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-ballot2 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

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: Recommendation Rating: ADA Obesity Management Recommendation 8.16 - XML Representation

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<ArtifactAssessment xmlns="http://hl7.org/fhir">
  <id value="385882"/>
  <meta>
    <versionId value="11"/>
    <lastUpdated value="2025-08-14T17:38:12.311Z"/>
    <profile
             value="http://hl7.org/fhir/uv/ebm/StructureDefinition/recommendation-rating"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Title: </b>Recommendation Rating: ADA Obesity Management Recommendation 8.16</p><br/><p><b>Rating for Recommendation: </b>Recommendation: ADA Obesity Management Recommendation 8.16</p><br/><table><tr><th>Concept</th><th>Summary</th><th>Rating</th></tr><tr><td>Rating System (coded as: rating-system from https://fevir.net/resources/CodeSystem/179423)</td><td>undefined</td><td>ADA Level of Evidence</td></tr><tr><td>Direction of Recommendation (coded as: direction-of-recommendation from https://fevir.net/resources/CodeSystem/179423)</td><td>undefined</td><td>Favors intervention (coded as: RJCS-2021 from https://fevir.net/resources/CodeSystem/27834)</td></tr><tr><td>Ratings (coded as: ratings from https://fevir.net/resources/CodeSystem/179423)</td><td>undefined</td><td>A</td></tr><tr><td>Certainty of Evidence (coded as: certainty-of-evidence from https://fevir.net/resources/CodeSystem/179423)</td><td>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.</td><td>ADA Level of Evidence A</td></tr></table><br/></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/artifact-description">
    <valueMarkdown
                   value="An example using the ArtifactAssessment Resource for representation of the rating assigned to a recommendation."/>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/cited-artifact-status-type"/>
        <code value="active"/>
        <display value="Active"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension url="http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to">
    <extension url="type">
      <valueCode value="derived-from"/>
    </extension>
    <extension url="targetReference">
      <valueReference>🔗 
        <reference value="ArtifactAssessment/179469"/>
        <type value="ArtifactAssessment"/>
        <display
                 value="Justification for Recommendation: ADA Obesity Management Recommendation 8.16"/>
      </valueReference>
    </extension>
  </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/FOI"/>
    <value value="385882"/>
    <assigner>
      <display value="Computable Publishing LLC"/>
    </assigner>
  </identifier>
  <title
         value="Recommendation Rating: ADA Obesity Management Recommendation 8.16"/>
  <citeAs
          value="Recommendation Rating: ADA Obesity Management Recommendation 8.16 [Database Entry: FHIR ArtifactAssessment Resource]. Contributors: In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 385882. Revised 2025-08-14. Available at: https://fevir.net/resources/ArtifactAssessment/385882. Computable resource at: https://fevir.net/resources/ArtifactAssessment/385882#json."/>
  <artifactReference>🔗 
    <reference value="Composition/179466"/>
    <type value="Composition"/>
    <display
             value="Recommendation: ADA Obesity Management Recommendation 8.16"/>
  </artifactReference>
  <content>
    <type>
      <coding>
        <system value="https://fevir.net/resources/CodeSystem/179423"/>
        <code value="rating-system"/>
        <display value="Rating System"/>
      </coding>
    </type>
    <classifier>
      <text value="ADA Level of Evidence"/>
    </classifier>
    <freeToShare value="true"/>
  </content>
  <content>
    <type>
      <coding>
        <system value="https://fevir.net/resources/CodeSystem/179423"/>
        <code value="strength-of-recommendation"/>
        <display value="Strength of Recommendation"/>
      </coding>
    </type>
    <freeToShare value="true"/>
  </content>
  <content>
    <type>
      <coding>
        <system value="https://fevir.net/resources/CodeSystem/179423"/>
        <code value="direction-of-recommendation"/>
        <display value="Direction of Recommendation"/>
      </coding>
    </type>
    <classifier>
      <coding>
        <system value="https://fevir.net/resources/CodeSystem/27834"/>
        <code value="RJCS-2021"/>
        <display value="Favors intervention"/>
      </coding>
    </classifier>
    <freeToShare value="true"/>
  </content>
  <content>
    <summary
             value="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."/>
    <type>
      <coding>
        <system value="https://fevir.net/resources/CodeSystem/179423"/>
        <code value="certainty-of-evidence"/>
        <display value="Certainty of Evidence"/>
      </coding>
    </type>
    <classifier>
      <text value="ADA Level of Evidence A"/>
    </classifier>
    <freeToShare value="true"/>
  </content>
  <content>
    <type>
      <coding>
        <system value="https://fevir.net/resources/CodeSystem/179423"/>
        <code value="ratings"/>
        <display value="Ratings"/>
      </coding>
    </type>
    <classifier>
      <text value="A"/>
    </classifier>
    <freeToShare value="true"/>
  </content>
</ArtifactAssessment>