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
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{
"title" : "Outcome",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "outcome-measure",
"display" : "Outcome Measure"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">New onset depression</div>"
},
"entry" : [
{
🔗 "reference" : "EvidenceVariable/104118",
"type" : "EvidenceVariable",
"display" : "OutcomeDefinition: New onset depression"
}
]
},
{
"title" : "Desirability",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "outcome-desirability",
"display" : "Outcome Desirability"
}
],
"text" : "Outcome Desirability"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Undesirable</div>"
},
"entry" : [
{
🔗 "reference" : "ArtifactAssessment/104194",
"type" : "ArtifactAssessment",
"display" : "Outcome Importance Rating (default value 5) of New onset depression"
}
]
},
{
"title" : "Relative Importance",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "relative-importance",
"display" : "Relative Importance"
}
],
"text" : "Relative Importance"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">5</div>"
},
"entry" : [
{
🔗 "reference" : "ArtifactAssessment/104194",
"type" : "ArtifactAssessment",
"display" : "Outcome Importance Rating (default value 5) of New onset depression"
}
]
},
{
"title" : "Result Without Treatment",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "result-with-comparator-alone",
"display" : "Result with comparator alone"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">6.5%</div>"
}
},
{
"title" : "Result With Treatment--Derived",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "result-with-intervention-alone-calculated",
"display" : "Result with intervention alone (calculated)"
}
],
"text" : "calculated value derived from the control group and effect estimate"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">9.75%</div>"
},
"entry" : [
{
"display" : "62 events in 956 participants (6.5%) in control group"
},
{
🔗 "reference" : "Evidence/104155",
"type" : "Evidence",
"display" : "StudyOutcomeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study"
}
]
},
{
"title" : "Effect Estimate",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "result-with-intervention-vs-comparator",
"display" : "Result with intervention vs. comparator"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">3.25%</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104155",
"type" : "Evidence",
"display" : "StudyOutcomeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study"
}
]
},
{
"title" : "Net Effect Contribution",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "net-effect-contribution",
"display" : "Net Effect Contribution"
}
],
"text" : "Net Effect Contribution"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">-0.16 (-0.23 to -0.13)</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/179589",
"type" : "Evidence",
"display" : "NetEffectContribution: New onset depression for Example for GIN 2022"
}
]
}
]
},
{
"title" : "Treatment with opioids",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "summary-of-net-effect-contributions-entry-for-a-single-outcome",
"display" : "Summary of net effect contributions entry for a single outcome"
}
]
},
"focus" : {
🔗 "reference" : "EvidenceVariable/104119",
"type" : "EvidenceVariable",
"display" : "OutcomeDefinition: Treatment with opioids"
},
"section" : [
{
"title" : "Outcome",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "outcome-measure",
"display" : "Outcome Measure"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Treatment with opioids</div>"
},
"entry" : [
{
🔗 "reference" : "EvidenceVariable/104119",
"type" : "EvidenceVariable",
"display" : "OutcomeDefinition: Treatment with opioids"
}
]
},
{
"title" : "Desirability",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "outcome-desirability",
"display" : "Outcome Desirability"
}
],
"text" : "Outcome Desirability"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Undesirable</div>"
},
"entry" : [
{
🔗 "reference" : "ArtifactAssessment/104195",
"type" : "ArtifactAssessment",
"display" : "Outcome Importance Rating (default value 5) of Treatment with opioids"
}
]
},
{
"title" : "Relative Importance",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "relative-importance",
"display" : "Relative Importance"
}
],
"text" : "Relative Importance"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">5</div>"
},
"entry" : [
{
🔗 "reference" : "ArtifactAssessment/104195",
"type" : "ArtifactAssessment",
"display" : "Outcome Importance Rating (default value 5) of Treatment with opioids"
}
]
},
{
"title" : "Result Without Treatment",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "result-with-comparator-alone",
"display" : "Result with comparator alone"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">15.8%</div>"
}
},
{
"title" : "Result With Treatment--Derived",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "result-with-intervention-alone-calculated",
"display" : "Result with intervention alone (calculated)"
}
],
"text" : "calculated value derived from the control group and effect estimate"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">20.5%</div>"
},
"entry" : [
{
"display" : "151 events in 956 participants (15.8%) in control group"
},
{
🔗 "reference" : "Evidence/104156",
"type" : "Evidence",
"display" : "StudyOutcomeEvidence: Bypass surgery effects on Treatment with opioids in JAMA 2018 Norwegian cohort study"
}
]
},
{
"title" : "Effect Estimate",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "result-with-intervention-vs-comparator",
"display" : "Result with intervention vs. comparator"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">4.7%</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104156",
"type" : "Evidence",
"display" : "StudyOutcomeEvidence: Bypass surgery effects on Treatment with opioids in JAMA 2018 Norwegian cohort study"
}
]
},
{
"title" : "Net Effect Contribution",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "net-effect-contribution",
"display" : "Net Effect Contribution"
}
],
"text" : "Net Effect Contribution"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">-0.24 (-0.32 to -01.6)</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/179590",
"type" : "Evidence",
"display" : "NetEffectContribution: Treatment with opioids for Example for GIN 2022"
}
]
}
]
},
{
"title" : "Additional GI surgical procedure",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "summary-of-net-effect-contributions-entry-for-a-single-outcome",
"display" : "Summary of net effect contributions entry for a single outcome"
}
]
},
"focus" : {
🔗 "reference" : "EvidenceVariable/104120",
"type" : "EvidenceVariable",
"display" : "OutcomeDefinition: Additional GI surgical procedure"
},
"section" : [
{
"title" : "Outcome",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "outcome-measure",
"display" : "Outcome Measure"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Additional GI surgical procedure</div>"
},
"entry" : [
{
🔗 "reference" : "EvidenceVariable/104120",
"type" : "EvidenceVariable",
"display" : "OutcomeDefinition: Additional GI surgical procedure"
}
]
},
{
"title" : "Desirability",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "outcome-desirability",
"display" : "Outcome Desirability"
}
],
"text" : "Outcome Desirability"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Undesirable</div>"
},
"entry" : [
{
🔗 "reference" : "ArtifactAssessment/104196",
"type" : "ArtifactAssessment",
"display" : "Outcome Importance Rating (default value 8) of Additional GI surgical procedure"
}
]
},
{
"title" : "Relative Importance",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "relative-importance",
"display" : "Relative Importance"
}
],
"text" : "Relative Importance"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">8</div>"
},
"entry" : [
{
🔗 "reference" : "ArtifactAssessment/104196",
"type" : "ArtifactAssessment",
"display" : "Outcome Importance Rating (default value 8) of Additional GI surgical procedure"
}
]
},
{
"title" : "Result Without Treatment",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "result-with-comparator-alone",
"display" : "Result with comparator alone"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">15.5%</div>"
}
},
{
"title" : "Result With Treatment--Derived",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "result-with-intervention-alone-calculated",
"display" : "Result with intervention alone (calculated)"
}
],
"text" : "calculated value derived from the control group and effect estimate"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">31%</div>"
},
"entry" : [
{
"display" : "148 events in 956 participants (15.5%) in control group"
},
{
🔗 "reference" : "Evidence/104157",
"type" : "Evidence",
"display" : "StudyOutcomeEvidence: Bypass surgery effects on Additional GI surgical procedure in JAMA 2018 Norwegian cohort study"
}
]
},
{
"title" : "Effect Estimate",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "result-with-intervention-vs-comparator",
"display" : "Result with intervention vs. comparator"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">15.5%</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104157",
"type" : "Evidence",
"display" : "StudyOutcomeEvidence: Bypass surgery effects on Additional GI surgical procedure in JAMA 2018 Norwegian cohort study"
}
]
},
{
"title" : "Net Effect Contribution",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "net-effect-contribution",
"display" : "Net Effect Contribution"
}
],
"text" : "Net Effect Contribution"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">-1.24 (-1.74 to -0.87)</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/179591",
"type" : "Evidence",
"display" : "NetEffectContribution: Additional GI surgical procedure for Example for GIN 2022"
}
]
}
]
},
{
"title" : "Net Effect Estimate",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "net-effect-estimate",
"display" : "Net Effect Estimate"
}
],
"text" : "Net Effect Point Estimate"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Net Effect Estimate = 3.55 (2.38 to 4.73)</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/179583",
"type" : "Evidence",
"display" : "NetEffectEstimate: Bariatric Surgery Example for GIN 2022"
}
]
}
]
}
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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