Evidence Based Medicine on FHIR Implementation Guide
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This page is part of the Evidence Based Medicine on FHIR Implementation Guide (v1.0.0-ballot: STU1 Ballot 1) based on FHIR (HL7® FHIR® Standard) v5.0.0. . For a full list of available versions, see the Directory of published versions

: EvidenceMap: Bariatric Surgery Summary of Findings Example for GIN 2022 - JSON Representation

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{
  "resourceType" : "Composition",
  "id" : "104213",
  "meta" : {
    "versionId" : "13",
    "lastUpdated" : "2023-12-05T12:47:11.475Z",
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/ebm/StructureDefinition/evidence-map"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Composition</b><a name=\"104213\"> </a></p><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\">Resource Composition &quot;104213&quot; Version &quot;13&quot; Updated &quot;2023-12-05 12:47:11+0000&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-evidence-map.html\">EvidenceMap</a></p></div><p><b>Artifact Description</b>: This example EvidenceMap has content that can be used for a SummaryOfFindings Profile of Composition.</p><p><b>url</b>: <a href=\"https://fevir.net/resources/Composition/104213\">https://fevir.net/resources/Composition/104213</a></p><p><b>identifier</b>: FEvIR Object Identifier:\u00a0104213</p><p><b>status</b>: final</p><p><b>type</b>: EvidenceReport <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-179423.html\">Evidence Based Medicine on FHIR Implementation Guide Code System</a>#EvidenceReport)</span></p><p><b>category</b>: for Summary of Findings <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-179423.html\">Evidence Based Medicine on FHIR Implementation Guide Code System</a>#EvidenceMap &quot;EvidenceMap&quot;)</span></p><p><b>date</b>: 2023-12-05 12:47:11+0000</p><p><b>author</b>: <span>: Brian S. Alper</span></p><p><b>title</b>: EvidenceMap: Bariatric Surgery Summary of Findings Example for GIN 2022</p><p><b>custodian</b>: <span>: Computable Publishing LLC</span></p><blockquote><p><b>relatesTo</b></p><p><b>type</b>: supported-with</p><p><b>label</b>: Copyright</p><blockquote><p><b>document</b></p></blockquote></blockquote><blockquote><p><b>relatesTo</b></p><p><b>type</b>: cite-as</p><p><b>citation</b>: EvidenceMap: Bariatric Surgery Summary of Findings Example for GIN 2022 [Composition]. Contributors: Brian S. Alper [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 104213. Revised 2023-11-26. Available at: https://fevir.net/resources/Composition/104213. Computable resource at: https://fevir.net/resources/Composition/104213.</p></blockquote></div>"
  },
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      "valueMarkdown" : "This example EvidenceMap has content that can be used for a SummaryOfFindings Profile of Composition."
    }
  ],
  "url" : "https://fevir.net/resources/Composition/104213",
  "identifier" : [
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      "type" : {
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            "code" : "ACSN",
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        "text" : "FEvIR Object Identifier"
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      "system" : "https://fevir.net",
      "value" : "104213",
      "assigner" : {
        "display" : "Computable Publishing LLC"
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  "status" : "final",
  "type" : {
    "coding" : [
      {
        "system" : "https://fevir.net/resources/CodeSystem/179423",
        "code" : "EvidenceReport",
        "display" : "EvidenceReport"
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  "category" : [
    {
      "coding" : [
        {
          "system" : "https://fevir.net/resources/CodeSystem/179423",
          "code" : "EvidenceMap",
          "display" : "EvidenceMap"
        }
      ],
      "text" : "for Summary of Findings"
    }
  ],
  "subject" : [
    {
      🔗 "reference" : "Group/179562",
      "type" : "Group",
      "display" : "EvidenceReportSubject: Clinical Outcomes for Effects of Bariatric Surgery"
    }
  ],
  "date" : "2023-12-05T12:47:11.475Z",
  "author" : [
    {
      "display" : "Brian S. Alper"
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  ],
  "title" : "EvidenceMap: Bariatric Surgery Summary of Findings Example for GIN 2022",
  "custodian" : {
    "display" : "Computable Publishing LLC"
  },
  "relatesTo" : [
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      "type" : "supported-with",
      "label" : "Copyright",
      "document" : {
        "url" : "https://creativecommons.org/licenses/by-nc-sa/4.0/"
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    {
      "type" : "cite-as",
      "citation" : "EvidenceMap: Bariatric Surgery Summary of Findings Example for GIN 2022 [Composition]. Contributors: Brian S. Alper [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 104213. Revised 2023-11-26. Available at: https://fevir.net/resources/Composition/104213. Computable resource at: https://fevir.net/resources/Composition/104213."
    }
  ],
  "section" : [
    {
      "title" : "Outcomes",
      "code" : {
        "coding" : [
          {
            "system" : "https://fevir.net/resources/CodeSystem/179423",
            "code" : "outcome-measure",
            "display" : "Outcome Measure"
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        ]
      },
      "entry" : [
        {
          🔗 "reference" : "EvidenceVariable/49217",
          "type" : "EvidenceVariable",
          "display" : "OutcomeVariable: All-cause mortality"
        },
        {
          🔗 "reference" : "EvidenceVariable/104097",
          "type" : "EvidenceVariable",
          "display" : "OutcomeVariable: Nonfatal myocardial infarction or stroke"
        },
        {
          🔗 "reference" : "EvidenceVariable/104117",
          "type" : "EvidenceVariable",
          "display" : "OutcomeVariable: Remission of diabetes"
        },
        {
          🔗 "reference" : "EvidenceVariable/104118",
          "type" : "EvidenceVariable",
          "display" : "OutcomeVariable: New onset depression"
        },
        {
          🔗 "reference" : "EvidenceVariable/104119",
          "type" : "EvidenceVariable",
          "display" : "OutcomeVariable: Treatment with opioids"
        },
        {
          🔗 "reference" : "EvidenceVariable/104120",
          "type" : "EvidenceVariable",
          "display" : "OutcomeVariable: Additional GI surgical procedure"
        }
      ]
    },
    {
      "title" : "Outcome Importance Ratings",
      "code" : {
        "coding" : [
          {
            "system" : "https://fevir.net/resources/CodeSystem/179423",
            "code" : "relative-importance",
            "display" : "Relative Importance"
          }
        ],
        "text" : "Outcome Importance Ratings"
      },
      "entry" : [
        {
          🔗 "reference" : "ArtifactAssessment/104064",
          "type" : "ArtifactAssessment",
          "display" : "Outcome Importance Rating (default value 100) of All-cause mortality"
        },
        {
          🔗 "reference" : "ArtifactAssessment/104192",
          "type" : "ArtifactAssessment",
          "display" : "Outcome Importance Rating (default value 30) of Nonfatal myocardial infarction or stroke"
        },
        {
          🔗 "reference" : "ArtifactAssessment/104193",
          "type" : "ArtifactAssessment",
          "display" : "Outcome Importance Rating (default value 5) of Remission of diabetes"
        },
        {
          🔗 "reference" : "ArtifactAssessment/104194",
          "type" : "ArtifactAssessment",
          "display" : "Outcome Importance Rating (default value 5) of New onset depression"
        },
        {
          🔗 "reference" : "ArtifactAssessment/104195",
          "type" : "ArtifactAssessment",
          "display" : "Outcome Importance Rating (default value 5) of Treatment with opioids"
        },
        {
          🔗 "reference" : "ArtifactAssessment/104196",
          "type" : "ArtifactAssessment",
          "display" : "Outcome Importance Rating (default value 8) of Additional GI surgical procedure"
        }
      ]
    },
    {
      "title" : "Comparative Evidence",
      "code" : {
        "coding" : [
          {
            "system" : "https://fevir.net/resources/CodeSystem/179423",
            "code" : "evidence-with-intervention-vs-comparator",
            "display" : "Evidence with intervention vs. comparator"
          }
        ]
      },
      "entry" : [
        {
          🔗 "reference" : "Evidence/49328",
          "type" : "Evidence",
          "display" : "ComparativeEvidence: All-cause mortality effect of bariatric surgery in 2022 meta-analysis"
        },
        {
          🔗 "reference" : "Evidence/104098",
          "type" : "Evidence",
          "display" : "ComparativeEvidence: Bypass surgery effects on Myocardial infarction or stroke in Swedish Obese Subjects (SOS) study"
        },
        {
          🔗 "reference" : "Evidence/104121",
          "type" : "Evidence",
          "display" : "ComparativeEvidence: Bypass surgery effects on Remission of diabetes in JAMA 2018 Norwegian cohort study"
        },
        {
          🔗 "reference" : "Evidence/104155",
          "type" : "Evidence",
          "display" : "ComparativeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study"
        },
        {
          🔗 "reference" : "Evidence/104156",
          "type" : "Evidence",
          "display" : "ComparativeEvidence: Bypass surgery effects on Treatment with opioids in JAMA 2018 Norwegian cohort study"
        },
        {
          🔗 "reference" : "Evidence/104157",
          "type" : "Evidence",
          "display" : "ComparativeEvidence: Bypass surgery effects on Additional GI surgical procedure in JAMA 2018 Norwegian cohort study"
        }
      ]
    },
    {
      "title" : "Comparator Alone Evidence",
      "code" : {
        "coding" : [
          {
            "system" : "https://fevir.net/resources/CodeSystem/179423",
            "code" : "evidence-with-comparator-alone",
            "display" : "Evidence with comparator alone"
          }
        ]
      },
      "entry" : [
        {
          🔗 "reference" : "Evidence/104384",
          "type" : "Evidence",
          "display" : "ComparatorOnlyEvidence: All-cause mortality without bariatric surgery in 2022 meta-analysis"
        },
        {
          🔗 "reference" : "Evidence/104397",
          "type" : "Evidence",
          "display" : "ComparatorOnlyEvidence: Myocardial infarction or stroke without bariatric surgery (Control Group) in Swedish Obese Subjects (SOS) study"
        },
        {
          🔗 "reference" : "Evidence/104396",
          "type" : "Evidence",
          "display" : "ComparatorOnlyEvidence: Remission of diabetes without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"
        },
        {
          🔗 "reference" : "Evidence/104395",
          "type" : "Evidence",
          "display" : "ComparatorOnlyEvidence: New onset depression without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"
        },
        {
          🔗 "reference" : "Evidence/104394",
          "type" : "Evidence",
          "display" : "ComparatorOnlyEvidence: Treatment with opioids without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"
        },
        {
          🔗 "reference" : "Evidence/104385",
          "type" : "Evidence",
          "display" : "ComparatorOnlyEvidence: Additional GI surgical procedure without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"
        }
      ]
    }
  ]
}