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FHIR IG analytics

Packagehl7.fhir.uv.ebm
Resource TypeEvidence
IdEvidence-179587.json
FHIR VersionR6

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Evidence 179587

version: 13; Last updated: 2026-01-07 11:26:17+0000; Language: en

Profile: NetEffectContribution

url: https://fevir.net/resources/Evidence/179587

identifier: FEvIR Object Identifier/179587

name: NetEffectContribution_for_ComparativeEvidence_Bypass_surgery_effects_on_Myocardial_infarction_or_stroke_in_Swedish_Obese_Subjects_SOS_study

title: NetEffectContribution for ComparativeEvidence: Bypass surgery effects on Myocardial infarction or stroke in Swedish Obese Subjects (SOS) study

citeAs:

NetEffectContribution for ComparativeEvidence: Bypass surgery effects on Myocardial infarction or stroke in Swedish Obese Subjects (SOS) study [Database Entry: FHIR Evidence Resource]. Contributors: Computable Publishing: Net Effect Generator, Brian S. Alper, MD, MSPH [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 179587. Revised 2026-01-07. Available at: https://fevir.net/resources/Evidence/179587. Computable resource at: https://fevir.net/resources/Evidence/179587#json.

status: Active

author: Computable Publishing: Net Effect Generator: , Brian S. Alper, MD, MSPH:

publisher: Computable Publishing LLC

contact: support@computablepublishing.com

copyright:

https://creativecommons.org/licenses/by-nc-sa/4.0/

description:

This Evidence Resource is referenced in an example for the EBMonFHIR Implementation Guide.

variableDefinition

description:

Inclusion criteria were age 37 to 60 years and a body mass index of at least 34 in men and at least 38 in women. All in Sweden.

variableRole: Population

variableDefinition

description:

bariatric surgery vs. usual care without bariatric surgery

variableRole: Exposure

comparatorCategory: no bariatric surgery

intended: GroupAssignment: Bariatric Surgery vs. no bariatric surgery

variableDefinition

description:

nonfatal myocardial infarction or stroke

variableRole: Outcome

observed: OutcomeVariable: Nonfatal myocardial infarction or stroke

variableDefinition

RelativeOutcomeImportance: Outcome Importance Rating of DichotomousIntendedOutcome: Nonfatal myocardial infarction or stroke for StudyEligibilityCriteria: Eligibility Criteria for Bariatric Surgery Randomized Trial (Diabetes Surgery Study)

variableRole: Covariate

roleSubtype: Relative Value Multiplier

observed: Relative Importance Multiplier

statistic

statisticType: risk difference

quantity: 151.8

AttributeEstimates

-TypeLevelRange
*confidence interval0.9578.2-211.6

ModelCharacteristics

-Code
*Net effect contribution analysis

Source1

{
  "resourceType": "Evidence",
  "id": "179587",
  "meta": {
    "versionId": "13",
    "lastUpdated": "2026-01-07T11:26:17.820Z",
    "profile": [
      "http://hl7.org/fhir/uv/ebm/StructureDefinition/net-effect-contribution"
    ]
  },
  "language": "en",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://fevir.net/resources/Evidence/179587",
  "identifier": [
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "ACSN",
            "display": "Accession ID"
          }
        ],
        "text": "FEvIR Object Identifier"
      },
      "system": "https://fevir.net/FOI",
      "value": "179587",
      "assigner": {
        "display": "Computable Publishing LLC"
      }
    }
  ],
  "name": "NetEffectContribution_for_ComparativeEvidence_Bypass_surgery_effects_on_Myocardial_infarction_or_stroke_in_Swedish_Obese_Subjects_SOS_study",
  "title": "NetEffectContribution for ComparativeEvidence: Bypass surgery effects on Myocardial infarction or stroke in Swedish Obese Subjects (SOS) study",
  "citeAs": "NetEffectContribution for ComparativeEvidence: Bypass surgery effects on Myocardial infarction or stroke in Swedish Obese Subjects (SOS) study [Database Entry: FHIR Evidence Resource]. Contributors: Computable Publishing: Net Effect Generator, Brian S. Alper, MD, MSPH [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 179587. Revised 2026-01-07. Available at: https://fevir.net/resources/Evidence/179587. Computable resource at: https://fevir.net/resources/Evidence/179587#json.",
  "status": "active",
  "author": [
    {
      "name": "Computable Publishing: Net Effect Generator"
    },
    {
      "name": "Brian S. Alper, MD, MSPH"
    }
  ],
  "publisher": "Computable Publishing LLC",
  "contact": [
    {
      "telecom": [
        {
          "system": "email",
          "value": "support@computablepublishing.com"
        }
      ]
    }
  ],
  "copyright": "https://creativecommons.org/licenses/by-nc-sa/4.0/",
  "description": "This Evidence Resource is referenced in an example for the EBMonFHIR Implementation Guide.",
  "variableDefinition": [
    {
      "description": "Inclusion criteria were age 37 to 60 years and a body mass index of at least 34 in men and at least 38 in women.  All in Sweden.",
      "variableRole": "population"
    },
    {
      "description": "bariatric surgery vs. usual care without bariatric surgery",
      "variableRole": "exposure",
      "comparatorCategory": "no bariatric surgery",
      "intended": {
        "reference": "EvidenceVariable/172427",
        "type": "EvidenceVariable",
        "display": "GroupAssignment: Bariatric Surgery vs. no bariatric surgery"
      }
    },
    {
      "description": "nonfatal myocardial infarction or stroke",
      "variableRole": "outcome",
      "observed": {
        "reference": "EvidenceVariable/104097",
        "type": "EvidenceVariable",
        "display": "OutcomeVariable: Nonfatal myocardial infarction or stroke"
      }
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/ebm/StructureDefinition/relative-outcome-importance",
          "valueReference": {
            "reference": "ArtifactAssessment/423310",
            "type": "ArtifactAssessment",
            "display": "Outcome Importance Rating of DichotomousIntendedOutcome: Nonfatal myocardial infarction or stroke  for StudyEligibilityCriteria: Eligibility Criteria for Bariatric Surgery Randomized Trial (Diabetes Surgery Study)"
          }
        }
      ],
      "variableRole": "covariate",
      "roleSubtype": {
        "text": "Relative Value Multiplier"
      },
      "observed": {
        "display": "Relative Importance Multiplier"
      }
    }
  ],
  "statistic": [
    {
      "statisticType": {
        "coding": [
          {
            "system": "https://fevir.net/sevco",
            "code": "STATO:0000424",
            "display": "risk difference"
          }
        ]
      },
      "quantity": {
        "value": 151.8
      },
      "attributeEstimate": [
        {
          "type": {
            "coding": [
              {
                "system": "https://fevir.net/sevco",
                "code": "STATO:0000196",
                "display": "confidence interval"
              }
            ]
          },
          "level": 0.95,
          "range": {
            "low": {
              "value": 78.2
            },
            "high": {
              "value": 211.6
            }
          }
        }
      ],
      "modelCharacteristic": [
        {
          "code": {
            "text": "Net effect contribution analysis"
          }
        }
      ]
    }
  ]
}