Evidence Based Medicine on FHIR Implementation Guide
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This page is part of the Evidence Based Medicine on FHIR Implementation Guide (v1.0.0-ballot: STU1 Ballot 1) based on FHIR (HL7® FHIR® Standard) v5.0.0. . For a full list of available versions, see the Directory of published versions

: Comparison: Original and Adapted Recommendation: ADA Obesity Management Recommendation 8.16 - XML Representation

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<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></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">Resource ArtifactAssessment &quot;179700&quot; Version &quot;5&quot; Updated &quot;2023-12-06 14:24:23+0000&quot; </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>: {&quot;versionId&quot;:&quot;15&quot;,&quot;lastUpdated&quot;:&quot;2023-11-24T19:36:33.794Z&quot;,&quot;profile&quot;:[&quot;http://hl7.org/fhir/uv/ebm/StructureDefinition/recommendation&quot;]}</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>: [{&quot;type&quot;:{&quot;text&quot;:&quot;FEvIR Object Identifier&quot;},&quot;system&quot;:&quot;https://fevir.net&quot;,&quot;value&quot;:&quot;179466&quot;,&quot;assigner&quot;:{&quot;display&quot;:&quot;Computable Publishing LLC&quot;}}]</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>: {&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;EvidenceReport&quot;,&quot;display&quot;:&quot;EvidenceReport&quot;}],&quot;text&quot;:&quot;EvidenceReport&quot;}</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>: [{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;Recommendation&quot;,&quot;display&quot;:&quot;Recommendation&quot;}]}]</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>: [{&quot;display&quot;:&quot;Brian S. 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[[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.&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;Group/32139&quot;,&quot;type&quot;:&quot;Group&quot;,&quot;display&quot;:&quot;RecommendationEligibilityCriteria: Eligibility Criteria for Bariatric Surgery (ADA Recommendation 8.16)&quot;}]},{&quot;title&quot;:&quot;Action&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;action&quot;,&quot;display&quot;:&quot;Action&quot;}],&quot;text&quot;:&quot;action&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;Metabolic surgery is recommended.&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;PlanDefinition/179468&quot;,&quot;type&quot;:&quot;PlanDefinition&quot;,&quot;display&quot;:&quot;PlanDefinition for Recommendation: ADA Obesity Management Recommendation 8.16&quot;}]},{&quot;title&quot;:&quot;Opposite Action&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;opposite-action&quot;,&quot;display&quot;:&quot;Opposite Action&quot;}],&quot;text&quot;:&quot;oppositeAction&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Structured Data&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;data-source&quot;,&quot;display&quot;:&quot;Data Source&quot;}],&quot;text&quot;:&quot;relatesToDerivedFrom&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}}]},{&quot;title&quot;:&quot;Evidence&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;evidence&quot;,&quot;display&quot;:&quot;Evidence&quot;}],&quot;text&quot;:&quot;Evidence&quot;},&quot;section&quot;:[{&quot;title&quot;:&quot;Summary of Findings&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;summary-of-findings&quot;,&quot;display&quot;:&quot;Summary of Findings&quot;}],&quot;text&quot;:&quot;summaryOfFindingsSummary&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;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.&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;ArtifactAssessment/179469&quot;,&quot;type&quot;:&quot;ArtifactAssessment&quot;}],&quot;section&quot;:[{&quot;title&quot;:&quot;Summary of Findings 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follow-up of obese adults with type 2 diabetes randomized to adding gastric bypass compared with lifestyle and intensive medical management alone, there remained a significantly better composite triple end point in the surgical group at 5 years. 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Started&quot;}]}}]},{&quot;title&quot;:&quot;Cost-effectiveness Summary&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;cost-effectiveness&quot;,&quot;display&quot;:&quot;Cost-effectiveness&quot;}],&quot;text&quot;:&quot;costEffectivenessSummary&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]},&quot;section&quot;:[{&quot;title&quot;:&quot;Cost-effectiveness 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Items&quot;}],&quot;text&quot;:&quot;costEffectivenessRelatedItems&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}}]},{&quot;title&quot;:&quot;Equity Summary&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;equity&quot;,&quot;display&quot;:&quot;Equity&quot;}],&quot;text&quot;:&quot;equitySummary&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]},&quot;section&quot;:[{&quot;title&quot;:&quot;Equity 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                 value="[{&quot;title&quot;:&quot;Recommendation Specification&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;recommendation-specification&quot;,&quot;display&quot;:&quot;Recommendation Specification&quot;}],&quot;text&quot;:&quot;Recommendation Specification&quot;},&quot;section&quot;:[{&quot;title&quot;:&quot;Recommendation Statement&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;recommendation-statement&quot;,&quot;display&quot;:&quot;Recommendation Statement&quot;}],&quot;text&quot;:&quot;overallSummary&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;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&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;ArtifactAssessment/179469&quot;,&quot;type&quot;:&quot;ArtifactAssessment&quot;}]},{&quot;title&quot;:&quot;Recommendation Rating System&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;rating-system&quot;,&quot;display&quot;:&quot;Rating System&quot;}]},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;ADA Level of Evidence&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;ArtifactAssessment/179469&quot;,&quot;type&quot;:&quot;ArtifactAssessment&quot;}]},{&quot;title&quot;:&quot;Strength of Recommendation Rating&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;strength-of-recommendation&quot;,&quot;display&quot;:&quot;Strength of Recommendation&quot;}],&quot;text&quot;:&quot;strengthOfRecommendationRating&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]},&quot;entry&quot;:[{&quot;reference&quot;:&quot;ArtifactAssessment/179469&quot;,&quot;type&quot;:&quot;ArtifactAssessment&quot;}]},{&quot;title&quot;:&quot;Direction of Recommendation&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;direction-of-recommendation&quot;,&quot;display&quot;:&quot;Direction of Recommendation&quot;}],&quot;text&quot;:&quot;directionOfRecommendation&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;Favors intervention&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;ArtifactAssessment/179469&quot;,&quot;type&quot;:&quot;ArtifactAssessment&quot;}]},{&quot;title&quot;:&quot;Other Recommendation Ratings&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;ratings&quot;,&quot;display&quot;:&quot;Ratings&quot;}],&quot;text&quot;:&quot;overallRatings&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;A&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;ArtifactAssessment/179469&quot;,&quot;type&quot;:&quot;ArtifactAssessment&quot;}]},{&quot;title&quot;:&quot;Overall Recommendation Related Items&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;related-items&quot;,&quot;display&quot;:&quot;Related Items&quot;}],&quot;text&quot;:&quot;overallRelatedItems&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Discussion&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;discussion&quot;,&quot;display&quot;:&quot;Discussion&quot;}]},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Population&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;population&quot;,&quot;display&quot;:&quot;Population&quot;}],&quot;text&quot;:&quot;population&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;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.&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;Group/32139&quot;,&quot;type&quot;:&quot;Group&quot;,&quot;display&quot;:&quot;RecommendationEligibilityCriteria: Eligibility Criteria for Bariatric Surgery (ADA Recommendation 8.16)&quot;}]},{&quot;title&quot;:&quot;Action&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;action&quot;,&quot;display&quot;:&quot;Action&quot;}],&quot;text&quot;:&quot;action&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;Metabolic surgery is recommended.&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;PlanDefinition/179468&quot;,&quot;type&quot;:&quot;PlanDefinition&quot;,&quot;display&quot;:&quot;PlanDefinition for Recommendation: ADA Obesity Management Recommendation 8.16&quot;}]},{&quot;title&quot;:&quot;Opposite Action&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;opposite-action&quot;,&quot;display&quot;:&quot;Opposite Action&quot;}],&quot;text&quot;:&quot;oppositeAction&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Structured Data&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;data-source&quot;,&quot;display&quot;:&quot;Data Source&quot;}],&quot;text&quot;:&quot;relatesToDerivedFrom&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}}]},{&quot;title&quot;:&quot;Evidence&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;evidence&quot;,&quot;display&quot;:&quot;Evidence&quot;}],&quot;text&quot;:&quot;Evidence&quot;},&quot;section&quot;:[{&quot;title&quot;:&quot;Summary of Findings&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;summary-of-findings&quot;,&quot;display&quot;:&quot;Summary of Findings&quot;}],&quot;text&quot;:&quot;summaryOfFindingsSummary&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;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.&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;ArtifactAssessment/179469&quot;,&quot;type&quot;:&quot;ArtifactAssessment&quot;}],&quot;section&quot;:[{&quot;title&quot;:&quot;Summary of Findings Ratings&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;ratings&quot;,&quot;display&quot;:&quot;Ratings&quot;}],&quot;text&quot;:&quot;summaryOfFindingsRatings&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Summary of Findings Related Items&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;related-items&quot;,&quot;display&quot;:&quot;Related Items&quot;}],&quot;text&quot;:&quot;summaryOfFindingsRelatedItems&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;JournalArticleCitation: Metabolic Surgery in the Treatment Algorithm for Type 2 Diabetes: A Joint Statement by International Diabetes Organizations&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;ArtifactAssessment/179469&quot;,&quot;type&quot;:&quot;ArtifactAssessment&quot;}]}]},{&quot;title&quot;:&quot;Desirable Effects&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;desirable-effects&quot;,&quot;display&quot;:&quot;Desirable Effects&quot;}],&quot;text&quot;:&quot;desirableSummary&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]},&quot;section&quot;:[{&quot;title&quot;:&quot;Desirable Effects 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Ratings&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;ratings&quot;,&quot;display&quot;:&quot;Ratings&quot;}],&quot;text&quot;:&quot;undesirableRatings&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Undesirable Effects Related Items&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;related-items&quot;,&quot;display&quot;:&quot;Related Items&quot;}],&quot;text&quot;:&quot;undesirableRelatedItems&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}}]},{&quot;title&quot;:&quot;Discussion&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;discussion&quot;,&quot;display&quot;:&quot;Discussion&quot;}]},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;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.&lt;br/&gt;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.&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;ArtifactAssessment/179469&quot;,&quot;type&quot;:&quot;ArtifactAssessment&quot;}]},{&quot;title&quot;:&quot;Data Source&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;data-source&quot;,&quot;display&quot;:&quot;Data Source&quot;}]},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}}]},{&quot;title&quot;:&quot;Net Effect&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;net-effect&quot;,&quot;display&quot;:&quot;Net 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These disclosures are discussed at the outset of each Standards of Care revision meeting. Members of the committee, their employers, and their disclosed conflicts of interest are listed in 'Disclosures: Standards of Medical Care in Diabetes—2021' (https://doi.org/10.2337/dc21-SPPC). The ADA funds development of the Standards of Care out of its general revenues and does not use industry support for this purpose. 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                   value="[{&quot;title&quot;:&quot;Recommendation Specification&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;recommendation-specification&quot;,&quot;display&quot;:&quot;Recommendation Specification&quot;}],&quot;text&quot;:&quot;Recommendation Specification&quot;},&quot;section&quot;:[{&quot;title&quot;:&quot;Recommendation Statement&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;recommendation-statement&quot;,&quot;display&quot;:&quot;Recommendation Statement&quot;}],&quot;text&quot;:&quot;overallSummary&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;additional&quot;,&quot;div&quot;:&quot;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. &quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;ArtifactAssessment/179469&quot;,&quot;type&quot;:&quot;ArtifactAssessment&quot;}]},{&quot;title&quot;:&quot;Recommendation Rating System&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;rating-system&quot;,&quot;display&quot;:&quot;Rating System&quot;}]},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;ADA Level of Evidence&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;ArtifactAssessment/179469&quot;,&quot;type&quot;:&quot;ArtifactAssessment&quot;}]},{&quot;title&quot;:&quot;Strength of Recommendation 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Recommendation&quot;}],&quot;text&quot;:&quot;directionOfRecommendation&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;Favors intervention&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;ArtifactAssessment/179469&quot;,&quot;type&quot;:&quot;ArtifactAssessment&quot;}]},{&quot;title&quot;:&quot;Other Recommendation Ratings&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;ratings&quot;,&quot;display&quot;:&quot;Ratings&quot;}],&quot;text&quot;:&quot;overallRatings&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;A&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;ArtifactAssessment/179469&quot;,&quot;type&quot;:&quot;ArtifactAssessment&quot;}]},{&quot;title&quot;:&quot;Overall Recommendation Related 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Started&quot;}]}},{&quot;title&quot;:&quot;Population&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;population&quot;,&quot;display&quot;:&quot;Population&quot;}],&quot;text&quot;:&quot;population&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;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.&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;Group/32139&quot;,&quot;type&quot;:&quot;Group&quot;,&quot;display&quot;:&quot;RecommendationEligibilityCriteria: Eligibility Criteria for Bariatric Surgery (ADA Recommendation 8.16)&quot;}]},{&quot;title&quot;:&quot;Action&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;action&quot;,&quot;display&quot;:&quot;Action&quot;}],&quot;text&quot;:&quot;action&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;Metabolic surgery is recommended.&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;PlanDefinition/179468&quot;,&quot;type&quot;:&quot;PlanDefinition&quot;,&quot;display&quot;:&quot;PlanDefinition for Recommendation: ADA Obesity Management Recommendation 8.16&quot;}]},{&quot;title&quot;:&quot;Opposite Action&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;opposite-action&quot;,&quot;display&quot;:&quot;Opposite Action&quot;}],&quot;text&quot;:&quot;oppositeAction&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Structured Data&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;data-source&quot;,&quot;display&quot;:&quot;Data Source&quot;}],&quot;text&quot;:&quot;relatesToDerivedFrom&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}}]},{&quot;title&quot;:&quot;Evidence&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;evidence&quot;,&quot;display&quot;:&quot;Evidence&quot;}],&quot;text&quot;:&quot;Evidence&quot;},&quot;section&quot;:[{&quot;title&quot;:&quot;Summary of Findings&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;summary-of-findings&quot;,&quot;display&quot;:&quot;Summary of Findings&quot;}],&quot;text&quot;:&quot;summaryOfFindingsSummary&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;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.&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;ArtifactAssessment/179469&quot;,&quot;type&quot;:&quot;ArtifactAssessment&quot;}],&quot;section&quot;:[{&quot;title&quot;:&quot;Summary of Findings 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Statement by International Diabetes Organizations&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;ArtifactAssessment/179469&quot;,&quot;type&quot;:&quot;ArtifactAssessment&quot;}]}]},{&quot;title&quot;:&quot;Desirable Effects&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;desirable-effects&quot;,&quot;display&quot;:&quot;Desirable Effects&quot;}],&quot;text&quot;:&quot;desirableSummary&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]},&quot;section&quot;:[{&quot;title&quot;:&quot;Desirable Effects 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Items&quot;}],&quot;text&quot;:&quot;undesirableRelatedItems&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}}]},{&quot;title&quot;:&quot;Discussion&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;discussion&quot;,&quot;display&quot;:&quot;Discussion&quot;}]},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;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.&lt;br/&gt;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.&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;ArtifactAssessment/179469&quot;,&quot;type&quot;:&quot;ArtifactAssessment&quot;}]},{&quot;title&quot;:&quot;Data Source&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;data-source&quot;,&quot;display&quot;:&quot;Data Source&quot;}]},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}}]},{&quot;title&quot;:&quot;Net Effect&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;net-effect&quot;,&quot;display&quot;:&quot;Net 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Started&quot;}]}}]},{&quot;title&quot;:&quot;Cost-effectiveness Summary&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;cost-effectiveness&quot;,&quot;display&quot;:&quot;Cost-effectiveness&quot;}],&quot;text&quot;:&quot;costEffectivenessSummary&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]},&quot;section&quot;:[{&quot;title&quot;:&quot;Cost-effectiveness 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Items&quot;}],&quot;text&quot;:&quot;costEffectivenessRelatedItems&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}}]},{&quot;title&quot;:&quot;Equity Summary&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;equity&quot;,&quot;display&quot;:&quot;Equity&quot;}],&quot;text&quot;:&quot;equitySummary&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]},&quot;section&quot;:[{&quot;title&quot;:&quot;Equity 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Started&quot;}]}}]},{&quot;title&quot;:&quot;Acceptability Summary&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;acceptability&quot;,&quot;display&quot;:&quot;Acceptability&quot;}],&quot;text&quot;:&quot;acceptabilitySummary&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]},&quot;section&quot;:[{&quot;title&quot;:&quot;Acceptability Ratings&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;ratings&quot;,&quot;display&quot;:&quot;Ratings&quot;}],&quot;text&quot;:&quot;acceptabilityRatings&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Acceptability Related Items&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;related-items&quot;,&quot;display&quot;:&quot;Related Items&quot;}],&quot;text&quot;:&quot;acceptabilityRelatedItems&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}}]},{&quot;title&quot;:&quot;Feasibility Summary&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;feasibility&quot;,&quot;display&quot;:&quot;Feasibility&quot;}],&quot;text&quot;:&quot;feasibilitySummary&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]},&quot;section&quot;:[{&quot;title&quot;:&quot;Feasibility Ratings&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;ratings&quot;,&quot;display&quot;:&quot;Ratings&quot;}],&quot;text&quot;:&quot;feasibilityRatings&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Feasibility Related Items&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;related-items&quot;,&quot;display&quot;:&quot;Related Items&quot;}],&quot;text&quot;:&quot;feasibilityRelatedItems&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}}]}]},{&quot;title&quot;:&quot;Considerations&quot;,&quot;code&quot;:{&quot;text&quot;:&quot;Considerations&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;empty&quot;,&quot;div&quot;:&quot;&quot;},&quot;section&quot;:[{&quot;title&quot;:&quot;Overall Considerations Ratings&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;ratings&quot;,&quot;display&quot;:&quot;Ratings&quot;}],&quot;text&quot;:&quot;overallConsiderationsRatings&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Overall Considerations Summary&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;summary&quot;,&quot;display&quot;:&quot;Summary&quot;}],&quot;text&quot;:&quot;overallConsiderationsSummary&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Overall Considerations Related Items&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;related-items&quot;,&quot;display&quot;:&quot;Related Items&quot;}],&quot;text&quot;:&quot;overallConsiderationsRelatedItems&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Subgroup Considerations Ratings&quot;,&quot;code&quot;:{&quot;text&quot;:&quot;subgroupConsiderationsRatings&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;empty&quot;,&quot;div&quot;:&quot;&quot;},&quot;entry&quot;:[]},{&quot;title&quot;:&quot;Subgroup Considerations Summary&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;subgroup-considerations&quot;,&quot;display&quot;:&quot;Subgroup Considerations&quot;}],&quot;text&quot;:&quot;subgroupConsiderationsSummary&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]},&quot;section&quot;:[{&quot;title&quot;:&quot;Subgroup Considerations Ratings&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;ratings&quot;,&quot;display&quot;:&quot;Ratings&quot;}],&quot;text&quot;:&quot;subgroupConsiderationsRatings&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Subgroup Considerations Related Items&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;related-items&quot;,&quot;display&quot;:&quot;Related Items&quot;}],&quot;text&quot;:&quot;subgroupConsiderationsRelatedItems&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}}]},{&quot;title&quot;:&quot;Subgroup Considerations Related Items&quot;,&quot;code&quot;:{&quot;text&quot;:&quot;subgroupConsiderationsRelatedItems&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;empty&quot;,&quot;div&quot;:&quot;&quot;},&quot;entry&quot;:[]},{&quot;title&quot;:&quot;Implementation Considerations Ratings&quot;,&quot;code&quot;:{&quot;text&quot;:&quot;implementationConsiderationsRatings&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;empty&quot;,&quot;div&quot;:&quot;&quot;},&quot;entry&quot;:[]},{&quot;title&quot;:&quot;Implementation Considerations Summary&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;implementation-considerations&quot;,&quot;display&quot;:&quot;Implementation Considerations&quot;}],&quot;text&quot;:&quot;implementationConsiderationsSummary&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]},&quot;section&quot;:[{&quot;title&quot;:&quot;Implementation Considerations Ratings&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;ratings&quot;,&quot;display&quot;:&quot;Ratings&quot;}],&quot;text&quot;:&quot;implementationConsiderationsRatings&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Implementation Considerations Related Items&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;related-items&quot;,&quot;display&quot;:&quot;Related Items&quot;}],&quot;text&quot;:&quot;implementationConsiderationsRelatedItems&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}}]},{&quot;title&quot;:&quot;Implementation Considerations Related Items&quot;,&quot;code&quot;:{&quot;text&quot;:&quot;implementationConsiderationsRelatedItems&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;empty&quot;,&quot;div&quot;:&quot;&quot;},&quot;entry&quot;:[]},{&quot;title&quot;:&quot;Monitoring Considerations Ratings&quot;,&quot;code&quot;:{&quot;text&quot;:&quot;monitoringConsiderationsRatings&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;empty&quot;,&quot;div&quot;:&quot;&quot;},&quot;entry&quot;:[]},{&quot;title&quot;:&quot;Monitoring Considerations Summary&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;monitoring-considerations&quot;,&quot;display&quot;:&quot;Monitoring Considerations&quot;}],&quot;text&quot;:&quot;monitoringConsiderationsSummary&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]},&quot;section&quot;:[{&quot;title&quot;:&quot;Monitoring Considerations Ratings&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;ratings&quot;,&quot;display&quot;:&quot;Ratings&quot;}],&quot;text&quot;:&quot;monitoringConsiderationsRatings&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Monitoring Considerations Related Items&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;related-items&quot;,&quot;display&quot;:&quot;Related Items&quot;}],&quot;text&quot;:&quot;monitoringConsiderationsRelatedItems&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}}]},{&quot;title&quot;:&quot;Monitoring Considerations Related Items&quot;,&quot;code&quot;:{&quot;text&quot;:&quot;monitoringConsiderationsRelatedItems&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;empty&quot;,&quot;div&quot;:&quot;&quot;},&quot;entry&quot;:[]},{&quot;title&quot;:&quot;Competing Interests Ratings&quot;,&quot;code&quot;:{&quot;text&quot;:&quot;competingInterestsRatings&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;empty&quot;,&quot;div&quot;:&quot;&quot;},&quot;entry&quot;:[]},{&quot;title&quot;:&quot;Competing Interests Summary&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;competing-interests&quot;,&quot;display&quot;:&quot;Competing Interests&quot;}],&quot;text&quot;:&quot;competingInterestsSummary&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;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. 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A&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;ArtifactAssessment/179469&quot;,&quot;type&quot;:&quot;ArtifactAssessment&quot;}]},{&quot;title&quot;:&quot;Recommendation Rating System&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;rating-system&quot;,&quot;display&quot;:&quot;Rating System&quot;}]},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;ADA Level of Evidence&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;ArtifactAssessment/179469&quot;,&quot;type&quot;:&quot;ArtifactAssessment&quot;}]},{&quot;title&quot;:&quot;Strength of Recommendation Rating&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;strength-of-recommendation&quot;,&quot;display&quot;:&quot;Strength of Recommendation&quot;}],&quot;text&quot;:&quot;strengthOfRecommendationRating&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]},&quot;entry&quot;:[{&quot;reference&quot;:&quot;ArtifactAssessment/179469&quot;,&quot;type&quot;:&quot;ArtifactAssessment&quot;}]},{&quot;title&quot;:&quot;Direction of Recommendation&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;direction-of-recommendation&quot;,&quot;display&quot;:&quot;Direction of Recommendation&quot;}],&quot;text&quot;:&quot;directionOfRecommendation&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;Favors intervention&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;ArtifactAssessment/179469&quot;,&quot;type&quot;:&quot;ArtifactAssessment&quot;}]},{&quot;title&quot;:&quot;Other Recommendation Ratings&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;ratings&quot;,&quot;display&quot;:&quot;Ratings&quot;}],&quot;text&quot;:&quot;overallRatings&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;A&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;ArtifactAssessment/179469&quot;,&quot;type&quot;:&quot;ArtifactAssessment&quot;}]},{&quot;title&quot;:&quot;Overall Recommendation Related Items&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;related-items&quot;,&quot;display&quot;:&quot;Related Items&quot;}],&quot;text&quot;:&quot;overallRelatedItems&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Discussion&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;discussion&quot;,&quot;display&quot;:&quot;Discussion&quot;}]},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Population&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;population&quot;,&quot;display&quot;:&quot;Population&quot;}],&quot;text&quot;:&quot;population&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;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.&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;Group/32139&quot;,&quot;type&quot;:&quot;Group&quot;,&quot;display&quot;:&quot;RecommendationEligibilityCriteria: Eligibility Criteria for Bariatric Surgery (ADA Recommendation 8.16)&quot;}]},{&quot;title&quot;:&quot;Action&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;action&quot;,&quot;display&quot;:&quot;Action&quot;}],&quot;text&quot;:&quot;action&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;Metabolic surgery is recommended.&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;PlanDefinition/179468&quot;,&quot;type&quot;:&quot;PlanDefinition&quot;,&quot;display&quot;:&quot;PlanDefinition for Recommendation: ADA Obesity Management Recommendation 8.16&quot;}]},{&quot;title&quot;:&quot;Opposite Action&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;opposite-action&quot;,&quot;display&quot;:&quot;Opposite Action&quot;}],&quot;text&quot;:&quot;oppositeAction&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Structured Data&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;data-source&quot;,&quot;display&quot;:&quot;Data Source&quot;}],&quot;text&quot;:&quot;relatesToDerivedFrom&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}}]},{&quot;title&quot;:&quot;Evidence&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;evidence&quot;,&quot;display&quot;:&quot;Evidence&quot;}],&quot;text&quot;:&quot;Evidence&quot;},&quot;section&quot;:[{&quot;title&quot;:&quot;Summary of Findings&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;summary-of-findings&quot;,&quot;display&quot;:&quot;Summary of Findings&quot;}],&quot;text&quot;:&quot;summaryOfFindingsSummary&quot;},&quot;text&quot;:{&quot;status&quot;:&quot;generated&quot;,&quot;div&quot;:&quot;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.&quot;},&quot;entry&quot;:[{&quot;reference&quot;:&quot;ArtifactAssessment/179469&quot;,&quot;type&quot;:&quot;ArtifactAssessment&quot;}],&quot;section&quot;:[{&quot;title&quot;:&quot;Summary of Findings 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follow-up of obese adults with type 2 diabetes randomized to adding gastric bypass compared with lifestyle and intensive medical management alone, there remained a significantly better composite triple end point in the surgical group at 5 years. 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Items&quot;}],&quot;text&quot;:&quot;preferencesRelatedItems&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}}]},{&quot;title&quot;:&quot;Discussion&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;discussion&quot;,&quot;display&quot;:&quot;Discussion&quot;}]},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Data Source&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;data-source&quot;,&quot;display&quot;:&quot;Data 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Items&quot;}],&quot;text&quot;:&quot;overallJustificationRelatedItems&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}}]},{&quot;title&quot;:&quot;Problem Importance Summary&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;problem-importance&quot;,&quot;display&quot;:&quot;Problem Importance&quot;}],&quot;text&quot;:&quot;problemImportanceSummary&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]},&quot;section&quot;:[{&quot;title&quot;:&quot;Problem Importance 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Items&quot;}],&quot;text&quot;:&quot;problemImportanceRelatedItems&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}}]},{&quot;title&quot;:&quot;Resources/Costs Summary&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;costs&quot;,&quot;display&quot;:&quot;Costs&quot;}],&quot;text&quot;:&quot;costsSummary&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]},&quot;section&quot;:[{&quot;title&quot;:&quot;Resources/Costs Ratings&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;ratings&quot;,&quot;display&quot;:&quot;Ratings&quot;}],&quot;text&quot;:&quot;costsRatings&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Resources/Costs Related Items&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;related-items&quot;,&quot;display&quot;:&quot;Related Items&quot;}],&quot;text&quot;:&quot;costsRelatedItems&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}}]},{&quot;title&quot;:&quot;Cost-effectiveness Summary&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;cost-effectiveness&quot;,&quot;display&quot;:&quot;Cost-effectiveness&quot;}],&quot;text&quot;:&quot;costEffectivenessSummary&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]},&quot;section&quot;:[{&quot;title&quot;:&quot;Cost-effectiveness Ratings&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;ratings&quot;,&quot;display&quot;:&quot;Ratings&quot;}],&quot;text&quot;:&quot;costEffectivenessRatings&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Cost-effectiveness Related Items&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;related-items&quot;,&quot;display&quot;:&quot;Related Items&quot;}],&quot;text&quot;:&quot;costEffectivenessRelatedItems&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}}]},{&quot;title&quot;:&quot;Equity Summary&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;equity&quot;,&quot;display&quot;:&quot;Equity&quot;}],&quot;text&quot;:&quot;equitySummary&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]},&quot;section&quot;:[{&quot;title&quot;:&quot;Equity 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Started&quot;}]}}]},{&quot;title&quot;:&quot;Acceptability Summary&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;acceptability&quot;,&quot;display&quot;:&quot;Acceptability&quot;}],&quot;text&quot;:&quot;acceptabilitySummary&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]},&quot;section&quot;:[{&quot;title&quot;:&quot;Acceptability Ratings&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;ratings&quot;,&quot;display&quot;:&quot;Ratings&quot;}],&quot;text&quot;:&quot;acceptabilityRatings&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Acceptability Related Items&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;related-items&quot;,&quot;display&quot;:&quot;Related Items&quot;}],&quot;text&quot;:&quot;acceptabilityRelatedItems&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}}]},{&quot;title&quot;:&quot;Feasibility Summary&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;feasibility&quot;,&quot;display&quot;:&quot;Feasibility&quot;}],&quot;text&quot;:&quot;feasibilitySummary&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]},&quot;section&quot;:[{&quot;title&quot;:&quot;Feasibility Ratings&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;ratings&quot;,&quot;display&quot;:&quot;Ratings&quot;}],&quot;text&quot;:&quot;feasibilityRatings&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Feasibility Related Items&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;related-items&quot;,&quot;display&quot;:&quot;Related Items&quot;}],&quot;text&quot;:&quot;feasibilityRelatedItems&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}}]}]},{&quot;title&quot;:&quot;Considerations&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;considerations&quot;,&quot;display&quot;:&quot;Considerations&quot;}],&quot;text&quot;:&quot;Considerations&quot;},&quot;section&quot;:[{&quot;title&quot;:&quot;Overall Considerations Summary&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;summary&quot;,&quot;display&quot;:&quot;Summary&quot;}],&quot;text&quot;:&quot;overallConsiderationsSummary&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Overall Considerations Ratings&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;ratings&quot;,&quot;display&quot;:&quot;Ratings&quot;}],&quot;text&quot;:&quot;overallConsiderationsRatings&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}},{&quot;title&quot;:&quot;Overall Considerations Related Items&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;related-items&quot;,&quot;display&quot;:&quot;Related 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Items&quot;}],&quot;text&quot;:&quot;subgroupConsiderationsRelatedItems&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]}}]},{&quot;title&quot;:&quot;Implementation Considerations Summary&quot;,&quot;code&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;https://fevir.net/resources/CodeSystem/179423&quot;,&quot;code&quot;:&quot;implementation-considerations&quot;,&quot;display&quot;:&quot;Implementation Considerations&quot;}],&quot;text&quot;:&quot;implementationConsiderationsSummary&quot;},&quot;emptyReason&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;http://terminology.hl7.org/CodeSystem/list-empty-reason&quot;,&quot;code&quot;:&quot;notstarted&quot;,&quot;display&quot;:&quot;Not Started&quot;}]},&quot;section&quot;:[{&quot;title&quot;:&quot;Implementation Considerations 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