:high [ fhir:value [ fhir:v "1.7"^^xsd:decimal ] ] ] ] ) ] ) ; # fhir:certainty ( [ fhir:description [ fhir:v "rated down 2 levels due to observational study" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/certainty-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "Overall" ] ; fhir:display [ fhir:v "Overall certainty" ] ] ) ] ; fhir:rating [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/certainty-rating"^^xsd:anyURI ] ; fhir:code [ fhir:v "low" ] ; fhir:display [ fhir:v "Low quality" ] ] ) ] ] ) . #
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
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change