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• 8 am Eastern: GRADE Vocabulary Working Group – Continue GRADE Vocabulary Development Methods Protocol
• 9 am Eastern: Risk of Bias Terminology and Tooling Working Group – continue review and addition of terms and definitions to the Scientific Evidence Code System; attention to Reporting Bias terms
• 10 am Eastern: Communications Working Group – review progress on publications, presentations, and website
• 12 pm Eastern: Eligibility Criteria Working Group – review of Characteristic Resource and Cohort Definition Track for May Connectathon

Knowledge Ecosystem Liaison Working Group Updates:

We have collaborated with several other organizations. Active and pending coordination efforts include:

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On March 10, the Communications Working Group updated the Clinical Reasoning Module - Evidence and Statistics page in the FHIR specification for R5 to cover the full set of Resource developments and link to the EBMonFHIR project page.

On March 17, the Communications Working Group updated the HEvKA 2022 Achievements and 2023 Plans with Notes as a high-level summary to be included in the HL7 Annual Review, and submitted a Panel Presentation and Systems Demo for the American Medical Informatics Association (AMIA) Annual Meeting.

Scientific Evidence Code System (SEVCO) Updates

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This group is defining terms for > 200 types of bias based on a dozen commonly used risk of bias assessment tools. In doing so, ‘Risk of Bias Tooling’ was developed resulting in the Computable Publishing®: Risk of Bias Assessment Tool (RoBAT) and Computable Publishing®: Risk of Bias Assessment Reader (RoBAR), which was further enhanced by Risk of Bias Assessment Tool (RoBAT) Usability Research (RoBATUR) and this was presented at the Ninth International Congress on Peer Review and Scientific Publication September 8-10, 2022 as Development and Pilot Test of Risk of Bias Assessment Tool for Use in Peer Review.  Current efforts are related to defining types of Reporting Bias and 3 terms open for vote are:

To participate you can join the Scientific Evidence Code System Expert Working Group at https://fevir.net/resources/Project/27845.

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On March 10, the Risk of Bias Terminology and Tooling Working Group found 2 terms approved (Reported analysis not following pre-specified analysis plan, Confirmation bias in reporting), and drafted 3 terms within Reporting Bias (Inadequate Reporting Bias, Inadequate reporting of methods, Inadequate explanation of participant withdrawals), and drafted 3 terms within Reporting Bias (Inadequate Reporting Bias, Inadequate reporting of methods, Inadequate explanation of participant withdrawals.

On March 17, the Risk of Bias Terminology and Tooling Working Group removed one proposed term from the terminology (Inadequate Reporting Bias) as SEVCO Expert Working Group feedback highlighted that it was duplicative with “Selective Reporting Bias” and “Inadequate reporting of methods” and confusing to have a separate overlapping term. We drafted 1 additional term (Pre-final publication reporting bias).

Standards Development Updates

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On March 10, the Eligibility Criteria Working Group added a CharacteristicDefinition Extension and CohortDefinition Profile to the Evidence Based Medicine Implementation Guide. We then developed CohortDefinition instances for two of our working examples: R6 StudyEligibilityCriteria: Acute Coronary Syndrome treated with oral antiplatelets and R6 StudyEligibilityCriteria: Eligibility Criteria for Bariatric Surgery Randomized Trial (Diabetes Surgery Study).

On March 17, the Eligibility Criteria Working Group reviewed the following with multiple participants of the Vulcan FHIR Accelerator Schedule of Activities Project:

• HEvKA 2022 Achievements and 2023 Plans
• EvidenceVariable Resource StructureDefinition
• example with StudyEligibilityCriteria: Eligibility Criteria for Bariatric Surgery Randomized Trial (Diabetes Surgery Study)
• proposed Characteristic Resource StructureDefinition, modeled to be accessed from CharacteristicDefinition Extension and CohortDefinition Profile in the Evidence Based Medicine Implementation Guide
• Vulcan Real World Data IG example in Characteristic Resource form with Acute Coronary Syndrome treated with oral antiplatelets

GRADE Vocabulary Working Group Updates:

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On March 10, the GRADE Vocabulary Working Group discussed the objectives of 'Developing a structured vocabulary for GRADE: a GRADE concept paper' to be drafted by May 10 for presentation at the GRADE Working Group meeting in Split, Croatia in May. The concept paper should include an explanation of what a structured vocabulary is, the benefits of a structured vocabulary, how (in general terms) we expect to develop a structured vocabulary, and examples of a structured representation of a GRADE vocabulary term.

On March 17, the GRADE Vocabulary Working Group drafted the outline and key concepts for 'Developing a structured vocabulary for GRADE: a GRADE concept paper'.

Platform Development Updates

• The Fast Evidence Interoperability Resources (FEvIR) Platform is set up to support a hub for data exchange using the HL7® FHIR® standard. (FHIR is the registered trademark of Health Level Seven International (HL7) and the use does not constitute endorsement by HL7.)
  • The FEvIR Platform is available for use now, but is “pre-release”.  The current version is 0.117.0 1 (March 1617, 2023). Viewing resources is open without login.  Signing in is free and required to create content (which can then only be edited by the person who created the content).
• Release notes can be found at https://fevir.net/resources/Project/29394.
• Release 0.111.0 (March 6, 2023) supports data entry for Reference datatype to start collapsed with a display of the current data and "Edit the [field label] Data" to click to open the data entry interface, and supports deleting individual instances within arrays in the data entry interface.
• Release 0.112.0 (March 7, 2023) supports startCollapsed mode for most Datatype-specific data entry forms (displaying the current data value and expanding upon user click to open the data entry form); applies the startCollapsed mode to multiple Metadata elements (MetadataResource interface elements), including identifier, contact, useContext, jurisdiction, effectivePeriod, topic, author, editor, reviewer, endorser, and relatedArtifact; and applies the startCollapsed mode within selected compound datatypes, including Identifier.type, Identifier.period, Identifier.assigner, ContactDetail.telecom, ContactPoint.period, Address.period, HumanName.period, RelatedArtifact.document, and RelatedArtifact.resourceReference.
• Release 0.113.0 (March 8, 2023) moves some backend code to an additional server to use Go for better performance.
• Release 0.113.1 (March 13, 2023) adds line wrapping to the display of data using Expression datatype.
• Release 0.114.0 (March 14, 2023) applies the startCollapsed mode to Identifier data entry within Reference-specific data entry, adds spacing between contributor names in the auto-generated "How to Cite" citation summaries for FEvIR Platform resources, and adds "Update the Resource to refresh How to Cite information if the content has changed." in the How to Cite section in Builder tools.
• Release 0.115.0 (March 15, 2023) changes the "Add Resource JSON" button on the FEvIR Start Page to a "Create New Resource" button; supports human-friendly data entry for a resource title, selection of a resource type, and optional selection of a profile type (for selected resource types); and upon clicking the "Submit" button creates a new Resource on the FEvIR Platform with the user entering the Resource-specific/Profile-specific Builder tool.
• Release 0.116.0 (March 15, 2023) displays helper text with Resource and Profile choices in the data entry form for "Create New Resource" and revises some backend platform functions to improve performance.
• Release 0.117.0 (March 16, 2023) reorganizes the buttons to access tools on the FEvIR Start Page and adds organizing labels (Builder Tools, Converter Tools, Specialized Tools), revises the Active HEvKA Projects list on the FEvIR Start Page, and provides a link on the FEvIR Start Page to View All Projects.
• Release 0.117.1 (March 17, 2023) corrects the "Create New Resource" tool to use the CohortDefinition Profile as an option when EvidenceVariable Resource is selected.

• FEvIR™ API Release 0.1.0 (December 21, 2022) supports 2 interactions:
• 1 -- a GET request with input of a single FEvIR Object Identifier (FOI) and an authentication token and response of the selected Resource as a JSON object.
• 2 -- a GET request with input of a single ClinicalTrials.gov record identifier (NCTId) and an authentication token and response of the ClinicalTrials.gov record data as a FHIR Bundle Resource.

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• • FEvIR™: ActivityDefinition Builder/Viewer version 0.17.0 (March 13, 2023) creates and displays an ActivityDefinition Resource.
    • Release 0.16.1 (March 8, 2023) changes the order of listing of How to Cite, Metadata, and Classifiers in the Navigation menu.
    • Release 0.17.0 (March 13, 2023) removes the needs for double updating to update How to Cite data upon resource updating.
  • FEvIR™: Adaptation Builder/Viewer version 0.19.0 (March 13, 2023) creates and displays an ArtifactAssessment Resource with an Adaptation Profile.
    • Release 0.18.0 (March 6, 2023) supports revising data elements that are arrays of string datatype, supports deletion of any element, supports deletion of instances within an array of elements, displays DELETEME in the Adaptation Builder text view for any elements with accepted deletions, corrects the display of suggested change to ContactDetail datatype in the Adaptation Detail view, provides a 'Submit New (Adapted) Resource' button that creates a new Resource on the FEvIR Platform, and provides a 'Update Existing Resource with Changes' button that updates the original Resource on the FEvIR Platform.
    • Release 0.19.0 (March 13, 2023) adds automatic creation of a related artifact element with a citation for the resource upon resource updating.
  • FEvIR™: Characteristic Builder/Viewer version 0.34.0 (March 1317, 2023) creates and displays a Characteristic Resource.
    • Release 0.2.0 (February 28, 2023) provides a tabular display of component characteristics in Text View of Characteristic Viewer for a Characteristic Resource with definitionByCombination.
    • Release 0.2.1 (March 8, 2023) changes the order of listing of How to Cite, Metadata, and Classifiers in the Navigation menu.
    • Release 0.3.0 (March 13, 2023) removes the needs for double updating to update How to Cite data upon resource updating, and improves the vertical spacing between items in the Description column of tables.
    • Release 0.4.0 (March 17, 2023) replaces the expression 0..* element with and executableExpression 0..* BackboneElement (classifier 0..* CodeableConcept, expression 1..1 Expression) to support metadata exchange associated with Expression data exchange.
  • FEvIR™: Citation Builder/Viewer version 1.17.0 (March 14, 2023) creates and displays a Citation Resource.
    • Release 1.17.0 (March 14, 2023) adds JSON Outline to the Navigation menu and enables editing and display of Citation Metadata for date, purpose, copyright, effectivePeriod, relatedArtifact, and note elements for the Citation Resource.
  • FEvIR™: Classification Builder/Viewer version 0.3.0 (March 13, 2023) creates and displays an ArtifactAssessment Resource with a Classification Profile.
    • Release 0.3.0 (March 13, 2023) removes the needs for double updating to update How to Cite data upon resource updating.
  • FEvIR™: CodeableConcept Element Builder version 0.6.2 (April 13, 2022) creates FHIR JSON for a CodeableConcept datatype.
  • FEvIR™: CodeSystem Builder/Viewer version 0.33.0 (March 10, 2023) creates and displays code system terms (concepts) in a CodeSystem Resource.
    • Release 0.33.0 (March 10, 2023) adds How to Cite, Metadata, Classifiers, and JSON Outline sections to the Navigation Menu, adds the automatic How-to-Cite generation to the CodeSystem Builder, and supports the metadata pattern editing and viewing features.
  • FEvIR™: Comment Builder/Viewer version 0.3.0 (March 13, 2023) creates and displays an ArtifactAssessment Resource with a Comment Profile.
    • Release 0.3.0 (March 13, 2023) removes the needs for double updating to update How to Cite data upon resource updating.
  • FEvIR™: Composition Viewer version 0.5.0 (September 20, 2022) displays a Composition Resource.
  • FEvIR™: Evidence Builder/Viewer version 0.25.0 (March 13, 2023) creates and displays an Evidence Resource.
    • Release 0.24.0 (March 8, 2023) reorganizes the Navigation Menu for the Evidence Viewer and adds How to Cite, Metadata, and Classifiers sections; and provides a fully functioning Evidence Builder in the Text View, including use of SEVCO terms for Evidence.studyDesign, Evidence.statistic.statisticType, and Evidence.statistic.attributeEstimate.type elements.
    • Release 0.25.0 (March 13, 2023) removes the needs for double updating to update How to Cite data upon resource updating.
  • FEvIR™: Evidence Report Viewer version 0.8.4 (December 23, 2021) displays an Evidence Report Resource.
  • FEvIR™: EvidenceVariable Builder/Viewer version 0.20.0 1 (March 917, 2023) displays an EvidenceVariable Resource.
    • Release 0.19.0 (March 9, 2023) supports special handling of a CharacteristicDefinition Profile of EvidenceVariable Resource. The CharacteristicDefinition Profile of EvidenceVariable Resource includes a characteristicDefinition 0..1 Reference(Characteristic) element instead of characteristic 0..* BackboneElement, with the complex modeling of characteristics moved to a proposed Characteristic Resource. When this profile is applied, the EvidenceVariable Viewer becomes a CharacteristicDefinition Viewer and the EvidenceVariable Builder becomes a CharacteristicDefinition Builder. The new Builder and Viewer tools use the Navigation menu of Summary, Characteristics, Handling, How to Cite, Metadata, Classifiers, and JSON Outline, and the metadata pattern editing and viewing features.
    • Release 0.20.0 (March 13, 2023) removes the needs for double updating to update How to Cite data upon resource updating with the CharacteristicDefinition Builder, and adds automatic creation of a related artifact element with a citation for the resource upon resource updating with the EvidenceVariable Builder.
    • Release 0.20.1 (March 17, 2023) corrects the "CharacteristicDefinition Builder" to become a CohortDefinition Builder and use the CohortDefinition Profile of EvidenceVariable Resource.
  • FEvIR™: Group (Population/Sample) Builder/Viewer version 0.14.0 (May 26, 2022) creates and displays a Group Resource.
  • FEvIR™: PlanDefinition Builder/Viewer version 0.1.0 (March 13, 2023) creates and displays a PlanDefinition Resource.
    • Release 0.1.0 (March 13, 2023) introduces FEvIR™: PlanDefinition Builder/Viewer to provide a human-friendly summary of a PlanDefinition Resource. The initial Builder supports editing metadata elements in the Text View.
  • FEvIR™: Project Builder/Viewer version 0.42.0 (March 13, 2023) creates and displays a “Project” Resource (which is not a FHIR Resource).
    • Release 0.42.0 (March 13, 2023) adds automatic creation of a related artifact element with a citation for the resource upon resource updating.
  • FEvIR™: Questionnaire Viewer version 0.4.0 (November 16, 2022) displays a Questionnaire Resource.
  • FEvIR™: QuestionnaireResponse Builder version 0.3.1 (February 28, 2022) creates a QuestionnaireResponse Resource. The tool displays the Questionnaire based on the Questionnaire Resource (FHIR JSON) with a human-friendly interactive form for data entry.
  • FEvIR™: Rating Builder/Viewer version 0.3.0 (March 13, 2023) creates and displays an ArtifactAssessment Resource with a Rating Profile.
    • Release 0.1.0 (March 2, 2023) introduces FEvIR™: Rating Builder/Viewer to produce and view a human-friendly summary of a rating (as quantitative rating, classifiers, or set of ratings) of a Resource.
    • Release 0.2.0 (March 3, 2023) adds a Preset drop-down menu for Type of Rating data entry with options of Desirability, Relative Importance, Cost, and Cost-effectiveness; and, if Desirability is selected for the Type of Rating coding, adds a Preset drop-down menu for Classifier Value data entry with options of Desirable and Undesirable.
    • Release 0.3.0 (March 13, 2023) removes the needs for double updating to update How to Cite data upon resource updating.
  • FEvIR™: Recommendation Justification Builder/Viewer version 0.19.0 (March 13, 2023) creates and displays a RecommendationJustification Profile of an ArtifactAssessment Resource.
    • Release 0.19.0 (March 13, 2023) adds automatic creation of a related artifact element with a citation for the resource upon resource updating.
  • Computable Publishing®: Recommendation Viewer version 0.9.0 (January 3, 2022) displays a Recommendation Resource. The ‘Recommendation Resource’ is an earlier prototype.
  • FEvIR™: Research Study Viewer version 0.3.0 (February 28, 2023) displays a ResearchStudy Resource.
    • Release 0.3.0 (February 28, 2023) sets the expand/collapse features for the JSON Outline in Text View to start in expanded mode.
  • FEvIR™: Resource Viewer version 0.7.1 (November 7, 2022) displays a Text View of JSON in outline form without the JSON format to any Resource on the FEvIR Platform without a specialized Viewer.
  • Computable Publishing®: SchemaElement Builder/Viewer version 0.4.0 (June 28, 2022) creates and displays a SchemaElement Resource. The ‘SchemaElement Resource’ is a prototype developed to support the Common Metadata Framework project and is not planned for development as a FHIR Resource.
  • FEvIR™: SoftwareScript Builder/Viewer version 0.7.0 (March 13, 2023)  creates and displays a SoftwareScript Resource (a method of sharing code scripts).
    • Release 0.6.2 (March 8, 2023) changes the order of listing of How to Cite, Metadata, and Classifiers in the Navigation menu.
    • Release 0.7.0 (March 13, 2023) removes the needs for double updating to update How to Cite data upon resource updating.
  • FEvIR™: ValueSet Builder/Viewer version 0.7.0 (March 10, 2023) creates and displays a ValueSet Resource.
    • Release 0.7.0 (March 10, 2023) adds How to Cite, Metadata, Classifiers, and JSON Outline sections to the Navigation Menu, adds the automatic How-to-Cite generation to the CodeSystem Builder, and supports the metadata pattern editing and viewing features.

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• "The start is what stops most people" –Don Shula

• "Be the change you wish to see in the world." --Mahatma Ghandi

• "It takes a lot of courage to show your dreams to someone else" --Erma Bombeck

• "The happiest people don't have the best of everything … they just make the best of everything they have." --Anonymous

• "Never iron a four-leaf clover. You do not want to press your luck." --Anonymous

Monthly Participation:

• For January 2023 – 37 people (AI, AS, AYL, BA, BK, BM, CE, ES, GL, GV, HL, IK, IR, JD, JJ, JL, JM, JO, JT, JV, KOB, KP, KR, KS, KW, MA, MD, MH, MT, NA, NO, PW, RC, RL, SS, YG, YW) from 8 countries (Canada, Costa Rica, Finland, Germany, India, Taiwan, UK, USA) participated in up to 56 active working group meetings.

• For February 2023 – 31 people (AI, BA, BM, CE, CS, GHM, GL, GV, HL, IK, IR, JD, JJ, JO, JR, JT, KOB, KP, KR, KS, KW, MA, MH, MT, NO, PR-S, PW, RC, RL, SS, YW) from 8 countries (Canada, Costa Rica, Finland, Germany, Norway, Taiwan, UK, USA) participated this month in up to 60 active working group meetings.

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