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
<ArtifactAssessment xmlns="http://hl7.org/fhir">
<id value="179700"/>
<meta>
<versionId value="5"/>
<lastUpdated value="2023-12-06T14:24:23.708Z"/>
<profile
value="http://hl7.org/fhir/uv/ebm/StructureDefinition/comparison"/>
</meta>
<text>
<status value="extensions"/>
<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. Alper"}]</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>author</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>title</code></p><blockquote><p><b>component</b></p><p><b>informationType</b>: comment</p><p><b>summary</b>: Recommendation: ADA Obesity Management Recommendation 8.16</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 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>custodian</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>: {"reference":"Organization/118079","type":"Organization","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>custodian</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 BackboneElement <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>#manageAsBackboneElement)</span></p><p><b>path</b>: <code>section</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>: [{"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) Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"summary","display":"Summary"}],"text":"netEffectSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Net Effect (Balance of Benefits/Harms) Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"netEffectRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Net Effect (Balance of Benefits/Harms) Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"netEffectRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Values/Preferences Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"preferences","display":"Preferences"}],"text":"preferencesSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Values/Preferences Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"preferencesRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Values/Preferences Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"preferencesRelatedItems"},"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":"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":"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 Started"}]}},{"title":"Overall Justification Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"overallJustificationRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Problem Importance Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"problem-importance","display":"Problem Importance"}],"text":"problemImportanceSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Problem Importance Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"problemImportanceRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Problem Importance Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"problemImportanceRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Resources/Costs Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"costs","display":"Costs"}],"text":"costsSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Resources/Costs Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"costsRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Resources/Costs Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"costsRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Cost-effectiveness Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"cost-effectiveness","display":"Cost-effectiveness"}],"text":"costEffectivenessSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Cost-effectiveness Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"costEffectivenessRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not 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 Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"equityRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Equity Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"equityRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Acceptability Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"acceptability","display":"Acceptability"}],"text":"acceptabilitySummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Acceptability Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"acceptabilityRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Acceptability Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"acceptabilityRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Feasibility Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"feasibility","display":"Feasibility"}],"text":"feasibilitySummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Feasibility Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"feasibilityRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Feasibility Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"feasibilityRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]}]},{"title":"Considerations","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"considerations","display":"Considerations"}],"text":"Considerations"},"section":[{"title":"Overall Considerations Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"summary","display":"Summary"}],"text":"overallConsiderationsSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Overall Considerations 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 Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"implementationConsiderationsRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Monitoring Considerations Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"monitoring-considerations","display":"Monitoring Considerations"}],"text":"monitoringConsiderationsSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Monitoring Considerations 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"}]}}]}]}]</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>section</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 RelatedArtifact <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>#manageAsRelatedArtifact)</span></p><p><b>path</b>: <code>relatesTo</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":"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"}}]</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>relatesTo</code></p></blockquote></blockquote></div>
</text>
<extension
url="http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-assessment-compared">
<valueReference>🔗
<reference value="Composition/179699"/>
<type value="Composition"/>
<display
value="Recommendation: ADA Obesity Management Recommendation 8.16-adapted"/>
</valueReference>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/artifact-url">
<valueUri value="https://fevir.net/resources/ArtifactAssessment/179700"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/artifact-description">
<valueMarkdown
value="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."/>
</extension>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="ACSN"/>
<display value="Accession ID"/>
</coding>
<text value="FEvIR Object Identifier"/>
</type>
<system value="https://fevir.net"/>
<value value="179700"/>
<assigner>
<display value="Computable Publishing LLC"/>
</assigner>
</identifier>
<title
value="Comparison: Original and Adapted Recommendation: ADA Obesity Management Recommendation 8.16"/>
<citeAsMarkdown
value="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."/>
<artifactReference>🔗
<reference value="Composition/179466"/>
<type value="Composition"/>
<display
value="Recommendation: ADA Obesity Management Recommendation 8.16"/>
</artifactReference>
<content>
<informationType value="container"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="PrimitiveElement"/>
<display value="Primitive Element"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="string-datatype"/>
<display value="string Datatype"/>
</coding>
</classifier>
<path value="resourceType"/>
<component>
<informationType value="comment"/>
<summary value="Composition"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContent"/>
<display value="Original Resource Content"/>
</coding>
</type>
<component>
<informationType value="comment"/>
<summary value="Composition"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparedResourceContent"/>
<display value="Compared Resource Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="string-datatype"/>
<display value="string Datatype"/>
</coding>
</classifier>
</component>
</component>
<component>
<informationType value="rating"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparisonOfResources"/>
<display value="Comparison of Resources Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="same"/>
<display value="Same"/>
</coding>
</classifier>
</component>
<component>
<informationType value="change-request"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="SuggestedChange"/>
<display value="Suggested Change to Resource Content"/>
</coding>
</type>
</component>
</content>
<content>
<informationType value="container"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="PrimitiveElement"/>
<display value="Primitive Element"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="string-datatype"/>
<display value="string Datatype"/>
</coding>
</classifier>
<path value="id"/>
<component>
<informationType value="comment"/>
<summary value="179466"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContent"/>
<display value="Original Resource Content"/>
</coding>
</type>
<component>
<informationType value="comment"/>
<summary value="179699"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparedResourceContent"/>
<display value="Compared Resource Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="string-datatype"/>
<display value="string Datatype"/>
</coding>
</classifier>
</component>
</component>
<component>
<informationType value="rating"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparisonOfResources"/>
<display value="Comparison of Resources Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="different"/>
<display value="Different"/>
</coding>
</classifier>
</component>
<component>
<informationType value="change-request"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="SuggestedChange"/>
<display value="Suggested Change to Resource Content"/>
</coding>
</type>
</component>
</content>
<content>
<informationType value="container"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ObjectElement"/>
<display value="Object Element"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="manageAsMeta"/>
<display value="Manage as Meta"/>
</coding>
</classifier>
<path value="meta"/>
<component>
<informationType value="comment"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContent"/>
<display value="Original Resource Content"/>
</coding>
</type>
<component>
<informationType value="comment"/>
<summary
value="{"versionId":"15","lastUpdated":"2023-11-24T19:36:33.794Z","profile":["http://hl7.org/fhir/uv/ebm/StructureDefinition/recommendation"]}"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContentJSON"/>
<display value="Original Resource Content JSON"/>
</coding>
</type>
</component>
<component>
<informationType value="comment"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparedResourceContent"/>
<display value="Compared Resource Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="manageAsMeta"/>
<display value="Manage as Meta"/>
</coding>
</classifier>
<component>
<informationType value="comment"/>
<summary
value="{"versionId":"1","lastUpdated":"2023-11-28T15:35:24.114Z","profile":["http://hl7.org/fhir/uv/ebm/StructureDefinition/recommendation"]}"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContentJSON"/>
<display value="Original Resource Content JSON"/>
</coding>
</type>
</component>
</component>
</component>
<component>
<informationType value="rating"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparisonOfResources"/>
<display value="Comparison of Resources Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="different"/>
<display value="Different"/>
</coding>
</classifier>
</component>
<component>
<informationType value="change-request"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="SuggestedChange"/>
<display value="Suggested Change to Resource Content"/>
</coding>
</type>
</component>
<component>
<informationType value="container"/>
<summary
value="{"versionId":"15","lastUpdated":"2023-11-24T19:36:33.794Z","profile":["http://hl7.org/fhir/uv/ebm/StructureDefinition/recommendation"]}"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ContainedElementAdaptation"/>
<display value="Contained Element Adaptation"/>
</coding>
</type>
<path value="meta"/>
</component>
</content>
<content>
<informationType value="container"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="PrimitiveElement"/>
<display value="Primitive Element"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="string-datatype"/>
<display value="string Datatype"/>
</coding>
</classifier>
<path value="url"/>
<component>
<informationType value="comment"/>
<summary value="https://fevir.net/resources/Composition/179466"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContent"/>
<display value="Original Resource Content"/>
</coding>
</type>
<component>
<informationType value="comment"/>
<summary value="https://fevir.net/resources/Composition/179699"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparedResourceContent"/>
<display value="Compared Resource Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="string-datatype"/>
<display value="string Datatype"/>
</coding>
</classifier>
</component>
</component>
<component>
<informationType value="rating"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparisonOfResources"/>
<display value="Comparison of Resources Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="different"/>
<display value="Different"/>
</coding>
</classifier>
</component>
<component>
<informationType value="change-request"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="SuggestedChange"/>
<display value="Suggested Change to Resource Content"/>
</coding>
</type>
</component>
</content>
<content>
<informationType value="container"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ArrayElement"/>
<display value="Array Element"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="manageAsIdentifier"/>
<display value="Manage as Identifier"/>
</coding>
</classifier>
<path value="identifier"/>
<component>
<informationType value="comment"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContent"/>
<display value="Original Resource Content"/>
</coding>
</type>
<component>
<informationType value="comment"/>
<summary
value="[{"type":{"text":"FEvIR Object Identifier"},"system":"https://fevir.net","value":"179466","assigner":{"display":"Computable Publishing LLC"}}]"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContentJSON"/>
<display value="Original Resource Content JSON"/>
</coding>
</type>
</component>
<component>
<informationType value="comment"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparedResourceContent"/>
<display value="Compared Resource Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="manageAsarray-of-Identifier"/>
<display value="Manage as Array of Identifier"/>
</coding>
</classifier>
<component>
<informationType value="comment"/>
<summary
value="[{"type":{"text":"FEvIR Object Identifier"},"system":"https://fevir.net","value":"179699","assigner":{"display":"Computable Publishing LLC"}}]"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContentJSON"/>
<display value="Original Resource Content JSON"/>
</coding>
</type>
</component>
</component>
</component>
<component>
<informationType value="rating"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparisonOfResources"/>
<display value="Comparison of Resources Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="different"/>
<display value="Different"/>
</coding>
</classifier>
</component>
<component>
<informationType value="change-request"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="SuggestedChange"/>
<display value="Suggested Change to Resource Content"/>
</coding>
</type>
</component>
<component>
<informationType value="container"/>
<summary
value="[{"type":{"text":"FEvIR Object Identifier"},"system":"https://fevir.net","value":"179466","assigner":{"display":"Computable Publishing LLC"}}]"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ContainedElementAdaptation"/>
<display value="Contained Element Adaptation"/>
</coding>
</type>
<path value="identifier"/>
</component>
</content>
<content>
<informationType value="container"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="PrimitiveElement"/>
<display value="Primitive Element"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="string-datatype"/>
<display value="string Datatype"/>
</coding>
</classifier>
<path value="status"/>
<component>
<informationType value="comment"/>
<summary value="final"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContent"/>
<display value="Original Resource Content"/>
</coding>
</type>
<component>
<informationType value="comment"/>
<summary value="final"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparedResourceContent"/>
<display value="Compared Resource Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="string-datatype"/>
<display value="string Datatype"/>
</coding>
</classifier>
</component>
</component>
<component>
<informationType value="rating"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparisonOfResources"/>
<display value="Comparison of Resources Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="same"/>
<display value="Same"/>
</coding>
</classifier>
</component>
<component>
<informationType value="change-request"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="SuggestedChange"/>
<display value="Suggested Change to Resource Content"/>
</coding>
</type>
</component>
</content>
<content>
<informationType value="container"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ObjectElement"/>
<display value="Object Element"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="manageAsCodeableConcept"/>
<display value="Manage as CodeableConcept"/>
</coding>
</classifier>
<path value="type"/>
<component>
<informationType value="comment"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContent"/>
<display value="Original Resource Content"/>
</coding>
</type>
<component>
<informationType value="comment"/>
<summary
value="{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"EvidenceReport","display":"EvidenceReport"}],"text":"EvidenceReport"}"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContentJSON"/>
<display value="Original Resource Content JSON"/>
</coding>
</type>
</component>
<component>
<informationType value="comment"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparedResourceContent"/>
<display value="Compared Resource Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="manageAsCodeableConcept"/>
<display value="Manage as CodeableConcept"/>
</coding>
</classifier>
<component>
<informationType value="comment"/>
<summary
value="{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"EvidenceReport","display":"EvidenceReport"}],"text":"EvidenceReport"}"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContentJSON"/>
<display value="Original Resource Content JSON"/>
</coding>
</type>
</component>
</component>
</component>
<component>
<informationType value="rating"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparisonOfResources"/>
<display value="Comparison of Resources Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="same"/>
<display value="Same"/>
</coding>
</classifier>
</component>
<component>
<informationType value="change-request"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="SuggestedChange"/>
<display value="Suggested Change to Resource Content"/>
</coding>
</type>
</component>
<component>
<informationType value="container"/>
<summary
value="{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"EvidenceReport","display":"EvidenceReport"}],"text":"EvidenceReport"}"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ContainedElementAdaptation"/>
<display value="Contained Element Adaptation"/>
</coding>
</type>
<path value="type"/>
</component>
</content>
<content>
<informationType value="container"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ArrayElement"/>
<display value="Array Element"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="manageAsCodeableConcept"/>
<display value="Manage as CodeableConcept"/>
</coding>
</classifier>
<path value="category"/>
<component>
<informationType value="comment"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContent"/>
<display value="Original Resource Content"/>
</coding>
</type>
<component>
<informationType value="comment"/>
<summary
value="[{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"Recommendation","display":"Recommendation"}]}]"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContentJSON"/>
<display value="Original Resource Content JSON"/>
</coding>
</type>
</component>
<component>
<informationType value="comment"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparedResourceContent"/>
<display value="Compared Resource Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="manageAsarray-of-CodeableConcept"/>
<display value="Manage as Array of CodeableConcept"/>
</coding>
</classifier>
<component>
<informationType value="comment"/>
<summary
value="[{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"Recommendation","display":"Recommendation"}]}]"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContentJSON"/>
<display value="Original Resource Content JSON"/>
</coding>
</type>
</component>
</component>
</component>
<component>
<informationType value="rating"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparisonOfResources"/>
<display value="Comparison of Resources Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="same"/>
<display value="Same"/>
</coding>
</classifier>
</component>
<component>
<informationType value="change-request"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="SuggestedChange"/>
<display value="Suggested Change to Resource Content"/>
</coding>
</type>
</component>
<component>
<informationType value="container"/>
<summary
value="[{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"Recommendation","display":"Recommendation"}]}]"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ContainedElementAdaptation"/>
<display value="Contained Element Adaptation"/>
</coding>
</type>
<path value="category"/>
</component>
</content>
<content>
<informationType value="container"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="PrimitiveElement"/>
<display value="Primitive Element"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="string-datatype"/>
<display value="string Datatype"/>
</coding>
</classifier>
<path value="date"/>
<component>
<informationType value="comment"/>
<summary value="2023-11-24T19:36:33.794Z"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContent"/>
<display value="Original Resource Content"/>
</coding>
</type>
<component>
<informationType value="comment"/>
<summary value="2023-11-28T15:35:24.114Z"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparedResourceContent"/>
<display value="Compared Resource Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="string-datatype"/>
<display value="string Datatype"/>
</coding>
</classifier>
</component>
</component>
<component>
<informationType value="rating"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparisonOfResources"/>
<display value="Comparison of Resources Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="different"/>
<display value="Different"/>
</coding>
</classifier>
</component>
<component>
<informationType value="change-request"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="SuggestedChange"/>
<display value="Suggested Change to Resource Content"/>
</coding>
</type>
</component>
</content>
<content>
<informationType value="container"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ArrayElement"/>
<display value="Array Element"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="manageAsReference"/>
<display value="Manage as Reference"/>
</coding>
</classifier>
<path value="author"/>
<component>
<informationType value="comment"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContent"/>
<display value="Original Resource Content"/>
</coding>
</type>
<component>
<informationType value="comment"/>
<summary value="[{"display":"Brian S. Alper"}]"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContentJSON"/>
<display value="Original Resource Content JSON"/>
</coding>
</type>
</component>
<component>
<informationType value="comment"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparedResourceContent"/>
<display value="Compared Resource Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="manageAsarray-of-Reference"/>
<display value="Manage as Array of Reference"/>
</coding>
</classifier>
<component>
<informationType value="comment"/>
<summary
value="[{"display":"Joanne Dehnbostel"}]"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContentJSON"/>
<display value="Original Resource Content JSON"/>
</coding>
</type>
</component>
</component>
</component>
<component>
<informationType value="rating"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparisonOfResources"/>
<display value="Comparison of Resources Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="different"/>
<display value="Different"/>
</coding>
</classifier>
</component>
<component>
<informationType value="change-request"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="SuggestedChange"/>
<display value="Suggested Change to Resource Content"/>
</coding>
</type>
</component>
<component>
<informationType value="container"/>
<summary value="[{"display":"Brian S. Alper"}]"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ContainedElementAdaptation"/>
<display value="Contained Element Adaptation"/>
</coding>
</type>
<path value="author"/>
</component>
</content>
<content>
<informationType value="container"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="PrimitiveElement"/>
<display value="Primitive Element"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="string-datatype"/>
<display value="string Datatype"/>
</coding>
</classifier>
<path value="title"/>
<component>
<informationType value="comment"/>
<summary
value="Recommendation: ADA Obesity Management Recommendation 8.16"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContent"/>
<display value="Original Resource Content"/>
</coding>
</type>
<component>
<informationType value="comment"/>
<summary
value="Recommendation: ADA Obesity Management Recommendation 8.16-adapted"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparedResourceContent"/>
<display value="Compared Resource Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="string-datatype"/>
<display value="string Datatype"/>
</coding>
</classifier>
</component>
</component>
<component>
<informationType value="rating"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparisonOfResources"/>
<display value="Comparison of Resources Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="different"/>
<display value="Different"/>
</coding>
</classifier>
</component>
<component>
<informationType value="change-request"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="SuggestedChange"/>
<display value="Suggested Change to Resource Content"/>
</coding>
</type>
</component>
</content>
<content>
<informationType value="container"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ObjectElement"/>
<display value="Object Element"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="manageAsReference"/>
<display value="Manage as Reference"/>
</coding>
</classifier>
<path value="custodian"/>
<component>
<informationType value="comment"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContent"/>
<display value="Original Resource Content"/>
</coding>
</type>
<component>
<informationType value="comment"/>
<summary
value="{"reference":"Organization/118079","type":"Organization","display":"Computable Publishing LLC"}"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContentJSON"/>
<display value="Original Resource Content JSON"/>
</coding>
</type>
</component>
<component>
<informationType value="comment"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparedResourceContent"/>
<display value="Compared Resource Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="manageAsReference"/>
<display value="Manage as Reference"/>
</coding>
</classifier>
<component>
<informationType value="comment"/>
<summary
value="{"reference":"Organization/118079","type":"Organization","display":"Computable Publishing LLC"}"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContentJSON"/>
<display value="Original Resource Content JSON"/>
</coding>
</type>
</component>
</component>
</component>
<component>
<informationType value="rating"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparisonOfResources"/>
<display value="Comparison of Resources Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="same"/>
<display value="Same"/>
</coding>
</classifier>
</component>
<component>
<informationType value="change-request"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="SuggestedChange"/>
<display value="Suggested Change to Resource Content"/>
</coding>
</type>
</component>
<component>
<informationType value="container"/>
<summary
value="{"reference":"Organization/118079","type":"Organization","display":"Computable Publishing LLC"}"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ContainedElementAdaptation"/>
<display value="Contained Element Adaptation"/>
</coding>
</type>
<path value="custodian"/>
</component>
</content>
<content>
<informationType value="container"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ArrayElement"/>
<display value="Array Element"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="manageAsBackboneElement"/>
<display value="Manage as BackboneElement"/>
</coding>
</classifier>
<path value="section"/>
<component>
<informationType value="comment"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContent"/>
<display value="Original Resource Content"/>
</coding>
</type>
<component>
<informationType value="comment"/>
<summary
value="[{"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) Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"summary","display":"Summary"}],"text":"netEffectSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Net Effect (Balance of Benefits/Harms) Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"netEffectRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Net Effect (Balance of Benefits/Harms) Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"netEffectRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Values/Preferences Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"preferences","display":"Preferences"}],"text":"preferencesSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Values/Preferences Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"preferencesRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Values/Preferences Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"preferencesRelatedItems"},"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":"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":"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 Started"}]}},{"title":"Overall Justification Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"overallJustificationRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Problem Importance Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"problem-importance","display":"Problem Importance"}],"text":"problemImportanceSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Problem Importance Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"problemImportanceRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Problem Importance Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"problemImportanceRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Resources/Costs Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"costs","display":"Costs"}],"text":"costsSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Resources/Costs Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"costsRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Resources/Costs Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"costsRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Cost-effectiveness Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"cost-effectiveness","display":"Cost-effectiveness"}],"text":"costEffectivenessSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Cost-effectiveness Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"costEffectivenessRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not 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 Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"equityRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Equity Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"equityRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Acceptability Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"acceptability","display":"Acceptability"}],"text":"acceptabilitySummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Acceptability Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"acceptabilityRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Acceptability Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"acceptabilityRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Feasibility Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"feasibility","display":"Feasibility"}],"text":"feasibilitySummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Feasibility Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"feasibilityRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Feasibility Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"feasibilityRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]}]},{"title":"Considerations","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"considerations","display":"Considerations"}],"text":"Considerations"},"section":[{"title":"Overall Considerations Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"summary","display":"Summary"}],"text":"overallConsiderationsSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Overall Considerations 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 Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"implementationConsiderationsRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Monitoring Considerations Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"monitoring-considerations","display":"Monitoring Considerations"}],"text":"monitoringConsiderationsSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Monitoring Considerations 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"}]}}]}]}]"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContentJSON"/>
<display value="Original Resource Content JSON"/>
</coding>
</type>
</component>
<component>
<informationType value="comment"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparedResourceContent"/>
<display value="Compared Resource Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="manageAsarray-of-BackboneElement"/>
<display value="Manage as Array of BackboneElement"/>
</coding>
</classifier>
<component>
<informationType value="comment"/>
<summary
value="[{"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) Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"summary","display":"Summary"}],"text":"netEffectSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Net Effect (Balance of Benefits/Harms) Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"netEffectRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Net Effect (Balance of Benefits/Harms) Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"netEffectRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Values/Preferences Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"preferences","display":"Preferences"}],"text":"preferencesSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Values/Preferences Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"preferencesRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Values/Preferences Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"preferencesRelatedItems"},"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":"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":"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 Started"}]}},{"title":"Overall Justification Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"overallJustificationRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Problem Importance Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"problem-importance","display":"Problem Importance"}],"text":"problemImportanceSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Problem Importance Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"problemImportanceRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Problem Importance Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"problemImportanceRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Resources/Costs Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"costs","display":"Costs"}],"text":"costsSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Resources/Costs Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"costsRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Resources/Costs Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"costsRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Cost-effectiveness Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"cost-effectiveness","display":"Cost-effectiveness"}],"text":"costEffectivenessSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Cost-effectiveness Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"costEffectivenessRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not 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 Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"equityRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Equity Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"equityRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Acceptability Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"acceptability","display":"Acceptability"}],"text":"acceptabilitySummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Acceptability Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"acceptabilityRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Acceptability Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"acceptabilityRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Feasibility Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"feasibility","display":"Feasibility"}],"text":"feasibilitySummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Feasibility Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"feasibilityRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Feasibility Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"feasibilityRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]}]},{"title":"Considerations","code":{"text":"Considerations"},"text":{"status":"empty","div":""},"section":[{"title":"Overall Considerations 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 Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"summary","display":"Summary"}],"text":"overallConsiderationsSummary"},"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 Ratings","code":{"text":"subgroupConsiderationsRatings"},"text":{"status":"empty","div":""},"entry":[]},{"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":"Subgroup Considerations Related Items","code":{"text":"subgroupConsiderationsRelatedItems"},"text":{"status":"empty","div":""},"entry":[]},{"title":"Implementation Considerations Ratings","code":{"text":"implementationConsiderationsRatings"},"text":{"status":"empty","div":""},"entry":[]},{"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 Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"implementationConsiderationsRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Implementation Considerations Related Items","code":{"text":"implementationConsiderationsRelatedItems"},"text":{"status":"empty","div":""},"entry":[]},{"title":"Monitoring Considerations Ratings","code":{"text":"monitoringConsiderationsRatings"},"text":{"status":"empty","div":""},"entry":[]},{"title":"Monitoring Considerations Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"monitoring-considerations","display":"Monitoring Considerations"}],"text":"monitoringConsiderationsSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Monitoring Considerations 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":"Monitoring Considerations Related Items","code":{"text":"monitoringConsiderationsRelatedItems"},"text":{"status":"empty","div":""},"entry":[]},{"title":"Competing Interests 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":[]}]}]"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContentJSON"/>
<display value="Original Resource Content JSON"/>
</coding>
</type>
</component>
</component>
</component>
<component>
<informationType value="rating"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparisonOfResources"/>
<display value="Comparison of Resources Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="different"/>
<display value="Different"/>
</coding>
</classifier>
</component>
<component>
<informationType value="change-request"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="SuggestedChange"/>
<display value="Suggested Change to Resource Content"/>
</coding>
</type>
</component>
<component>
<informationType value="container"/>
<summary
value="[{"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) Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"summary","display":"Summary"}],"text":"netEffectSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Net Effect (Balance of Benefits/Harms) Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"netEffectRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Net Effect (Balance of Benefits/Harms) Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"netEffectRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Values/Preferences Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"preferences","display":"Preferences"}],"text":"preferencesSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Values/Preferences Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"preferencesRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Values/Preferences Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"preferencesRelatedItems"},"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":"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":"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 Started"}]}},{"title":"Overall Justification Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"overallJustificationRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Problem Importance Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"problem-importance","display":"Problem Importance"}],"text":"problemImportanceSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Problem Importance Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"problemImportanceRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Problem Importance Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"problemImportanceRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Resources/Costs Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"costs","display":"Costs"}],"text":"costsSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Resources/Costs Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"costsRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Resources/Costs Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"costsRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Cost-effectiveness Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"cost-effectiveness","display":"Cost-effectiveness"}],"text":"costEffectivenessSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Cost-effectiveness Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"costEffectivenessRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not 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 Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"equityRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Equity Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"equityRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Acceptability Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"acceptability","display":"Acceptability"}],"text":"acceptabilitySummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Acceptability Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"acceptabilityRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Acceptability Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"acceptabilityRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Feasibility Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"feasibility","display":"Feasibility"}],"text":"feasibilitySummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Feasibility Ratings","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"ratings","display":"Ratings"}],"text":"feasibilityRatings"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Feasibility Related Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"feasibilityRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]}]},{"title":"Considerations","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"considerations","display":"Considerations"}],"text":"Considerations"},"section":[{"title":"Overall Considerations Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"summary","display":"Summary"}],"text":"overallConsiderationsSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}},{"title":"Overall Considerations 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 Items","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"related-items","display":"Related Items"}],"text":"implementationConsiderationsRelatedItems"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]}}]},{"title":"Monitoring Considerations Summary","code":{"coding":[{"system":"https://fevir.net/resources/CodeSystem/179423","code":"monitoring-considerations","display":"Monitoring Considerations"}],"text":"monitoringConsiderationsSummary"},"emptyReason":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/list-empty-reason","code":"notstarted","display":"Not Started"}]},"section":[{"title":"Monitoring Considerations 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"}]}}]}]}]"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ContainedElementAdaptation"/>
<display value="Contained Element Adaptation"/>
</coding>
</type>
<path value="section"/>
</component>
</content>
<content>
<informationType value="container"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ArrayElement"/>
<display value="Array Element"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="manageAsRelatedArtifact"/>
<display value="Manage as RelatedArtifact"/>
</coding>
</classifier>
<path value="relatesTo"/>
<component>
<informationType value="comment"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContent"/>
<display value="Original Resource Content"/>
</coding>
</type>
<component>
<informationType value="comment"/>
<summary
value="[{"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"}}]"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContentJSON"/>
<display value="Original Resource Content JSON"/>
</coding>
</type>
</component>
<component>
<informationType value="comment"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparedResourceContent"/>
<display value="Compared Resource Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="manageAsarray-of-RelatedArtifact"/>
<display value="Manage as Array of RelatedArtifact"/>
</coding>
</classifier>
<component>
<informationType value="comment"/>
<summary
value="[{"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"}}]"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="OriginalResourceContentJSON"/>
<display value="Original Resource Content JSON"/>
</coding>
</type>
</component>
</component>
</component>
<component>
<informationType value="rating"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ComparisonOfResources"/>
<display value="Comparison of Resources Content"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="different"/>
<display value="Different"/>
</coding>
</classifier>
</component>
<component>
<informationType value="change-request"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="SuggestedChange"/>
<display value="Suggested Change to Resource Content"/>
</coding>
</type>
</component>
<component>
<informationType value="container"/>
<summary
value="[{"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"}}]"/>
<type>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="ContainedElementAdaptation"/>
<display value="Contained Element Adaptation"/>
</coding>
</type>
<path value="relatesTo"/>
</component>
</content>
</ArtifactAssessment>
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
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change