Evidence Based Medicine on FHIR Implementation Guide
1.0.0-ballot - ballot International flag

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 - XML Representation

Raw xml | Download



<Composition xmlns="http://hl7.org/fhir">
  <id value="104383"/>
  <meta>
    <versionId value="24"/>
    <lastUpdated value="2023-12-05T13:12:55.092Z"/>
    <profile
             value="http://hl7.org/fhir/uv/ebm/StructureDefinition/summary-of-net-effect"/>
    <profile
             value="http://hl7.org/fhir/uv/ebm/StructureDefinition/evidence-report"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Composition</b><a name="104383"> </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;104383&quot; Version &quot;24&quot; Updated &quot;2023-12-05 13:12:55+0000&quot; </p><p style="margin-bottom: 0px">Profiles: <a href="StructureDefinition-summary-of-net-effect.html">SummaryOfNetEffect</a>, <a href="StructureDefinition-evidence-report.html">EvidenceReport</a></p></div><p><b>Artifact Description</b>: Example of SummaryOfNetEffect Profile of Composition Resource.</p><p><b>url</b>: <a href="https://fevir.net/resources/Composition/104383">https://fevir.net/resources/Composition/104383</a></p><p><b>identifier</b>: FEvIR Object Identifier: 104383</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>: Summary of Net Effect Contributions <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>#SummaryOfNetEffect &quot;SummaryOfNetEffect&quot;)</span></p><p><b>date</b>: 2023-12-05 13:12:55+0000</p><p><b>author</b>: <span>: Brian S. Alper</span></p><p><b>title</b>: SummaryOfNetEffect: Bariatric Surgery Summary of Net Effect Contributions 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>: SummaryOfNetEffect: Bariatric Surgery Summary of Net Effect Contributions Example for GIN 2022 [Composition]. Contributors: Brian S. Alper [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 104383. Revised 2023-11-26. Available at: https://fevir.net/resources/Composition/104383. Computable resource at: https://fevir.net/resources/Composition/104383.</p></blockquote></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/artifact-description">
    <valueMarkdown
                   value="Example of SummaryOfNetEffect Profile of Composition Resource."/>
  </extension>
  <url value="https://fevir.net/resources/Composition/104383"/>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="ACSN"/>
        <display value="Accession ID"/>
      </coding>
      <text value="FEvIR Object Identifier"/>
    </type>
    <system value="https://fevir.net"/>
    <value value="104383"/>
    <assigner>
      <display value="Computable Publishing LLC"/>
    </assigner>
  </identifier>
  <status value="final"/>
  <type>
    <coding>
      <system value="https://fevir.net/resources/CodeSystem/179423"/>
      <code value="EvidenceReport"/>
      <display value="EvidenceReport"/>
    </coding>
  </type>
  <category>
    <coding>
      <system value="https://fevir.net/resources/CodeSystem/179423"/>
      <code value="SummaryOfNetEffect"/>
      <display value="SummaryOfNetEffect"/>
    </coding>
    <text value="Summary of Net Effect Contributions"/>
  </category>
  <subject>🔗 
    <reference value="Group/179562"/>
    <type value="Group"/>
    <display
             value="EvidenceReportSubject: Clinical Outcomes for Effects of Bariatric Surgery"/>
  </subject>
  <date value="2023-12-05T13:12:55.092Z"/>
  <author>
    <display value="Brian S. Alper"/>
  </author>
  <title
         value="SummaryOfNetEffect: Bariatric Surgery Summary of Net Effect Contributions Example for GIN 2022"/>
  <custodian>
    <display value="Computable Publishing LLC"/>
  </custodian>
  <relatesTo>
    <type value="supported-with"/>
    <label value="Copyright"/>
    <document>
      <url value="https://creativecommons.org/licenses/by-nc-sa/4.0/"/>
    </document>
  </relatesTo>
  <relatesTo>
    <type value="cite-as"/>
    <citation
              value="SummaryOfNetEffect: Bariatric Surgery Summary of Net Effect Contributions Example for GIN 2022 [Composition]. Contributors: Brian S. Alper [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 104383. Revised 2023-11-26. Available at: https://fevir.net/resources/Composition/104383. Computable resource at: https://fevir.net/resources/Composition/104383."/>
  </relatesTo>
  <section>
    <title value="Column Headers"/>
    <code>
      <coding>
        <system value="https://fevir.net/resources/CodeSystem/179423"/>
        <code value="column-headers"/>
        <display value="Column Headers"/>
      </coding>
    </code>
    <entry>🔗 
      <reference value="Composition/104213"/>
      <type value="Composition"/>
      <display
               value="EvidenceMap: Bariatric Surgery Summary of Findings Example for GIN 2022"/>
    </entry>
    <section>
      <title value="Outcome"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="outcome-measure"/>
          <display value="Outcome Measure"/>
        </coding>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">Outcome</div>
      </text>
    </section>
    <section>
      <title value="Desirability"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="outcome-desirability"/>
          <display value="Outcome Desirability"/>
        </coding>
        <text value="Outcome Desirability"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">Desirability</div>
      </text>
    </section>
    <section>
      <title value="Relative Importance"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="relative-importance"/>
          <display value="Relative Importance"/>
        </coding>
        <text value="Relative Importance"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">Relative Importance</div>
      </text>
    </section>
    <section>
      <title value="Result Without Treatment"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="result-with-comparator-alone"/>
          <display value="Result with comparator alone"/>
        </coding>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">Result without bariatric surgery</div>
      </text>
    </section>
    <section>
      <title value="Result With Treatment--Derived"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="result-with-intervention-alone-calculated"/>
          <display value="Result with intervention alone (calculated)"/>
        </coding>
        <text
              value="calculated value derived from the control group and effect estimate"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">Result with bariatric surgery (calculated)</div>
      </text>
    </section>
    <section>
      <title value="Effect Estimate"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="result-with-intervention-vs-comparator"/>
          <display value="Result with intervention vs. comparator"/>
        </coding>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">Effect Estimate (Absolute Difference)</div>
      </text>
    </section>
    <section>
      <title value="Net Effect Contribution"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="net-effect-contribution"/>
          <display value="Net Effect Contribution"/>
        </coding>
        <text value="Net Effect Contribution"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">Health Impact (Confidence Interval)</div>
      </text>
    </section>
  </section>
  <section>
    <title value="All-cause mortality"/>
    <code>
      <coding>
        <system value="https://fevir.net/resources/CodeSystem/179423"/>
        <code
              value="summary-of-net-effect-contributions-entry-for-a-single-outcome"/>
        <display
                 value="Summary of net effect contributions entry for a single outcome"/>
      </coding>
    </code>
    <focus>🔗 
      <reference value="EvidenceVariable/49217"/>
      <type value="EvidenceVariable"/>
      <display value="OutcomeDefinition: All-cause mortality"/>
    </focus>
    <section>
      <title value="Outcome"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="outcome-measure"/>
          <display value="Outcome Measure"/>
        </coding>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">All-cause mortality</div>
      </text>
      <entry>🔗 
        <reference value="EvidenceVariable/49217"/>
        <type value="EvidenceVariable"/>
        <display value="OutcomeDefinition: All-cause mortality"/>
      </entry>
    </section>
    <section>
      <title value="Desirability"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="outcome-desirability"/>
          <display value="Outcome Desirability"/>
        </coding>
        <text value="Outcome Desirability"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">Undesirable</div>
      </text>
      <entry>🔗 
        <reference value="ArtifactAssessment/104064"/>
        <type value="ArtifactAssessment"/>
        <display
                 value="Outcome Importance Rating (default value 100) of All-cause mortality"/>
      </entry>
    </section>
    <section>
      <title value="Relative Importance"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="relative-importance"/>
          <display value="Relative Importance"/>
        </coding>
        <text value="Relative Importance"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">100</div>
      </text>
      <entry>🔗 
        <reference value="ArtifactAssessment/104064"/>
        <type value="ArtifactAssessment"/>
        <display
                 value="Outcome Importance Rating (default value 100) of All-cause mortality"/>
      </entry>
    </section>
    <section>
      <title value="Result Without Treatment"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="result-with-comparator-alone"/>
          <display value="Result with comparator alone"/>
        </coding>
      </code>
      <text>
        <status value="additional"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">5%</div>
      </text>
    </section>
    <section>
      <title value="Result With Treatment--Derived"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="result-with-intervention-alone-calculated"/>
          <display value="Result with intervention alone (calculated)"/>
        </coding>
        <text
              value="calculated value derived from the control group and effect estimate"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">2.75%</div>
      </text>
    </section>
    <section>
      <title value="Effect Estimate"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="result-with-intervention-vs-comparator"/>
          <display value="Result with intervention vs. comparator"/>
        </coding>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">-2.25%</div>
      </text>
      <entry>🔗 
        <reference value="Evidence/49328"/>
        <type value="Evidence"/>
        <display
                 value="OutcomeEvidenceSynthesis: All-cause mortality effect of bariatric surgery in 2022 meta-analysis"/>
      </entry>
    </section>
    <section>
      <title value="Net Effect Contribution"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="net-effect-contribution"/>
          <display value="Net Effect Contribution"/>
        </coding>
        <text value="Net Effect Contribution"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">2.14 (1.8 to 2.42)</div>
      </text>
      <entry>🔗 
        <reference value="Evidence/179586"/>
        <type value="Evidence"/>
        <display
                 value="NetEffectContribution: All-cause mortality for Example for GIN 2022"/>
      </entry>
    </section>
  </section>
  <section>
    <title value="Nonfatal myocardial infarction or stroke"/>
    <code>
      <coding>
        <system value="https://fevir.net/resources/CodeSystem/179423"/>
        <code
              value="summary-of-net-effect-contributions-entry-for-a-single-outcome"/>
        <display
                 value="Summary of net effect contributions entry for a single outcome"/>
      </coding>
    </code>
    <focus>🔗 
      <reference value="EvidenceVariable/104097"/>
      <type value="EvidenceVariable"/>
      <display
               value="OutcomeDefinition: Nonfatal myocardial infarction or stroke"/>
    </focus>
    <section>
      <title value="Outcome"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="outcome-measure"/>
          <display value="Outcome Measure"/>
        </coding>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">Nonfatal myocardial infarction or stroke</div>
      </text>
      <entry>🔗 
        <reference value="EvidenceVariable/104097"/>
        <type value="EvidenceVariable"/>
        <display
                 value="OutcomeDefinition: Nonfatal myocardial infarction or stroke"/>
      </entry>
    </section>
    <section>
      <title value="Desirability"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="outcome-desirability"/>
          <display value="Outcome Desirability"/>
        </coding>
        <text value="Outcome Desirability"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">Undesirable</div>
      </text>
      <entry>🔗 
        <reference value="ArtifactAssessment/104192"/>
        <type value="ArtifactAssessment"/>
        <display
                 value="Outcome Importance Rating (default value 30) of Nonfatal myocardial infarction or stroke"/>
      </entry>
    </section>
    <section>
      <title value="Relative Importance"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="relative-importance"/>
          <display value="Relative Importance"/>
        </coding>
        <text value="Relative Importance"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">30</div>
      </text>
      <entry>🔗 
        <reference value="ArtifactAssessment/104192"/>
        <type value="ArtifactAssessment"/>
        <display
                 value="Outcome Importance Rating (default value 30) of Nonfatal myocardial infarction or stroke"/>
      </entry>
    </section>
    <section>
      <title value="Result Without Treatment"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="result-with-comparator-alone"/>
          <display value="Result with comparator alone"/>
        </coding>
      </code>
      <text>
        <status value="additional"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">9.2%</div>
      </text>
    </section>
    <section>
      <title value="Result With Treatment--Derived"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="result-with-intervention-alone-calculated"/>
          <display value="Result with intervention alone (calculated)"/>
        </coding>
        <text
              value="calculated value derived from the control group and effect estimate"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">6.2%</div>
      </text>
      <entry>
        <display
                 value="188 events in 2,037 participants (9.2%) in control group"/>
      </entry>
      <entry>🔗 
        <reference value="Evidence/104098"/>
        <type value="Evidence"/>
        <display
                 value="StudyOutcomeEvidence: Bypass surgery effects on Myocardial infarction or stroke in Swedish Obese Subjects (SOS) study"/>
      </entry>
    </section>
    <section>
      <title value="Effect Estimate"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="result-with-intervention-vs-comparator"/>
          <display value="Result with intervention vs. comparator"/>
        </coding>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">-3%</div>
      </text>
      <entry>🔗 
        <reference value="Evidence/104098"/>
        <type value="Evidence"/>
        <display
                 value="StudyOutcomeEvidence: Bypass surgery effects on Myocardial infarction or stroke in Swedish Obese Subjects (SOS) study"/>
      </entry>
    </section>
    <section>
      <title value="Net Effect Contribution"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="net-effect-contribution"/>
          <display value="Net Effect Contribution"/>
        </coding>
        <text value="Net Effect Contribution"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">0.91 (0.47 to 1.27)</div>
      </text>
      <entry>🔗 
        <reference value="Evidence/179587"/>
        <type value="Evidence"/>
        <display
                 value="NetEffectContribution: Nonfatal myocardial infarction or stroke for Example for GIN 2022"/>
      </entry>
    </section>
  </section>
  <section>
    <title value="Remission of diabetes"/>
    <code>
      <coding>
        <system value="https://fevir.net/resources/CodeSystem/179423"/>
        <code
              value="summary-of-net-effect-contributions-entry-for-a-single-outcome"/>
        <display
                 value="Summary of net effect contributions entry for a single outcome"/>
      </coding>
    </code>
    <focus>🔗 
      <reference value="EvidenceVariable/104117"/>
      <type value="EvidenceVariable"/>
      <display value="OutcomeDefinition: Remission of diabetes"/>
    </focus>
    <section>
      <title value="Outcome"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="outcome-measure"/>
          <display value="Outcome Measure"/>
        </coding>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">Remission of diabetes</div>
      </text>
      <entry>🔗 
        <reference value="EvidenceVariable/104117"/>
        <type value="EvidenceVariable"/>
        <display value="OutcomeDefinition: Remission of diabetes"/>
      </entry>
    </section>
    <section>
      <title value="Desirability"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="outcome-desirability"/>
          <display value="Outcome Desirability"/>
        </coding>
        <text value="Outcome Desirability"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">Desirable</div>
      </text>
      <entry>🔗 
        <reference value="ArtifactAssessment/104193"/>
        <type value="ArtifactAssessment"/>
        <display
                 value="Outcome Importance Rating (default value 5) of Remission of diabetes"/>
      </entry>
    </section>
    <section>
      <title value="Relative Importance"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="relative-importance"/>
          <display value="Relative Importance"/>
        </coding>
        <text value="Relative Importance"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">5</div>
      </text>
      <entry>🔗 
        <reference value="ArtifactAssessment/104193"/>
        <type value="ArtifactAssessment"/>
        <display
                 value="Outcome Importance Rating (default value 5) of Remission of diabetes"/>
      </entry>
    </section>
    <section>
      <title value="Result Without Treatment"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="result-with-comparator-alone"/>
          <display value="Result with comparator alone"/>
        </coding>
      </code>
      <text>
        <status value="additional"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">14.8%</div>
      </text>
    </section>
    <section>
      <title value="Result With Treatment--Derived"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="result-with-intervention-alone-calculated"/>
          <display value="Result with intervention alone (calculated)"/>
        </coding>
        <text
              value="calculated value derived from the control group and effect estimate"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">57.7%</div>
      </text>
      <entry>
        <display
                 value="141 events in 956 participants (14.8%) in control group"/>
      </entry>
      <entry>🔗 
        <reference value="Evidence/104121"/>
        <type value="Evidence"/>
        <display
                 value="StudyOutcomeEvidence: Bypass surgery effects on Remission of diabetes in JAMA 2018 Norwegian cohort study"/>
      </entry>
    </section>
    <section>
      <title value="Effect Estimate"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="result-with-intervention-vs-comparator"/>
          <display value="Result with intervention vs. comparator"/>
        </coding>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">42.9%</div>
      </text>
      <entry>🔗 
        <reference value="Evidence/104121"/>
        <type value="Evidence"/>
        <display
                 value="StudyOutcomeEvidence: Bypass surgery effects on Remission of diabetes in JAMA 2018 Norwegian cohort study"/>
      </entry>
    </section>
    <section>
      <title value="Net Effect Contribution"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="net-effect-contribution"/>
          <display value="Net Effect Contribution"/>
        </coding>
        <text value="Net Effect Contribution"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">2.15 (1.33 to 3.26)</div>
      </text>
      <entry>🔗 
        <reference value="Evidence/179588"/>
        <type value="Evidence"/>
        <display
                 value="NetEffectContribution: Remission of diabetes for Example for GIN 2022"/>
      </entry>
    </section>
  </section>
  <section>
    <title value="New onset depression"/>
    <code>
      <coding>
        <system value="https://fevir.net/resources/CodeSystem/179423"/>
        <code
              value="summary-of-net-effect-contributions-entry-for-a-single-outcome"/>
        <display
                 value="Summary of net effect contributions entry for a single outcome"/>
      </coding>
    </code>
    <focus>🔗 
      <reference value="EvidenceVariable/104118"/>
      <type value="EvidenceVariable"/>
      <display value="OutcomeDefinition: New onset depression"/>
    </focus>
    <section>
      <title value="Outcome"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="outcome-measure"/>
          <display value="Outcome Measure"/>
        </coding>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">New onset depression</div>
      </text>
      <entry>🔗 
        <reference value="EvidenceVariable/104118"/>
        <type value="EvidenceVariable"/>
        <display value="OutcomeDefinition: New onset depression"/>
      </entry>
    </section>
    <section>
      <title value="Desirability"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="outcome-desirability"/>
          <display value="Outcome Desirability"/>
        </coding>
        <text value="Outcome Desirability"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">Undesirable</div>
      </text>
      <entry>🔗 
        <reference value="ArtifactAssessment/104194"/>
        <type value="ArtifactAssessment"/>
        <display
                 value="Outcome Importance Rating (default value 5) of New onset depression"/>
      </entry>
    </section>
    <section>
      <title value="Relative Importance"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="relative-importance"/>
          <display value="Relative Importance"/>
        </coding>
        <text value="Relative Importance"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">5</div>
      </text>
      <entry>🔗 
        <reference value="ArtifactAssessment/104194"/>
        <type value="ArtifactAssessment"/>
        <display
                 value="Outcome Importance Rating (default value 5) of New onset depression"/>
      </entry>
    </section>
    <section>
      <title value="Result Without Treatment"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="result-with-comparator-alone"/>
          <display value="Result with comparator alone"/>
        </coding>
      </code>
      <text>
        <status value="additional"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">6.5%</div>
      </text>
    </section>
    <section>
      <title value="Result With Treatment--Derived"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="result-with-intervention-alone-calculated"/>
          <display value="Result with intervention alone (calculated)"/>
        </coding>
        <text
              value="calculated value derived from the control group and effect estimate"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">9.75%</div>
      </text>
      <entry>
        <display
                 value="62 events in 956 participants (6.5%) in control group"/>
      </entry>
      <entry>🔗 
        <reference value="Evidence/104155"/>
        <type value="Evidence"/>
        <display
                 value="StudyOutcomeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study"/>
      </entry>
    </section>
    <section>
      <title value="Effect Estimate"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="result-with-intervention-vs-comparator"/>
          <display value="Result with intervention vs. comparator"/>
        </coding>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">3.25%</div>
      </text>
      <entry>🔗 
        <reference value="Evidence/104155"/>
        <type value="Evidence"/>
        <display
                 value="StudyOutcomeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study"/>
      </entry>
    </section>
    <section>
      <title value="Net Effect Contribution"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="net-effect-contribution"/>
          <display value="Net Effect Contribution"/>
        </coding>
        <text value="Net Effect Contribution"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">-0.16 (-0.23 to -0.13)</div>
      </text>
      <entry>🔗 
        <reference value="Evidence/179589"/>
        <type value="Evidence"/>
        <display
                 value="NetEffectContribution: New onset depression for Example for GIN 2022"/>
      </entry>
    </section>
  </section>
  <section>
    <title value="Treatment with opioids"/>
    <code>
      <coding>
        <system value="https://fevir.net/resources/CodeSystem/179423"/>
        <code
              value="summary-of-net-effect-contributions-entry-for-a-single-outcome"/>
        <display
                 value="Summary of net effect contributions entry for a single outcome"/>
      </coding>
    </code>
    <focus>🔗 
      <reference value="EvidenceVariable/104119"/>
      <type value="EvidenceVariable"/>
      <display value="OutcomeDefinition: Treatment with opioids"/>
    </focus>
    <section>
      <title value="Outcome"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="outcome-measure"/>
          <display value="Outcome Measure"/>
        </coding>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">Treatment with opioids</div>
      </text>
      <entry>🔗 
        <reference value="EvidenceVariable/104119"/>
        <type value="EvidenceVariable"/>
        <display value="OutcomeDefinition: Treatment with opioids"/>
      </entry>
    </section>
    <section>
      <title value="Desirability"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="outcome-desirability"/>
          <display value="Outcome Desirability"/>
        </coding>
        <text value="Outcome Desirability"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">Undesirable</div>
      </text>
      <entry>🔗 
        <reference value="ArtifactAssessment/104195"/>
        <type value="ArtifactAssessment"/>
        <display
                 value="Outcome Importance Rating (default value 5) of Treatment with opioids"/>
      </entry>
    </section>
    <section>
      <title value="Relative Importance"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="relative-importance"/>
          <display value="Relative Importance"/>
        </coding>
        <text value="Relative Importance"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">5</div>
      </text>
      <entry>🔗 
        <reference value="ArtifactAssessment/104195"/>
        <type value="ArtifactAssessment"/>
        <display
                 value="Outcome Importance Rating (default value 5) of Treatment with opioids"/>
      </entry>
    </section>
    <section>
      <title value="Result Without Treatment"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="result-with-comparator-alone"/>
          <display value="Result with comparator alone"/>
        </coding>
      </code>
      <text>
        <status value="additional"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">15.8%</div>
      </text>
    </section>
    <section>
      <title value="Result With Treatment--Derived"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="result-with-intervention-alone-calculated"/>
          <display value="Result with intervention alone (calculated)"/>
        </coding>
        <text
              value="calculated value derived from the control group and effect estimate"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">20.5%</div>
      </text>
      <entry>
        <display
                 value="151 events in 956 participants (15.8%) in control group"/>
      </entry>
      <entry>🔗 
        <reference value="Evidence/104156"/>
        <type value="Evidence"/>
        <display
                 value="StudyOutcomeEvidence: Bypass surgery effects on Treatment with opioids in JAMA 2018 Norwegian cohort study"/>
      </entry>
    </section>
    <section>
      <title value="Effect Estimate"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="result-with-intervention-vs-comparator"/>
          <display value="Result with intervention vs. comparator"/>
        </coding>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">4.7%</div>
      </text>
      <entry>🔗 
        <reference value="Evidence/104156"/>
        <type value="Evidence"/>
        <display
                 value="StudyOutcomeEvidence: Bypass surgery effects on Treatment with opioids in JAMA 2018 Norwegian cohort study"/>
      </entry>
    </section>
    <section>
      <title value="Net Effect Contribution"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="net-effect-contribution"/>
          <display value="Net Effect Contribution"/>
        </coding>
        <text value="Net Effect Contribution"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">-0.24 (-0.32 to -01.6)</div>
      </text>
      <entry>🔗 
        <reference value="Evidence/179590"/>
        <type value="Evidence"/>
        <display
                 value="NetEffectContribution: Treatment with opioids for Example for GIN 2022"/>
      </entry>
    </section>
  </section>
  <section>
    <title value="Additional GI surgical procedure"/>
    <code>
      <coding>
        <system value="https://fevir.net/resources/CodeSystem/179423"/>
        <code
              value="summary-of-net-effect-contributions-entry-for-a-single-outcome"/>
        <display
                 value="Summary of net effect contributions entry for a single outcome"/>
      </coding>
    </code>
    <focus>🔗 
      <reference value="EvidenceVariable/104120"/>
      <type value="EvidenceVariable"/>
      <display value="OutcomeDefinition: Additional GI surgical procedure"/>
    </focus>
    <section>
      <title value="Outcome"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="outcome-measure"/>
          <display value="Outcome Measure"/>
        </coding>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">Additional GI surgical procedure</div>
      </text>
      <entry>🔗 
        <reference value="EvidenceVariable/104120"/>
        <type value="EvidenceVariable"/>
        <display value="OutcomeDefinition: Additional GI surgical procedure"/>
      </entry>
    </section>
    <section>
      <title value="Desirability"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="outcome-desirability"/>
          <display value="Outcome Desirability"/>
        </coding>
        <text value="Outcome Desirability"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">Undesirable</div>
      </text>
      <entry>🔗 
        <reference value="ArtifactAssessment/104196"/>
        <type value="ArtifactAssessment"/>
        <display
                 value="Outcome Importance Rating (default value 8) of Additional GI surgical procedure"/>
      </entry>
    </section>
    <section>
      <title value="Relative Importance"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="relative-importance"/>
          <display value="Relative Importance"/>
        </coding>
        <text value="Relative Importance"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">8</div>
      </text>
      <entry>🔗 
        <reference value="ArtifactAssessment/104196"/>
        <type value="ArtifactAssessment"/>
        <display
                 value="Outcome Importance Rating (default value 8) of Additional GI surgical procedure"/>
      </entry>
    </section>
    <section>
      <title value="Result Without Treatment"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="result-with-comparator-alone"/>
          <display value="Result with comparator alone"/>
        </coding>
      </code>
      <text>
        <status value="additional"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">15.5%</div>
      </text>
    </section>
    <section>
      <title value="Result With Treatment--Derived"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="result-with-intervention-alone-calculated"/>
          <display value="Result with intervention alone (calculated)"/>
        </coding>
        <text
              value="calculated value derived from the control group and effect estimate"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">31%</div>
      </text>
      <entry>
        <display
                 value="148 events in 956 participants (15.5%) in control group"/>
      </entry>
      <entry>🔗 
        <reference value="Evidence/104157"/>
        <type value="Evidence"/>
        <display
                 value="StudyOutcomeEvidence: Bypass surgery effects on Additional GI surgical procedure in JAMA 2018 Norwegian cohort study"/>
      </entry>
    </section>
    <section>
      <title value="Effect Estimate"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="result-with-intervention-vs-comparator"/>
          <display value="Result with intervention vs. comparator"/>
        </coding>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">15.5%</div>
      </text>
      <entry>🔗 
        <reference value="Evidence/104157"/>
        <type value="Evidence"/>
        <display
                 value="StudyOutcomeEvidence: Bypass surgery effects on Additional GI surgical procedure in JAMA 2018 Norwegian cohort study"/>
      </entry>
    </section>
    <section>
      <title value="Net Effect Contribution"/>
      <code>
        <coding>
          <system value="https://fevir.net/resources/CodeSystem/179423"/>
          <code value="net-effect-contribution"/>
          <display value="Net Effect Contribution"/>
        </coding>
        <text value="Net Effect Contribution"/>
      </code>
      <text>
        <status value="generated"/>
        <div xmlns ="http://www.w3.org/1999/xhtml">-1.24 (-1.74 to -0.87)</div>
      </text>
      <entry>🔗 
        <reference value="Evidence/179591"/>
        <type value="Evidence"/>
        <display
                 value="NetEffectContribution: Additional GI surgical procedure for Example for GIN 2022"/>
      </entry>
    </section>
  </section>
  <section>
    <title value="Net Effect Estimate"/>
    <code>
      <coding>
        <system value="https://fevir.net/resources/CodeSystem/179423"/>
        <code value="net-effect-estimate"/>
        <display value="Net Effect Estimate"/>
      </coding>
      <text value="Net Effect Point Estimate"/>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns ="http://www.w3.org/1999/xhtml">Net Effect Estimate = 3.55 (2.38 to 4.73)</div>
    </text>
    <entry>🔗 
      <reference value="Evidence/179583"/>
      <type value="Evidence"/>
      <display
               value="NetEffectEstimate: Bariatric Surgery Example for GIN 2022"/>
    </entry>
  </section>
</Composition>