http://hl7.org/fhir/uv/ebm/Composition/104383
type: Composition
node role: treeRoot
id:
  v: 104383
meta:
  version id:
    v: 53
  last updated:
    v: 2026-01-07T11:37:00.460Z
  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: 2026-01-07T11:37:00.460Z
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 2026-01-07. 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: Introduction 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. The estimated benefits and harms are for adults who are obese and have diabetes. The estimated benefits and harms are derived 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: Net Benefit Calculator
  target: Uri
    v: https://NetBenefitCalculator.com/104383
    l: https://NetBenefitCalculator.com/104383
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
      div:
        v: Result without bariatric surgery
  section:
    title:
      v: Result With Treatment--Derived
    code:
      text:
        v: calculated value derived from the control group and effect estimate
    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-with-intervention-alone-calculated

v: Result with intervention alone (calculated)

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 DIO: Mortality for StudyEligibilityCriteria: Eligibility Criteria for Bariatric Surgery Randomized Trial (Diabetes Surgery Study)

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 DIO: Mortality for StudyEligibilityCriteria: Eligibility Criteria for Bariatric Surgery Randomized Trial (Diabetes Surgery Study)

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