Framework: AACE ABCD Algorithm 2025 (Nadolsky/Garvey) · ADA Obesity Assn SOC 2026 · TOS/OMA/OAC 2026 (GRADE) Companion to: Energy Balance CDS (defended adiposity / phenotype engine) Prototype — clinician-facing draft support only, not a medical device
Anthropometric component
AACE Alg. 3 — ethnic-specific cutoffs
Weight history
OMA Alg. 2026 §1.1 — onset & pattern
On-treatment course0
Response · plateau · rebound engine
Complete only if the patient is on, or has been on, an anti-obesity medication. Drives the response-pattern classifier — leave the agent as "none" to suppress it.
Adequacy checks before labelling non-response
Rebound context
Non-response differential check each domain before escalating
Drivers of weight gain0
Reversible-cause review
Hypercortisolism screen0
Discriminatory features first
Discriminatory features high LR+
Non-discriminatory features common in obesity alone
Context
Biochemical screen — if already done
Eating & psychiatric screen0
Gate before appetite-suppressant Rx
Clinical component — ORCD inventory0
AACE Alg. 4 — presence × severity
Safety screen0
Hard blocks & cautions
Coverage & pathway routing
Medicare GLP-1 Bridge · Part D · commercial
Bridge clinical criteria — the specific facts CMS makes you attest
Attestation anchors criteria are judged at initiation, not today
Commercial only
computing…
Care algorithm — live path
Illuminated nodes = this patient
On pathGate / stopParallel workstreamNot applicable