{
  "schema_version": "chamgap-public-criteria-1.0",
  "title": "Ad libitum low-fat vegan composite diet × Superior weight loss versus another healthful diet — Comparator-specific evidence checklist",
  "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 superiority claim against active healthy diets and the parent's no-change effect separated?",
      "needed": "Separate records of the selected wording, grade, note, and parent comparison",
      "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 selected wording, grade, note, and parent comparison",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "If additional materials are provided, distinguish and connect results matched to comparator, population, and duration."
    },
    {
      "item_id": "N02",
      "question_type": "Comparative efficacy",
      "question": "Which diets were actually meant by the comparator ‘another healthful diet’?",
      "needed": "Composition, education, exposure, support, and denominators for a specific active diet",
      "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": "Composition, education, exposure, support, and denominators for a specific active diet",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain original descriptions, common management, and actual intake materials for each active diet."
    },
    {
      "item_id": "N03",
      "question_type": "Comparative efficacy",
      "question": "Was the actual control in the sixteen-week trial an active healthy diet?",
      "needed": "Identity of the control and direct comparison in the relevant sixteen-week trial",
      "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": "Identity of the control and direct comparison in the relevant sixteen-week trial",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "If materials on a specific active healthy-diet control in the same population and duration are provided, connect them separately."
    },
    {
      "item_id": "N04",
      "question_type": "Comparative efficacy",
      "question": "What were the population and denominators for the seventy-four-week diabetes-diet comparison?",
      "needed": "Type 2 diabetes population, eligibility, and group allocation and analysis 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": "Type 2 diabetes population, eligibility, and group allocation and analysis denominators",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain original eligibility, baseline status, group denominators, and concomitant-treatment tables."
    },
    {
      "item_id": "N05",
      "question_type": "Comparative efficacy",
      "question": "What were the composite components and accompanying management of the seventy-four-week intervention and control?",
      "needed": "Original records of low-fat vegan and conventional diabetes diets, education, and concomitant treatment",
      "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 records of low-fat vegan and conventional diabetes diets, education, and concomitant treatment",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain records of each composite diet's composition, actual intake, contact, and concomitant treatment."
    },
    {
      "item_id": "N06",
      "question_type": "Comparative efficacy",
      "question": "Are the seventy-four-week weight results and gaps in the between-group effect preserved?",
      "needed": "Group changes, between-group effect, CI, testing, 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": "Group changes, between-group effect, CI, testing, and denominators",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain the original effect, interval, model, denominators, and weight-measurement methods."
    },
    {
      "item_id": "N07",
      "question_type": "Comparative efficacy",
      "question": "Are seventy-four-week follow-up, attrition, ITT, and missing-data details directly verified?",
      "needed": "Group follow-up, analysis populations, reasons for missing data, sensitivity, and actual exposure",
      "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": "Group follow-up, analysis populations, reasons for missing data, sensitivity, and actual exposure",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain original participant flow, missing-data handling, analysis populations, and adherence materials for the seventy-four-week trial."
    },
    {
      "item_id": "N08",
      "question_type": "Comparative efficacy",
      "question": "What were NEW Soul's actual population and application boundaries?",
      "needed": "Original materials on recruitment, baseline status, group denominators, and existing diet",
      "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 materials on recruitment, baseline status, group denominators, and existing diet",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain original recruitment, eligibility, baseline status, and group denominators."
    },
    {
      "item_id": "N09",
      "question_type": "Comparative efficacy",
      "question": "What were the actual vegan and low-fat omnivorous soul food diets compared in NEW Soul?",
      "needed": "Composition, exposure, education, support, and accompanying management for the two composite diets",
      "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": "Composition, exposure, education, support, and accompanying management for the two composite diets",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain NEW Soul's original diet composition, contact, support, actual intake, and adherence."
    },
    {
      "item_id": "N10",
      "question_type": "Comparative efficacy",
      "question": "Is NEW Soul's twelve-month primary weight result preserved as recorded?",
      "needed": "Primary outcome, group changes, original between-group effect, CI, and testing",
      "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": "Primary outcome, group changes, original between-group effect, CI, and testing",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain the original primary-outcome plan, group denominators, effect, CI, and measurement materials."
    },
    {
      "item_id": "N11",
      "question_type": "Comparative efficacy",
      "question": "Are NEW Soul's long-term follow-up, denominators, and missing-data details directly presented?",
      "needed": "Records of allocation, twelve-month observations, ITT, attrition, missing data, and sensitivity",
      "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 allocation, twelve-month observations, ITT, attrition, missing data, and sensitivity",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain original participant flow, group missing data, ITT, analysis populations, and adherence materials."
    },
    {
      "item_id": "N12",
      "question_type": "Comparative efficacy",
      "question": "Are nonsignificant P values in active comparisons distinguished from limits on superiority and equivalence?",
      "needed": "Effect, CI, importance, and prespecified superiority or equivalence 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": "Effect, CI, importance, and prespecified superiority or equivalence plans",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Connect the relevant comparison scope when the original CI, testing plan, and importance threshold are provided."
    },
    {
      "item_id": "N13",
      "question_type": "Comparative efficacy",
      "question": "Does the direct-evidence gap remain for an active control with matching population, duration, and support?",
      "needed": "Direct materials with an active control, population, and duration matching the original sixteen-week question",
      "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 materials with an active control, population, and duration matching the original sixteen-week question",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Direct materials for a specific active healthy-diet comparison with matched population, duration, education, and attention are needed."
    },
    {
      "item_id": "N14",
      "question_type": "Comparative efficacy",
      "question": "Are the large no-change effect and active comparisons preserved separately?",
      "needed": "Effect, interval, testing, time point, and denominators for each comparison",
      "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": "Effect, interval, testing, time point, and denominators for each comparison",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Connect each comparison's original model, effect, interval, population, and duration separately."
    },
    {
      "item_id": "N15",
      "question_type": "Comparative efficacy",
      "question": "Are common education, attention, and calorie conditions in the sixteen-week trial distinguished from active comparisons?",
      "needed": "Original group materials on education, contact, support, actual calories, and exposure",
      "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 group materials on education, contact, support, actual calories, and exposure",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain education, attention, calories, intake, and accompanying-exposure materials for each trial separately."
    },
    {
      "item_id": "N16",
      "question_type": "Comparative efficacy",
      "question": "What was the original scope of open dietary allocation, masking, and measurement procedures?",
      "needed": "Original trial-specific materials on allocation concealment, masking, assessors, and analysts",
      "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 trial-specific materials on allocation concealment, masking, assessors, and analysts",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain original allocation, concealment, measurement, and analysis procedures for each active-comparison trial."
    },
    {
      "item_id": "N17",
      "question_type": "Comparative efficacy",
      "question": "Are prespecified endpoint hierarchies, multiple outcomes, and testing plans separated by trial?",
      "needed": "Trial-specific registration, protocol, SAP, multiplicity, and change 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": "Trial-specific registration, protocol, SAP, multiplicity, and change records",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain each trial's original registration, protocol, SAP, change history, and outcome hierarchy."
    },
    {
      "item_id": "N18",
      "question_type": "Comparative efficacy",
      "question": "Are results for weight, body composition, lipids, insulin, and mechanisms separated?",
      "needed": "Actual measurements, effects, denominators, and prespecified plans for each measure",
      "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 measurements, effects, denominators, and prespecified plans for each measure",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain original measurements, effect, CI, and denominators for each measure separately."
    },
    {
      "item_id": "N19",
      "question_type": "Comparative efficacy",
      "question": "Were results kept from being extended to long-term maintenance, disease, death, or diabetes treatment?",
      "needed": "Long-term direct materials separated by endpoint, population, and duration",
      "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": "Long-term direct materials separated by endpoint, population, and duration",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Connect direct follow-up, effects, and denominators for each long-term question separately."
    },
    {
      "item_id": "N20",
      "question_type": "Comparative efficacy",
      "question": "Are shared bibliography, trials, populations, and sibling sheets preserved?",
      "needed": "Study-family connections among reports, original trials, the same populations, endpoints, and time points",
      "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": "Study-family connections among reports, original trials, the same populations, endpoints, and time points",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Connect additional reports to existing identifiers without confirming a final independent count."
    },
    {
      "item_id": "N21",
      "question_type": "Comparative efficacy",
      "question": "Are PCRM, public funding, and authors who were advocacy-organization officers preserved for the sixteen-week trial?",
      "needed": "Records of each funder, organizational affiliation, provision, analysis, and writing role",
      "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 each funder, organizational affiliation, provision, analysis, and writing role",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain original support, affiliation, design, analysis, writing, and data-access disclosures separately."
    },
    {
      "item_id": "N22",
      "question_type": "Comparative efficacy",
      "question": "Are gaps in support, provision, authors, and external analysis kept separate for active-comparison trials?",
      "needed": "Trial-specific records of monetary support, products, 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": "Trial-specific records of monetary support, products, affiliated authors, and external analysis roles",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain original support, provision, affiliation, and analysis disclosures for each active-comparison trial."
    },
    {
      "item_id": "N23",
      "question_type": "Supplementary harm evidence",
      "question": "Are there direct comparative safety materials between active controls?",
      "needed": "Group harm definitions, collection, events, exposure, denominators, and 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": "Group harm definitions, collection, events, exposure, denominators, and plans",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Obtain original harm collection, group events, exposure, denominators, and discontinuation materials for each active-comparison trial."
    },
    {
      "item_id": "N24",
      "question_type": "Supplementary harm evidence",
      "question": "Are gaps in long-term exposure, rare harms, and discontinuation retained?",
      "needed": "Actual exposure, discontinuation, serious events, and long-term follow-up by duration",
      "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 exposure, discontinuation, serious events, and long-term follow-up by duration",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Original group harm and discontinuation materials with actual exposure and sufficient duration for each diet are needed."
    },
    {
      "item_id": "N25",
      "question_type": "Supplementary harm evidence",
      "question": "Are special populations, concomitant treatment, replication of harms, and application scope distinguished?",
      "needed": "Population-specific direct comparisons, harms, concomitant treatment, and independent-report 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": "Population-specific direct comparisons, harms, concomitant treatment, and independent-report relationships",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "If direct materials for those populations are provided, connect original trials, exposure, and denominators separately."
    },
    {
      "item_id": "N26",
      "question_type": "Comparative efficacy",
      "question": "Is actual access to external papers, registrations, protocols, and SAPs recorded separately?",
      "needed": "Original links, identifiers, stored summaries, and actual access records for each material",
      "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 links, identifiers, stored summaries, and actual access records for each material",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Connect only materials obtained by the user, with separate type and access status."
    },
    {
      "item_id": "N27",
      "question_type": "Comparative efficacy",
      "question": "Are original dates, Korean and English text, corrections, axes, empty values, and subclaim D preserved?",
      "needed": "Separate preservation of the full parent stored summary, selected record, languages, and historical values",
      "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 preservation of the full parent stored summary, selected record, languages, and historical values",
      "basis": "Superior weight loss versus another healthful diet",
      "condition_origin": "Question-specific application conditions; existing content review remains incomplete and common definitions are not automatically fulfilled",
      "proposed_research": "Connect new materials or decisions through preservation of original text and separate events."
    },
    {
      "item_id": "N28",
      "question_type": "Comparative efficacy",
      "question": "Are original content-review status, existing candidate history, and production completion separated?",
      "needed": "Records of historical candidate values and current production and 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": "Records of historical candidate values and current production and review status",
      "basis": "Superior weight loss versus another healthful diet",
      "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."
    }
  ]
}