Evidence Based Medicine on FHIR Implementation Guide
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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

: InterventionOnlyEvidence: New onset depression with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study - JSON Representation

Active as of 2022-09-19

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{
  "resourceType" : "Evidence",
  "id" : "104400",
  "meta" : {
    "versionId" : "7",
    "lastUpdated" : "2023-12-06T00:43:22.373Z",
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/ebm/StructureDefinition/intervention-only-evidence"🔗 ,
      "http://hl7.org/fhir/uv/ebm/StructureDefinition/single-study-evidence"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Evidence</b><a name=\"104400\"> </a><a name=\"hc104400\"> </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 &quot;104400&quot; Version &quot;7&quot; Updated &quot;2023-12-06 00:43:22+0000&quot; </p><p style=\"margin-bottom: 0px\">Profiles: <a href=\"StructureDefinition-intervention-only-evidence.html\">InterventionOnlyEvidence</a>, <a href=\"StructureDefinition-single-study-evidence.html\">SingleStudyEvidence</a></p></div><p><b>url</b>: <code>https://fevir.net/resources/Evidence/104400</code></p><p><b>identifier</b>: FEvIR Object Identifier/104400</p><p><b>version</b>: 1.0.0-ballot</p><p><b>name</b>: InterventionOnlyEvidence_New_onset_depression_with_bariatric_surgery_Intervention_Group_in_JAMA_2018_Norwegian_cohort_study</p><p><b>title</b>: InterventionOnlyEvidence: New onset depression with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study</p><p><b>status</b>: active</p><p><b>date</b>: 2022-09-19 21:17:03+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>InterventionOnlyEvidence <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>#InterventionOnlyEvidence)</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>: InterventionOnlyEvidence: New onset depression with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study [Evidence]. Contributors: In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 104400. Revised 2022-09-19. Available at: https://fevir.net/resources/Evidence/104400. Computable resource at: https://fevir.net/resources/Evidence/104400.</p></blockquote><p><b>description</b>: Risk of New onset depression in intervention group was 8.9%.</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\u2009=\u20092109) with severe obesity assessed (221 patients excluded and 1888 patients included). -- Intervention Group assigned to Bariatric surgery</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 &quot;population&quot;)</span></p><p><b>observed</b>: <a href=\"Group-172934.html\">Group/172934: InterventionGroup: JAMA 2018 Norwegian cohort study Surgery cohort</a> &quot;ExposureGroup_JAMA_2018_Norwegian_cohort_study_Surgery_cohort&quot;</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 &quot;measured variable&quot;)</span></p><p><b>observed</b>: <a href=\"EvidenceVariable-104118.html\">EvidenceVariable/104118: OutcomeVariable: New onset depression</a> &quot;OutcomeVariable_New_onset_depression&quot;</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>: 83 out of 932 observed with percentage of: 8.9%</p><p><b>statisticType</b>: Proportion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-181513.html\">Scientific Evidence Code System (SEVCO) -- EXAMPLE VERSION for EBMonFHIR Implementation Guide</a>#TBD:0000018)</span></p><p><b>quantity</b>: 0.089</p><p><b>numberAffected</b>: 83</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>932</td><td>932</td></tr></table></blockquote></div>"
  },
  "url" : "https://fevir.net/resources/Evidence/104400",
  "identifier" : [
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        "text" : "FEvIR Object Identifier"
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      "system" : "https://fevir.net",
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      "assigner" : {
        "display" : "Computable Publishing LLC"
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  ],
  "version" : "1.0.0-ballot",
  "name" : "InterventionOnlyEvidence_New_onset_depression_with_bariatric_surgery_Intervention_Group_in_JAMA_2018_Norwegian_cohort_study",
  "title" : "InterventionOnlyEvidence: New onset depression with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study",
  "status" : "active",
  "date" : "2022-09-19T21:17:03.466Z",
  "publisher" : "HL7 International / Clinical Decision Support",
  "contact" : [
    {
      "name" : "HL7 International / Clinical Decision Support",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/dss"
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  ],
  "author" : [
    {
      "name" : "Brian S. Alper"
    }
  ],
  "useContext" : [
    {
      "code" : {
        "system" : "https://fevir.net/resources/CodeSystem/179423",
        "code" : "evidence-communication",
        "display" : "Evidence Communication"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://fevir.net/resources/CodeSystem/179423",
            "code" : "InterventionOnlyEvidence",
            "display" : "InterventionOnlyEvidence"
          }
        ]
      }
    },
    {
      "code" : {
        "system" : "https://fevir.net/resources/CodeSystem/179423",
        "code" : "evidence-communication",
        "display" : "Evidence Communication"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://fevir.net/resources/CodeSystem/179423",
            "code" : "SingleStudyEvidence",
            "display" : "SingleStudyEvidence"
          }
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      }
    }
  ],
  "copyright" : "https://creativecommons.org/licenses/by-nc-sa/4.0/",
  "relatedArtifact" : [
    {
      "type" : "derived-from",
      "document" : {
        "url" : "https://jamanetwork.com/journals/jama/fullarticle/2669729"
      }
    },
    {
      "type" : "cite-as",
      "citation" : "InterventionOnlyEvidence: New onset depression with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study [Evidence]. Contributors: In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 104400. Revised 2022-09-19. Available at: https://fevir.net/resources/Evidence/104400. Computable resource at: https://fevir.net/resources/Evidence/104400."
    }
  ],
  "description" : "Risk of New onset depression in intervention group was 8.9%.",
  "variableDefinition" : [
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/ebm/StructureDefinition/variable-definition-variable-role-code",
          "valueCode" : "population"
        }
      ],
      "description" : "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). -- Intervention Group assigned to Bariatric surgery",
      "note" : [
        {
          "text" : "population"
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      "variableRole" : {
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          {
            "system" : "http://terminology.hl7.org/CodeSystem/variable-role",
            "code" : "population",
            "display" : "population"
          }
        ],
        "text" : "Use extension:variableRoleCode instead."
      },
      "observed" : {
        🔗 "reference" : "Group/172934",
        "type" : "Group",
        "display" : "InterventionGroup: JAMA 2018 Norwegian cohort study Surgery cohort"
      }
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/ebm/StructureDefinition/variable-definition-variable-role-code",
          "valueCode" : "outcome"
        }
      ],
      "description" : "New onset depression",
      "note" : [
        {
          "text" : "outcome"
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      ],
      "variableRole" : {
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            "system" : "http://terminology.hl7.org/CodeSystem/variable-role",
            "code" : "measuredVariable",
            "display" : "measured variable"
          }
        ],
        "text" : "Use extension:variableRoleCode instead."
      },
      "observed" : {
        🔗 "reference" : "EvidenceVariable/104118",
        "type" : "EvidenceVariable",
        "display" : "OutcomeVariable: New onset depression"
      }
    }
  ],
  "synthesisType" : {
    "coding" : [
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        "code" : "NotApplicable",
        "display" : "not applicable"
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  "studyDesign" : [
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      "coding" : [
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          "system" : "http://hl7.org/fhir/study-design",
          "code" : "SEVCO:01002",
          "display" : "Observational research"
        }
      ]
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    {
      "coding" : [
        {
          "system" : "http://hl7.org/fhir/study-design",
          "code" : "SEVCO:01011",
          "display" : "Parallel cohort design"
        }
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    {
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          "code" : "SEVCO:01028",
          "display" : "Longitudinal data collection"
        }
      ]
    }
  ],
  "statistic" : [
    {
      "description" : "83 out of 932 observed with percentage of: 8.9%",
      "statisticType" : {
        "coding" : [
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            "system" : "https://fevir.net/resources/CodeSystem/181513",
            "code" : "TBD:0000018",
            "display" : "Proportion"
          }
        ]
      },
      "quantity" : {
        "value" : 0.089
      },
      "numberAffected" : 83,
      "sampleSize" : {
        "numberOfStudies" : 1,
        "numberOfParticipants" : 932,
        "knownDataCount" : 932
      }
    }
  ]
}