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

: SummaryOfNetEffect: Bariatric Surgery Summary of Net Effect Contributions Example for GIN 2022 - JSON Representation

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          "text" : {
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            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">0.91 (0.47 to 1.27)</div>"
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              🔗 "reference" : "Evidence/179587",
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      "title" : "Remission of diabetes",
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        🔗 "reference" : "EvidenceVariable/104117",
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        "display" : "OutcomeDefinition: Remission of diabetes"
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              🔗 "reference" : "ArtifactAssessment/104193",
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          "text" : {
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            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">5</div>"
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          "text" : {
            "status" : "generated",
            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">57.7%</div>"
          },
          "entry" : [
            {
              "display" : "141 events in 956 participants (14.8%) in control group"
            },
            {
              🔗 "reference" : "Evidence/104121",
              "type" : "Evidence",
              "display" : "StudyOutcomeEvidence: Bypass surgery effects on Remission of diabetes in JAMA 2018 Norwegian cohort study"
            }
          ]
        },
        {
          "title" : "Effect Estimate",
          "code" : {
            "coding" : [
              {
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "result-with-intervention-vs-comparator",
                "display" : "Result with intervention vs. comparator"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">42.9%</div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Evidence/104121",
              "type" : "Evidence",
              "display" : "StudyOutcomeEvidence: Bypass surgery effects on Remission of diabetes in JAMA 2018 Norwegian cohort study"
            }
          ]
        },
        {
          "title" : "Net Effect Contribution",
          "code" : {
            "coding" : [
              {
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "net-effect-contribution",
                "display" : "Net Effect Contribution"
              }
            ],
            "text" : "Net Effect Contribution"
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">2.15 (1.33 to 3.26)</div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Evidence/179588",
              "type" : "Evidence",
              "display" : "NetEffectContribution: Remission of diabetes for Example for GIN 2022"
            }
          ]
        }
      ]
    },
    {
      "title" : "New onset depression",
      "code" : {
        "coding" : [
          {
            "system" : "https://fevir.net/resources/CodeSystem/179423",
            "code" : "summary-of-net-effect-contributions-entry-for-a-single-outcome",
            "display" : "Summary of net effect contributions entry for a single outcome"
          }
        ]
      },
      "focus" : {
        🔗 "reference" : "EvidenceVariable/104118",
        "type" : "EvidenceVariable",
        "display" : "OutcomeDefinition: New onset depression"
      },
      "section" : [
        {
          "title" : "Outcome",
          "code" : {
            "coding" : [
              {
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "outcome-measure",
                "display" : "Outcome Measure"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">New onset depression</div>"
          },
          "entry" : [
            {
              🔗 "reference" : "EvidenceVariable/104118",
              "type" : "EvidenceVariable",
              "display" : "OutcomeDefinition: New onset depression"
            }
          ]
        },
        {
          "title" : "Desirability",
          "code" : {
            "coding" : [
              {
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "outcome-desirability",
                "display" : "Outcome Desirability"
              }
            ],
            "text" : "Outcome Desirability"
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">Undesirable</div>"
          },
          "entry" : [
            {
              🔗 "reference" : "ArtifactAssessment/104194",
              "type" : "ArtifactAssessment",
              "display" : "Outcome Importance Rating (default value 5) of New onset depression"
            }
          ]
        },
        {
          "title" : "Relative Importance",
          "code" : {
            "coding" : [
              {
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "relative-importance",
                "display" : "Relative Importance"
              }
            ],
            "text" : "Relative Importance"
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">5</div>"
          },
          "entry" : [
            {
              🔗 "reference" : "ArtifactAssessment/104194",
              "type" : "ArtifactAssessment",
              "display" : "Outcome Importance Rating (default value 5) of New onset depression"
            }
          ]
        },
        {
          "title" : "Result Without Treatment",
          "code" : {
            "coding" : [
              {
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "result-with-comparator-alone",
                "display" : "Result with comparator alone"
              }
            ]
          },
          "text" : {
            "status" : "additional",
            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">6.5%</div>"
          }
        },
        {
          "title" : "Result With Treatment--Derived",
          "code" : {
            "coding" : [
              {
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "result-with-intervention-alone-calculated",
                "display" : "Result with intervention alone (calculated)"
              }
            ],
            "text" : "calculated value derived from the control group and effect estimate"
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">9.75%</div>"
          },
          "entry" : [
            {
              "display" : "62 events in 956 participants (6.5%) in control group"
            },
            {
              🔗 "reference" : "Evidence/104155",
              "type" : "Evidence",
              "display" : "StudyOutcomeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study"
            }
          ]
        },
        {
          "title" : "Effect Estimate",
          "code" : {
            "coding" : [
              {
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "result-with-intervention-vs-comparator",
                "display" : "Result with intervention vs. comparator"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">3.25%</div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Evidence/104155",
              "type" : "Evidence",
              "display" : "StudyOutcomeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study"
            }
          ]
        },
        {
          "title" : "Net Effect Contribution",
          "code" : {
            "coding" : [
              {
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "net-effect-contribution",
                "display" : "Net Effect Contribution"
              }
            ],
            "text" : "Net Effect Contribution"
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">-0.16 (-0.23 to -0.13)</div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Evidence/179589",
              "type" : "Evidence",
              "display" : "NetEffectContribution: New onset depression for Example for GIN 2022"
            }
          ]
        }
      ]
    },
    {
      "title" : "Treatment with opioids",
      "code" : {
        "coding" : [
          {
            "system" : "https://fevir.net/resources/CodeSystem/179423",
            "code" : "summary-of-net-effect-contributions-entry-for-a-single-outcome",
            "display" : "Summary of net effect contributions entry for a single outcome"
          }
        ]
      },
      "focus" : {
        🔗 "reference" : "EvidenceVariable/104119",
        "type" : "EvidenceVariable",
        "display" : "OutcomeDefinition: Treatment with opioids"
      },
      "section" : [
        {
          "title" : "Outcome",
          "code" : {
            "coding" : [
              {
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "outcome-measure",
                "display" : "Outcome Measure"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">Treatment with opioids</div>"
          },
          "entry" : [
            {
              🔗 "reference" : "EvidenceVariable/104119",
              "type" : "EvidenceVariable",
              "display" : "OutcomeDefinition: Treatment with opioids"
            }
          ]
        },
        {
          "title" : "Desirability",
          "code" : {
            "coding" : [
              {
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "outcome-desirability",
                "display" : "Outcome Desirability"
              }
            ],
            "text" : "Outcome Desirability"
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">Undesirable</div>"
          },
          "entry" : [
            {
              🔗 "reference" : "ArtifactAssessment/104195",
              "type" : "ArtifactAssessment",
              "display" : "Outcome Importance Rating (default value 5) of Treatment with opioids"
            }
          ]
        },
        {
          "title" : "Relative Importance",
          "code" : {
            "coding" : [
              {
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "relative-importance",
                "display" : "Relative Importance"
              }
            ],
            "text" : "Relative Importance"
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">5</div>"
          },
          "entry" : [
            {
              🔗 "reference" : "ArtifactAssessment/104195",
              "type" : "ArtifactAssessment",
              "display" : "Outcome Importance Rating (default value 5) of Treatment with opioids"
            }
          ]
        },
        {
          "title" : "Result Without Treatment",
          "code" : {
            "coding" : [
              {
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "result-with-comparator-alone",
                "display" : "Result with comparator alone"
              }
            ]
          },
          "text" : {
            "status" : "additional",
            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">15.8%</div>"
          }
        },
        {
          "title" : "Result With Treatment--Derived",
          "code" : {
            "coding" : [
              {
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "result-with-intervention-alone-calculated",
                "display" : "Result with intervention alone (calculated)"
              }
            ],
            "text" : "calculated value derived from the control group and effect estimate"
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">20.5%</div>"
          },
          "entry" : [
            {
              "display" : "151 events in 956 participants (15.8%) in control group"
            },
            {
              🔗 "reference" : "Evidence/104156",
              "type" : "Evidence",
              "display" : "StudyOutcomeEvidence: Bypass surgery effects on Treatment with opioids in JAMA 2018 Norwegian cohort study"
            }
          ]
        },
        {
          "title" : "Effect Estimate",
          "code" : {
            "coding" : [
              {
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "result-with-intervention-vs-comparator",
                "display" : "Result with intervention vs. comparator"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">4.7%</div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Evidence/104156",
              "type" : "Evidence",
              "display" : "StudyOutcomeEvidence: Bypass surgery effects on Treatment with opioids in JAMA 2018 Norwegian cohort study"
            }
          ]
        },
        {
          "title" : "Net Effect Contribution",
          "code" : {
            "coding" : [
              {
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "net-effect-contribution",
                "display" : "Net Effect Contribution"
              }
            ],
            "text" : "Net Effect Contribution"
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">-0.24 (-0.32 to -01.6)</div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Evidence/179590",
              "type" : "Evidence",
              "display" : "NetEffectContribution: Treatment with opioids for Example for GIN 2022"
            }
          ]
        }
      ]
    },
    {
      "title" : "Additional GI surgical procedure",
      "code" : {
        "coding" : [
          {
            "system" : "https://fevir.net/resources/CodeSystem/179423",
            "code" : "summary-of-net-effect-contributions-entry-for-a-single-outcome",
            "display" : "Summary of net effect contributions entry for a single outcome"
          }
        ]
      },
      "focus" : {
        🔗 "reference" : "EvidenceVariable/104120",
        "type" : "EvidenceVariable",
        "display" : "OutcomeDefinition: Additional GI surgical procedure"
      },
      "section" : [
        {
          "title" : "Outcome",
          "code" : {
            "coding" : [
              {
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "outcome-measure",
                "display" : "Outcome Measure"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">Additional GI surgical procedure</div>"
          },
          "entry" : [
            {
              🔗 "reference" : "EvidenceVariable/104120",
              "type" : "EvidenceVariable",
              "display" : "OutcomeDefinition: Additional GI surgical procedure"
            }
          ]
        },
        {
          "title" : "Desirability",
          "code" : {
            "coding" : [
              {
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "outcome-desirability",
                "display" : "Outcome Desirability"
              }
            ],
            "text" : "Outcome Desirability"
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">Undesirable</div>"
          },
          "entry" : [
            {
              🔗 "reference" : "ArtifactAssessment/104196",
              "type" : "ArtifactAssessment",
              "display" : "Outcome Importance Rating (default value 8) of Additional GI surgical procedure"
            }
          ]
        },
        {
          "title" : "Relative Importance",
          "code" : {
            "coding" : [
              {
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "relative-importance",
                "display" : "Relative Importance"
              }
            ],
            "text" : "Relative Importance"
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">8</div>"
          },
          "entry" : [
            {
              🔗 "reference" : "ArtifactAssessment/104196",
              "type" : "ArtifactAssessment",
              "display" : "Outcome Importance Rating (default value 8) of Additional GI surgical procedure"
            }
          ]
        },
        {
          "title" : "Result Without Treatment",
          "code" : {
            "coding" : [
              {
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "result-with-comparator-alone",
                "display" : "Result with comparator alone"
              }
            ]
          },
          "text" : {
            "status" : "additional",
            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">15.5%</div>"
          }
        },
        {
          "title" : "Result With Treatment--Derived",
          "code" : {
            "coding" : [
              {
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "result-with-intervention-alone-calculated",
                "display" : "Result with intervention alone (calculated)"
              }
            ],
            "text" : "calculated value derived from the control group and effect estimate"
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">31%</div>"
          },
          "entry" : [
            {
              "display" : "148 events in 956 participants (15.5%) in control group"
            },
            {
              🔗 "reference" : "Evidence/104157",
              "type" : "Evidence",
              "display" : "StudyOutcomeEvidence: Bypass surgery effects on Additional GI surgical procedure in JAMA 2018 Norwegian cohort study"
            }
          ]
        },
        {
          "title" : "Effect Estimate",
          "code" : {
            "coding" : [
              {
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "result-with-intervention-vs-comparator",
                "display" : "Result with intervention vs. comparator"
              }
            ]
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">15.5%</div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Evidence/104157",
              "type" : "Evidence",
              "display" : "StudyOutcomeEvidence: Bypass surgery effects on Additional GI surgical procedure in JAMA 2018 Norwegian cohort study"
            }
          ]
        },
        {
          "title" : "Net Effect Contribution",
          "code" : {
            "coding" : [
              {
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "net-effect-contribution",
                "display" : "Net Effect Contribution"
              }
            ],
            "text" : "Net Effect Contribution"
          },
          "text" : {
            "status" : "generated",
            "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">-1.24 (-1.74 to -0.87)</div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Evidence/179591",
              "type" : "Evidence",
              "display" : "NetEffectContribution: Additional GI surgical procedure for Example for GIN 2022"
            }
          ]
        }
      ]
    },
    {
      "title" : "Net Effect Estimate",
      "code" : {
        "coding" : [
          {
            "system" : "https://fevir.net/resources/CodeSystem/179423",
            "code" : "net-effect-estimate",
            "display" : "Net Effect Estimate"
          }
        ],
        "text" : "Net Effect Point Estimate"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">Net Effect Estimate = 3.55 (2.38 to 4.73)</div>"
      },
      "entry" : [
        {
          🔗 "reference" : "Evidence/179583",
          "type" : "Evidence",
          "display" : "NetEffectEstimate: Bariatric Surgery Example for GIN 2022"
        }
      ]
    }
  ]
}