http://hl7.org/fhir/uv/ebm/Composition/104383
type: Composition
node role: treeRoot
id:
  v: 104383
meta:
  version id:
    v: 55
  last updated:
    v: 2026-01-22T22:35:19.371Z
  profile:
    v: http://hl7.org/fhir/uv/ebm/StructureDefinition/summary-of-net-effect
    l: summary-of-net-effect
  profile:
    v: http://hl7.org/fhir/uv/ebm/StructureDefinition/evidence-report
    l: evidence-report
language:
  v: en
text:
  status:
    v: empty
  div:
    v: [No data.]
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/artifact-description
    l: artifact-description
  value: Markdown
    v: Example of SummaryOfNetEffect Profile of Composition Resource.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/artifact-copyright
    l: artifact-copyright
  value: Markdown
    v: https://creativecommons.org/licenses/by-nc-sa/4.0/
extension:
  url:
    v: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status
    l: artifact-publication-status
  value: CodeableConcept
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/cited-artifact-status-type
        l: cited-artifact-status-type
      code:
        v: active
      display:
        v: Active
url:
  v: https://fevir.net/resources/Composition/104383
  l: https://fevir.net/resources/Composition/104383
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: ACSN
      display:
        v: Accession ID
    text:
      v: FEvIR Object Identifier
  system:
    v: https://fevir.net/FOI
    l: FOI
  value:
    v: 104383
  assigner:
    display:
      v: Computable Publishing LLC
status:
  v: final
type:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: SummaryOfNetEffect
    display:
      v: SummaryOfNetEffect
  text:
    v: Summary of Net Effect Contributions
subject:
  l: http://hl7.org/fhir/uv/ebm/Group/170443
  reference:
    v: Group/170443
  type:
    v: Group
    l: Group
  display:
    v: StudyEligibilityCriteria: Eligibility Criteria for Bariatric Surgery Randomized Trial (Diabetes Surgery Study)
subject:
  l: http://hl7.org/fhir/uv/ebm/Group/179562
  reference:
    v: Group/179562
  type:
    v: Group
    l: Group
  display:
    v: EvidenceReportSubject: Clinical Outcomes for Effects of Bariatric Surgery
date:
  v: 2026-01-22T22:35:19.371Z
author:
  type:
    v: Practitioner
    l: Practitioner
  display:
    v: Brian S. Alper
title:
  v: SummaryOfNetEffect: Bariatric Surgery Summary of Net Effect Contributions Example for GIN 2022
custodian:
  display:
    v: Computable Publishing LLC
relates to:
  type:
    v: cite-as
  target: Markdown
    v: SummaryOfNetEffect: Bariatric Surgery Summary of Net Effect Contributions Example for GIN 2022 [Database Entry: FHIR Composition Resource]. Contributors: Brian S. Alper [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 104383. Revised 2026-01-22. Available at: https://fevir.net/resources/Composition/104383. Computable resource at: https://fevir.net/resources/Composition/104383#json.
relates to:
  type:
    v: supported-with
  target: Attachment
    content type:
      v: image/jpeg;base64
    size:
      v: 123900
    title:
      v: Net Effect Screenshot 2025-03-07 111436.jpg
relates to:
  type:
    v: Net Benefit Calculator
  target: Uri
    v: https://NetBenefitCalculator.com/104383
    l: https://NetBenefitCalculator.com/104383
relates to:
  type:
    v: Introduction (Source) for Net Benefit Calculator
  target: Markdown
    v: The evidence to estimate the benefits and harms comes from observational studies (https://academic.oup.com/eurheartj/article/43/20/1955/6542137, https://jamanetwork.com/journals/jama/fullarticle/1103994, https://jamanetwork.com/journals/jama/fullarticle/2669729).
relates to:
  type:
    v: Introduction (For Whom) for Net Benefit Calculator
  target: Markdown
    v: The estimated benefits and harms are for adults who are obese and have diabetes.
relates to:
  type:
    v: Introduction (What) for Net Benefit Calculator
  target: Markdown
    v: This Net Benefit Calculator is prepared to help you decide whether or not to have a surgery on your stomach to help you lose weight.
section:
  title:
    v: Column Headers
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: column-headers
      display:
        v: Column Headers
  text:
    status:
      v: empty
    div:
      v: [No data.]
  section:
    title:
      v: Outcome
    text:
      status:
        v: generated
      div:
        v: Outcome
  section:
    title:
      v: Desirability
    code:
      text:
        v: Outcome Desirability
    text:
      status:
        v: generated
      div:
        v: Desirability
  section:
    title:
      v: Relative Importance
    code:
      text:
        v: Relative Importance
    text:
      status:
        v: generated
      div:
        v: Relative Importance
  section:
    title:
      v: Result Without Treatment
    text:
      status:
        v: generated

v: outcome-measure

v: Outcome Measure

v: outcome-desirability

v: Outcome Desirability

v: relative-importance

v: Relative Importance

v: result-with-comparator-alone

v: Result with comparator alone

v: Result without bariatric surgery

title:
  v: Result With Treatment--Derived
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: result-with-intervention-alone-calculated
    display:
      v: Result with intervention alone (calculated)
  text:
    v: calculated value derived from the control group and effect estimate
text:
  status:
    v: generated
  div:
    v: Result with bariatric surgery (calculated)

title:
  v: Effect Estimate
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: result-with-intervention-vs-comparator
    display:
      v: Result with intervention vs. comparator
text:
  status:
    v: generated
  div:
    v: Effect Estimate (Absolute Difference)

title:
  v: Net Effect Contribution
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: net-effect-contribution
    display:
      v: Net Effect Contribution
  text:
    v: Net Effect Contribution
text:
  status:
    v: generated
  div:
    v: Health Impact (Confidence Interval)

title:
  v: Summary of Findings
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: summary-of-findings
    display:
      v: Summary of Findings
text:
  status:
    v: empty
  div:
    v: [No narrative text.]
section:
  title:
    v: Remission of diabetes
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: summary-of-net-effect-contributions-entry-for-a-single-outcome
      display:
        v: Summary of net effect contributions entry for a single outcome
  focus:
    l: http://hl7.org/fhir/uv/ebm/EvidenceVariable/423305
    reference:
      v: EvidenceVariable/423305
    type:
      v: EvidenceVariable
      l: EvidenceVariable
    display:
      v: DichotomousIntendedOutcome: Remission of diabetes
  text:
    status:
      v: empty
    div:
      v: [No narrative text.]
  section:
    title:
      v: Outcome
    text:
      status:
        v: generated
      div:
        v: Remission of diabetes
    entry:
      l: http://hl7.org/fhir/uv/ebm/EvidenceVariable/423305
      reference:
        v: EvidenceVariable/423305
      type:
        v: EvidenceVariable
        l: EvidenceVariable
      display:
        v: DichotomousIntendedOutcome: Remission of diabetes
  section:
    title:
      v: Desirability
    code:
      text:
        v: Outcome Desirability
    text:
      status:
        v: generated
      div:
        v: Desirable
    entry:
      l: http://hl7.org/fhir/uv/ebm/ArtifactAssessment/423312
      reference:
        v: ArtifactAssessment/423312
      type:
        v: ArtifactAssessment
        l: ArtifactAssessment
      display:
        v: Outcome Importance Rating of DichotomousIntendedOutcome: Remission of diabetes for StudyEligibilityCriteria: Eligibility Criteria for Bariatric Surgery Randomized Trial (Diabetes Surgery Study)
  section:
    title:
      v: Relative Importance
    code:
      text:
        v: Relative Importance
    text:
      status:
        v: generated
      div:
        v: 15%
    entry:
      l: http://hl7.org/fhir/uv/ebm/ArtifactAssessment/423312
      reference:
        v: ArtifactAssessment/423312
      type:
        v: ArtifactAssessment
        l: ArtifactAssessment
      display:
        v: Outcome Importance Rating of DichotomousIntendedOutcome: Remission of diabetes for StudyEligibilityCriteria: Eligibility Criteria for Bariatric Surgery Randomized Trial (Diabetes Surgery Study)
  section:
    title:
      v: Result Without Treatment
    text:
      status:
        v: generated
      div:
        v: 14.8%
    entry:
      l: http://hl7.org/fhir/uv/ebm/Evidence/104396
      reference:
        v: Evidence/104396
      type:
        v: Evidence
        l: Evidence
      display:
        v: ComparatorOnlyEvidence: Remission of diabetes without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study
  section:
    title:
      v: Result With Treatment--Derived
    code:
      text:
        v: calculated value derived from the control group and effect estimate
    text:
      status:
        v: generated
      div:
        v: 57.72%
    entry:
      l: http://hl7.org/fhir/uv/ebm/Evidence/104396
      reference:
        v: Evidence/104396
      type:
        v: Evidence
        l: Evidence
      display:
        v: ComparatorOnlyEvidence: Remission of diabetes without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study
    entry:
      l: http://hl7.org/fhir/uv/ebm/Evidence/104121
      reference:
        v: Evidence/104121
      type:
        v: Evidence
        l: Evidence
      display:
        v: ComparativeEvidence: Bypass surgery effects on Remission of diabetes in JAMA 2018 Norwegian cohort study
  section:
    title:
      v: Effect Estimate
    text:
      status:
        v: generated
      div:
        v: 42.92% (26.64% to 65.12%)
    entry:
      l: http://hl7.org/fhir/uv/ebm/Evidence/104121
      reference:
        v: Evidence/104121
      type:
        v: Evidence
        l: Evidence
      display:
        v: ComparativeEvidence: Bypass surgery effects on Remission of diabetes in JAMA 2018 Norwegian cohort study
  section:
    title:
      v: Net Effect Contribution
    code:
      text:
        v: Net Effect Contribution
    text:
      status:
        v: generated
      div:
        v: 6.44 (4 to 9.77)
    entry:
      l: http://hl7.org/fhir/uv/ebm/Evidence/179588
      reference:
        v: Evidence/179588
      type:
        v: Evidence
        l: Evidence
      display:
        v: NetEffectContribution: Remission of diabetes for Example for GIN 2022
section:
  title:
    v: Mortality
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: summary-of-net-effect-contributions-entry-for-a-single-outcome
      display:
        v: Summary of net effect contributions entry for a single outcome
  focus:
    l: http://hl7.org/fhir/uv/ebm/EvidenceVariable/348560
    reference:
      v: EvidenceVariable/348560
    type:
      v: EvidenceVariable
      l: EvidenceVariable
    display:
      v: DIO: Mortality

v: outcome-measure

v: Outcome Measure

v: outcome-desirability

v: Outcome Desirability

v: relative-importance

v: Relative Importance

v: result-with-comparator-alone

v: Result with comparator alone

v: result-with-intervention-alone-calculated

v: Result with intervention alone (calculated)

v: result-with-intervention-vs-comparator

v: Result with intervention vs. comparator

v: net-effect-contribution

v: Net Effect Contribution

status:
  v: empty
div:
  v: [No narrative text.]

title:
  v: Outcome
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: outcome-measure
    display:
      v: Outcome Measure
text:
  status:
    v: generated
  div:
    v: Mortality
entry:
  l: http://hl7.org/fhir/uv/ebm/EvidenceVariable/348560
  reference:
    v: EvidenceVariable/348560
  type:
    v: EvidenceVariable
    l: EvidenceVariable
  display:
    v: DIO: Mortality

title:
  v: Desirability
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: outcome-desirability
    display:
      v: Outcome Desirability
  text:
    v: Outcome Desirability
text:
  status:
    v: generated
  div:
    v: Undesirable
entry:
  l: http://hl7.org/fhir/uv/ebm/ArtifactAssessment/423309
  reference:
    v: ArtifactAssessment/423309
  type:
    v: ArtifactAssessment
    l: ArtifactAssessment
  display:
    v: Outcome Importance Rating of Mortality for Bariatric Surgery Patients

title:
  v: Relative Importance
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: relative-importance
    display:
      v: Relative Importance
  text:
    v: Relative Importance
text:
  status:
    v: generated
  div:
    v: 100%
entry:
  l: http://hl7.org/fhir/uv/ebm/ArtifactAssessment/423309
  reference:
    v: ArtifactAssessment/423309
  type:
    v: ArtifactAssessment
    l: ArtifactAssessment
  display:
    v: Outcome Importance Rating of Mortality for Bariatric Surgery Patients

title:
  v: Result Without Treatment
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: result-with-comparator-alone
    display:
      v: Result with comparator alone
text:
  status:
    v: generated
  div:
    v: 4.75%
entry:
  l: http://hl7.org/fhir/uv/ebm/Evidence/104384
  reference:
    v: Evidence/104384
  type:
    v: Evidence
    l: Evidence
  display:
    v: ComparatorOnlyEvidence: All-cause mortality without bariatric surgery in 2022 meta-analysis

title:
  v: Result With Treatment--Derived
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: result-with-intervention-alone-calculated
    display:
      v: Result with intervention alone (calculated)
  text:
    v: calculated value derived from the control group and effect estimate
text:
  status:
    v: generated
  div:
    v: 2.61%
entry:
  l: http://hl7.org/fhir/uv/ebm/Evidence/104384
  reference:
    v: Evidence/104384
  type:
    v: Evidence
    l: Evidence
  display:
    v: ComparatorOnlyEvidence: All-cause mortality without bariatric surgery in 2022 meta-analysis
entry:
  l: http://hl7.org/fhir/uv/ebm/Evidence/49328
  reference:
    v: Evidence/49328
  type:
    v: Evidence
    l: Evidence
  display:
    v: ComparativeEvidence: All-cause mortality effect of bariatric surgery in 2022 meta-analysis

title:
  v: Effect Estimate
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: result-with-intervention-vs-comparator
    display:
      v: Result with intervention vs. comparator
text:
  status:
    v: generated
  div:
    v: -2.14% (-2.42% to -1.81%)
entry:
  l: http://hl7.org/fhir/uv/ebm/Evidence/49328
  reference:
    v: Evidence/49328
  type:
    v: Evidence
    l: Evidence
  display:
    v: ComparativeEvidence: All-cause mortality effect of bariatric surgery in 2022 meta-analysis

title:
  v: Net Effect Contribution
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: net-effect-contribution
    display:
      v: Net Effect Contribution
  text:
    v: Net Effect Contribution
text:
  status:
    v: generated
  div:
    v: 2.14 (1.8 to 2.42)
entry:
  l: http://hl7.org/fhir/uv/ebm/Evidence/179586
  reference:
    v: Evidence/179586
  type:
    v: Evidence
    l: Evidence
  display:
    v: NetEffectContribution: All-cause mortality for Example for GIN 2022

title:
  v: Nonfatal myocardial infarction or stroke
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: summary-of-net-effect-contributions-entry-for-a-single-outcome
    display:
      v: Summary of net effect contributions entry for a single outcome
focus:
  l: http://hl7.org/fhir/uv/ebm/EvidenceVariable/423303
  reference:
    v: EvidenceVariable/423303
  type:
    v: EvidenceVariable
    l: EvidenceVariable
  display:
    v: DichotomousIntendedOutcome: Nonfatal myocardial infarction or stroke
text:
  status:
    v: empty
  div:
    v: [No narrative text.]
section:
  title:
    v: Outcome
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: outcome-measure
      display:
        v: Outcome Measure
  text:
    status:
      v: generated
    div:
      v: Nonfatal myocardial infarction or stroke
  entry:
    l: http://hl7.org/fhir/uv/ebm/EvidenceVariable/423303
    reference:
      v: EvidenceVariable/423303
    type:
      v: EvidenceVariable
      l: EvidenceVariable
    display:
      v: DichotomousIntendedOutcome: Nonfatal myocardial infarction or stroke
section:
  title:
    v: Desirability
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: outcome-desirability
      display:
        v: Outcome Desirability
    text:
      v: Outcome Desirability
  text:
    status:
      v: generated
    div:
      v: Undesirable
  entry:
    l: http://hl7.org/fhir/uv/ebm/ArtifactAssessment/423310
    reference:
      v: ArtifactAssessment/423310
    type:
      v: ArtifactAssessment
      l: ArtifactAssessment
    display:
      v: Outcome Importance Rating of DichotomousIntendedOutcome: Nonfatal myocardial infarction or stroke for StudyEligibilityCriteria: Eligibility Criteria for Bariatric Surgery Randomized Trial (Diabetes Surgery Study)
section:
  title:
    v: Relative Importance
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: relative-importance
      display:
        v: Relative Importance
    text:
      v: Relative Importance
  text:
    status:
      v: generated
    div:
      v: 50%
  entry:
    l: http://hl7.org/fhir/uv/ebm/ArtifactAssessment/423310
    reference:
      v: ArtifactAssessment/423310
    type:
      v: ArtifactAssessment
      l: ArtifactAssessment
    display:
      v: Outcome Importance Rating of DichotomousIntendedOutcome: Nonfatal myocardial infarction or stroke for StudyEligibilityCriteria: Eligibility Criteria for Bariatric Surgery Randomized Trial (Diabetes Surgery Study)
section:
  title:
    v: Result Without Treatment
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-comparator-alone
      display:
        v: Result with comparator alone
  text:
    status:
      v: generated
    div:
      v: 9.2%
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104397
    reference:
      v: Evidence/104397
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparatorOnlyEvidence: Myocardial infarction or stroke without bariatric surgery (Control Group) in Swedish Obese Subjects (SOS) study
section:
  title:
    v: Result With Treatment--Derived
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-intervention-alone-calculated
      display:
        v: Result with intervention alone (calculated)
    text:
      v: calculated value derived from the control group and effect estimate
  text:
    status:
      v: generated
    div:
      v: 6.16%
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104397
    reference:
      v: Evidence/104397
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparatorOnlyEvidence: Myocardial infarction or stroke without bariatric surgery (Control Group) in Swedish Obese Subjects (SOS) study
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104098
    reference:
      v: Evidence/104098
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparativeEvidence: Bypass surgery effects on Myocardial infarction or stroke in Swedish Obese Subjects (SOS) study
section:
  title:
    v: Effect Estimate
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-intervention-vs-comparator
      display:
        v: Result with intervention vs. comparator
  text:
    status:
      v: generated
    div:
      v: -3.04% (-4.23% to -1.56%)
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104098
    reference:
      v: Evidence/104098
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparativeEvidence: Bypass surgery effects on Myocardial infarction or stroke in Swedish Obese Subjects (SOS) study
section:
  title:
    v: Net Effect Contribution
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423

v: net-effect-contribution

v: Net Effect Contribution

v: Net Effect Contribution

status:
  v: generated
div:
  v: 1.52 (0.78 to 2.12)

l: http://hl7.org/fhir/uv/ebm/Evidence/179587
reference:
  v: Evidence/179587
type:
  v: Evidence
  l: Evidence
display:
  v: NetEffectContribution: Nonfatal myocardial infarction or stroke for Example for GIN 2022

title:
  v: Treatment with opioids
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: summary-of-net-effect-contributions-entry-for-a-single-outcome
    display:
      v: Summary of net effect contributions entry for a single outcome
focus:
  l: http://hl7.org/fhir/uv/ebm/EvidenceVariable/423307
  reference:
    v: EvidenceVariable/423307
  type:
    v: EvidenceVariable
    l: EvidenceVariable
  display:
    v: DichotomousIntendedOutcome: Treatment with opioids
text:
  status:
    v: empty
  div:
    v: [No narrative text.]
section:
  title:
    v: Outcome
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: outcome-measure
      display:
        v: Outcome Measure
  text:
    status:
      v: generated
    div:
      v: Treatment with opioids
  entry:
    l: http://hl7.org/fhir/uv/ebm/EvidenceVariable/423307
    reference:
      v: EvidenceVariable/423307
    type:
      v: EvidenceVariable
      l: EvidenceVariable
    display:
      v: DichotomousIntendedOutcome: Treatment with opioids
section:
  title:
    v: Desirability
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: outcome-desirability
      display:
        v: Outcome Desirability
    text:
      v: Outcome Desirability
  text:
    status:
      v: generated
    div:
      v: Undesirable
  entry:
    l: http://hl7.org/fhir/uv/ebm/ArtifactAssessment/423314
    reference:
      v: ArtifactAssessment/423314
    type:
      v: ArtifactAssessment
      l: ArtifactAssessment
    display:
      v: Outcome Importance Rating of DichotomousIntendedOutcome: Treatment with opioids for StudyEligibilityCriteria: Eligibility Criteria for Bariatric Surgery Randomized Trial (Diabetes Surgery Study)
section:
  title:
    v: Relative Importance
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: relative-importance
      display:
        v: Relative Importance
    text:
      v: Relative Importance
  text:
    status:
      v: generated
    div:
      v: 15%
  entry:
    l: http://hl7.org/fhir/uv/ebm/ArtifactAssessment/423314
    reference:
      v: ArtifactAssessment/423314
    type:
      v: ArtifactAssessment
      l: ArtifactAssessment
    display:
      v: Outcome Importance Rating of DichotomousIntendedOutcome: Treatment with opioids for StudyEligibilityCriteria: Eligibility Criteria for Bariatric Surgery Randomized Trial (Diabetes Surgery Study)
section:
  title:
    v: Result Without Treatment
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-comparator-alone
      display:
        v: Result with comparator alone
  text:
    status:
      v: generated
    div:
      v: 15.8%
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104394
    reference:
      v: Evidence/104394
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparatorOnlyEvidence: Treatment with opioids without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Result With Treatment--Derived
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-intervention-alone-calculated
      display:
        v: Result with intervention alone (calculated)
    text:
      v: calculated value derived from the control group and effect estimate
  text:
    status:
      v: generated
    div:
      v: 20.54%
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104394
    reference:
      v: Evidence/104394
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparatorOnlyEvidence: Treatment with opioids without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104156
    reference:
      v: Evidence/104156
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparativeEvidence: Bypass surgery effects on Treatment with opioids in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Effect Estimate
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-intervention-vs-comparator
      display:
        v: Result with intervention vs. comparator
  text:
    status:
      v: generated
    div:
      v: 4.74% (3.16% to 6.32%)
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104156
    reference:
      v: Evidence/104156
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparativeEvidence: Bypass surgery effects on Treatment with opioids in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Net Effect Contribution
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423

v: net-effect-contribution

v: Net Effect Contribution

v: Net Effect Contribution

status:
  v: generated
div:
  v: -0.71 (-0.95 to -0.47)

l: http://hl7.org/fhir/uv/ebm/Evidence/179590
reference:
  v: Evidence/179590
type:
  v: Evidence
  l: Evidence
display:
  v: NetEffectContribution: Treatment with opioids for Example for GIN 2022

title:
  v: New onset depression
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: summary-of-net-effect-contributions-entry-for-a-single-outcome
    display:
      v: Summary of net effect contributions entry for a single outcome
focus:
  l: http://hl7.org/fhir/uv/ebm/EvidenceVariable/423306
  reference:
    v: EvidenceVariable/423306
  type:
    v: EvidenceVariable
    l: EvidenceVariable
  display:
    v: DichotomousIntendedOutcome: New onset depression
text:
  status:
    v: empty
  div:
    v: [No narrative text.]
section:
  title:
    v: Outcome
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: outcome-measure
      display:
        v: Outcome Measure
  text:
    status:
      v: generated
    div:
      v: New onset depression
  entry:
    l: http://hl7.org/fhir/uv/ebm/EvidenceVariable/423306
    reference:
      v: EvidenceVariable/423306
    type:
      v: EvidenceVariable
      l: EvidenceVariable
    display:
      v: DichotomousIntendedOutcome: New onset depression
section:
  title:
    v: Desirability
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: outcome-desirability
      display:
        v: Outcome Desirability
    text:
      v: Outcome Desirability
  text:
    status:
      v: generated
    div:
      v: Undesirable
  entry:
    l: http://hl7.org/fhir/uv/ebm/ArtifactAssessment/423313
    reference:
      v: ArtifactAssessment/423313
    type:
      v: ArtifactAssessment
      l: ArtifactAssessment
    display:
      v: Outcome Importance Rating of DichotomousIntendedOutcome: New onset depression for StudyEligibilityCriteria: Eligibility Criteria for Bariatric Surgery Randomized Trial (Diabetes Surgery Study)
section:
  title:
    v: Relative Importance
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: relative-importance
      display:
        v: Relative Importance
    text:
      v: Relative Importance
  text:
    status:
      v: generated
    div:
      v: 25%
  entry:
    l: http://hl7.org/fhir/uv/ebm/ArtifactAssessment/423313
    reference:
      v: ArtifactAssessment/423313
    type:
      v: ArtifactAssessment
      l: ArtifactAssessment
    display:
      v: Outcome Importance Rating of DichotomousIntendedOutcome: New onset depression for StudyEligibilityCriteria: Eligibility Criteria for Bariatric Surgery Randomized Trial (Diabetes Surgery Study)
section:
  title:
    v: Result Without Treatment
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-comparator-alone
      display:
        v: Result with comparator alone
  text:
    status:
      v: generated
    div:
      v: 6.5%
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104395
    reference:
      v: Evidence/104395
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparatorOnlyEvidence: New onset depression without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Result With Treatment--Derived
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-intervention-alone-calculated
      display:
        v: Result with intervention alone (calculated)
    text:
      v: calculated value derived from the control group and effect estimate
  text:
    status:
      v: generated
    div:
      v: 9.75%
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104395
    reference:
      v: Evidence/104395
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparatorOnlyEvidence: New onset depression without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104155
    reference:
      v: Evidence/104155
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparativeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Effect Estimate
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-intervention-vs-comparator
      display:
        v: Result with intervention vs. comparator
  text:
    status:
      v: generated
    div:
      v: 3.25% (2.6% to 4.55%)
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104155
    reference:
      v: Evidence/104155
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparativeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Net Effect Contribution
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423

v: net-effect-contribution

v: Net Effect Contribution

v: Net Effect Contribution

status:
  v: generated
div:
  v: -0.81 (-1.14 to -0.65)

l: http://hl7.org/fhir/uv/ebm/Evidence/179589
reference:
  v: Evidence/179589
type:
  v: Evidence
  l: Evidence
display:
  v: NetEffectContribution: New onset depression for Example for GIN 2022

title:
  v: Additional gastrointestinal surgical procedure
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: summary-of-net-effect-contributions-entry-for-a-single-outcome
    display:
      v: Summary of net effect contributions entry for a single outcome
focus:
  l: http://hl7.org/fhir/uv/ebm/EvidenceVariable/423308
  reference:
    v: EvidenceVariable/423308
  type:
    v: EvidenceVariable
    l: EvidenceVariable
  display:
    v: DichotomousIntendedOutcome: Additional gastrointestinal surgical procedure
text:
  status:
    v: empty
  div:
    v: [No narrative text.]
section:
  title:
    v: Outcome
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: outcome-measure
      display:
        v: Outcome Measure
  text:
    status:
      v: generated
    div:
      v: Additional gastrointestinal surgical procedure
  entry:
    l: http://hl7.org/fhir/uv/ebm/EvidenceVariable/423308
    reference:
      v: EvidenceVariable/423308
    type:
      v: EvidenceVariable
      l: EvidenceVariable
    display:
      v: DichotomousIntendedOutcome: Additional gastrointestinal surgical procedure
section:
  title:
    v: Desirability
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: outcome-desirability
      display:
        v: Outcome Desirability
    text:
      v: Outcome Desirability
  text:
    status:
      v: generated
    div:
      v: Undesirable
  entry:
    l: http://hl7.org/fhir/uv/ebm/ArtifactAssessment/423315
    reference:
      v: ArtifactAssessment/423315
    type:
      v: ArtifactAssessment
      l: ArtifactAssessment
    display:
      v: Outcome Importance Rating of DichotomousIntendedOutcome: Additional gastrointestinal surgical procedure for StudyEligibilityCriteria: Eligibility Criteria for Bariatric Surgery Randomized Trial (Diabetes Surgery Study)
section:
  title:
    v: Relative Importance
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: relative-importance
      display:
        v: Relative Importance
    text:
      v: Relative Importance
  text:
    status:
      v: generated
    div:
      v: 25%
  entry:
    l: http://hl7.org/fhir/uv/ebm/ArtifactAssessment/423315
    reference:
      v: ArtifactAssessment/423315
    type:
      v: ArtifactAssessment
      l: ArtifactAssessment
    display:
      v: Outcome Importance Rating of DichotomousIntendedOutcome: Additional gastrointestinal surgical procedure for StudyEligibilityCriteria: Eligibility Criteria for Bariatric Surgery Randomized Trial (Diabetes Surgery Study)
section:
  title:
    v: Result Without Treatment
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-comparator-alone
      display:
        v: Result with comparator alone
  text:
    status:
      v: generated
    div:
      v: 15.5%
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104385
    reference:
      v: Evidence/104385
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparatorOnlyEvidence: Additional GI surgical procedure without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Result With Treatment--Derived
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-intervention-alone-calculated
      display:
        v: Result with intervention alone (calculated)
    text:
      v: calculated value derived from the control group and effect estimate
  text:
    status:
      v: generated
    div:
      v: 31%
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104385
    reference:
      v: Evidence/104385
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparatorOnlyEvidence: Additional GI surgical procedure without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104157
    reference:
      v: Evidence/104157
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparativeEvidence: Bypass surgery effects on Additional GI surgical procedure in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Effect Estimate
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423
      code:
        v: result-with-intervention-vs-comparator
      display:
        v: Result with intervention vs. comparator
  text:
    status:
      v: generated
    div:
      v: 15.5% (10.85% to 21.7%)
  entry:
    l: http://hl7.org/fhir/uv/ebm/Evidence/104157
    reference:
      v: Evidence/104157
    type:
      v: Evidence
      l: Evidence
    display:
      v: ComparativeEvidence: Bypass surgery effects on Additional GI surgical procedure in JAMA 2018 Norwegian cohort study
section:
  title:
    v: Net Effect Contribution
  code:
    coding:
      system:
        v: https://fevir.net/resources/CodeSystem/179423
        l: https://fevir.net/resources/CodeSystem/179423

v: net-effect-contribution

v: Net Effect Contribution

v: Net Effect Contribution

status:
  v: generated
div:
  v: -3.88 (-5.42 to -2.71)

l: http://hl7.org/fhir/uv/ebm/Evidence/179591
reference:
  v: Evidence/179591
type:
  v: Evidence
  l: Evidence
display:
  v: NetEffectContribution: Additional GI surgical procedure for Example for GIN 2022

title:
  v: Net Effect Estimate
code:
  coding:
    system:
      v: https://fevir.net/resources/CodeSystem/179423
      l: https://fevir.net/resources/CodeSystem/179423
    code:
      v: net-effect-estimate
    display:
      v: Net Effect Estimate
  text:
    v: Net Effect Estimate
text:
  status:
    v: generated
  div:
    v: 4.7 (1.4 to 7.99)
entry:
  l: http://hl7.org/fhir/uv/ebm/Evidence/423311
  reference:
    v: Evidence/423311
  type:
    v: Evidence
    l: Evidence
  display:
    v: NetEffectEstimate for SummaryOfNetEffect: Bariatric Surgery Summary of Net Effect Contributions Example for GIN 2022