Evidence Based Medicine on FHIR Implementation Guide
1.0.0-ballot - ballot
Evidence Based Medicine on FHIR Implementation Guide
1.0.0-ballot - ballot
Evidence Based Medicine on FHIR Implementation Guide, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ebm/ and changes regularly. See the Directory of published versions
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:ArtifactAssessment ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "179700"] ; # fhir:meta [ fhir:versionId [ fhir:v "5" ] ; fhir:lastUpdated [ fhir:v "2023-12-06T14:24:23.708Z"^^xsd:dateTime ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/uv/ebm/StructureDefinition/comparison"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/uv/ebm/StructureDefinition/comparison> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ArtifactAssessment</b><a name=\"179700\"> </a><a name=\"hc179700\"> </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\">ResourceArtifactAssessment "179700" Version "5" Updated "2023-12-06 14:24:23+0000" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-comparison.html\">Comparison</a></p></div><p><b>ArtifactAssessmentCompared</b>: <a href=\"Composition-179699.html\">Composition/179699: Recommendation: ADA Obesity Management Recommendation 8.16-adapted</a></p><p><b>Artifact URL</b>: <a href=\"https://fevir.net/resources/ArtifactAssessment/179700\">https://fevir.net/resources/ArtifactAssessment/179700</a></p><p><b>Artifact Description</b>: This Comparison Profile shows a comparison of top-level elements between two Resources and classifies each element pairing as Same or Different based on whether the content is a match.</p><p><b>identifier</b>: FEvIR Object Identifier/179700</p><p><b>title</b>: Comparison: Original and Adapted Recommendation: ADA Obesity Management Recommendation 8.16</p><p><b>citeAs</b>: Comparison: Original and Adapted Recommendation: ADA Obesity Management Recommendation 8.16 [ArtifactAssessment]. Contributors: In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 179700. Revised 2023-11-28. Available at: https://fevir.net/resources/ArtifactAssessment/179700. Computable resource at: https://fevir.net/resources/ArtifactAssessment/179700.</p><p><b>artifact</b>: <a href=\"Composition-179466.html\">Composition/179466: Recommendation: ADA Obesity Management Recommendation 8.16</a></p><blockquote><p><b>content</b></p><p><b>informationType</b>: container</p><p><b>type</b>: Primitive Element <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>#PrimitiveElement)</span></p><p><b>classifier</b>: string Datatype <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>#string-datatype)</span></p><p><b>path</b>: <code>resourceType</code></p><blockquote><p><b>component</b></p><p><b>informationType</b>: comment</p><p><b>summary</b>: Composition</p><p><b>type</b>: Original Resource Content <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>#OriginalResourceContent)</span></p><blockquote><p><b>component</b></p></blockquote></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: rating</p><p><b>type</b>: Comparison of Resources Content <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>#ComparisonOfResources)</span></p><p><b>classifier</b>: Same <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>#same)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: change-request</p><p><b>type</b>: Suggested Change to Resource Content <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>#SuggestedChange)</span></p></blockquote></blockquote><blockquote><p><b>content</b></p><p><b>informationType</b>: container</p><p><b>type</b>: Primitive Element <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>#PrimitiveElement)</span></p><p><b>classifier</b>: string Datatype <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>#string-datatype)</span></p><p><b>path</b>: <a href=\"http://hl7.org/fhir/R5/datatypes.html#id\">id</a></p><blockquote><p><b>component</b></p><p><b>informationType</b>: comment</p><p><b>summary</b>: 179466</p><p><b>type</b>: Original Resource Content <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>#OriginalResourceContent)</span></p><blockquote><p><b>component</b></p></blockquote></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: rating</p><p><b>type</b>: Comparison of Resources Content <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>#ComparisonOfResources)</span></p><p><b>classifier</b>: Different <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>#different)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: change-request</p><p><b>type</b>: Suggested Change to Resource Content <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>#SuggestedChange)</span></p></blockquote></blockquote><blockquote><p><b>content</b></p><p><b>informationType</b>: container</p><p><b>type</b>: Object Element <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>#ObjectElement)</span></p><p><b>classifier</b>: Manage as Meta <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>#manageAsMeta)</span></p><p><b>path</b>: <code>meta</code></p><blockquote><p><b>component</b></p><p><b>informationType</b>: comment</p><p><b>type</b>: Original Resource Content <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>#OriginalResourceContent)</span></p><blockquote><p><b>component</b></p></blockquote><blockquote><p><b>component</b></p></blockquote></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: rating</p><p><b>type</b>: Comparison of Resources Content <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>#ComparisonOfResources)</span></p><p><b>classifier</b>: Different <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>#different)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: change-request</p><p><b>type</b>: Suggested Change to Resource Content <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>#SuggestedChange)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: container</p><p><b>summary</b>: {"versionId":"15","lastUpdated":"2023-11-24T19:36:33.794Z","profile":["http://hl7.org/fhir/uv/ebm/StructureDefinition/recommendation"]}</p><p><b>type</b>: Contained Element Adaptation <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>#ContainedElementAdaptation)</span></p><p><b>path</b>: <code>meta</code></p></blockquote></blockquote><blockquote><p><b>content</b></p><p><b>informationType</b>: container</p><p><b>type</b>: Primitive Element <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>#PrimitiveElement)</span></p><p><b>classifier</b>: string Datatype <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>#string-datatype)</span></p><p><b>path</b>: <a href=\"http://hl7.org/fhir/R5/datatypes.html#url\">url</a></p><blockquote><p><b>component</b></p><p><b>informationType</b>: comment</p><p><b>summary</b>: https://fevir.net/resources/Composition/179466</p><p><b>type</b>: Original Resource Content <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>#OriginalResourceContent)</span></p><blockquote><p><b>component</b></p></blockquote></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: rating</p><p><b>type</b>: Comparison of Resources Content <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>#ComparisonOfResources)</span></p><p><b>classifier</b>: Different <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>#different)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: change-request</p><p><b>type</b>: Suggested Change to Resource Content <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>#SuggestedChange)</span></p></blockquote></blockquote><blockquote><p><b>content</b></p><p><b>informationType</b>: container</p><p><b>type</b>: Array Element <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>#ArrayElement)</span></p><p><b>classifier</b>: Manage as Identifier <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>#manageAsIdentifier)</span></p><p><b>path</b>: <code>identifier</code></p><blockquote><p><b>component</b></p><p><b>informationType</b>: comment</p><p><b>type</b>: Original Resource Content <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>#OriginalResourceContent)</span></p><blockquote><p><b>component</b></p></blockquote><blockquote><p><b>component</b></p></blockquote></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: rating</p><p><b>type</b>: Comparison of Resources Content <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>#ComparisonOfResources)</span></p><p><b>classifier</b>: Different <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>#different)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: change-request</p><p><b>type</b>: Suggested Change to Resource Content <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>#SuggestedChange)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: container</p><p><b>summary</b>: [{"type":{"text":"FEvIR Object Identifier"},"system":"https://fevir.net","value":"179466","assigner":{"display":"Computable Publishing LLC"}}]</p><p><b>type</b>: Contained Element Adaptation <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>#ContainedElementAdaptation)</span></p><p><b>path</b>: <code>identifier</code></p></blockquote></blockquote><blockquote><p><b>content</b></p><p><b>informationType</b>: container</p><p><b>type</b>: Primitive Element <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>#PrimitiveElement)</span></p><p><b>classifier</b>: string Datatype <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>#string-datatype)</span></p><p><b>path</b>: <code>status</code></p><blockquote><p><b>component</b></p><p><b>informationType</b>: comment</p><p><b>summary</b>: final</p><p><b>type</b>: Original Resource Content <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>#OriginalResourceContent)</span></p><blockquote><p><b>component</b></p></blockquote></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: rating</p><p><b>type</b>: Comparison of Resources Content <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>#ComparisonOfResources)</span></p><p><b>classifier</b>: Same <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>#same)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: change-request</p><p><b>type</b>: Suggested Change to Resource Content <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>#SuggestedChange)</span></p></blockquote></blockquote><blockquote><p><b>content</b></p><p><b>informationType</b>: container</p><p><b>type</b>: Object Element <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>#ObjectElement)</span></p><p><b>classifier</b>: Manage as CodeableConcept <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>#manageAsCodeableConcept)</span></p><p><b>path</b>: <code>type</code></p><blockquote><p><b>component</b></p><p><b>informationType</b>: comment</p><p><b>type</b>: Original Resource Content <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>#OriginalResourceContent)</span></p><blockquote><p><b>component</b></p></blockquote><blockquote><p><b>component</b></p></blockquote></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: rating</p><p><b>type</b>: Comparison of Resources Content <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>#ComparisonOfResources)</span></p><p><b>classifier</b>: Same <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>#same)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: change-request</p><p><b>type</b>: Suggested Change to Resource Content <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>#SuggestedChange)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: container</p><p><b>summary</b>: {"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"EvidenceReport","display":"EvidenceReport"}],"text":"EvidenceReport"}</p><p><b>type</b>: Contained Element Adaptation <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>#ContainedElementAdaptation)</span></p><p><b>path</b>: <code>type</code></p></blockquote></blockquote><blockquote><p><b>content</b></p><p><b>informationType</b>: container</p><p><b>type</b>: Array Element <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>#ArrayElement)</span></p><p><b>classifier</b>: Manage as CodeableConcept <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>#manageAsCodeableConcept)</span></p><p><b>path</b>: <code>category</code></p><blockquote><p><b>component</b></p><p><b>informationType</b>: comment</p><p><b>type</b>: Original Resource Content <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>#OriginalResourceContent)</span></p><blockquote><p><b>component</b></p></blockquote><blockquote><p><b>component</b></p></blockquote></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: rating</p><p><b>type</b>: Comparison of Resources Content <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>#ComparisonOfResources)</span></p><p><b>classifier</b>: Same <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>#same)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: change-request</p><p><b>type</b>: Suggested Change to Resource Content <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>#SuggestedChange)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: container</p><p><b>summary</b>: [{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"Recommendation","display":"Recommendation"}]}]</p><p><b>type</b>: Contained Element Adaptation <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>#ContainedElementAdaptation)</span></p><p><b>path</b>: <code>category</code></p></blockquote></blockquote><blockquote><p><b>content</b></p><p><b>informationType</b>: container</p><p><b>type</b>: Primitive Element <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>#PrimitiveElement)</span></p><p><b>classifier</b>: string Datatype <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>#string-datatype)</span></p><p><b>path</b>: <a href=\"http://hl7.org/fhir/R5/datatypes.html#date\">date</a></p><blockquote><p><b>component</b></p><p><b>informationType</b>: comment</p><p><b>summary</b>: 2023-11-24T19:36:33.794Z</p><p><b>type</b>: Original Resource Content <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>#OriginalResourceContent)</span></p><blockquote><p><b>component</b></p></blockquote></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: rating</p><p><b>type</b>: Comparison of Resources Content <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>#ComparisonOfResources)</span></p><p><b>classifier</b>: Different <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>#different)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: change-request</p><p><b>type</b>: Suggested Change to Resource Content <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>#SuggestedChange)</span></p></blockquote></blockquote><blockquote><p><b>content</b></p><p><b>informationType</b>: container</p><p><b>type</b>: Array Element <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>#ArrayElement)</span></p><p><b>classifier</b>: Manage as Reference <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>#manageAsReference)</span></p><p><b>path</b>: <code>author</code></p><blockquote><p><b>component</b></p><p><b>informationType</b>: comment</p><p><b>type</b>: Original Resource Content <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>#OriginalResourceContent)</span></p><blockquote><p><b>component</b></p></blockquote><blockquote><p><b>component</b></p></blockquote></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: rating</p><p><b>type</b>: Comparison of Resources Content <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>#ComparisonOfResources)</span></p><p><b>classifier</b>: Different <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>#different)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: change-request</p><p><b>type</b>: Suggested Change to Resource Content <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>#SuggestedChange)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>informationType</b>: container</p><p><b>summary</b>: [{"display":"Brian S. 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A substantial body of evidence has now been accumulated, including data from numerous randomized controlled (nonblinded) clinical trials, demonstrating that metabolic surgery achieves superior glycemic control and reduction of cardiovascular risk factors in patients with type 2 diabetes and obesity compared with various lifestyle/medical interventions."},"entry":[{"reference":"ArtifactAssessment/179469","type":"ArtifactAssessment"}],"section":[{"title":"Summary of Findings Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"summaryOfFindingsRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Summary of Findings Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"summaryOfFindingsRelatedItems"},"text":{"status":"generated","div":"JournalArticleCitation: Metabolic Surgery in the Treatment Algorithm for Type 2 Diabetes: A Joint Statement by International Diabetes Organizations"},"entry":[{"reference":"ArtifactAssessment/179469","type":"ArtifactAssessment"}]}]},{"title":"Desirable Effects","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"desirable-effects","display":"Desirable Effects"}],"text":"desirableSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Desirable Effects Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"desirableRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Desirable Effects Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"desirableRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Undesirable Effects Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"undesirable-effects","display":"Undesirable Effects"}],"text":"undesirableSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Undesirable Effects Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"undesirableRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Undesirable Effects Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"undesirableRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Discussion","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"discussion","display":"Discussion"}]},"text":{"status":"generated","div":"A substantial body of evidence has now been accumulated, including data from numerous randomized controlled (nonblinded) clinical trials, demonstrating that metabolic surgery achieves superior glycemic control and reduction of cardiovascular risk factors in patients with type 2 diabetes and obesity compared with various lifestyle/medical interventions.<br/>In extended follow-up of obese adults with type 2 diabetes randomized to adding gastric bypass compared with lifestyle and intensive medical management alone, there remained a significantly better composite triple end point in the surgical group at 5 years. 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These disclosures are discussed at the outset of each Standards of Care revision meeting. Members of the committee, their employers, and their disclosed conflicts of interest are listed in 'Disclosures: Standards of Medical Care in Diabetes—2021' (https://doi.org/10.2337/dc21-SPPC). The ADA funds development of the Standards of Care out of its general revenues and does not use industry support for this purpose. 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Computable resource at: https://fevir.net/resources/ArtifactAssessment/179700."] ; # fhir:artifact [ a fhir:Reference ; fhir:reference [ fhir:v "Composition/179466" ] ; fhir:type [ fhir:v "Composition"^^xsd:anyURI ] ; fhir:display [ fhir:v "Recommendation: ADA Obesity Management Recommendation 8.16" ] ] ; # fhir:content ( [ fhir:informationType [ fhir:v "container" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "PrimitiveElement" ] ; fhir:display [ fhir:v "Primitive Element" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "string-datatype" ] ; fhir:display [ fhir:v "string Datatype" ] ] ) ] ) ; ( fhir:path [ fhir:v "resourceType"^^xsd:anyURI ] ) ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:summary [ fhir:v "Composition" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; 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fhir:code [ fhir:v "string-datatype" ] ; fhir:display [ fhir:v "string Datatype" ] ] ) ] ) ; ( fhir:path [ fhir:v "url"^^xsd:anyURI ] ) ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:summary [ fhir:v "https://fevir.net/resources/Composition/179466" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "OriginalResourceContent" ] ; fhir:display [ fhir:v "Original Resource Content" ] ] ) ] ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:summary [ fhir:v "https://fevir.net/resources/Composition/179699" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ComparedResourceContent" ] ; fhir:display [ fhir:v "Compared Resource Content" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "string-datatype" ] ; fhir:display [ fhir:v "string Datatype" ] ] ) ] ) ] ) ] [ fhir:informationType [ fhir:v "rating" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ComparisonOfResources" ] ; fhir:display [ fhir:v "Comparison of Resources Content" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "different" ] ; fhir:display [ fhir:v "Different" ] ] ) ] ) ] [ fhir:informationType [ fhir:v "change-request" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "SuggestedChange" ] ; fhir:display [ fhir:v "Suggested Change to Resource Content" ] ] ) ] ] ) ] [ fhir:informationType [ fhir:v "container" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ArrayElement" ] ; fhir:display [ fhir:v "Array Element" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "manageAsIdentifier" ] ; fhir:display [ fhir:v "Manage as Identifier" ] ] ) ] ) ; ( fhir:path [ fhir:v "identifier"^^xsd:anyURI ] ) ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "OriginalResourceContent" ] ; fhir:display [ fhir:v "Original Resource Content" ] ] ) ] ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:summary [ fhir:v "[{\"type\":{\"text\":\"FEvIR Object Identifier\"},\"system\":\"https://fevir.net\",\"value\":\"179466\",\"assigner\":{\"display\":\"Computable Publishing LLC\"}}]" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "OriginalResourceContentJSON" ] ; fhir:display [ fhir:v "Original Resource Content JSON" ] ] ) ] ] [ fhir:informationType [ fhir:v "comment" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ComparedResourceContent" ] ; fhir:display [ fhir:v "Compared Resource Content" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "manageAsarray-of-Identifier" ] ; fhir:display [ fhir:v "Manage as Array of Identifier" ] ] ) ] ) ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:summary [ fhir:v "[{\"type\":{\"text\":\"FEvIR Object Identifier\"},\"system\":\"https://fevir.net\",\"value\":\"179699\",\"assigner\":{\"display\":\"Computable Publishing LLC\"}}]" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "OriginalResourceContentJSON" ] ; fhir:display [ fhir:v "Original Resource Content JSON" ] ] ) ] ] ) ] ) ] [ fhir:informationType [ fhir:v "rating" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ComparisonOfResources" ] ; fhir:display [ fhir:v "Comparison of Resources Content" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "different" ] ; fhir:display [ fhir:v "Different" ] ] ) ] ) ] [ fhir:informationType [ fhir:v "change-request" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "SuggestedChange" ] ; fhir:display [ fhir:v "Suggested Change to Resource Content" ] ] ) ] ] [ fhir:informationType [ fhir:v "container" ] ; fhir:summary [ fhir:v "[{\"type\":{\"text\":\"FEvIR Object Identifier\"},\"system\":\"https://fevir.net\",\"value\":\"179466\",\"assigner\":{\"display\":\"Computable Publishing LLC\"}}]" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ContainedElementAdaptation" ] ; fhir:display [ fhir:v "Contained Element Adaptation" ] ] ) ] ; ( fhir:path [ fhir:v "identifier"^^xsd:anyURI ] ) ] ) ] [ fhir:informationType [ fhir:v "container" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "PrimitiveElement" ] ; fhir:display [ fhir:v "Primitive Element" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "string-datatype" ] ; fhir:display [ fhir:v "string Datatype" ] ] ) ] ) ; ( fhir:path [ fhir:v "status"^^xsd:anyURI ] ) ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:summary [ fhir:v "final" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "OriginalResourceContent" ] ; fhir:display [ fhir:v "Original Resource Content" ] ] ) ] ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:summary [ fhir:v "final" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ComparedResourceContent" ] ; fhir:display [ fhir:v "Compared Resource Content" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "string-datatype" ] ; fhir:display [ fhir:v "string Datatype" ] ] ) ] ) ] ) ] [ fhir:informationType [ fhir:v "rating" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ComparisonOfResources" ] ; fhir:display [ fhir:v "Comparison of Resources Content" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "same" ] ; fhir:display [ fhir:v "Same" ] ] ) ] ) ] [ fhir:informationType [ fhir:v "change-request" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "SuggestedChange" ] ; fhir:display [ fhir:v "Suggested Change to Resource Content" ] ] ) ] ] ) ] [ fhir:informationType [ fhir:v "container" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ObjectElement" ] ; fhir:display [ fhir:v "Object Element" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "manageAsCodeableConcept" ] ; fhir:display [ fhir:v "Manage as CodeableConcept" ] ] ) ] ) ; ( fhir:path [ fhir:v "type"^^xsd:anyURI ] ) ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "OriginalResourceContent" ] ; fhir:display [ fhir:v "Original Resource Content" ] ] ) ] ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:summary [ fhir:v "{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"EvidenceReport\",\"display\":\"EvidenceReport\"}],\"text\":\"EvidenceReport\"}" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "OriginalResourceContentJSON" ] ; fhir:display [ fhir:v "Original Resource Content JSON" ] ] ) ] ] [ fhir:informationType [ fhir:v "comment" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ComparedResourceContent" ] ; fhir:display [ fhir:v "Compared Resource Content" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "manageAsCodeableConcept" ] ; fhir:display [ fhir:v "Manage as CodeableConcept" ] ] ) ] ) ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:summary [ fhir:v "{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"EvidenceReport\",\"display\":\"EvidenceReport\"}],\"text\":\"EvidenceReport\"}" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "OriginalResourceContentJSON" ] ; fhir:display [ fhir:v "Original Resource Content JSON" ] ] ) ] ] ) ] ) ] [ fhir:informationType [ fhir:v "rating" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ComparisonOfResources" ] ; fhir:display [ fhir:v "Comparison of Resources Content" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "same" ] ; fhir:display [ fhir:v "Same" ] ] ) ] ) ] [ fhir:informationType [ fhir:v "change-request" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "SuggestedChange" ] ; fhir:display [ fhir:v "Suggested Change to Resource Content" ] ] ) ] ] [ fhir:informationType [ fhir:v "container" ] ; fhir:summary [ fhir:v "{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"EvidenceReport\",\"display\":\"EvidenceReport\"}],\"text\":\"EvidenceReport\"}" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ContainedElementAdaptation" ] ; fhir:display [ fhir:v "Contained Element Adaptation" ] ] ) ] ; ( fhir:path [ fhir:v "type"^^xsd:anyURI ] ) ] ) ] [ fhir:informationType [ fhir:v "container" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ArrayElement" ] ; fhir:display [ fhir:v "Array Element" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "manageAsCodeableConcept" ] ; fhir:display [ fhir:v "Manage as CodeableConcept" ] ] ) ] ) ; ( fhir:path [ fhir:v "category"^^xsd:anyURI ] ) ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "OriginalResourceContent" ] ; fhir:display [ fhir:v "Original Resource Content" ] ] ) ] ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:summary [ fhir:v "[{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"Recommendation\",\"display\":\"Recommendation\"}]}]" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "OriginalResourceContentJSON" ] ; fhir:display [ fhir:v "Original Resource Content JSON" ] ] ) ] ] [ fhir:informationType [ fhir:v "comment" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ComparedResourceContent" ] ; fhir:display [ fhir:v "Compared Resource Content" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "manageAsarray-of-CodeableConcept" ] ; fhir:display [ fhir:v "Manage as Array of CodeableConcept" ] ] ) ] ) ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:summary [ fhir:v "[{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"Recommendation\",\"display\":\"Recommendation\"}]}]" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "OriginalResourceContentJSON" ] ; fhir:display [ fhir:v "Original Resource Content JSON" ] ] ) ] ] ) ] ) ] [ fhir:informationType [ fhir:v "rating" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ComparisonOfResources" ] ; fhir:display [ fhir:v "Comparison of Resources Content" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "same" ] ; fhir:display [ fhir:v "Same" ] ] ) ] ) ] [ fhir:informationType [ fhir:v "change-request" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "SuggestedChange" ] ; fhir:display [ fhir:v "Suggested Change to Resource Content" ] ] ) ] ] [ fhir:informationType [ fhir:v "container" ] ; fhir:summary [ fhir:v "[{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"Recommendation\",\"display\":\"Recommendation\"}]}]" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ContainedElementAdaptation" ] ; fhir:display [ fhir:v "Contained Element Adaptation" ] ] ) ] ; ( fhir:path [ fhir:v "category"^^xsd:anyURI ] ) ] ) ] [ fhir:informationType [ fhir:v "container" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "PrimitiveElement" ] ; fhir:display [ fhir:v "Primitive Element" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "string-datatype" ] ; fhir:display [ fhir:v "string Datatype" ] ] ) ] ) ; ( fhir:path [ fhir:v "date"^^xsd:anyURI ] ) ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:summary [ fhir:v "2023-11-24T19:36:33.794Z" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "OriginalResourceContent" ] ; fhir:display [ fhir:v "Original Resource Content" ] ] ) ] ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:summary [ fhir:v "2023-11-28T15:35:24.114Z" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ComparedResourceContent" ] ; fhir:display [ fhir:v "Compared Resource Content" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "string-datatype" ] ; fhir:display [ fhir:v "string Datatype" ] ] ) ] ) ] ) ] [ fhir:informationType [ fhir:v "rating" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ComparisonOfResources" ] ; fhir:display [ fhir:v "Comparison of Resources Content" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "different" ] ; fhir:display [ fhir:v "Different" ] ] ) ] ) ] [ fhir:informationType [ fhir:v "change-request" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "SuggestedChange" ] ; fhir:display [ fhir:v "Suggested Change to Resource Content" ] ] ) ] ] ) ] [ fhir:informationType [ fhir:v "container" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ArrayElement" ] ; fhir:display [ fhir:v "Array Element" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "manageAsReference" ] ; fhir:display [ fhir:v "Manage as Reference" ] ] ) ] ) ; ( fhir:path [ fhir:v "author"^^xsd:anyURI ] ) ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "OriginalResourceContent" ] ; fhir:display [ fhir:v "Original Resource Content" ] ] ) ] ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:summary [ fhir:v "[{\"display\":\"Brian S. Alper\"}]" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "OriginalResourceContentJSON" ] ; fhir:display [ fhir:v "Original Resource Content JSON" ] ] ) ] ] [ fhir:informationType [ fhir:v "comment" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ComparedResourceContent" ] ; fhir:display [ fhir:v "Compared Resource Content" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "manageAsarray-of-Reference" ] ; fhir:display [ fhir:v "Manage as Array of Reference" ] ] ) ] ) ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:summary [ fhir:v "[{\"display\":\"Joanne Dehnbostel\"}]" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "OriginalResourceContentJSON" ] ; fhir:display [ fhir:v "Original Resource Content JSON" ] ] ) ] ] ) ] ) ] [ fhir:informationType [ fhir:v "rating" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ComparisonOfResources" ] ; fhir:display [ fhir:v "Comparison of Resources Content" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "different" ] ; fhir:display [ fhir:v "Different" ] ] ) ] ) ] [ fhir:informationType [ fhir:v "change-request" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "SuggestedChange" ] ; fhir:display [ fhir:v "Suggested Change to Resource Content" ] ] ) ] ] [ fhir:informationType [ fhir:v "container" ] ; fhir:summary [ fhir:v "[{\"display\":\"Brian S. Alper\"}]" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ContainedElementAdaptation" ] ; fhir:display [ fhir:v "Contained Element Adaptation" ] ] ) ] ; ( fhir:path [ fhir:v "author"^^xsd:anyURI ] ) ] ) ] [ fhir:informationType [ fhir:v "container" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "PrimitiveElement" ] ; fhir:display [ fhir:v "Primitive Element" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "string-datatype" ] ; fhir:display [ fhir:v "string Datatype" ] ] ) ] ) ; ( fhir:path [ fhir:v "title"^^xsd:anyURI ] ) ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:summary [ fhir:v "Recommendation: ADA Obesity Management Recommendation 8.16" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "OriginalResourceContent" ] ; fhir:display [ fhir:v "Original Resource Content" ] ] ) ] ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:summary [ fhir:v "Recommendation: ADA Obesity Management Recommendation 8.16-adapted" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ComparedResourceContent" ] ; fhir:display [ fhir:v "Compared Resource Content" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "string-datatype" ] ; fhir:display [ fhir:v "string Datatype" ] ] ) ] ) ] ) ] [ fhir:informationType [ fhir:v "rating" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ComparisonOfResources" ] ; fhir:display [ fhir:v "Comparison of Resources Content" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; 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( fhir:path [ fhir:v "section"^^xsd:anyURI ] ) ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "OriginalResourceContent" ] ; fhir:display [ fhir:v "Original Resource Content" ] ] ) ] ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:summary [ fhir:v "[{\"title\":\"Recommendation Specification\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"recommendation-specification\",\"display\":\"Recommendation Specification\"}],\"text\":\"Recommendation Specification\"},\"section\":[{\"title\":\"Recommendation Statement\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"recommendation-statement\",\"display\":\"Recommendation Statement\"}],\"text\":\"overallSummary\"},\"text\":{\"status\":\"generated\",\"div\":\"8.16 Metabolic surgery should be a recommended option to treat type 2 diabetes in screened surgical candidates with BMI ≥40 kg/m2 (BMI ≥37.5 kg/m2 in Asian Americans) and in adults with BMI 35.0–39.9 kg/m2 (32.5–37.4 kg/m2 in Asian Americans) who do not achieve durable weight loss and improvement in comorbidities (including hyperglycemia) with nonsurgical methods. A\"},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}]},{\"title\":\"Recommendation Rating System\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"rating-system\",\"display\":\"Rating System\"}]},\"text\":{\"status\":\"generated\",\"div\":\"ADA Level of Evidence\"},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}]},{\"title\":\"Strength of Recommendation Rating\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"strength-of-recommendation\",\"display\":\"Strength of Recommendation\"}],\"text\":\"strengthOfRecommendationRating\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}]},{\"title\":\"Direction of Recommendation\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"direction-of-recommendation\",\"display\":\"Direction of Recommendation\"}],\"text\":\"directionOfRecommendation\"},\"text\":{\"status\":\"generated\",\"div\":\"Favors intervention\"},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}]},{\"title\":\"Other Recommendation Ratings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"ratings\",\"display\":\"Ratings\"}],\"text\":\"overallRatings\"},\"text\":{\"status\":\"generated\",\"div\":\"A\"},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}]},{\"title\":\"Overall Recommendation Related Items\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"related-items\",\"display\":\"Related Items\"}],\"text\":\"overallRelatedItems\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Discussion\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"discussion\",\"display\":\"Discussion\"}]},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Population\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"population\",\"display\":\"Population\"}],\"text\":\"population\"},\"text\":{\"status\":\"generated\",\"div\":\"Inclusion Criteria: [[1]] Adults. [[2]] Diagnosed with type 2 diabetes. [[3]] Body Mass Index (BMI) ≥ 40.0 kg/m2 (BMI ≥ 37.5 kg/m2 in Asian Americans), or BMI ≥ 35.0 kg/m2 and ≤ 39.9 kg/m2 (BMI 32.5-37.4 kg/m2 in Asian Americans) who do not achieve durable weight loss and improvement in comorbidities (including hyperglycemia) with nonsurgical methods. [[4]] Screened surgical candidates.\"},\"entry\":[{\"reference\":\"Group/32139\",\"type\":\"Group\",\"display\":\"RecommendationEligibilityCriteria: Eligibility Criteria for Bariatric Surgery (ADA Recommendation 8.16)\"}]},{\"title\":\"Action\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"action\",\"display\":\"Action\"}],\"text\":\"action\"},\"text\":{\"status\":\"generated\",\"div\":\"Metabolic surgery is recommended.\"},\"entry\":[{\"reference\":\"PlanDefinition/179468\",\"type\":\"PlanDefinition\",\"display\":\"PlanDefinition for Recommendation: ADA Obesity Management Recommendation 8.16\"}]},{\"title\":\"Opposite Action\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"opposite-action\",\"display\":\"Opposite Action\"}],\"text\":\"oppositeAction\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Structured Data\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"data-source\",\"display\":\"Data Source\"}],\"text\":\"relatesToDerivedFrom\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}}]},{\"title\":\"Evidence\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"evidence\",\"display\":\"Evidence\"}],\"text\":\"Evidence\"},\"section\":[{\"title\":\"Summary of Findings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"summary-of-findings\",\"display\":\"Summary of Findings\"}],\"text\":\"summaryOfFindingsSummary\"},\"text\":{\"status\":\"generated\",\"div\":\"ADA Level of Evidence A. A substantial body of evidence has now been accumulated, including data from numerous randomized controlled (nonblinded) clinical trials, demonstrating that metabolic surgery achieves superior glycemic control and reduction of cardiovascular risk factors in patients with type 2 diabetes and obesity compared with various lifestyle/medical interventions.\"},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}],\"section\":[{\"title\":\"Summary of Findings Ratings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"ratings\",\"display\":\"Ratings\"}],\"text\":\"summaryOfFindingsRatings\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Summary of Findings Related Items\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"related-items\",\"display\":\"Related Items\"}],\"text\":\"summaryOfFindingsRelatedItems\"},\"text\":{\"status\":\"generated\",\"div\":\"JournalArticleCitation: Metabolic Surgery in the Treatment Algorithm for Type 2 Diabetes: A Joint Statement by International Diabetes Organizations\"},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}]}]},{\"title\":\"Desirable Effects\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"desirable-effects\",\"display\":\"Desirable Effects\"}],\"text\":\"desirableSummary\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]},\"section\":[{\"title\":\"Desirable Effects Ratings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"ratings\",\"display\":\"Ratings\"}],\"text\":\"desirableRatings\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Desirable Effects Related Items\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"related-items\",\"display\":\"Related Items\"}],\"text\":\"desirableRelatedItems\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}}]},{\"title\":\"Undesirable Effects Summary\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"undesirable-effects\",\"display\":\"Undesirable Effects\"}],\"text\":\"undesirableSummary\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]},\"section\":[{\"title\":\"Undesirable Effects Ratings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"ratings\",\"display\":\"Ratings\"}],\"text\":\"undesirableRatings\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Undesirable Effects Related Items\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"related-items\",\"display\":\"Related Items\"}],\"text\":\"undesirableRelatedItems\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}}]},{\"title\":\"Discussion\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"discussion\",\"display\":\"Discussion\"}]},\"text\":{\"status\":\"generated\",\"div\":\"A substantial body of evidence has now been accumulated, including data from numerous randomized controlled (nonblinded) clinical trials, demonstrating that metabolic surgery achieves superior glycemic control and reduction of cardiovascular risk factors in patients with type 2 diabetes and obesity compared with various lifestyle/medical interventions.<br/>In extended follow-up of obese adults with type 2 diabetes randomized to adding gastric bypass compared with lifestyle and intensive medical management alone, there remained a significantly better composite triple end point in the surgical group at 5 years. 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Started\"}]}}]},{\"title\":\"Implementation Considerations Summary\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"implementation-considerations\",\"display\":\"Implementation Considerations\"}],\"text\":\"implementationConsiderationsSummary\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]},\"section\":[{\"title\":\"Implementation Considerations Ratings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"ratings\",\"display\":\"Ratings\"}],\"text\":\"implementationConsiderationsRatings\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Implementation Considerations Related 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Interests\"}],\"text\":\"competingInterestsSummary\"},\"text\":{\"status\":\"generated\",\"div\":\"All members of the PPC are required to disclose potential conflicts of interest with industry and other relevant organizations. These disclosures are discussed at the outset of each Standards of Care revision meeting. Members of the committee, their employers, and their disclosed conflicts of interest are listed in 'Disclosures: Standards of Medical Care in Diabetes—2021' (https://doi.org/10.2337/dc21-SPPC). The ADA funds development of the Standards of Care out of its general revenues and does not use industry support for this purpose. NOTE: The disclosed conflicts of interest was not found at the suggested URL\"},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}],\"section\":[{\"title\":\"Competing Interests Ratings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"ratings\",\"display\":\"Ratings\"}],\"text\":\"competingInterestsRatings\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Competing Interests Related Items\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"related-items\",\"display\":\"Related Items\"}],\"text\":\"competingInterestsRelatedItems\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}}]},{\"title\":\"Research Priorities Summary\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"research-considerations\",\"display\":\"Research Considerations\"}],\"text\":\"researchConsiderationsSummary\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]},\"section\":[{\"title\":\"Research Priorities Ratings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"ratings\",\"display\":\"Ratings\"}],\"text\":\"researchConsiderationsRatings\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Research Priorities Related Items\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"related-items\",\"display\":\"Related Items\"}],\"text\":\"researchConsiderationsRelatedItems\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}}]}]}]" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "OriginalResourceContentJSON" ] ; fhir:display [ fhir:v "Original Resource Content JSON" ] ] ) ] ] [ fhir:informationType [ fhir:v "comment" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ComparedResourceContent" ] ; fhir:display [ fhir:v "Compared Resource Content" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "manageAsarray-of-BackboneElement" ] ; fhir:display [ fhir:v "Manage as Array of BackboneElement" ] ] ) ] ) ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:summary [ fhir:v "[{\"title\":\"Recommendation Specification\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"recommendation-specification\",\"display\":\"Recommendation Specification\"}],\"text\":\"Recommendation Specification\"},\"section\":[{\"title\":\"Recommendation Statement\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"recommendation-statement\",\"display\":\"Recommendation Statement\"}],\"text\":\"overallSummary\"},\"text\":{\"status\":\"additional\",\"div\":\"8.16 Metabolic surgery should be a recommended option to treat type 2 diabetes in screened surgical candidates with BMI ≥40 kg/m2 (BMI ≥37.5 kg/m2 in Asian Americans) and in adults with BMI 35.0–39.9 kg/m2 (32.5–37.4 kg/m2 in Asian Americans) who do not achieve durable weight loss and improvement in comorbidities (including hyperglycemia) with nonsurgical methods. \"},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}]},{\"title\":\"Recommendation Rating System\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"rating-system\",\"display\":\"Rating System\"}]},\"text\":{\"status\":\"generated\",\"div\":\"ADA Level of Evidence\"},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}]},{\"title\":\"Strength of Recommendation Rating\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"strength-of-recommendation\",\"display\":\"Strength of Recommendation\"}],\"text\":\"strengthOfRecommendationRating\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}]},{\"title\":\"Direction of Recommendation\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"direction-of-recommendation\",\"display\":\"Direction of Recommendation\"}],\"text\":\"directionOfRecommendation\"},\"text\":{\"status\":\"generated\",\"div\":\"Favors intervention\"},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}]},{\"title\":\"Other Recommendation Ratings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"ratings\",\"display\":\"Ratings\"}],\"text\":\"overallRatings\"},\"text\":{\"status\":\"generated\",\"div\":\"A\"},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}]},{\"title\":\"Overall Recommendation Related Items\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"related-items\",\"display\":\"Related Items\"}],\"text\":\"overallRelatedItems\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Discussion\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"discussion\",\"display\":\"Discussion\"}]},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Population\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"population\",\"display\":\"Population\"}],\"text\":\"population\"},\"text\":{\"status\":\"generated\",\"div\":\"Inclusion Criteria: [[1]] Adults. [[2]] Diagnosed with type 2 diabetes. [[3]] Body Mass Index (BMI) ≥ 40.0 kg/m2 (BMI ≥ 37.5 kg/m2 in Asian Americans), or BMI ≥ 35.0 kg/m2 and ≤ 39.9 kg/m2 (BMI 32.5-37.4 kg/m2 in Asian Americans) who do not achieve durable weight loss and improvement in comorbidities (including hyperglycemia) with nonsurgical methods. [[4]] Screened surgical candidates.\"},\"entry\":[{\"reference\":\"Group/32139\",\"type\":\"Group\",\"display\":\"RecommendationEligibilityCriteria: Eligibility Criteria for Bariatric Surgery (ADA Recommendation 8.16)\"}]},{\"title\":\"Action\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"action\",\"display\":\"Action\"}],\"text\":\"action\"},\"text\":{\"status\":\"generated\",\"div\":\"Metabolic surgery is recommended.\"},\"entry\":[{\"reference\":\"PlanDefinition/179468\",\"type\":\"PlanDefinition\",\"display\":\"PlanDefinition for Recommendation: ADA Obesity Management Recommendation 8.16\"}]},{\"title\":\"Opposite Action\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"opposite-action\",\"display\":\"Opposite Action\"}],\"text\":\"oppositeAction\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Structured Data\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"data-source\",\"display\":\"Data Source\"}],\"text\":\"relatesToDerivedFrom\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}}]},{\"title\":\"Evidence\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"evidence\",\"display\":\"Evidence\"}],\"text\":\"Evidence\"},\"section\":[{\"title\":\"Summary of Findings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"summary-of-findings\",\"display\":\"Summary of Findings\"}],\"text\":\"summaryOfFindingsSummary\"},\"text\":{\"status\":\"generated\",\"div\":\"ADA Level of Evidence A. A substantial body of evidence has now been accumulated, including data from numerous randomized controlled (nonblinded) clinical trials, demonstrating that metabolic surgery achieves superior glycemic control and reduction of cardiovascular risk factors in patients with type 2 diabetes and obesity compared with various lifestyle/medical interventions.\"},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}],\"section\":[{\"title\":\"Summary of Findings Ratings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"ratings\",\"display\":\"Ratings\"}],\"text\":\"summaryOfFindingsRatings\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Summary of Findings Related Items\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"related-items\",\"display\":\"Related Items\"}],\"text\":\"summaryOfFindingsRelatedItems\"},\"text\":{\"status\":\"generated\",\"div\":\"JournalArticleCitation: Metabolic Surgery in the Treatment Algorithm for Type 2 Diabetes: A Joint Statement by International Diabetes Organizations\"},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}]}]},{\"title\":\"Desirable Effects\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"desirable-effects\",\"display\":\"Desirable Effects\"}],\"text\":\"desirableSummary\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]},\"section\":[{\"title\":\"Desirable Effects Ratings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"ratings\",\"display\":\"Ratings\"}],\"text\":\"desirableRatings\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Desirable Effects Related Items\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"related-items\",\"display\":\"Related Items\"}],\"text\":\"desirableRelatedItems\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}}]},{\"title\":\"Undesirable Effects Summary\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"undesirable-effects\",\"display\":\"Undesirable Effects\"}],\"text\":\"undesirableSummary\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]},\"section\":[{\"title\":\"Undesirable Effects Ratings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"ratings\",\"display\":\"Ratings\"}],\"text\":\"undesirableRatings\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Undesirable Effects Related Items\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"related-items\",\"display\":\"Related Items\"}],\"text\":\"undesirableRelatedItems\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}}]},{\"title\":\"Discussion\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"discussion\",\"display\":\"Discussion\"}]},\"text\":{\"status\":\"generated\",\"div\":\"A substantial body of evidence has now been accumulated, including data from numerous randomized controlled (nonblinded) clinical trials, demonstrating that metabolic surgery achieves superior glycemic control and reduction of cardiovascular risk factors in patients with type 2 diabetes and obesity compared with various lifestyle/medical interventions.<br/>In extended follow-up of obese adults with type 2 diabetes randomized to adding gastric bypass compared with lifestyle and intensive medical management alone, there remained a significantly better composite triple end point in the surgical group at 5 years. However, because the effect size diminished over 5 years, further follow-up is needed to understand the durability of the improvement.\"},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}]},{\"title\":\"Data Source\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"data-source\",\"display\":\"Data Source\"}]},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}}]},{\"title\":\"Net Effect\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"net-effect\",\"display\":\"Net Effect\"}],\"text\":\"Net Effect\"},\"section\":[{\"title\":\"Net Effect (Balance of Benefits/Harms) 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Ratings\",\"code\":{\"text\":\"competingInterestsRatings\"},\"text\":{\"status\":\"empty\",\"div\":\"\"},\"entry\":[]},{\"title\":\"Competing Interests Summary\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"competing-interests\",\"display\":\"Competing Interests\"}],\"text\":\"competingInterestsSummary\"},\"text\":{\"status\":\"generated\",\"div\":\"All members of the PPC are required to disclose potential conflicts of interest with industry and other relevant organizations. These disclosures are discussed at the outset of each Standards of Care revision meeting. Members of the committee, their employers, and their disclosed conflicts of interest are listed in 'Disclosures: Standards of Medical Care in Diabetes—2021' (https://doi.org/10.2337/dc21-SPPC). The ADA funds development of the Standards of Care out of its general revenues and does not use industry support for this purpose. NOTE: The disclosed conflicts of interest was not found at the suggested URL\"},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}],\"section\":[{\"title\":\"Competing Interests Ratings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"ratings\",\"display\":\"Ratings\"}],\"text\":\"competingInterestsRatings\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Competing Interests Related Items\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"related-items\",\"display\":\"Related Items\"}],\"text\":\"competingInterestsRelatedItems\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}}]},{\"title\":\"Competing Interests Related Items\",\"code\":{\"text\":\"competingInterestsRelatedItems\"},\"text\":{\"status\":\"empty\",\"div\":\"\"},\"entry\":[]},{\"title\":\"Research Priorities Ratings\",\"code\":{\"text\":\"researchConsiderationsRatings\"},\"text\":{\"status\":\"empty\",\"div\":\"\"},\"entry\":[]},{\"title\":\"Research Priorities Summary\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"research-considerations\",\"display\":\"Research Considerations\"}],\"text\":\"researchConsiderationsSummary\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]},\"section\":[{\"title\":\"Research Priorities Ratings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"ratings\",\"display\":\"Ratings\"}],\"text\":\"researchConsiderationsRatings\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Research Priorities Related Items\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"related-items\",\"display\":\"Related Items\"}],\"text\":\"researchConsiderationsRelatedItems\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}}]},{\"title\":\"Research Priorities Related Items\",\"code\":{\"text\":\"researchConsiderationsRelatedItems\"},\"text\":{\"status\":\"empty\",\"div\":\"\"},\"entry\":[]}]}]" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "OriginalResourceContentJSON" ] ; fhir:display [ fhir:v "Original Resource Content JSON" ] ] ) ] ] ) ] ) ] [ fhir:informationType [ fhir:v "rating" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ComparisonOfResources" ] ; fhir:display [ fhir:v "Comparison of Resources Content" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "different" ] ; fhir:display [ fhir:v "Different" ] ] ) ] ) ] [ fhir:informationType [ fhir:v "change-request" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "SuggestedChange" ] ; fhir:display [ fhir:v "Suggested Change to Resource Content" ] ] ) ] ] [ fhir:informationType [ fhir:v "container" ] ; fhir:summary [ fhir:v "[{\"title\":\"Recommendation Specification\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"recommendation-specification\",\"display\":\"Recommendation Specification\"}],\"text\":\"Recommendation Specification\"},\"section\":[{\"title\":\"Recommendation Statement\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"recommendation-statement\",\"display\":\"Recommendation Statement\"}],\"text\":\"overallSummary\"},\"text\":{\"status\":\"generated\",\"div\":\"8.16 Metabolic surgery should be a recommended option to treat type 2 diabetes in screened surgical candidates with BMI ≥40 kg/m2 (BMI ≥37.5 kg/m2 in Asian Americans) and in adults with BMI 35.0–39.9 kg/m2 (32.5–37.4 kg/m2 in Asian Americans) who do not achieve durable weight loss and improvement in comorbidities (including hyperglycemia) with nonsurgical methods. A\"},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}]},{\"title\":\"Recommendation Rating System\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"rating-system\",\"display\":\"Rating System\"}]},\"text\":{\"status\":\"generated\",\"div\":\"ADA Level of Evidence\"},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}]},{\"title\":\"Strength of Recommendation Rating\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"strength-of-recommendation\",\"display\":\"Strength of Recommendation\"}],\"text\":\"strengthOfRecommendationRating\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}]},{\"title\":\"Direction of Recommendation\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"direction-of-recommendation\",\"display\":\"Direction of Recommendation\"}],\"text\":\"directionOfRecommendation\"},\"text\":{\"status\":\"generated\",\"div\":\"Favors intervention\"},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}]},{\"title\":\"Other Recommendation Ratings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"ratings\",\"display\":\"Ratings\"}],\"text\":\"overallRatings\"},\"text\":{\"status\":\"generated\",\"div\":\"A\"},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}]},{\"title\":\"Overall Recommendation Related Items\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"related-items\",\"display\":\"Related Items\"}],\"text\":\"overallRelatedItems\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Discussion\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"discussion\",\"display\":\"Discussion\"}]},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Population\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"population\",\"display\":\"Population\"}],\"text\":\"population\"},\"text\":{\"status\":\"generated\",\"div\":\"Inclusion Criteria: [[1]] Adults. [[2]] Diagnosed with type 2 diabetes. [[3]] Body Mass Index (BMI) ≥ 40.0 kg/m2 (BMI ≥ 37.5 kg/m2 in Asian Americans), or BMI ≥ 35.0 kg/m2 and ≤ 39.9 kg/m2 (BMI 32.5-37.4 kg/m2 in Asian Americans) who do not achieve durable weight loss and improvement in comorbidities (including hyperglycemia) with nonsurgical methods. [[4]] Screened surgical candidates.\"},\"entry\":[{\"reference\":\"Group/32139\",\"type\":\"Group\",\"display\":\"RecommendationEligibilityCriteria: Eligibility Criteria for Bariatric Surgery (ADA Recommendation 8.16)\"}]},{\"title\":\"Action\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"action\",\"display\":\"Action\"}],\"text\":\"action\"},\"text\":{\"status\":\"generated\",\"div\":\"Metabolic surgery is recommended.\"},\"entry\":[{\"reference\":\"PlanDefinition/179468\",\"type\":\"PlanDefinition\",\"display\":\"PlanDefinition for Recommendation: ADA Obesity Management Recommendation 8.16\"}]},{\"title\":\"Opposite Action\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"opposite-action\",\"display\":\"Opposite Action\"}],\"text\":\"oppositeAction\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Structured Data\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"data-source\",\"display\":\"Data Source\"}],\"text\":\"relatesToDerivedFrom\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}}]},{\"title\":\"Evidence\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"evidence\",\"display\":\"Evidence\"}],\"text\":\"Evidence\"},\"section\":[{\"title\":\"Summary of Findings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"summary-of-findings\",\"display\":\"Summary of Findings\"}],\"text\":\"summaryOfFindingsSummary\"},\"text\":{\"status\":\"generated\",\"div\":\"ADA Level of Evidence A. A substantial body of evidence has now been accumulated, including data from numerous randomized controlled (nonblinded) clinical trials, demonstrating that metabolic surgery achieves superior glycemic control and reduction of cardiovascular risk factors in patients with type 2 diabetes and obesity compared with various lifestyle/medical interventions.\"},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}],\"section\":[{\"title\":\"Summary of Findings Ratings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"ratings\",\"display\":\"Ratings\"}],\"text\":\"summaryOfFindingsRatings\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Summary of Findings Related Items\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"related-items\",\"display\":\"Related Items\"}],\"text\":\"summaryOfFindingsRelatedItems\"},\"text\":{\"status\":\"generated\",\"div\":\"JournalArticleCitation: Metabolic Surgery in the Treatment Algorithm for Type 2 Diabetes: A Joint Statement by International Diabetes Organizations\"},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}]}]},{\"title\":\"Desirable Effects\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"desirable-effects\",\"display\":\"Desirable Effects\"}],\"text\":\"desirableSummary\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]},\"section\":[{\"title\":\"Desirable Effects Ratings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"ratings\",\"display\":\"Ratings\"}],\"text\":\"desirableRatings\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Desirable Effects Related Items\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"related-items\",\"display\":\"Related Items\"}],\"text\":\"desirableRelatedItems\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}}]},{\"title\":\"Undesirable Effects Summary\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"undesirable-effects\",\"display\":\"Undesirable Effects\"}],\"text\":\"undesirableSummary\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]},\"section\":[{\"title\":\"Undesirable Effects Ratings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"ratings\",\"display\":\"Ratings\"}],\"text\":\"undesirableRatings\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Undesirable Effects Related Items\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"related-items\",\"display\":\"Related Items\"}],\"text\":\"undesirableRelatedItems\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}}]},{\"title\":\"Discussion\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"discussion\",\"display\":\"Discussion\"}]},\"text\":{\"status\":\"generated\",\"div\":\"A substantial body of evidence has now been accumulated, including data from numerous randomized controlled (nonblinded) clinical trials, demonstrating that metabolic surgery achieves superior glycemic control and reduction of cardiovascular risk factors in patients with type 2 diabetes and obesity compared with various lifestyle/medical interventions.<br/>In extended follow-up of obese adults with type 2 diabetes randomized to adding gastric bypass compared with lifestyle and intensive medical management alone, there remained a significantly better composite triple end point in the surgical group at 5 years. However, because the effect size diminished over 5 years, further follow-up is needed to understand the durability of the improvement.\"},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}]},{\"title\":\"Data Source\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"data-source\",\"display\":\"Data Source\"}]},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}}]},{\"title\":\"Net Effect\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"net-effect\",\"display\":\"Net Effect\"}],\"text\":\"Net Effect\"},\"section\":[{\"title\":\"Net Effect (Balance of Benefits/Harms) 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Started\"}]}}]},{\"title\":\"Judgments\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"judgments\",\"display\":\"Judgments\"}],\"text\":\"Judgments\"},\"section\":[{\"title\":\"Overall Justification Summary\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"justification\",\"display\":\"Justification\"}],\"text\":\"overallJustificationSummary\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]},\"section\":[{\"title\":\"Overall Justification Ratings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"ratings\",\"display\":\"Ratings\"}],\"text\":\"overallJustificationRatings\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not 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Started\"}]}},{\"title\":\"Cost-effectiveness Related Items\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"related-items\",\"display\":\"Related Items\"}],\"text\":\"costEffectivenessRelatedItems\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}}]},{\"title\":\"Equity Summary\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"equity\",\"display\":\"Equity\"}],\"text\":\"equitySummary\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]},\"section\":[{\"title\":\"Equity 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Ratings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"ratings\",\"display\":\"Ratings\"}],\"text\":\"overallConsiderationsRatings\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Overall Considerations Related Items\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"related-items\",\"display\":\"Related Items\"}],\"text\":\"overallConsiderationsRelatedItems\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Subgroup Considerations Summary\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"subgroup-considerations\",\"display\":\"Subgroup Considerations\"}],\"text\":\"subgroupConsiderationsSummary\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]},\"section\":[{\"title\":\"Subgroup Considerations Ratings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"ratings\",\"display\":\"Ratings\"}],\"text\":\"subgroupConsiderationsRatings\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Subgroup Considerations Related Items\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"related-items\",\"display\":\"Related Items\"}],\"text\":\"subgroupConsiderationsRelatedItems\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}}]},{\"title\":\"Implementation Considerations Summary\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"implementation-considerations\",\"display\":\"Implementation Considerations\"}],\"text\":\"implementationConsiderationsSummary\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]},\"section\":[{\"title\":\"Implementation Considerations Ratings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"ratings\",\"display\":\"Ratings\"}],\"text\":\"implementationConsiderationsRatings\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Implementation Considerations Related 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Ratings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"ratings\",\"display\":\"Ratings\"}],\"text\":\"monitoringConsiderationsRatings\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Monitoring Considerations Related Items\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"related-items\",\"display\":\"Related Items\"}],\"text\":\"monitoringConsiderationsRelatedItems\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}}]},{\"title\":\"Competing Interests Summary\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"competing-interests\",\"display\":\"Competing Interests\"}],\"text\":\"competingInterestsSummary\"},\"text\":{\"status\":\"generated\",\"div\":\"All members of the PPC are required to disclose potential conflicts of interest with industry and other relevant organizations. These disclosures are discussed at the outset of each Standards of Care revision meeting. Members of the committee, their employers, and their disclosed conflicts of interest are listed in 'Disclosures: Standards of Medical Care in Diabetes—2021' (https://doi.org/10.2337/dc21-SPPC). The ADA funds development of the Standards of Care out of its general revenues and does not use industry support for this purpose. NOTE: The disclosed conflicts of interest was not found at the suggested URL\"},\"entry\":[{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\"}],\"section\":[{\"title\":\"Competing Interests Ratings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"ratings\",\"display\":\"Ratings\"}],\"text\":\"competingInterestsRatings\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Competing Interests Related Items\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"related-items\",\"display\":\"Related Items\"}],\"text\":\"competingInterestsRelatedItems\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}}]},{\"title\":\"Research Priorities Summary\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"research-considerations\",\"display\":\"Research Considerations\"}],\"text\":\"researchConsiderationsSummary\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]},\"section\":[{\"title\":\"Research Priorities Ratings\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"ratings\",\"display\":\"Ratings\"}],\"text\":\"researchConsiderationsRatings\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}},{\"title\":\"Research Priorities Related Items\",\"code\":{\"coding\":[{\"system\":\"https://fevir.net/resources/CodeSystem/179423\",\"code\":\"related-items\",\"display\":\"Related Items\"}],\"text\":\"researchConsiderationsRelatedItems\"},\"emptyReason\":{\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/list-empty-reason\",\"code\":\"notstarted\",\"display\":\"Not Started\"}]}}]}]}]" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ContainedElementAdaptation" ] ; fhir:display [ fhir:v "Contained Element Adaptation" ] ] ) ] ; ( fhir:path [ fhir:v "section"^^xsd:anyURI ] ) ] ) ] [ fhir:informationType [ fhir:v "container" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ArrayElement" ] ; fhir:display [ fhir:v "Array Element" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "manageAsRelatedArtifact" ] ; fhir:display [ fhir:v "Manage as RelatedArtifact" ] ] ) ] ) ; ( fhir:path [ fhir:v "relatesTo"^^xsd:anyURI ] ) ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "OriginalResourceContent" ] ; fhir:display [ fhir:v "Original Resource Content" ] ] ) ] ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:summary [ fhir:v "[{\"type\":\"cite-as\",\"citation\":\"Recommendation: ADA Obesity Management Recommendation 8.16 [Composition]. Contributors: Brian S. Alper [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 179466. Revised 2023-11-23. Available at: https://fevir.net/resources/Composition/179466. Computable resource at: https://fevir.net/resources/Composition/179466.\"},{\"type\":\"derived-from\",\"classifier\":[{\"text\":\"PlanDefinition\"}],\"resourceReference\":{\"reference\":\"PlanDefinition/179468\",\"type\":\"PlanDefinition\",\"display\":\"PlanDefinition for Recommendation: ADA Obesity Management Recommendation 8.16\"}},{\"type\":\"derived-from\",\"classifier\":[{\"text\":\"RecommendationJustification\"}],\"resourceReference\":{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\",\"display\":\"Justification for Recommendation: ADA Obesity Management Recommendation 8.16\"}}]" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "OriginalResourceContentJSON" ] ; fhir:display [ fhir:v "Original Resource Content JSON" ] ] ) ] ] [ fhir:informationType [ fhir:v "comment" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ComparedResourceContent" ] ; fhir:display [ fhir:v "Compared Resource Content" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "manageAsarray-of-RelatedArtifact" ] ; fhir:display [ fhir:v "Manage as Array of RelatedArtifact" ] ] ) ] ) ; ( fhir:component [ fhir:informationType [ fhir:v "comment" ] ; fhir:summary [ fhir:v "[{\"type\":\"derived-from\",\"classifier\":[{\"text\":\"Original Recommendation\"}],\"resourceReference\":{\"reference\":\"Composition/179466\",\"type\":\"Composition\",\"display\":\"Recommendation: ADA Obesity Management Recommendation 8.16\"}},{\"type\":\"derived-from\",\"classifier\":[{\"text\":\"Adaptation Report\"}],\"resourceReference\":{\"reference\":\"ArtifactAssessment/179698\",\"type\":\"ArtifactAssessment\",\"display\":\"Joanne Dehnbostel's Adaptation Report of Recommendation: ADA Obesity Management Recommendation 8.16\"}}]" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "OriginalResourceContentJSON" ] ; fhir:display [ fhir:v "Original Resource Content JSON" ] ] ) ] ] ) ] ) ] [ fhir:informationType [ fhir:v "rating" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ComparisonOfResources" ] ; fhir:display [ fhir:v "Comparison of Resources Content" ] ] ) ] ; ( fhir:classifier [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "different" ] ; fhir:display [ fhir:v "Different" ] ] ) ] ) ] [ fhir:informationType [ fhir:v "change-request" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "SuggestedChange" ] ; fhir:display [ fhir:v "Suggested Change to Resource Content" ] ] ) ] ] [ fhir:informationType [ fhir:v "container" ] ; fhir:summary [ fhir:v "[{\"type\":\"cite-as\",\"citation\":\"Recommendation: ADA Obesity Management Recommendation 8.16 [Composition]. Contributors: Brian S. Alper [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 179466. Revised 2023-11-23. Available at: https://fevir.net/resources/Composition/179466. Computable resource at: https://fevir.net/resources/Composition/179466.\"},{\"type\":\"derived-from\",\"classifier\":[{\"text\":\"PlanDefinition\"}],\"resourceReference\":{\"reference\":\"PlanDefinition/179468\",\"type\":\"PlanDefinition\",\"display\":\"PlanDefinition for Recommendation: ADA Obesity Management Recommendation 8.16\"}},{\"type\":\"derived-from\",\"classifier\":[{\"text\":\"RecommendationJustification\"}],\"resourceReference\":{\"reference\":\"ArtifactAssessment/179469\",\"type\":\"ArtifactAssessment\",\"display\":\"Justification for Recommendation: ADA Obesity Management Recommendation 8.16\"}}]" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ; fhir:code [ fhir:v "ContainedElementAdaptation" ] ; fhir:display [ fhir:v "Contained Element Adaptation" ] ] ) ] ; ( fhir:path [ fhir:v "relatesTo"^^xsd:anyURI ] ) ] ) ] ) . #
IG © 2022+ HL7 International / Clinical Decision Support. Package hl7.fhir.uv.ebm#1.0.0-ballot based on FHIR 5.0.0. Generated 2024-05-18
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