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-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

: Outcome Measure Report: Association of Bariatric Surgery vs Medical Obesity Treatment With Long-term Medical Complications and Obesity-Related Comorbidities (2018 Norwegian Cohort) - XML Representation

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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
         value="Outcome Measure Report: Association of Bariatric Surgery vs Medical Obesity Treatment With Long-term Medical Complications and Obesity-Related Comorbidities (2018 Norwegian Cohort)"/>
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  <section>
    <title value="Results for OutcomeVariable: Remission of diabetes"/>
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      <reference value="EvidenceVariable/104117"/>
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      <focus>🔗 
        <reference value="Group/172934"/>
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                 value="InterventionGroup: JAMA 2018 Norwegian cohort study Surgery cohort"/>
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      <entry>🔗 
        <reference value="Evidence/104401"/>
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                 value="InterventionOnlyEvidence: Remission of diabetes with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study"/>
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      <entry>🔗 
        <reference value="Evidence/104396"/>
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                 value="ComparatorOnlyEvidence: Remission of diabetes without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"/>
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        <reference value="EvidenceVariable/312202"/>
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                 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 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>
    <title value="Results for OutcomeVariable: New onset depression"/>
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      <reference value="EvidenceVariable/104118"/>
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      <focus>🔗 
        <reference value="Group/172934"/>
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      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p>Proportion 0.089</p></div>
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        <reference value="Evidence/104400"/>
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                 value="InterventionOnlyEvidence: New onset depression with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study"/>
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        <reference value="Group/172939"/>
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      <entry>🔗 
        <reference value="Evidence/104395"/>
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                 value="ComparatorOnlyEvidence: New onset depression without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"/>
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        <reference value="EvidenceVariable/312202"/>
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                 value="GroupAssignment: ExposureDefinition: Bariatric Surgery (RYGB, VSG, LAGB, BPD) vs. ComparatorDefinition: NOT Bariatric Surgery (RYGB, VSG, LAGB, BPD)"/>
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        <div xmlns="http://www.w3.org/1999/xhtml"><p>Relative Risk 1.5 (95% Confidence interval 1.4 to 1.7)</p></div>
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      <entry>🔗 
        <reference value="Evidence/104155"/>
        <display
                 value="ComparativeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study"/>
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    <title value="Results for OutcomeVariable: Treatment with opioids"/>
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      <reference value="EvidenceVariable/104119"/>
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      <focus>🔗 
        <reference value="Group/172934"/>
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                 value="InterventionGroup: JAMA 2018 Norwegian cohort study Surgery cohort"/>
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        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p>Proportion 0.194</p></div>
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      <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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        <reference value="Group/172939"/>
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        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p>Proportion 0.158</p></div>
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      <entry>🔗 
        <reference value="Evidence/104394"/>
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                 value="ComparatorOnlyEvidence: Treatment with opioids without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"/>
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        <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 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"/>
      </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>
  <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>