{
  "schema_version": "chamgap-public-criteria-1.0",
  "title": "Non-obligatory postcards × people with any repetition: an evidence sheet distinguishing repeat-event counts",
  "language": "en",
  "translation_date": "2026-10-11",
  "criteria_version": "1.0",
  "criteria_date": "2026-10-06",
  "condition_origin": "Chamgap's own application conditions",
  "method_sources": [
    {
      "id": "M03",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2023-08",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-03",
      "section": "§3.1, §3.2.1–3.2.3, MECIR C5/C7/C13",
      "official_principle": "Clearly record the question, eligibility conditions and reasons for changes, and distinguish variations in interventions.",
      "review_level": "Preserved methodology connections were reused for preparation. No new review of methodological content, reassessment or external-link checks were performed."
    },
    {
      "id": "M04",
      "version": "Cochrane Handbook 6.5.1 (2025), chapter updated 2025-03",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-04",
      "section": "§4.5, §4.6.1–4.6.3, MECIR C42",
      "official_principle": "Distinguish studies from reports and link them; do not omit a study solely because results are unreported.",
      "review_level": "Preserved methodology connections were reused for preparation. No new review of methodological content, reassessment or external-link checks were performed."
    },
    {
      "id": "M08",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2019-10",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-08",
      "section": "§8.1–8.2.3, Table 8.2.a",
      "official_principle": "Define the outcome and effect of interest, then examine randomization, deviations, missing data, measurement and selective reporting.",
      "review_level": "Preserved methodology connections were reused for preparation. No new review of methodological content, reassessment or external-link checks were performed."
    },
    {
      "id": "M15",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2023-08",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-15",
      "section": "§15.2.4, §15.3.1–15.3.3",
      "official_principle": "Distinguish effect estimates, intervals, importance and applicability. Sample size alone does not determine precision.",
      "review_level": "Preserved methodology connections were reused for preparation. No new review of methodological content, reassessment or external-link checks were performed."
    },
    {
      "id": "M19",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2019-10",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-19",
      "section": "§19.1.2, §19.2.1–19.2.4",
      "official_principle": "Harm questions may require different designs, populations and follow-up from efficacy questions. Case reports do not establish incidence rates.",
      "review_level": "Preserved methodology connections were reused for preparation. No new review of methodological content, reassessment or external-link checks were performed."
    }
  ],
  "status_dictionary": {
    "Partly verified": "Some information exists in the preserved review summary; detailed original materials remain unverified. This does not certify a passed review or clinical efficacy.",
    "Unverified": "Detailed materials for the selected condition could not be established within the stored scope; this does not mean zero effect, zero studies or safety",
    "Review incomplete": "Review of existing content incomplete",
    "Met": "Use only within the relevant conditions after existing content review; no automatic designation in this preparation",
    "Not reported": "Distinguish only within materials actually read; do not turn unread external materials into unreported findings",
    "Inaccessible": "Not applied during this preparation because actual access was not tested",
    "Not applicable": "Use with a reason for non-applicability based on an explicit question boundary",
    "Conflicting data": "Judge after actual material comparison; review was not performed during this preparation",
    "Insufficient evidence for the conditions": "Do not use as a clinical grade encompassing currently unread materials"
  },
  "requirements": [
    {
      "item_id": "N01",
      "question_type": "Comparative efficacy",
      "question": "Are the selected reduction in people with any repetition and the parent repeat-event result distinguished?",
      "needed": "Separate records of the original subclaim, grade, note and parent results",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Separate records of the original subclaim, grade, note and parent results",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Additional materials are linked separately to the selected any-repetition endpoint and the repeat-event endpoint."
    },
    {
      "item_id": "N02",
      "question_type": "Comparative efficacy",
      "question": "Who was recruited after hospital treatment and what is the scope of application?",
      "needed": "Prior episodes, age, location, eligibility, baseline characteristics and denominators",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Prior episodes, age, location, eligibility, baseline characteristics and denominators",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain original eligibility, baseline characteristics, individual histories of repetition and treatment records."
    },
    {
      "item_id": "N03",
      "question_type": "Comparative efficacy",
      "question": "Are non-obligatory postcard exposure and the existing-treatment comparator distinguished?",
      "needed": "Records of historical study exposure, usual care and concomitant care by group",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Records of historical study exposure, usual care and concomitant care by group",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain original intervention, actual exposure, usual-care and concomitant-care materials."
    },
    {
      "item_id": "N04",
      "question_type": "Comparative efficacy",
      "question": "Are the units of randomized people, people with repetition and repeat events preserved separately?",
      "needed": "Distinguishing randomized denominators, individual repetition and event counts",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Distinguishing randomized denominators, individual repetition and event counts",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain original mappings of person-level and event-level analyses and follow-up denominators."
    },
    {
      "item_id": "N05",
      "question_type": "Comparative efficacy",
      "question": "What are the definition, follow-up period and ascertainment scope for people with any repetition?",
      "needed": "Episode definition, hospital treatment, follow-up period and administrative-data scope",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Episode definition, hospital treatment, follow-up period and administrative-data scope",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain original episode definitions, database, linkage, observation-period and missing-data materials."
    },
    {
      "item_id": "N06",
      "question_type": "Comparative efficacy",
      "question": "Are 57/378 versus 68/394 and the proportions preserved as originally recorded?",
      "needed": "People with repetition by group, original denominators, proportions and analysis populations",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "People with repetition by group, original denominators, proportions and analysis populations",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain original person-level episode tables, group denominators, follow-up completeness and analysis populations."
    },
    {
      "item_id": "N07",
      "question_type": "Comparative efficacy",
      "question": "Are the difference in repeater proportions, its interval and the missing P value preserved?",
      "needed": "Original between-group difference, interval, test, denominators and model",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Original between-group difference, interval, test, denominators and model",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Link original tests, models, intervals, prespecified importance thresholds and denominator materials."
    },
    {
      "item_id": "N08",
      "question_type": "Comparative efficacy",
      "question": "Do 101 versus 192 repeat events and the IRR describe the selected effect on people with repetition?",
      "needed": "Separate records of event counts, person counts, exposure time and incidence rate ratio",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Separate records of event counts, person counts, exposure time and incidence rate ratio",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain individual repetition distributions, original event tables, exposure and incidence-rate analysis plans."
    },
    {
      "item_id": "N09",
      "question_type": "Comparative efficacy",
      "question": "Are total events, repeat events per person and the contribution of a small group of repeaters distinguished?",
      "needed": "Original data on event distributions, individual repetition, observation time and models",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Original data on event distributions, individual repetition, observation time and models",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain original person-level distributions, repeated-event models, subgroup plans and denominators."
    },
    {
      "item_id": "N10",
      "question_type": "Comparative efficacy",
      "question": "Are the split coprimary outcomes and selected subclaim grade D displayed together?",
      "needed": "Coprimary designation, individual effects, tests and multiplicity plans",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Coprimary designation, individual effects, tests and multiplicity plans",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain original protocols, SAP, coprimary endpoint hierarchy, multiplicity plans and individual original tables."
    },
    {
      "item_id": "N11",
      "question_type": "Comparative efficacy",
      "question": "What is the recorded information on randomization, concealment, blinding and administrative measurement?",
      "needed": "Allocation, concealment, participant/outcome measurement and analyst procedures",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Allocation, concealment, participant/outcome measurement and analyst procedures",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain original methods, administrative linkage, allocation, concealment, measurement and analysis procedures."
    },
    {
      "item_id": "N12",
      "question_type": "Comparative efficacy",
      "question": "Do gaps remain in 12-month follow-up, missing data, deaths, relocation and analysis populations?",
      "needed": "Follow-up by group, reasons for missing data, competing events, analysis populations and sensitivity analyses",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Follow-up by group, reasons for missing data, competing events, analysis populations and sensitivity analyses",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain original follow-up flows, administrative capture, analysis populations and missing-data/competing-event plans."
    },
    {
      "item_id": "N13",
      "question_type": "Comparative efficacy",
      "question": "Can actual postcard receipt, replies, existing treatment exposure and adherence be verified?",
      "needed": "Actual study exposure, receipt, discontinuation, treatment use and concomitant treatment records",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Actual study exposure, receipt, discontinuation, treatment use and concomitant treatment records",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain actual exposure, receipt, existing treatment, discontinuation and prespecified effects of interest."
    },
    {
      "item_id": "N14",
      "question_type": "Comparative efficacy",
      "question": "Are prespecified plans and the registration identifier distinguished from actual reading of the registration?",
      "needed": "Original registration, protocol, SAP, amendments and prespecification records",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Original registration, protocol, SAP, amendments and prespecification records",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "When original registration and planning materials are provided, link their original form and amendment history separately."
    },
    {
      "item_id": "N15",
      "question_type": "Comparative efficacy",
      "question": "Is the specific postcard study equivalent to a review of several brief-contact interventions?",
      "needed": "Review populations, interventions, comparators, eligibility and original-trial mapping",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Review populations, interventions, comparators, eligibility and original-trial mapping",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain mappings of included trials, interventions, comparators and populations."
    },
    {
      "item_id": "N16",
      "question_type": "Comparative efficacy",
      "question": "Is the review OR for any repetition distinguished from the difference in the direct trial?",
      "needed": "Pooled effects on people with repetition, intervals, trial-specific denominators, periods and models",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Pooled effects on people with repetition, intervals, trial-specific denominators, periods and models",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain endpoint-specific included trials, denominators, periods, models and heterogeneity from the review."
    },
    {
      "item_id": "N17",
      "question_type": "Comparative efficacy",
      "question": "Are the review results for repeat counts and suicide separated from evidence on the selected people-with-repetition endpoint?",
      "needed": "Separate materials on endpoint-specific effects, interval levels, denominators and definitions",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Separate materials on endpoint-specific effects, interval levels, denominators and definitions",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain each endpoint's definition, included trials, denominators, intervals and prespecified plans separately."
    },
    {
      "item_id": "N18",
      "question_type": "Comparative efficacy",
      "question": "Are the review's 14 trials, the Carter trial and sibling sheets protected against double-counting?",
      "needed": "Relationships among original trials, synthesis reports, shared populations and endpoints",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Relationships among original trials, synthesis reports, shared populations and endpoints",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Link original-trial lists, shared participants and report relationships from the review without newly certifying independence."
    },
    {
      "item_id": "N19",
      "question_type": "Comparative efficacy",
      "question": "Are gaps in direct evidence for secondary results, subgroups and repeater analyses retained?",
      "needed": "Outcome hierarchy, prespecified subgroups, interactions, original effects and denominators",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Outcome hierarchy, prespecified subgroups, interactions, original effects and denominators",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain original secondary-outcome and subgroup plans, interactions, denominators and multiplicity materials."
    },
    {
      "item_id": "N20",
      "question_type": "Comparative efficacy",
      "question": "Are nonsignificant results and intervals distinguished from clinically important reductions in repetition?",
      "needed": "Importance thresholds, original between-group effects, intervals and prespecified plans",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Importance thresholds, original between-group effects, intervals and prespecified plans",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Link prespecified clinical thresholds and original plans for each endpoint, population and period when provided."
    },
    {
      "item_id": "N21",
      "question_type": "Comparative efficacy",
      "question": "Are repetition, event counts, suicide deaths and other clinical outcomes kept distinct?",
      "needed": "Direct distinction among people with repetition, events, deaths and other treatment outcomes",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Direct distinction among people with repetition, events, deaths and other treatment outcomes",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Link direct episode definitions, follow-up, denominators and effects separately for each clinical question."
    },
    {
      "item_id": "N22",
      "question_type": "Comparative efficacy",
      "question": "Has guidance for widespread implementation or treatment replacement been avoided?",
      "needed": "Application boundaries by population, intervention and comparator, and the original verdict context",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Application boundaries by population, intervention and comparator, and the original verdict context",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "When direct materials on target populations and support are provided, link them separately for user review."
    },
    {
      "item_id": "N23",
      "question_type": "Comparative efficacy",
      "question": "Are public/nonprofit support and gaps in detailed involvement distinguished?",
      "needed": "Cash funding, supplied products/services, affiliated authors and external analysis roles",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Cash funding, supplied products/services, affiliated authors and external analysis roles",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain original support, affiliation, study-role and analysis disclosures separately for the trial and review."
    },
    {
      "item_id": "N24",
      "question_type": "Supplementary harm evidence",
      "question": "Are absence of a separate adverse-event endpoint and unknown safety preserved?",
      "needed": "Original harm collection, events by group, exposure, denominators and relatedness data",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Original harm collection, events by group, exposure, denominators and relatedness data",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain original harm collection, events by group, exposure, denominators, relatedness and discontinuation materials."
    },
    {
      "item_id": "N25",
      "question_type": "Supplementary harm evidence",
      "question": "Are inconclusive mortality results separated from long-term and rare harms?",
      "needed": "Deaths, severity, periods, exposure, effect intervals and direct harm data",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Deaths, severity, periods, exposure, effect intervals and direct harm data",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain endpoint-specific deaths, serious events, observation periods, exposure and direct harm data."
    },
    {
      "item_id": "N26",
      "question_type": "Supplementary harm evidence",
      "question": "Are gaps in harm replication and application to other populations, interventions and contacts retained?",
      "needed": "Direct harms by population, exposure and service, and shared-population relationships",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Direct harms by population, exposure and service, and shared-population relationships",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Link direct materials by intervention and population, harm follow-up and report relationships separately."
    },
    {
      "item_id": "N27",
      "question_type": "Comparative efficacy",
      "question": "Are reading of summaries and external abstracts, full texts, registrations, protocols and SAP distinguished?",
      "needed": "Original URLs, stored summaries, identifiers and individual actual-access records",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Original URLs, stored summaries, identifiers and individual actual-access records",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Link user-provided materials to their individual types and access status."
    },
    {
      "item_id": "N28",
      "question_type": "Comparative efficacy",
      "question": "Are the cut-off, original subclaim/parent values, Korean/English texts, corrections and empty fields preserved?",
      "needed": "Whole stored summary, selected verdict record and original verdict history",
      "role": "Required",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Whole stored summary, selected verdict record and original verdict history",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Link new materials and decisions as separate events while preserving the entire original text."
    },
    {
      "item_id": "N29",
      "question_type": "Comparative efficacy",
      "question": "Are user-review indicators separated from production and independence status?",
      "needed": "Original candidate history and current production/review status",
      "role": "Supplementary",
      "role_reason": "An individual production condition recording original values, direct comparisons and application boundaries for the selected question",
      "application_exception": "Unread external materials, different comparisons or out-of-scope results do not substitute for fulfilled conditions, zero effect or safety.",
      "criterion": "Original candidate history and current production/review status",
      "basis": "Fewer people with any repetition",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Reflect only user-provided decisions and materials as separate events."
    }
  ]
}