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-ballot2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ebm/ and changes regularly. See the Directory of published versions
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<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Composition 318262</b></p><a name="318262"> </a><a name="hc318262"> </a><a name="318262-en-US"> </a><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">version: 5; Last updated: 2025-02-25 20:37:56+0000</p><p style="margin-bottom: 0px">Profiles: <a href="StructureDefinition-outcome-measure-report.html">OutcomeMeasureReport</a>, <a href="StructureDefinition-evidence-table-report-package.html">EvidenceTableReportPackage</a></p></div><p><b>Artifact Description</b>: </p><div><p>This Composition Resource is an example of an Outcome Measure Report for the EBMonFHIR IG</p>
</div><p><b>url</b>: <a href="https://fevir.net/resources/Composition/318262">https://fevir.net/resources/Composition/318262</a></p><p><b>identifier</b>: FEvIR Object Identifier/https://fevir.net/FOI/318262</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{https://fevir.net/resources/CodeSystem/179423 OutcomeMeasureReport}">Outcome Measure Report</span></p><p><b>date</b>: 2025-02-25 20:37:56+0000</p><p><b>author</b>: Brian S. Alper, MD, MSPH</p><p><b>title</b>: Outcome Measure Report: Association of Bariatric Surgery vs Medical Obesity Treatment With Long-term Medical Complications and Obesity-Related Comorbidities (2018 Norwegian Cohort)</p><p><b>custodian</b>: <a href="Organization-118079.html">Computable Publishing LLC</a></p><h3>RelatesTos</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td/><td>Part Of</td></tr><tr><td style="display: none">*</td><td/><td>Cite As</td></tr></table></div>
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<title
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<section>
<title value="Results for OutcomeVariable: Remission of diabetes"/>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="results"/>
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<focus>🔗
<reference value="EvidenceVariable/104117"/>
<type value="EvidenceVariable"/>
<display value="OutcomeVariable: Remission of diabetes"/>
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<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
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<title value="Evidence for Screened Group"/>
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<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="evidence-for-screened-group"/>
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<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
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<title value="Evidence for Enrolled Group"/>
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<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
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<title value="Evidence for Analyzed Group"/>
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<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
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<emptyReason>
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<section>
<title value="Evidence with Intervention Alone"/>
<code>
<coding>
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<code value="evidence-with-intervention-alone"/>
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<focus>🔗
<reference value="Group/172934"/>
<type value="Group"/>
<display
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Proportion 0.575</p></div>
</text>
<entry>🔗
<reference value="Evidence/104401"/>
<display
value="InterventionOnlyEvidence: Remission of diabetes with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study"/>
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<section>
<title value="Evidence with Comparator Alone"/>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="evidence-with-comparator-alone"/>
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<focus>🔗
<reference value="Group/172939"/>
<type value="Group"/>
<display
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Proportion 0.148</p></div>
</text>
<entry>🔗
<reference value="Evidence/104396"/>
<display
value="ComparatorOnlyEvidence: Remission of diabetes without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"/>
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<section>
<title value="Comparative Evidence"/>
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<coding>
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<code value="comparative-results"/>
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<focus>🔗
<reference value="EvidenceVariable/312202"/>
<type value="EvidenceVariable"/>
<display
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Relative Risk 3.9 (95% Confidence interval 2.8 to 5.4)</p></div>
</text>
<entry>🔗
<reference value="Evidence/104121"/>
<display
value="ComparativeEvidence: Bypass surgery effects on Remission of diabetes in JAMA 2018 Norwegian cohort study"/>
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</section>
<section>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="population"/>
<display value="Population"/>
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<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
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<emptyReason>
<coding>
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<code value="notstarted"/>
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<section>
<code>
<coding>
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<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
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<emptyReason>
<coding>
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<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
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<emptyReason>
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<code value="notstarted"/>
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<section>
<title value="Results for OutcomeVariable: New onset depression"/>
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<focus>🔗
<reference value="EvidenceVariable/104118"/>
<type value="EvidenceVariable"/>
<display value="OutcomeVariable: New onset depression"/>
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<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
</text>
<section>
<title value="Evidence for Screened Group"/>
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<code value="evidence-for-screened-group"/>
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<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
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<emptyReason>
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<title value="Evidence for Enrolled Group"/>
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<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
</text>
<emptyReason>
<coding>
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<section>
<title value="Evidence for Analyzed Group"/>
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<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
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<emptyReason>
<coding>
<system
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<code value="notstarted"/>
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<section>
<title value="Evidence with Intervention Alone"/>
<code>
<coding>
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<code value="evidence-with-intervention-alone"/>
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<focus>🔗
<reference value="Group/172934"/>
<type value="Group"/>
<display
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</focus>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Proportion 0.089</p></div>
</text>
<entry>🔗
<reference value="Evidence/104400"/>
<display
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</section>
<section>
<title value="Evidence with Comparator Alone"/>
<code>
<coding>
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<code value="evidence-with-comparator-alone"/>
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<focus>🔗
<reference value="Group/172939"/>
<type value="Group"/>
<display
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Proportion 0.065</p></div>
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<entry>🔗
<reference value="Evidence/104395"/>
<display
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</entry>
</section>
<section>
<title value="Comparative Evidence"/>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="comparative-results"/>
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<focus>🔗
<reference value="EvidenceVariable/312202"/>
<type value="EvidenceVariable"/>
<display
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</focus>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Relative Risk 1.5 (95% Confidence interval 1.4 to 1.7)</p></div>
</text>
<entry>🔗
<reference value="Evidence/104155"/>
<display
value="ComparativeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study"/>
</entry>
</section>
<section>
<code>
<coding>
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<code value="population"/>
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<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
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<emptyReason>
<coding>
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<section>
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<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
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<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
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<emptyReason>
<coding>
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<code value="notstarted"/>
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<section>
<title value="Results for OutcomeVariable: Treatment with opioids"/>
<code>
<coding>
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<focus>🔗
<reference value="EvidenceVariable/104119"/>
<type value="EvidenceVariable"/>
<display value="OutcomeVariable: Treatment with opioids"/>
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<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
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<title value="Evidence for Screened Group"/>
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<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
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<coding>
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<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
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<emptyReason>
<coding>
<system
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<code value="notstarted"/>
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<title value="Evidence for Analyzed Group"/>
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<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
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<emptyReason>
<coding>
<system
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<code value="notstarted"/>
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<section>
<title value="Evidence with Intervention Alone"/>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="evidence-with-intervention-alone"/>
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<focus>🔗
<reference value="Group/172934"/>
<type value="Group"/>
<display
value="InterventionGroup: JAMA 2018 Norwegian cohort study Surgery cohort"/>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Proportion 0.194</p></div>
</text>
<entry>🔗
<reference value="Evidence/104402"/>
<display
value="InterventionOnlyEvidence: Treatment with opioids with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study"/>
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<section>
<title value="Evidence with Comparator Alone"/>
<code>
<coding>
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<code value="evidence-with-comparator-alone"/>
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<focus>🔗
<reference value="Group/172939"/>
<type value="Group"/>
<display
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Proportion 0.158</p></div>
</text>
<entry>🔗
<reference value="Evidence/104394"/>
<display
value="ComparatorOnlyEvidence: Treatment with opioids without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"/>
</entry>
</section>
<section>
<title value="Comparative Evidence"/>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="comparative-results"/>
<display value="Comparative Results"/>
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<focus>🔗
<reference value="EvidenceVariable/312202"/>
<type value="EvidenceVariable"/>
<display
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Relative Risk 1.3 (95% Confidence interval 1.2 to 1.4)</p></div>
</text>
<entry>🔗
<reference value="Evidence/104156"/>
<display
value="ComparativeEvidence: Bypass surgery effects on Treatment with opioids in JAMA 2018 Norwegian cohort study"/>
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<section>
<code>
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<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
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<section>
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<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
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<emptyReason>
<coding>
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<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
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<coding>
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<section>
<title
value="Results for OutcomeVariable: Additional GI surgical procedure"/>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="results"/>
<display value="Results"/>
</coding>
</code>
<focus>🔗
<reference value="EvidenceVariable/104120"/>
<type value="EvidenceVariable"/>
<display value="OutcomeVariable: Additional GI surgical procedure"/>
</focus>
<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
</text>
<section>
<title value="Evidence for Screened Group"/>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="evidence-for-screened-group"/>
<display value="Evidence for Screened Group"/>
</coding>
</code>
<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="notstarted"/>
<display value="Not Started"/>
</coding>
</emptyReason>
</section>
<section>
<title value="Evidence for Enrolled Group"/>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="evidence-for-enrolled-group"/>
<display value="Evidence for Enrolled Group"/>
</coding>
</code>
<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="notstarted"/>
<display value="Not Started"/>
</coding>
</emptyReason>
</section>
<section>
<title value="Evidence for Analyzed Group"/>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="evidence-for-analyzed-group"/>
<display value="Evidence for Analyzed Group"/>
</coding>
</code>
<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="notstarted"/>
<display value="Not Started"/>
</coding>
</emptyReason>
</section>
<section>
<title value="Evidence with Intervention Alone"/>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="evidence-with-intervention-alone"/>
<display value="Evidence with intervention alone"/>
</coding>
</code>
<focus>🔗
<reference value="Group/172934"/>
<type value="Group"/>
<display
value="InterventionGroup: JAMA 2018 Norwegian cohort study Surgery cohort"/>
</focus>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Proportion 0.313</p></div>
</text>
<entry>🔗
<reference value="Evidence/104398"/>
<display
value="InterventionOnlyEvidence: Additional GI surgical procedure with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study"/>
</entry>
</section>
<section>
<title value="Evidence with Comparator Alone"/>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="evidence-with-comparator-alone"/>
<display value="Evidence with comparator alone"/>
</coding>
</code>
<focus>🔗
<reference value="Group/172939"/>
<type value="Group"/>
<display
value="ComparatorGroup: JAMA 2018 Norwegian cohort study Control cohort"/>
</focus>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Proportion 0.155</p></div>
</text>
<entry>🔗
<reference value="Evidence/104385"/>
<display
value="ComparatorOnlyEvidence: Additional GI surgical procedure without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"/>
</entry>
</section>
<section>
<title value="Comparative Evidence"/>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="comparative-results"/>
<display value="Comparative Results"/>
</coding>
</code>
<focus>🔗
<reference value="EvidenceVariable/312202"/>
<type value="EvidenceVariable"/>
<display
value="GroupAssignment: ExposureDefinition: Bariatric Surgery (RYGB, VSG, LAGB, BPD) vs. ComparatorDefinition: NOT Bariatric Surgery (RYGB, VSG, LAGB, BPD)"/>
</focus>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Relative Risk 2 (95% Confidence interval 1.7 to 2.4)</p></div>
</text>
<entry>🔗
<reference value="Evidence/104157"/>
<display
value="ComparativeEvidence: Bypass surgery effects on Additional GI surgical procedure in JAMA 2018 Norwegian cohort study"/>
</entry>
</section>
<section>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="population"/>
<display value="Population"/>
</coding>
</code>
<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="notstarted"/>
<display value="Not Started"/>
</coding>
</emptyReason>
</section>
<section>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="intervention-group"/>
<display value="Intervention Group"/>
</coding>
</code>
<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="notstarted"/>
<display value="Not Started"/>
</coding>
</emptyReason>
</section>
<section>
<code>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="comparator-group"/>
<display value="Comparator Group"/>
</coding>
</code>
<text>
<status value="empty"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>[No data.]</p></div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="notstarted"/>
<display value="Not Started"/>
</coding>
</emptyReason>
</section>
</section>
</Composition>