Recommendation: ADA Obesity Management Recommendation 8.16-adapted - TTL Representation - Evidence Based Medicine on FHIR Implementation Guide v2.0.0-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 2.0.0-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
: Recommendation: ADA Obesity Management Recommendation 8.16-adapted - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Composition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "179699"] ; # 
  fhir:meta [
fhir:versionId [ fhir:v "14" ] ;
fhir:lastUpdated [ fhir:v "2024-12-13T10:57:37.978Z"^^xsd:dateTime ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/uv/ebm/StructureDefinition/recommendation"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/ebm/StructureDefinition/recommendation>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composition 179699</b></p><a name=\"179699\"> </a><a name=\"hc179699\"> </a><a name=\"179699-en-US\"> </a><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\">version: 14; Last updated: 2024-12-13 10:57:37+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-recommendation.html\">Recommendation</a></p></div><p><b>Artifact Approval Date</b>: 2023-11-15</p><p><b>Artifact Last Review Date</b>: 2023-12-01</p><p><b>Artifact Effective Period</b>: 2024-01-01 --&gt; 2024-12-31</p><p><b>Artifact Description</b>: </p><div><p>This example of adapting a Recommendation (removing the A from the end of the Recommendation Statement) shows the use of an Adaptation Profile of ArtifactAssessment and the use of the extensions: artifact-approvalDate, arifact-lastReviewDate, and artifact-effectivePeriod.</p>\n</div><p><b>url</b>: <a href=\"https://fevir.net/resources/Composition/179699\">https://fevir.net/resources/Composition/179699</a></p><p><b>identifier</b>: FEvIR Object Identifier/https://fevir.net/FOI/179699</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{https://fevir.net/resources/CodeSystem/179423 Recommendation}\">Recommendation</span></p><p><b>date</b>: 2024-12-13 10:57:37+0000</p><p><b>author</b>: Joanne Dehnbostel</p><p><b>title</b>: Recommendation: ADA Obesity Management Recommendation 8.16-adapted</p><p><b>custodian</b>: <a href=\"Organization-118079.html\">Computable Publishing LLC</a></p><h3>RelatesTos</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td><td><b>Label</b></td><td><b>Citation</b></td><td><b>ResourceReference</b></td></tr><tr><td style=\"display: none\">*</td><td>Derived From</td><td><span title=\"Codes:\">Original Recommendation</span></td><td>Derived from</td><td> </td><td><a href=\"Composition-179466.html\">Recommendation: ADA Obesity Management Recommendation 8.16</a></td></tr><tr><td style=\"display: none\">*</td><td>Derived From</td><td><span title=\"Codes:\">Adaptation Report</span></td><td>Derived from</td><td> </td><td><a href=\"ArtifactAssessment-179698.html\">Joanne Dehnbostel's Adaptation Report of Recommendation: ADA Obesity Management Recommendation 8.16</a></td></tr><tr><td style=\"display: none\">*</td><td>Cite As</td><td> </td><td>Cite as</td><td><div><p>Recommendation: ADA Obesity Management Recommendation 8.16-adapted [Database Entry: FHIR Composition Resource]. Contributors: Joanne Dehnbostel [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 179699. Revised 2024-07-18. Available at: https://fevir.net/resources/Composition/179699. Computable resource at: https://fevir.net/FLI/DocumentForComposition179699.</p>\n</div></td><td> </td></tr></table></div>"
  ] ; # 
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fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/artifact-approvalDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2023-11-15"^^xsd:date ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2023-12-01"^^xsd:date ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod"^^xsd:anyURI ] ;
fhir:value [
a fhir:Period ;
fhir:start [ fhir:v "2024-01-01"^^xsd:date ] ;
fhir:end [ fhir:v "2024-12-31"^^xsd:date ]     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/artifact-description"^^xsd:anyURI ] ;
fhir:value [ fhir:v "This example of adapting a Recommendation (removing the A from the end of the Recommendation Statement) shows the use of an Adaptation Profile of ArtifactAssessment and the use of the extensions: artifact-approvalDate, arifact-lastReviewDate, and artifact-effectivePeriod." ]
  ] ) ; # 
  fhir:url [ fhir:v "https://fevir.net/resources/Composition/179699"^^xsd:anyURI] ; # 
  fhir:identifier ( [
fhir:type [
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fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
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fhir:text [ fhir:v "FEvIR Object Identifier" ]     ] ;
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "https://fevir.net/FOI/179699" ] ;
fhir:assigner [
fhir:display [ fhir:v "Computable Publishing LLC" ]     ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:type [
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fhir:code [ fhir:v "Recommendation" ] ;
fhir:display [ fhir:v "Recommendation" ]     ] )
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  fhir:date [ fhir:v "2024-12-13T10:57:37.978Z"^^xsd:dateTime] ; # 
  fhir:author ( [
fhir:type [ fhir:v "Practitioner"^^xsd:anyURI ] ;
fhir:display [ fhir:v "Joanne Dehnbostel" ]
  ] ) ; # 
  fhir:title [ fhir:v "Recommendation: ADA Obesity Management Recommendation 8.16-adapted"] ; # 
  fhir:custodian [
fhir:reference [ fhir:v "Organization/118079" ] ;
fhir:type [ fhir:v "Organization"^^xsd:anyURI ] ;
fhir:display [ fhir:v "Computable Publishing LLC" ]
  ] ; # 
  fhir:relatesTo ( [
fhir:type [ fhir:v "derived-from" ] ;
    ( fhir:classifier [
fhir:text [ fhir:v "Original Recommendation" ]     ] ) ;
fhir:label [ fhir:v "Derived from" ] ;
fhir:resourceReference [
fhir:reference [ fhir:v "Composition/179466" ] ;
fhir:type [ fhir:v "Composition"^^xsd:anyURI ] ;
fhir:display [ fhir:v "Recommendation: ADA Obesity Management Recommendation 8.16" ]     ]
  ] [
fhir:type [ fhir:v "derived-from" ] ;
    ( fhir:classifier [
fhir:text [ fhir:v "Adaptation Report" ]     ] ) ;
fhir:label [ fhir:v "Derived from" ] ;
fhir:resourceReference [
fhir:reference [ fhir:v "ArtifactAssessment/179698" ] ;
fhir:type [ fhir:v "ArtifactAssessment"^^xsd:anyURI ] ;
fhir:display [ fhir:v "Joanne Dehnbostel's Adaptation Report of Recommendation: ADA Obesity Management Recommendation 8.16" ]     ]
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fhir:type [ fhir:v "cite-as" ] ;
fhir:label [ fhir:v "Cite as" ] ;
fhir:citation [ fhir:v "Recommendation: ADA Obesity Management Recommendation 8.16-adapted [Database Entry: FHIR Composition Resource]. Contributors: Joanne Dehnbostel [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 179699. Revised 2024-07-18. Available at: https://fevir.net/resources/Composition/179699. Computable resource at: https://fevir.net/FLI/DocumentForComposition179699." ]
  ] ) ; # 
  fhir:section ( [
fhir:title [ fhir:v "Summary Section" ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ;
fhir:code [ fhir:v "summary" ] ;
fhir:display [ fhir:v "Summary" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "empty" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>[No data.]</p></div>"     ] ;
fhir:emptyReason [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/list-empty-reason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "notstarted" ] ;
fhir:display [ fhir:v "Not Started" ]       ] )     ]
  ] [
fhir:title [ fhir:v "Introduction Section" ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ;
fhir:code [ fhir:v "introduction" ] ;
fhir:display [ fhir:v "Introduction" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "empty" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">[No data.]</div>"     ] ;
fhir:emptyReason [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/list-empty-reason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "notstarted" ] ;
fhir:display [ fhir:v "Not Started" ]       ] )     ]
  ] [
fhir:title [ fhir:v "Recommendation Specification" ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ;
fhir:code [ fhir:v "recommendation-specification" ] ;
fhir:display [ fhir:v "Recommendation Specification" ]       ] )     ] ;
    ( fhir:section [
fhir:title [ fhir:v "Recommendation Statement" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ;
fhir:code [ fhir:v "recommendation-statement" ] ;
fhir:display [ fhir:v "Recommendation Statement" ]         ] ) ;
fhir:text [ fhir:v "overallSummary" ]       ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">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.</div>"       ] ;
      ( fhir:entry [
fhir:reference [ fhir:v "ArtifactAssessment/179469" ] ;
fhir:type [ fhir:v "ArtifactAssessment"^^xsd:anyURI ]       ] )     ] [
fhir:title [ fhir:v "Recommendation Ratings" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ratings" ] ;
fhir:display [ fhir:v "Ratings" ]         ] ) ;
fhir:text [ fhir:v "overallRatings" ]       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">A</div>"       ] ;
      ( fhir:entry [
fhir:reference [ fhir:v "ArtifactAssessment/179469" ] ;
fhir:type [ fhir:v "ArtifactAssessment"^^xsd:anyURI ]       ] )     ] [
fhir:title [ fhir:v "Population" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ;
fhir:code [ fhir:v "population" ] ;
fhir:display [ fhir:v "Population" ]         ] ) ;
fhir:text [ fhir:v "population" ]       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">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.</div>"       ] ;
      ( fhir:entry [
fhir:reference [ fhir:v "Group/32139" ] ;
fhir:type [ fhir:v "Group"^^xsd:anyURI ] ;
fhir:display [ fhir:v "RecommendationEligibilityCriteria: Eligibility Criteria for Bariatric Surgery (ADA Recommendation 8.16)" ]       ] )     ] [
fhir:title [ fhir:v "Action" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ;
fhir:code [ fhir:v "action" ] ;
fhir:display [ fhir:v "Action" ]         ] ) ;
fhir:text [ fhir:v "action" ]       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Metabolic surgery is recommended.</div>"       ] ;
      ( fhir:entry [
fhir:reference [ fhir:v "PlanDefinition/179468" ] ;
fhir:type [ fhir:v "PlanDefinition"^^xsd:anyURI ] ;
fhir:display [ fhir:v "PlanDefinition for Recommendation: ADA Obesity Management Recommendation 8.16" ]       ] )     ] [
fhir:title [ fhir:v "Opposite Action" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ;
fhir:code [ fhir:v "opposite-action" ] ;
fhir:display [ fhir:v "Opposite Action" ]         ] ) ;
fhir:text [ fhir:v "oppositeAction" ]       ] ;
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        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/list-empty-reason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "notstarted" ] ;
fhir:display [ fhir:v "Not Started" ]         ] )       ]     ] )
  ] [
fhir:title [ fhir:v "Justification" ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ;
fhir:code [ fhir:v "justification" ] ;
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fhir:text [
fhir:status [ fhir:v "empty" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">[No data.]</div>"     ] ;
fhir:emptyReason [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/list-empty-reason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "notstarted" ] ;
fhir:display [ fhir:v "Not Started" ]       ] )     ]
  ] [
fhir:title [ fhir:v "Considerations" ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ;
fhir:code [ fhir:v "considerations" ] ;
fhir:display [ fhir:v "Considerations" ]       ] )     ] ;
    ( fhir:section [
fhir:title [ fhir:v "Overall Considerations Summary" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ;
fhir:code [ fhir:v "summary" ] ;
fhir:display [ fhir:v "Summary" ]         ] ) ;
fhir:text [ fhir:v "overallConsiderationsSummary" ]       ] ;
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        ( fhir:coding [
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fhir:display [ fhir:v "Not Started" ]         ] )       ]     ] [
fhir:title [ fhir:v "Subgroup Considerations Summary" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ;
fhir:code [ fhir:v "subgroup-considerations" ] ;
fhir:display [ fhir:v "Subgroup Considerations" ]         ] ) ;
fhir:text [ fhir:v "subgroupConsiderationsSummary" ]       ] ;
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        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/list-empty-reason"^^xsd:anyURI ] ;
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fhir:display [ fhir:v "Not Started" ]         ] )       ]     ] [
fhir:title [ fhir:v "Implementation Considerations Summary" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ;
fhir:code [ fhir:v "implementation-considerations" ] ;
fhir:display [ fhir:v "Implementation Considerations" ]         ] ) ;
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fhir:display [ fhir:v "Not Started" ]         ] )       ]     ] [
fhir:title [ fhir:v "Monitoring Considerations Summary" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ;
fhir:code [ fhir:v "monitoring-considerations" ] ;
fhir:display [ fhir:v "Monitoring Considerations" ]         ] ) ;
fhir:text [ fhir:v "monitoringConsiderationsSummary" ]       ] ;
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        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/list-empty-reason"^^xsd:anyURI ] ;
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fhir:display [ fhir:v "Not Started" ]         ] )       ]     ] [
fhir:title [ fhir:v "Competing Interests Summary" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ;
fhir:code [ fhir:v "competing-interests" ] ;
fhir:display [ fhir:v "Competing Interests" ]         ] ) ;
fhir:text [ fhir:v "competingInterestsSummary" ]       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">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</div>"       ] ;
      ( fhir:entry [
fhir:reference [ fhir:v "ArtifactAssessment/179469" ] ;
fhir:type [ fhir:v "ArtifactAssessment"^^xsd:anyURI ]       ] )     ] [
fhir:title [ fhir:v "Research Priorities Summary" ] ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ;
fhir:code [ fhir:v "research-considerations" ] ;
fhir:display [ fhir:v "Research Considerations" ]         ] ) ;
fhir:text [ fhir:v "researchConsiderationsSummary" ]       ] ;
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fhir:display [ fhir:v "Not Started" ]         ] )       ]     ] )
  ] [
fhir:title [ fhir:v "Methods Section" ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ;
fhir:code [ fhir:v "methods" ] ;
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fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">[No data.]</div>"     ] ;
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fhir:display [ fhir:v "Not Started" ]       ] )     ]
  ] [
fhir:title [ fhir:v "Evidence" ] ;
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fhir:code [ fhir:v "evidence" ] ;
fhir:display [ fhir:v "Evidence" ]       ] )     ] ;
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fhir:status [ fhir:v "additional" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">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.</div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "ArtifactAssessment/179469" ] ;
fhir:type [ fhir:v "ArtifactAssessment"^^xsd:anyURI ]     ] )
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fhir:title [ fhir:v "Discussion" ] ;
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fhir:title [ fhir:v "References Section" ] ;
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fhir:text [
fhir:status [ fhir:v "empty" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">[No data.]</div>"     ] ;
fhir:emptyReason [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/list-empty-reason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "notstarted" ] ;
fhir:display [ fhir:v "Not Started" ]       ] )     ]
  ] [
fhir:title [ fhir:v "Acknowledgements Section" ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ;
fhir:code [ fhir:v "acknowledgements" ] ;
fhir:display [ fhir:v "Acknowledgements" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "empty" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">[No data.]</div>"     ] ;
fhir:emptyReason [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/list-empty-reason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "notstarted" ] ;
fhir:display [ fhir:v "Not Started" ]       ] )     ]
  ] [
fhir:title [ fhir:v "Appendices Section" ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ] ;
fhir:code [ fhir:v "appendices" ] ;
fhir:display [ fhir:v "Appendices" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "empty" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">[No data.]</div>"     ] ;
fhir:emptyReason [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/list-empty-reason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "notstarted" ] ;
fhir:display [ fhir:v "Not Started" ]       ] )     ]
  ] ) . #