Evidence Based Medicine on FHIR Implementation Guide
2.0.0-ballot - ballot
Evidence Based Medicine on FHIR Implementation Guide
2.0.0-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 2.0.0-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
@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:Composition ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "104215"] ; # fhir:meta [ fhir:versionId [ fhir:v "33" ] ; fhir:lastUpdated [ fhir:v "2024-12-05T14:14:39.128Z"^^xsd:dateTime ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/uv/ebm/StructureDefinition/summary-of-findings"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/uv/ebm/StructureDefinition/summary-of-findings> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "empty" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>[No data.]</p></div>" ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/artifact-description"^^xsd:anyURI ] ; fhir:value [ fhir:v "Example of SummaryOfFindings Profile of Composition Resource." ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/artifact-copyright"^^xsd:anyURI ] ; fhir:value [ fhir:v "https://creativecommons.org/licenses/by-nc-sa/4.0/" ] ] ) ; # fhir:url [ fhir:v "https://fevir.net/resources/Composition/104215"^^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 "urn:ietf:rfc:3986"^^xsd:anyURI ] ; fhir:value [ fhir:v "https://fevir.net/FOI/104215" ] ; fhir:assigner [ fhir:display [ fhir:v "Computable Publishing LLC" ] ] ] ) ; # fhir:status [ fhir:v "final"] ; # fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "SummaryOfFindings" ] ; fhir:display [ fhir:v "SummaryOfFindings" ] ] ) ; fhir:text [ fhir:v "Summary of Findings" ] ] ; # fhir:subject ( [ fhir:reference [ fhir:v "Group/179562" ] ; fhir:type [ fhir:v "Group"^^xsd:anyURI ] ; fhir:display [ fhir:v "EvidenceReportSubject: Clinical Outcomes for Effects of Bariatric Surgery" ] ] ) ; # fhir:date [ fhir:v "2024-12-05T14:14:39.128Z"^^xsd:dateTime] ; # fhir:author ( [ fhir:type [ fhir:v "Practitioner"^^xsd:anyURI ] ; fhir:display [ fhir:v "Brian S. Alper" ] ] ) ; # fhir:title [ fhir:v "SummaryOfFindings: Bariatric Surgery Summary of Findings Example for GIN 2022"] ; # fhir:custodian [ fhir:display [ fhir:v "Computable Publishing LLC" ] ] ; # fhir:relatesTo ( [ fhir:type [ fhir:v "cite-as" ] ; fhir:label [ fhir:v "Cite as" ] ; fhir:citation [ fhir:v "SummaryOfFindings: Bariatric Surgery Summary of Findings Example for GIN 2022 [Database Entry: FHIR Composition Resource]. Contributors: Brian S. Alper [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 104215. Revised 2024-10-31. Available at: https://fevir.net/resources/Composition/104215. Computable resource at: https://fevir.net/FLI/DocumentForComposition104215." ] ] ) ; # fhir:section ( [ fhir:title [ fhir:v "Column Headers" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "column-headers" ] ; fhir:display [ fhir:v "Column Headers" ] ] ) ] ; ( fhir:entry [ fhir:reference [ fhir:v "Composition/104213" ] ; fhir:type [ fhir:v "Composition"^^xsd:anyURI ] ; fhir:display [ fhir:v "EvidenceMap: Bariatric Surgery Summary of Findings Example for GIN 2022" ] ] ) ; ( fhir:section [ fhir:title [ fhir:v "Outcome" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "outcome-measure" ] ; fhir:display [ fhir:v "Outcome Measure" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Outcome</div>" ] ] [ fhir:title [ fhir:v "Sample Size" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "sample-size" ] ; fhir:display [ fhir:v "Sample Size" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Sample size: # studies, # participants, # counted, # events</div>" ] ] [ fhir:title [ fhir:v "Result Without Treatment" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-comparator-alone" ] ; fhir:display [ fhir:v "Result with comparator alone" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "additional" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Result without bariatric surgery</div>" ] ] [ fhir:title [ fhir:v "Result With Treatment--Observed" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-intervention-alone" ] ; fhir:display [ fhir:v "Result with intervention alone" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "additional" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Result with bariatric surgery</div>" ] ] [ fhir:title [ fhir:v "Result With Treatment--Derived" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-intervention-alone-calculated" ] ; fhir:display [ fhir:v "Result with intervention alone (calculated)" ] ] ) ; fhir:text [ fhir:v "calculated value derived from the control group and effect estimate" ] ] ; fhir:text [ fhir:status [ fhir:v "additional" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Result with bariatric surgery (calculated)</div>" ] ] [ fhir:title [ fhir:v "Effect Estimate" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-intervention-vs-comparator" ] ; fhir:display [ fhir:v "Result with intervention vs. comparator" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Effect Estimate (Relative effect)</div>" ] ] [ fhir:title [ fhir:v "Certainty of Evidence" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "certainty-of-evidence" ] ; fhir:display [ fhir:v "Certainty of Evidence" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Certainty of finding (Quality of evidence)</div>" ] ] [ fhir:title [ fhir:v "Assertion" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "assertion" ] ; fhir:display [ fhir:v "Assertion" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">What this means</div>" ] ] ) ] [ fhir:title [ fhir:v "Summary of Findings" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "summary-of-findings" ] ; fhir:display [ fhir:v "Summary of Findings" ] ] ) ] ; ( fhir:section [ fhir:title [ fhir:v "All-cause mortality" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "summary-of-findings-entry-for-a-single-outcome" ] ; fhir:display [ fhir:v "Summary of findings entry for a single outcome" ] ] ) ] ; fhir:focus [ fhir:reference [ fhir:v "EvidenceVariable/49217" ] ; fhir:type [ fhir:v "EvidenceVariable"^^xsd:anyURI ] ; fhir:display [ fhir:v "OutcomeVariable: All-cause mortality" ] ] ; fhir:text [ fhir:status [ fhir:v "empty" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">[No data.]</div>" ] ; ( fhir:section [ fhir:title [ fhir:v "Outcome" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "outcome-measure" ] ; fhir:display [ fhir:v "Outcome Measure" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">All-cause mortality</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "EvidenceVariable/49217" ] ; fhir:type [ fhir:v "EvidenceVariable"^^xsd:anyURI ] ; fhir:display [ fhir:v "OutcomeVariable: All-cause mortality" ] ] ) ] [ fhir:title [ fhir:v "Sample Size" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "sample-size" ] ; fhir:display [ fhir:v "Sample Size" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">21 studies, 397002 participants</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/49328" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: All-cause mortality effect of bariatric surgery in 2022 meta-analysis" ] ] ) ] [ fhir:title [ fhir:v "Result Without Treatment" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-comparator-alone" ] ; fhir:display [ fhir:v "Result with comparator alone" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "additional" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">5% (estimated); specific summary evidence not reported</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104384" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparatorOnlyEvidence: All-cause mortality without bariatric surgery in 2022 meta-analysis" ] ] ) ] [ fhir:title [ fhir:v "Result With Treatment--Observed" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-intervention-alone" ] ; fhir:display [ fhir:v "Result with intervention alone" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "empty" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Not reported</div>" ] ] [ fhir:title [ fhir:v "Result With Treatment--Derived" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-intervention-alone-calculated" ] ; fhir:display [ fhir:v "Result with intervention alone (calculated)" ] ] ) ; fhir:text [ fhir:v "calculated value derived from the control group and effect estimate" ] ] ; fhir:text [ fhir:status [ fhir:v "empty" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Not reported</div>" ] ] [ fhir:title [ fhir:v "Effect Estimate" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-intervention-vs-comparator" ] ; fhir:display [ fhir:v "Result with intervention vs. comparator" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hazard Ratio 0.55 (95% confidence interval 0.49 to 0.62)</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/49328" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: All-cause mortality effect of bariatric surgery in 2022 meta-analysis" ] ] ) ] [ fhir:title [ fhir:v "Certainty of Evidence" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "certainty-of-evidence" ] ; fhir:display [ fhir:v "Certainty of Evidence" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "additional" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Low quality</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/49328" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: All-cause mortality effect of bariatric surgery in 2022 meta-analysis" ] ] ) ] [ fhir:title [ fhir:v "Assertion" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "assertion" ] ; fhir:display [ fhir:v "Assertion" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">The present systematic review and meta-analysis suggests that bariatric surgery is associated with reduced all-cause and CV mortality.</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/49328" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: All-cause mortality effect of bariatric surgery in 2022 meta-analysis" ] ] ) ] ) ] [ fhir:title [ fhir:v "Nonfatal myocardial infarction or stroke" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "summary-of-findings-entry-for-a-single-outcome" ] ; fhir:display [ fhir:v "Summary of findings entry for a single outcome" ] ] ) ] ; fhir:focus [ fhir:reference [ fhir:v "EvidenceVariable/104097" ] ; fhir:type [ fhir:v "EvidenceVariable"^^xsd:anyURI ] ; fhir:display [ fhir:v "OutcomeVariable: Nonfatal myocardial infarction or stroke" ] ] ; fhir:text [ fhir:status [ fhir:v "empty" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">[No data.]</div>" ] ; ( fhir:section [ fhir:title [ fhir:v "Outcome" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "outcome-measure" ] ; fhir:display [ fhir:v "Outcome Measure" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Nonfatal myocardial infarction or stroke</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "EvidenceVariable/104097" ] ; fhir:type [ fhir:v "EvidenceVariable"^^xsd:anyURI ] ; fhir:display [ fhir:v "OutcomeVariable: Nonfatal myocardial infarction or stroke" ] ] ) ] [ fhir:title [ fhir:v "Sample Size" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "sample-size" ] ; fhir:display [ fhir:v "Sample Size" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">1 study, 4,047 participants, 4,047 counted, 359 events</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104098" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: Bypass surgery effects on Myocardial infarction or stroke in Swedish Obese Subjects (SOS) study" ] ] ) ] [ fhir:title [ fhir:v "Result Without Treatment" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-comparator-alone" ] ; fhir:display [ fhir:v "Result with comparator alone" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "additional" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">188 out of 2,037 observed with percentage of: 9.2%</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104397" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparatorOnlyEvidence: Myocardial infarction or stroke without bariatric surgery (Control Group) in Swedish Obese Subjects (SOS) study" ] ] ) ] [ fhir:title [ fhir:v "Result With Treatment--Observed" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-intervention-alone" ] ; fhir:display [ fhir:v "Result with intervention alone" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "additional" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">171 out of 2,010 observed with percentage of: 8.5%</div>" ] ] [ fhir:title [ fhir:v "Result With Treatment--Derived" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-intervention-alone-calculated" ] ; fhir:display [ fhir:v "Result with intervention alone (calculated)" ] ] ) ; fhir:text [ fhir:v "calculated value derived from the control group and effect estimate" ] ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">6.2%</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104397" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparatorOnlyEvidence: Myocardial infarction or stroke without bariatric surgery (Control Group) in Swedish Obese Subjects (SOS) study" ] ] [ fhir:reference [ fhir:v "Evidence/104098" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: Bypass surgery effects on Myocardial infarction or stroke in Swedish Obese Subjects (SOS) study" ] ] ) ] [ fhir:title [ fhir:v "Effect Estimate" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-intervention-vs-comparator" ] ; fhir:display [ fhir:v "Result with intervention vs. comparator" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hazard Ratio 0.67 (95% CI 0.54 to 0.83)</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104098" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: Bypass surgery effects on Myocardial infarction or stroke in Swedish Obese Subjects (SOS) study" ] ] ) ] [ fhir:title [ fhir:v "Certainty of Evidence" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "certainty-of-evidence" ] ; fhir:display [ fhir:v "Certainty of Evidence" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Low quality</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104098" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: Bypass surgery effects on Myocardial infarction or stroke in Swedish Obese Subjects (SOS) study" ] ] ) ] [ fhir:title [ fhir:v "Assertion" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "assertion" ] ; fhir:display [ fhir:v "Assertion" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Compared with usual care, bariatric surgery was associated with reduced number of cardiovascular deaths and lower incidence of cardiovascular events in obese adults.</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104098" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: Bypass surgery effects on Myocardial infarction or stroke in Swedish Obese Subjects (SOS) study" ] ] ) ] ) ] [ fhir:title [ fhir:v "Remission of diabetes" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "summary-of-findings-entry-for-a-single-outcome" ] ; fhir:display [ fhir:v "Summary of findings entry for a single outcome" ] ] ) ] ; fhir:focus [ fhir:reference [ fhir:v "EvidenceVariable/104117" ] ; fhir:type [ fhir:v "EvidenceVariable"^^xsd:anyURI ] ; fhir:display [ fhir:v "OutcomeVariable: Remission of diabetes" ] ] ; fhir:text [ fhir:status [ fhir:v "empty" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">[No data.]</div>" ] ; ( fhir:section [ fhir:title [ fhir:v "Outcome" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "outcome-measure" ] ; fhir:display [ fhir:v "Outcome Measure" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Remission of diabetes</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "EvidenceVariable/104117" ] ; fhir:type [ fhir:v "EvidenceVariable"^^xsd:anyURI ] ; fhir:display [ fhir:v "OutcomeVariable: Remission of diabetes" ] ] ) ] [ fhir:title [ fhir:v "Sample Size" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "sample-size" ] ; fhir:display [ fhir:v "Sample Size" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">1 study, 1,888 participants, 1,888 counted</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104121" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: Bypass surgery effects on Remission of diabetes in JAMA 2018 Norwegian cohort study" ] ] ) ] [ fhir:title [ fhir:v "Result Without Treatment" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-comparator-alone" ] ; fhir:display [ fhir:v "Result with comparator alone" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "additional" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">141 out of 956 observed with percentage of: 14.8%</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104396" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparatorOnlyEvidence: Remission of diabetes without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study" ] ] ) ] [ fhir:title [ fhir:v "Result With Treatment--Observed" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-intervention-alone" ] ; fhir:display [ fhir:v "Result with intervention alone" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "additional" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">536 out of 932 observed with percentage of: 57.5%</div>" ] ] [ fhir:title [ fhir:v "Result With Treatment--Derived" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-intervention-alone-calculated" ] ; fhir:display [ fhir:v "Result with intervention alone (calculated)" ] ] ) ; fhir:text [ fhir:v "calculated value derived from the control group and effect estimate" ] ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">57.7%</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104396" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparatorOnlyEvidence: Remission of diabetes without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study" ] ] [ fhir:reference [ fhir:v "Evidence/104121" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: Bypass surgery effects on Remission of diabetes in JAMA 2018 Norwegian cohort study" ] ] ) ] [ fhir:title [ fhir:v "Effect Estimate" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-intervention-vs-comparator" ] ; fhir:display [ fhir:v "Result with intervention vs. comparator" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Relative Risk 3.9 (95% CI 2.8 to 5.4)</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104121" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: Bypass surgery effects on Remission of diabetes in JAMA 2018 Norwegian cohort study" ] ] ) ] [ fhir:title [ fhir:v "Certainty of Evidence" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "certainty-of-evidence" ] ; fhir:display [ fhir:v "Certainty of Evidence" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Moderate quality</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104121" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: Bypass surgery effects on Remission of diabetes in JAMA 2018 Norwegian cohort study" ] ] ) ] [ fhir:title [ fhir:v "Assertion" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "assertion" ] ; fhir:display [ fhir:v "Assertion" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Compared with specialized medical treatment, bariatric surgery appears to induce remission of diabetes.</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104121" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: Bypass surgery effects on Remission of diabetes in JAMA 2018 Norwegian cohort study" ] ] ) ] ) ] [ fhir:title [ fhir:v "New onset depression" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "summary-of-findings-entry-for-a-single-outcome" ] ; fhir:display [ fhir:v "Summary of findings entry for a single outcome" ] ] ) ] ; fhir:focus [ fhir:reference [ fhir:v "EvidenceVariable/104118" ] ; fhir:type [ fhir:v "EvidenceVariable"^^xsd:anyURI ] ; fhir:display [ fhir:v "OutcomeVariable: New onset depression" ] ] ; fhir:text [ fhir:status [ fhir:v "empty" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">[No data.]</div>" ] ; ( fhir:section [ fhir:title [ fhir:v "Outcome" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "outcome-measure" ] ; fhir:display [ fhir:v "Outcome Measure" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">New onset depression</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "EvidenceVariable/104118" ] ; fhir:type [ fhir:v "EvidenceVariable"^^xsd:anyURI ] ; fhir:display [ fhir:v "OutcomeVariable: New onset depression" ] ] ) ] [ fhir:title [ fhir:v "Sample Size" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "sample-size" ] ; fhir:display [ fhir:v "Sample Size" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">1 study, 1,888 participants, 1,888 counted</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104155" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study" ] ] ) ] [ fhir:title [ fhir:v "Result Without Treatment" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-comparator-alone" ] ; fhir:display [ fhir:v "Result with comparator alone" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "additional" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">62 out of 956 observed with percentage of: 6.5%</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104395" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparatorOnlyEvidence: New onset depression without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study" ] ] ) ] [ fhir:title [ fhir:v "Result With Treatment--Observed" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-intervention-alone" ] ; fhir:display [ fhir:v "Result with intervention alone" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "additional" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">83 out of 932 observed with percentage of: 8.9%</div>" ] ] [ fhir:title [ fhir:v "Result With Treatment--Derived" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-intervention-alone-calculated" ] ; fhir:display [ fhir:v "Result with intervention alone (calculated)" ] ] ) ; fhir:text [ fhir:v "calculated value derived from the control group and effect estimate" ] ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">9.75%</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104395" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparatorOnlyEvidence: New onset depression without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study" ] ] [ fhir:reference [ fhir:v "Evidence/104155" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study" ] ] ) ] [ fhir:title [ fhir:v "Effect Estimate" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-intervention-vs-comparator" ] ; fhir:display [ fhir:v "Result with intervention vs. comparator" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Relative Risk 1.5 (95% CI 1.4 to 1.7)</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104155" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study" ] ] ) ] [ fhir:title [ fhir:v "Certainty of Evidence" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "certainty-of-evidence" ] ; fhir:display [ fhir:v "Certainty of Evidence" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Low quality</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104155" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study" ] ] ) ] [ fhir:title [ fhir:v "Assertion" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "assertion" ] ; fhir:display [ fhir:v "Assertion" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Compared with specialized medical treatment, bariatric surgery may slightly increase the incidence of depression.</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104155" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study" ] ] ) ] ) ] [ fhir:title [ fhir:v "Treatment with opioids" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "summary-of-findings-entry-for-a-single-outcome" ] ; fhir:display [ fhir:v "Summary of findings entry for a single outcome" ] ] ) ] ; fhir:focus [ fhir:reference [ fhir:v "EvidenceVariable/104119" ] ; fhir:type [ fhir:v "EvidenceVariable"^^xsd:anyURI ] ; fhir:display [ fhir:v "OutcomeVariable: Treatment with opioids" ] ] ; fhir:text [ fhir:status [ fhir:v "empty" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">[No data.]</div>" ] ; ( fhir:section [ fhir:title [ fhir:v "Outcome" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "outcome-measure" ] ; fhir:display [ fhir:v "Outcome Measure" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Treatment with opioids</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "EvidenceVariable/104119" ] ; fhir:type [ fhir:v "EvidenceVariable"^^xsd:anyURI ] ; fhir:display [ fhir:v "OutcomeVariable: Treatment with opioids" ] ] ) ] [ fhir:title [ fhir:v "Sample Size" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "sample-size" ] ; fhir:display [ fhir:v "Sample Size" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">1 study, 1,888 participants, 1,888 counted</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104156" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: Bypass surgery effects on Treatment with opioids in JAMA 2018 Norwegian cohort study" ] ] ) ] [ fhir:title [ fhir:v "Result Without Treatment" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-comparator-alone" ] ; fhir:display [ fhir:v "Result with comparator alone" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "additional" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">151 out of 956 observed with percentage of: 15.8%</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104394" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparatorOnlyEvidence: Treatment with opioids without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study" ] ] ) ] [ fhir:title [ fhir:v "Result With Treatment--Observed" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-intervention-alone" ] ; fhir:display [ fhir:v "Result with intervention alone" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "additional" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">181 out of 932 observed with percentage of: 19.4%</div>" ] ] [ fhir:title [ fhir:v "Result With Treatment--Derived" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-intervention-alone-calculated" ] ; fhir:display [ fhir:v "Result with intervention alone (calculated)" ] ] ) ; fhir:text [ fhir:v "calculated value derived from the control group and effect estimate" ] ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">20.5%</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104394" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparatorOnlyEvidence: Treatment with opioids without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study" ] ] [ fhir:reference [ fhir:v "Evidence/104156" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: Bypass surgery effects on Treatment with opioids in JAMA 2018 Norwegian cohort study" ] ] ) ] [ fhir:title [ fhir:v "Effect Estimate" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-intervention-vs-comparator" ] ; fhir:display [ fhir:v "Result with intervention vs. comparator" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Relative Risk 1.3 (95% CI 1.2 to 1.4)</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104156" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: Bypass surgery effects on Treatment with opioids in JAMA 2018 Norwegian cohort study" ] ] ) ] [ fhir:title [ fhir:v "Certainty of Evidence" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "certainty-of-evidence" ] ; fhir:display [ fhir:v "Certainty of Evidence" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Low quality</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104156" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: Bypass surgery effects on Treatment with opioids in JAMA 2018 Norwegian cohort study" ] ] ) ] [ fhir:title [ fhir:v "Assertion" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "assertion" ] ; fhir:display [ fhir:v "Assertion" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Compared with specialized medical treatment, bariatric surgery may slightly increase the use of opioids.</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104156" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: Bypass surgery effects on Treatment with opioids in JAMA 2018 Norwegian cohort study" ] ] ) ] ) ] [ fhir:title [ fhir:v "Additional GI surgical procedure" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "summary-of-findings-entry-for-a-single-outcome" ] ; fhir:display [ fhir:v "Summary of findings entry for a single outcome" ] ] ) ] ; fhir:focus [ fhir:reference [ fhir:v "EvidenceVariable/104120" ] ; fhir:type [ fhir:v "EvidenceVariable"^^xsd:anyURI ] ; fhir:display [ fhir:v "OutcomeVariable: Additional GI surgical procedure" ] ] ; fhir:text [ fhir:status [ fhir:v "empty" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">[No data.]</div>" ] ; ( fhir:section [ fhir:title [ fhir:v "Outcome" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "outcome-measure" ] ; fhir:display [ fhir:v "Outcome Measure" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Additional GI surgical procedure</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "EvidenceVariable/104120" ] ; fhir:type [ fhir:v "EvidenceVariable"^^xsd:anyURI ] ; fhir:display [ fhir:v "OutcomeVariable: Additional GI surgical procedure" ] ] ) ] [ fhir:title [ fhir:v "Sample Size" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "sample-size" ] ; fhir:display [ fhir:v "Sample Size" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">1 study, 1,888 participants, 1,888 counted</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104157" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "StudyOutcomeEvidence: Bypass surgery effects on Additional GI surgical procedure in JAMA 2018 Norwegian cohort study" ] ] ) ] [ fhir:title [ fhir:v "Result Without Treatment" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-comparator-alone" ] ; fhir:display [ fhir:v "Result with comparator alone" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "additional" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">148 out of 956 observed with percentage of: 15.5%</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104385" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparatorOnlyEvidence: Additional GI surgical procedure without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study" ] ] ) ] [ fhir:title [ fhir:v "Result With Treatment--Observed" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-intervention-alone" ] ; fhir:display [ fhir:v "Result with intervention alone" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "additional" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">292 out of 932 observed with percentage of: 31.3%</div>" ] ] [ fhir:title [ fhir:v "Result With Treatment--Derived" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-intervention-alone-calculated" ] ; fhir:display [ fhir:v "Result with intervention alone (calculated)" ] ] ) ; fhir:text [ fhir:v "calculated value derived from the control group and effect estimate" ] ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">31%</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104385" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparatorOnlyEvidence: Additional GI surgical procedure without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study" ] ] [ fhir:reference [ fhir:v "Evidence/104157" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: Bypass surgery effects on Additional GI surgical procedure in JAMA 2018 Norwegian cohort study" ] ] ) ] [ fhir:title [ fhir:v "Effect Estimate" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "result-with-intervention-vs-comparator" ] ; fhir:display [ fhir:v "Result with intervention vs. comparator" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Relative Risk 2.0 (95% CI 1.7 to 2.4)</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104157" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: Bypass surgery effects on Additional GI surgical procedure in JAMA 2018 Norwegian cohort study" ] ] ) ] [ fhir:title [ fhir:v "Certainty of Evidence" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "certainty-of-evidence" ] ; fhir:display [ fhir:v "Certainty of Evidence" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Moderate quality</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104157" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: Bypass surgery effects on Additional GI surgical procedure in JAMA 2018 Norwegian cohort study" ] ] ) ] [ fhir:title [ fhir:v "Assertion" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "assertion" ] ; fhir:display [ fhir:v "Assertion" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Compared with specialized medical treatment, bariatric surgery appears to increase the rate of additional gastrointestinal surgical procedures.</div>" ] ; ( fhir:entry [ fhir:reference [ fhir:v "Evidence/104157" ] ; fhir:type [ fhir:v "Evidence"^^xsd:anyURI ] ; fhir:display [ fhir:v "ComparativeEvidence: Bypass surgery effects on Additional GI surgical procedure in JAMA 2018 Norwegian cohort study" ] ] ) ] ) ] ) ] [ fhir:title [ fhir:v "Groups" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "groups" ] ; fhir:display [ fhir:v "Groups" ] ] ) ] ; ( fhir:section [ fhir:title [ fhir:v "Total Group" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "population" ] ; fhir:display [ fhir:v "Population" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "empty" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>[No data.]</p></div>" ] ; fhir:emptyReason [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/list-empty-reason"^^xsd:anyURI ] ; fhir:code [ fhir:v "notstarted" ] ; fhir:display [ fhir:v "Not Started" ] ] ) ] ] [ fhir:title [ fhir:v "Intervention Group" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "intervention-group" ] ; fhir:display [ fhir:v "Intervention Group" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "empty" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>[No data.]</p></div>" ] ; fhir:emptyReason [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/list-empty-reason"^^xsd:anyURI ] ; fhir:code [ fhir:v "notstarted" ] ; fhir:display [ fhir:v "Not Started" ] ] ) ] ] [ fhir:title [ fhir:v "Comparator Group" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "comparator-group" ] ; fhir:display [ fhir:v "Comparator Group" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "empty" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>[No data.]</p></div>" ] ; fhir:emptyReason [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/list-empty-reason"^^xsd:anyURI ] ; fhir:code [ fhir:v "notstarted" ] ; fhir:display [ fhir:v "Not Started" ] ] ) ] ] [ fhir:title [ fhir:v "Group Assignment" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "GroupAssignment" ] ; fhir:display [ fhir:v "GroupAssignment" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "empty" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>[No data.]</p></div>" ] ; fhir:emptyReason [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/list-empty-reason"^^xsd:anyURI ] ; fhir:code [ fhir:v "notstarted" ] ; fhir:display [ fhir:v "Not Started" ] ] ) ] ] ) ] [ fhir:title [ fhir:v "Variables (Measures)" ] ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "variables" ] ; fhir:display [ fhir:v "Variables" ] ] ) ] ; fhir:text [ fhir:status [ fhir:v "empty" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>[No data.]</p></div>" ] ; fhir:emptyReason [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/list-empty-reason"^^xsd:anyURI ] ; fhir:code [ fhir:v "notstarted" ] ; fhir:display [ fhir:v "Not Started" ] ] ) ] ] ) . #
IG © 2024+ HL7 International / Clinical Decision Support. Package hl7.fhir.uv.ebm#2.0.0-ballot based on FHIR 6.0.0-ballot2. Generated 2024-12-19
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