Release 4B 5

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0: R5 - STU ). The This is the current published version which supercedes in it's permanent home (it will always be available at this version is 5.0.0 . URL). For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R5 R4B

Evidence-example-stroke-alteplase-fatalICH.json

Example Evidence/example-stroke-alteplase-fatalICH (JSON)

Clinical Decision Support Work Group Maturity Level : N/A Standards Status : Informative Compartments : Not linked to any No defined compartments

Raw JSON ( canonical form + also see JSON Format Specification )

Risk of fatal ICH with alteplase for stroke 

{
  "resourceType": "Evidence",
  "id": "example-stroke-alteplase-fatalICH",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n      <p>\n        &quot;Risk of fatal ICH with alteplase for stroke&quot; is a univariate risk estimate.\n      </p>\n\t</div>"

  "resourceType" : "Evidence",
  "id" : "example-stroke-alteplase-fatalICH",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n      \n      <p>\n        &quot;Risk of fatal ICH with alteplase for stroke&quot; is a univariate risk estimate.\n      </p>\n\t\n    </div>"

  },
  "url": "http://hl7.org/fhir/Evidence/example-stroke-alteplase-fatalICH",
  "title": "Risk of fatal ICH with alteplase for stroke",
  "status": "draft",
  "useContext": [
    {
      "code": {
        "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code": "focus"
      },
      "valueCodeableConcept": {
        "text": "Stroke"
      }
    },
    {
      "code": {
        "system": "http://snomed.info/sct",
        "code": "1386000",
        "display": "Intracranial hemorrhage"
      },
      "valueRange": {
        "low": {
          "value": 0,
          "unit": "d"
        },
        "high": {
          "value": 7,
          "unit": "d"
        }
      }

  "url" : "http://hl7.org/fhir/Evidence/example-stroke-alteplase-fatalICH",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.10.1"
  }],
  "name" : "RiskOfFatalICHWithAlteplaseForStroke",
  "title" : "Risk of fatal ICH with alteplase for stroke",
  "status" : "draft",
  "relatedArtifact" : [{
    "type" : "citation",
    "label" : "Emberson 2014",
    "display" : "Effect of treatment delay, age, and stroke severity on the effects of intravenous thrombolysis with alteplase for acute ischaemic stroke: a meta-analysis of individual patient data from randomised trials.",
    "citation" : "Emberson J, Lees KR, Lyden P, Blackwell L, Albers G, Bluhmki E, et al;Stroke Thrombolysis Trialists' Collaborative Group. Effect of treatment delay, age, and stroke severity on the effects of intravenous thrombolysis with alteplase for acute ischaemic stroke: a meta-analysis of individual patient data from randomised trials. Lancet 2014 Nov 29;384(9958):1929-35 PMID 25106063",
    "document" : {
      "url" : "https://doi.org/10.1016/S0140-6736(14)60584-5"

    }
  ],
  "relatedArtifact": [
    {
      "type": "citation",
      "label": "Emberson 2014",
      "display": "Effect of treatment delay, age, and stroke severity on the effects of intravenous thrombolysis with alteplase for acute ischaemic stroke: a meta-analysis of individual patient data from randomised trials.",
      "citation": "Emberson J, Lees KR, Lyden P, Blackwell L, Albers G, Bluhmki E, et al;Stroke Thrombolysis Trialists' Collaborative Group. Effect of treatment delay, age, and stroke severity on the effects of intravenous thrombolysis with alteplase for acute ischaemic stroke: a meta-analysis of individual patient data from randomised trials. Lancet 2014 Nov 29;384(9958):1929-35 PMID 25106063",
      "url": "https://doi.org/10.1016/S0140-6736(14)60584-5"

  }],
  "description" : "2.7% incidence of fatal intracranial hemorrhage within 7 days with alteplase in patients with acute ischemic stroke",
  "variableDefinition" : [{
    "variableRole" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/variable-role",
        "code" : "population",
        "display" : "population"
      }]
    },
    "observed" : {
      "reference" : "Group/AcuteIschemicStroke",
      "type" : "Group",
      "display" : "adults with acute ischemic stroke"
    },
    "intended" : {
      "reference" : "Group/AcuteIschemicStroke",
      "type" : "Group",
      "display" : "adults with acute ischemic stroke"

    }
  ],
  "description": "2.7% incidence of fatal intracranial hemorrhage within 7 days with alteplase in patients with acute ischemic stroke",
  "variableDefinition": [
    {
      "variableRole": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/variable-role",
            "code": "population",
            "display": "population"
          }
        ]
      },
      "observed": {
        "reference": "Group/AcuteIschemicStroke",
        "type": "Group",
        "display": "adults with acute ischemic stroke"
      },
      "intended": {
        "reference": "Group/AcuteIschemicStroke",
        "type": "Group",
        "display": "adults with acute ischemic stroke"
      }

  },
  {
    "variableRole" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/variable-role",
        "code" : "population",
        "display" : "population"
      }]

    },
    {
      "variableRole": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/variable-role",
            "code": "population",
            "display": "population"
          }
        ]
      },
      "observed": {
        "reference": "Group/Emberson-2014-IPD-MA-Alteplase-Cohort",
        "type": "Group",
        "display": "Emberson 2014 IPD-MA Alteplase Cohort"
      },
      "intended": {
        "reference": "Group/AcuteIschemicStrokeTreatedWithAlteplase",
        "type": "Group",
        "display": "adults with acute ischemic stroke treated with alteplase"
      }

    "observed" : {
      "reference" : "Group/Emberson-2014-IPD-MA-Alteplase-Cohort",
      "type" : "Group",
      "display" : "Emberson 2014 IPD-MA Alteplase Cohort"

    },
    {
      "variableRole": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/variable-role",
            "code": "measuredVariable",
            "display": "measured variable"
          }
        ]
      },
      "observed": {
        "reference": "EvidenceVariable/example-fatal-ICH-in-7-days",
        "type": "EvidenceVariable",
        "display": "fatal ICH"
      },
      "intended": {
        "reference": "EvidenceVariable/example-fatal-ICH-in-7-days",
        "type": "EvidenceVariable",
        "display": "fatal ICH"
      }

    "intended" : {
      "reference" : "Group/AcuteIschemicStrokeTreatedWithAlteplase",
      "type" : "Group",
      "display" : "adults with acute ischemic stroke treated with alteplase"

    }
  ],
  "synthesisType": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/synthesis-type",
        "code": "IPD-MA",
        "display": "individual patient data meta-analysis"
      }
    ]

  },
  "studyType": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/study-type",
        "code": "RCT",
        "display": "randomized trial"
      }
    ]

  {
    "variableRole" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/variable-role",
        "code" : "measuredVariable",
        "display" : "measured variable"
      }]
    },
    "observed" : {
      "reference" : "EvidenceVariable/example-fatal-ICH-in-7-days",
      "type" : "EvidenceVariable",
      "display" : "fatal ICH"
    },
    "intended" : {
      "reference" : "EvidenceVariable/example-fatal-ICH-in-7-days",
      "type" : "EvidenceVariable",
      "display" : "fatal ICH"
    }
  }],
  "synthesisType" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/synthesis-type",
      "code" : "IPD-MA",
      "display" : "individual patient data meta-analysis"
    }]

  },
  "statistic": [
    {
      "statisticType": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/statistic-type",
            "code": "C44256",
            "display": "Proportion"
          }
        ]
      },
      "quantity": {
        "value": 0.026835741669
      },
      "numberOfEvents": 91,
      "sampleSize": {
        "numberOfStudies": 9,
        "numberOfParticipants": 3391
      }

  "studyDesign" : [{
    "coding" : [{
      "system" : "http://hl7.org/fhir/study-design",
      "code" : "SEVCO:01003",
      "display" : "randomized assignment"
    }]
  }],
  "statistic" : [{
    "statisticType" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/statistic-type",
        "code" : "C44256",
        "display" : "Proportion"
      }]
    },
    "quantity" : {
      "value" : 0.026835741669
    },
    "numberOfEvents" : 91,
    "sampleSize" : {
      "numberOfStudies" : 9,
      "numberOfParticipants" : 3391

    }
  ]

  }]

}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.