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-ballot3 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
| Page standards status: Informative |
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/ArtifactAssessment/179698> a fhir:_ArtifactAssessment ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "179698"] ; #
fhir:meta [
fhir:versionId [ fhir:v "7" ] ;
fhir:lastUpdated [ fhir:v "2026-06-23T19:56:10.458Z"^^xsd:dateTime ] ;
fhir:profile ( [
fhir:v "http://hl7.org/fhir/uv/ebm/StructureDefinition/adaptation"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/uv/ebm/StructureDefinition/adaptation>
] )
] ; #
fhir:language [ fhir:v "en"] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ArtifactAssessment 179698</b></p><a name=\"179698\"> </a><a name=\"hc179698\"> </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: 7; Last updated: 2026-06-23 19:56:10+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-adaptation.html\">Adaptation</a></p></div><p><b>Artifact Author</b>: Joanne Dehnbostel: </p><p><b>Artifact Description</b>: </p><div><p>This example of an Adaptation Profile shows the specific content that was changed when adapting one Recommendation Profile instance to create a new Recommendation Profile instance, serving a role of 'track changes' for structured data.</p>\n</div><p><b>ArtifactPublicationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-status-type active}\">Active</span></p><p><b>Artifact Status</b>: active</p><p><b>identifier</b>: FEvIR Object Identifier/179698</p><p><b>title</b>: Joanne Dehnbostel's Adaptation Report of Recommendation: ADA Obesity Management Recommendation 8.16</p><p><b>citeAs</b>: </p><div><p>Joanne Dehnbostel's Adaptation Report of Recommendation: ADA Obesity Management Recommendation 8.16 [Database Entry: FHIR ArtifactAssessment Resource]. Contributors: Joanne Dehnbostel [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 179698. Revised 2026-06-23. Available at: https://fevir.net/resources/ArtifactAssessment/179698. Computable resource at: https://fevir.net/resources/ArtifactAssessment/179698#json.</p>\n</div><p><b>artifact</b>: <a href=\"Composition-179466.html\">Recommendation: ADA Obesity Management Recommendation 8.16</a></p><blockquote><p><b>content</b></p><p><b>type</b>: <span title=\"Codes:\">adapted element</span></p><p><b>classifier</b>: <span title=\"Codes:{https://fevir.net/resources/CodeSystem/179423 string-datatype}\">string Datatype</span></p><p><b>path</b>: overallSummary</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Summary</b></td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><div><p>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</p>\n</div></td><td><span title=\"Codes:{https://fevir.net/resources/CodeSystem/179423 OriginalResourceContent}\">Original Resource Content</span></td><td> </td></tr><tr><td style=\"display: none\">*</td><td> </td><td><span title=\"Codes:{https://fevir.net/resources/CodeSystem/179423 RationaleForChange}\">Rationale for Change to Resource Content</span></td><td><span title=\"Codes:{https://fevir.net/resources/CodeSystem/179423 suggested-change}\">Suggested change</span></td></tr><tr><td style=\"display: none\">*</td><td><div><p>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.</p>\n</div></td><td><span title=\"Codes:{https://fevir.net/resources/CodeSystem/179423 SuggestedChange}\">Suggested Change to Resource Content</span></td><td> </td></tr></table></blockquote></div>"^^rdf:XMLLiteral ]
] ; #
fhir:extension ( [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/artifact-author"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/artifact-author>
] ;
fhir:value [
a fhir:ContactDetail ;
fhir:name [ fhir:v "Joanne Dehnbostel" ]
]
] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/artifact-description"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/artifact-description>
] ;
fhir:value [
a fhir:Markdown ;
fhir:v "This example of an Adaptation Profile shows the specific content that was changed when adapting one Recommendation Profile instance to create a new Recommendation Profile instance, serving a role of 'track changes' for structured data."
]
] [
fhir:url [
fhir:v "http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status>
] ;
fhir:value [
a fhir:CodeableConcept ;
fhir:coding ( [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/cited-artifact-status-type"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/cited-artifact-status-type>
] ;
fhir:code [ fhir:v "active" ] ;
fhir:display [ fhir:v "Active" ]
] )
]
] ) ; #
fhir:modifierExtension ( [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/artifact-status"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/artifact-status>
] ;
fhir:value [
a fhir:Code ;
fhir:v "active"
]
] ) ; #
fhir:identifier ( [
fhir:type [
fhir:coding ( [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>
] ;
fhir:code [ fhir:v "ACSN" ] ;
fhir:display [ fhir:v "Accession ID" ]
] ) ;
fhir:text [ fhir:v "FEvIR Object Identifier" ]
] ;
fhir:system [
fhir:v "https://fevir.net/FOI"^^xsd:anyURI ;
fhir:l <https://fevir.net/FOI>
] ;
fhir:value [ fhir:v "179698" ] ;
fhir:assigner [
fhir:display [ fhir:v "Computable Publishing LLC" ]
]
] ) ; #
fhir:title [ fhir:v "Joanne Dehnbostel's Adaptation Report of Recommendation: ADA Obesity Management Recommendation 8.16"] ; #
fhir:citeAs [ fhir:v "Joanne Dehnbostel's Adaptation Report of Recommendation: ADA Obesity Management Recommendation 8.16 [Database Entry: FHIR ArtifactAssessment Resource]. Contributors: Joanne Dehnbostel [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 179698. Revised 2026-06-23. Available at: https://fevir.net/resources/ArtifactAssessment/179698. Computable resource at: https://fevir.net/resources/ArtifactAssessment/179698#json."] ; #
fhir:artifact [
a fhir:Reference ;
fhir:l <http://hl7.org/fhir/Composition/179466> ;
fhir:reference [ fhir:v "Composition/179466" ] ;
fhir:type [
fhir:v "Composition"^^xsd:anyURI ;
fhir:l fhir:Composition
] ;
fhir:display [ fhir:v "Recommendation: ADA Obesity Management Recommendation 8.16" ]
] ; #
fhir:content ( [
fhir:type [
fhir:text [ fhir:v "adapted element" ]
] ;
fhir:classifier ( [
fhir:coding ( [
fhir:system [
fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ;
fhir:l <https://fevir.net/resources/CodeSystem/179423>
] ;
fhir:code [ fhir:v "string-datatype" ] ;
fhir:display [ fhir:v "string Datatype" ]
] )
] ) ;
fhir:path ( [
fhir:v "overallSummary"^^xsd:anyURI ;
fhir:l fhir:overallSummary
] ) ;
fhir:component ( [
fhir:summary [ fhir:v "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" ] ;
fhir:type [
fhir:coding ( [
fhir:system [
fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ;
fhir:l <https://fevir.net/resources/CodeSystem/179423>
] ;
fhir:code [ fhir:v "OriginalResourceContent" ] ;
fhir:display [ fhir:v "Original Resource Content" ]
] )
]
] [
fhir:type [
fhir:coding ( [
fhir:system [
fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ;
fhir:l <https://fevir.net/resources/CodeSystem/179423>
] ;
fhir:code [ fhir:v "RationaleForChange" ] ;
fhir:display [ fhir:v "Rationale for Change to Resource Content" ]
] )
] ;
fhir:classifier ( [
fhir:coding ( [
fhir:system [
fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ;
fhir:l <https://fevir.net/resources/CodeSystem/179423>
] ;
fhir:code [ fhir:v "suggested-change" ] ;
fhir:display [ fhir:v "Suggested change" ]
] )
] )
] [
fhir:summary [ fhir:v "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." ] ;
fhir:type [
fhir:coding ( [
fhir:system [
fhir:v "https://fevir.net/resources/CodeSystem/179423"^^xsd:anyURI ;
fhir:l <https://fevir.net/resources/CodeSystem/179423>
] ;
fhir:code [ fhir:v "SuggestedChange" ] ;
fhir:display [ fhir:v "Suggested Change to Resource Content" ]
] )
]
] )
] ) . #
<http://hl7.org/fhir/Composition/179466> a fhir:Composition .
IG © 2024+ HL7 International / Clinical Decision Support.
Package hl7.fhir.uv.ebm#1.0.0-ballot3 based on FHIR 6.0.0-ballot3.
Generated
2026-06-26
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