Evidence Based Medicine on FHIR Implementation Guide
1.0.0-ballot - ballot
Evidence Based Medicine on FHIR Implementation Guide
1.0.0-ballot - ballot
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
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Composition</b><a name=\"178426\"> </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 "178426" Version "52" Updated "2023-12-06 16:25:43+0000" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-comparative-evidence-report.html\">ComparativeEvidenceReport</a></p></div><p><b>Artifact Description</b>: This example of a ComparativeEvidenceReport Profile shows a report from a single observational study with 2 baseline measures, 2 participant flow measures, and 4 outcome measures.</p><p><b>url</b>: <a href=\"https://fevir.net/resources/Composition/178426\">https://fevir.net/resources/Composition/178426</a></p><p><b>identifier</b>: FEvIR Object Identifier:\u00a0178426</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>: Comparative Evidence Report <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>#ComparativeEvidenceReport "ComparativeEvidenceReport")</span></p><p><b>date</b>: 2023-12-06 16:25:43+0000</p><p><b>author</b>: </p><ul><li><span>: Brian S. Alper</span></li><li><span>: Khalid Shahin</span></li><li><span>: Joanne Dehnbostel</span></li></ul><p><b>title</b>: ComparativeEvidenceReport: Association of Bariatric Surgery vs Medical Obesity Treatment With Long-term Medical Complications and Obesity-Related Comorbidities (2018 Norwegian Cohort)</p><p><b>custodian</b>: <a href=\"Organization-118079.html\">Organization/118079: Computable Publishing LLC</a> "Computable_Publishing_LLC"</p><h3>RelatesTos</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Citation</b></td><td><b>ResourceReference</b></td></tr><tr><td style=\"display: none\">*</td><td>cite-as</td><td>ComparativeEvidenceReport: Association of Bariatric Surgery vs Medical Obesity Treatment With Long-term Medical Complications and Obesity-Related Comorbidities (2018 Norwegian Cohort) [Composition]. Contributors: Brian S. Alper, Khalid Shahin, Joanne Dehnbostel [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 178426. Revised 2023-12-04. Available at: https://fevir.net/resources/Composition/178426. Computable resource at: https://fevir.net/resources/Composition/178426.</td><td> </td></tr><tr><td style=\"display: none\">*</td><td>derived-from</td><td> </td><td><a href=\"Citation-104116.html\">Citation/104116: JournalArticleCitation: Association of Bariatric Surgery with Complications and Comorbidities JAMA 2018 Norwegian Cohort</a></td></tr></table></div>"
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}
}
]
}
]
},
{
"title" : "Outcomes",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "outcome-measures",
"display" : "Outcome Measures"
}
],
"text" : "Outcomes"
},
"section" : [
{
"title" : "Remission of diabetes",
"focus" : {
🔗 "reference" : "EvidenceVariable/104117",
"type" : "EvidenceVariable",
"display" : "OutcomeVariable: Remission of diabetes"
},
"section" : [
{
"title" : "Outcome with comparator alone",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-comparator-alone",
"display" : "Evidence with comparator alone"
}
],
"text" : "Outcome with comparator alone"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">Risk of Remission of diabetes in control group was 14.8%.</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104396",
"type" : "Evidence",
"display" : "ComparatorOnlyEvidence: Remission of diabetes without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"
}
]
},
{
"title" : "Outcome with intervention alone",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-alone",
"display" : "Evidence with intervention alone"
}
],
"text" : "Outcome with intervention alone"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">Risk of Remission of diabetes in intervention group was 57.5%.</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104401",
"type" : "Evidence",
"display" : "InterventionOnlyEvidence: Remission of diabetes with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study"
}
]
},
{
"title" : "Outcome with intervention vs. comparator",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-vs-comparator",
"display" : "Evidence with intervention vs. comparator"
}
],
"text" : "Outcome with intervention vs. comparator"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">greater likelihood of diabetes remission: AR, 57.5% vs 14.8%; RD, 42.7% [95% CI, 35.8%-49.7%], RR, 3.9 [95% CI, 2.8-5.4]\n<br/>\nCompared with specialized medical treatment, bariatric surgery appears to induce remission of diabetes.</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104121",
"type" : "Evidence",
"display" : "ComparativeEvidence: Bypass surgery effects on Remission of diabetes in JAMA 2018 Norwegian cohort study"
}
]
}
]
},
{
"title" : "New onset depression",
"focus" : {
🔗 "reference" : "EvidenceVariable/104118",
"type" : "EvidenceVariable",
"display" : "OutcomeVariable: New onset depression"
},
"section" : [
{
"title" : "Outcome with comparator alone",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-comparator-alone",
"display" : "Evidence with comparator alone"
}
],
"text" : "Outcome with comparator alone"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">Risk of New onset depression in control group was 6.5%.</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104395",
"type" : "Evidence",
"display" : "ComparatorOnlyEvidence: New onset depression without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"
}
]
},
{
"title" : "Outcome with intervention alone",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-alone",
"display" : "Evidence with intervention alone"
}
],
"text" : "Outcome with intervention alone"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">Risk of New onset depression in intervention group was 8.9%.</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104400",
"type" : "Evidence",
"display" : "InterventionOnlyEvidence: New onset depression with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study"
}
]
},
{
"title" : "Outcome with intervention vs. comparator",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-vs-comparator",
"display" : "Evidence with intervention vs. comparator"
}
],
"text" : "Outcome with intervention vs. comparator"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">greater risk of new-onset depression: AR, 8.9% vs 6.5%; RD, 2.4% [95% CI, 1.3%-3.5%], RR, 1.5 [95% CI, 1.4-1.7]\n<br/>\nCompared with specialized medical treatment, bariatric surgery may slightly increase the incidence of depression.</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104155",
"type" : "Evidence",
"display" : "ComparativeEvidence: Bypass surgery effects on New onset depression in JAMA 2018 Norwegian cohort study"
}
]
}
]
},
{
"title" : "Treatment with opioids",
"focus" : {
🔗 "reference" : "EvidenceVariable/104119",
"type" : "EvidenceVariable",
"display" : "OutcomeVariable: Treatment with opioids"
},
"section" : [
{
"title" : "Outcome with comparator alone",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-comparator-alone",
"display" : "Evidence with comparator alone"
}
],
"text" : "Outcome with comparator alone"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">Risk of Treatment with opioids in control group was 15.8%.</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104394",
"type" : "Evidence",
"display" : "ComparatorOnlyEvidence: Treatment with opioids without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"
}
]
},
{
"title" : "Outcome with intervention alone",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-alone",
"display" : "Evidence with intervention alone"
}
],
"text" : "Outcome with intervention alone"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">Risk of Treatment with opioids in intervention group was 19.4%.</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104402",
"type" : "Evidence",
"display" : "InterventionOnlyEvidence: Treatment with opioids with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study"
}
]
},
{
"title" : "Outcome with intervention vs. comparator",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-vs-comparator",
"display" : "Evidence with intervention vs. comparator"
}
],
"text" : "Outcome with intervention vs. comparator"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">greater risk of treatment with opioids: AR, 19.4% vs 15.8%, RD, 3.6% [95% CI, 2.3%-4.9%], RR, 1.3 [95% CI, 1.2-1.4]\n<br/>\nCompared with specialized medical treatment, bariatric surgery may slightly increase the use of opioids.</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104156",
"type" : "Evidence",
"display" : "ComparativeEvidence: Bypass surgery effects on Treatment with opioids in JAMA 2018 Norwegian cohort study"
}
]
}
]
},
{
"title" : "Additional GI surgical procedure",
"focus" : {
🔗 "reference" : "EvidenceVariable/104120",
"type" : "EvidenceVariable",
"display" : "OutcomeVariable: Additional GI surgical procedure"
},
"section" : [
{
"title" : "Outcome with comparator alone",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-comparator-alone",
"display" : "Evidence with comparator alone"
}
],
"text" : "Outcome with comparator alone"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">Risk of additional GI surgical procedure in control group was 15.5%.</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104385",
"type" : "Evidence",
"display" : "ComparatorOnlyEvidence: Additional GI surgical procedure without bariatric surgery (Control Group) in JAMA 2018 Norwegian cohort study"
}
]
},
{
"title" : "Outcome with intervention alone",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-alone",
"display" : "Evidence with intervention alone"
}
],
"text" : "Outcome with intervention alone"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">Risk of additional GI surgical procedure in intervention group was 31.3%. 292 out of 932 observed with percentage of: 31.3%</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104398",
"type" : "Evidence",
"display" : "InterventionOnlyEvidence: Additional GI surgical procedure with bariatric surgery (Intervention Group) in JAMA 2018 Norwegian cohort study"
}
]
},
{
"title" : "Outcome with intervention vs. comparator",
"code" : {
"coding" : [
{
"system" : "https://fevir.net/resources/CodeSystem/179423",
"code" : "evidence-with-intervention-vs-comparator",
"display" : "Evidence with intervention vs. comparator"
}
],
"text" : "Outcome with intervention vs. comparator"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns =\"http://www.w3.org/1999/xhtml\">Surgical patients had a greater risk for undergoing at least 1 additional gastrointestinal surgical procedure (AR, 31.3% vs 15.5%; RD, 15.8% [95% CI, 13.1%-18.5%]; RR, 2.0 [95% CI, 1.7-2.4]).\n<br/>\nCompared with specialized medical treatment, bariatric surgery appears to increase the rate of additional gastrointestinal surgical procedures.</div>"
},
"entry" : [
{
🔗 "reference" : "Evidence/104157",
"type" : "Evidence",
"display" : "ComparativeEvidence: Bypass surgery effects on Additional GI surgical procedure in JAMA 2018 Norwegian cohort study"
}
]
}
]
}
]
}
]
}
IG © 2022+ HL7 International / Clinical Decision Support. Package hl7.fhir.uv.ebm#1.0.0-ballot based on FHIR 5.0.0. Generated 2023-12-17
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