{
"description": "The Evidence Resource provides a machine-interpretable expression of an evidence concept including the evidence variables (e.g., population, exposures/interventions, comparators, outcomes, measured variables, confounding variables), the statistics, and the certainty of this evidence.",
"_filename": "StructureDefinition-Evidence.json",
"package_name": "hl7.fhir.r6.core",
"date": "2025-12-18T07:07:42+11:00",
"derivation": "specialization",
"meta": {
"lastUpdated": "2025-12-18T07:07:42.170+11:00"
},
"publisher": "HL7 International / Clinical Decision Support",
"fhirVersion": "6.0.0-ballot4",
"jurisdiction": [ {
"coding": [ {
"code": "001",
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"display": "World"
} ]
} ],
"name": "Evidence",
"mapping": [ {
"uri": "http://hl7.org/fhir/fivews",
"name": "FiveWs Pattern Mapping",
"identity": "w5"
}, {
"uri": "http://hl7.org/fhir/object-implementation",
"name": "Object Implementation Information",
"identity": "objimpl"
}, {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
} ],
"abstract": false,
"type": "Evidence",
"experimental": "false",
"resourceType": "StructureDefinition",
"title": null,
"package_version": "6.0.0-ballot4",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
"valueString": "Specialized.Evidence-Based Medicine"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-implements",
"valueCanonical": "http://hl7.org/fhir/StructureDefinition/MetadataResource"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "cds"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 1
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
"valueCode": "business"
} ],
"snapshot": {
"element": [ {
"constraint": [ {
"key": "cnl-0",
"human": "Name should be usable as an identifier for the module by machine processing applications such as code generation",
"source": "http://hl7.org/fhir/StructureDefinition/Evidence",
"severity": "warning",
"expression": "name.exists() implies name.matches('^[A-Z]([A-Za-z0-9_]){1,254}$')"
} ],
"path": "Evidence",
"min": 0,
"definition": "The Evidence Resource provides a machine-interpretable expression of an evidence concept including the evidence variables (e.g., population, exposures/interventions, comparators, outcomes, measured variables, confounding variables), the statistics, and the certainty of this evidence.",
"isModifier": false,
"short": "Single evidence bit",
"mapping": [ {
"map": "conformance.behavior,clinical.general",
"identity": "w5"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence",
"base": {
"max": "*",
"min": 0,
"path": "Evidence"
},
"isSummary": false
}, {
"path": "Evidence.id",
"min": 0,
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"isModifier": false,
"short": "Logical id of this artifact",
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.id",
"comment": "Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.id"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.meta",
"min": 0,
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"isModifier": false,
"short": "Metadata about the resource",
"type": [ {
"code": "Meta"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.meta",
"base": {
"max": "1",
"min": 0,
"path": "Resource.meta"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.implicitRules",
"min": 0,
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. For DomainResources, if more than one implicitRules policy applies, additional policies may be conveyed using the [additionalImplicitRules](https://build.fhir.org/ig/HL7/fhir-extensions/StructureDefinition-additionalImplicitRules.html) extension.",
"isModifier": true,
"short": "A set of rules under which this content was created",
"type": [ {
"code": "uri"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.implicitRules",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.implicitRules"
},
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.language",
"min": 0,
"definition": "The base language in which the resource is written.",
"isModifier": false,
"short": "Language of the resource content",
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot4",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
} ],
"additional": [ {
"purpose": "starter",
"valueSet": "http://hl7.org/fhir/ValueSet/languages"
} ],
"description": "IETF language tag for a human language"
},
"max": "1",
"id": "Evidence.language",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"base": {
"max": "1",
"min": 0,
"path": "Resource.language"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.text",
"min": 0,
"definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"isModifier": false,
"short": "Text summary of the resource, for human interpretation",
"mapping": [ {
"map": "Act.text?",
"identity": "rim"
} ],
"type": [ {
"code": "Narrative"
} ],
"mustSupport": false,
"alias": [ "narrative", "html", "xhtml", "display" ],
"max": "1",
"id": "Evidence.text",
"condition": [ "dom-6" ],
"comment": "Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
"base": {
"max": "1",
"min": 0,
"path": "DomainResource.text"
},
"isSummary": false
}, {
"path": "Evidence.contained",
"min": 0,
"definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.",
"isModifier": false,
"short": "Contained, inline Resources",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Resource"
} ],
"mustSupport": false,
"alias": [ "inline resources", "anonymous resources", "contained resources" ],
"max": "*",
"id": "Evidence.contained",
"condition": [ "dom-2", "dom-4", "dom-3", "dom-5" ],
"comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. Contained resources may be a resource type defined in the FHIR specification, or an [additional resource](resource.html#additional).",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.contained"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"mustSupport": false,
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Evidence.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"mustSupport": false,
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Evidence.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "cnl-1",
"human": "URL should not contain | or # - these characters make processing canonical references problematic",
"source": "http://hl7.org/fhir/StructureDefinition/Evidence",
"severity": "warning",
"expression": "exists() implies matches('^[^|# ]+$')"
}, {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.url",
"requirements": "Allows the evidence to be referenced by a single globally unique identifier.",
"min": 0,
"definition": "An absolute URI that is used to identify this evidence when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this summary is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the summary is stored on different servers.",
"isModifier": false,
"short": "Canonical identifier for this evidence, represented as a globally unique URI",
"mapping": [ {
"map": "FiveWs.identifier",
"identity": "w5"
} ],
"type": [ {
"code": "uri"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.url",
"comment": "In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found.",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.url"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.identifier",
"requirements": "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
"min": 0,
"definition": "A formal identifier that is used to identify this summary when it is represented in other formats, or referenced in a specification, model, design or an instance.",
"isModifier": false,
"short": "Additional identifier for the summary",
"mapping": [ {
"map": "FiveWs.identifier",
"identity": "w5"
}, {
"map": "no-gen-base",
"identity": "objimpl"
} ],
"type": [ {
"code": "Identifier"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.identifier",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.identifier"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.version",
"min": 0,
"definition": "The identifier that is used to identify this version of the summary when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the summary author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
"isModifier": false,
"short": "Business version of this summary",
"mapping": [ {
"map": "FiveWs.version",
"identity": "w5"
} ],
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.version",
"comment": "The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions.",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.version"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.versionAlgorithm[x]",
"min": 0,
"definition": "Indicates the mechanism used to compare versions to determine which is more current.",
"isModifier": false,
"short": "How to compare versions",
"type": [ {
"code": "string"
}, {
"code": "Coding"
} ],
"mustSupport": false,
"binding": {
"strength": "extensible",
"valueSet": "http://hl7.org/fhir/ValueSet/version-algorithm"
},
"max": "1",
"id": "Evidence.versionAlgorithm[x]",
"comment": "If set as a string, this is a FHIRPath expression that has two additional context variables passed in - %version1 and %version2 and will return a negative number if version1 is newer, a positive number if version2 is newer, and a 0 if the version ordering can't successfully be determined.",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.versionAlgorithm[x]"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.name",
"min": 0,
"definition": "A natural language name identifying the evidence. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
"isModifier": false,
"short": "Name for this summary (machine friendly)",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.name",
"condition": [ "cnl-0" ],
"comment": "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.name"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.title",
"min": 0,
"definition": "A short, descriptive, user-friendly title for the summary.",
"isModifier": false,
"short": "Name for this summary (human friendly)",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "Evidence.title",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.title"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.citeAs",
"min": 0,
"definition": "Display of the suggested method of how to cite this Evidence.",
"isModifier": false,
"short": "Display of how to cite this Evidence",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.citeAs",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.citeAs"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.status",
"min": 1,
"definition": "The status of this summary. Enables tracking the life-cycle of the content.",
"isModifier": true,
"short": "draft | active | retired | unknown",
"mapping": [ {
"map": "FiveWs.status",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot4",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "PublicationStatus"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
} ],
"description": "The lifecycle status of an artifact."
},
"max": "1",
"id": "Evidence.status",
"comment": "Allows filtering of summaries that are appropriate for use versus not.\n\nSee guidance around (not) making local changes to elements [here](canonicalresource.html#localization).",
"base": {
"max": "1",
"min": 1,
"path": "Evidence.status"
},
"isModifierReason": "This is labeled as \"Is Modifier\" because applications should not use a retired Evidence without due consideration",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.experimental",
"min": 0,
"definition": "A Boolean value to indicate that this resource is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage.",
"isModifier": false,
"short": "For testing only - never for real usage",
"type": [ {
"code": "boolean"
} ],
"mustSupport": false,
"meaningWhenMissing": "If absent, this resource is treated as though it is not experimental.",
"max": "1",
"id": "Evidence.experimental",
"comment": "Allows filtering of artifacts that are appropriate for use versus not. Experimental resources might include example instances in implementation guides, instances created solely for testing purposes, etc. If experimental is 'true' for any version of a resource, it should be true for all versions of the resource. (If experimental changes, then it is being misused or a resource that was never intended for real-world use has unexpectedly changed its purpose.).\n\nExperimental resources are not expected to be stable and may well have breaking changes without a corresponding change to the 'version' element.",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.experimental"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.date",
"min": 0,
"definition": "The date (and optionally time) when the summary was last significantly changed. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the summary changes.",
"isModifier": false,
"short": "Date last changed",
"mapping": [ {
"map": "FiveWs.recorded",
"identity": "w5"
} ],
"type": [ {
"code": "dateTime"
} ],
"mustSupport": false,
"alias": [ "Revision Date" ],
"max": "1",
"id": "Evidence.date",
"comment": "The date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the summary. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.\n\nSee guidance around (not) making local changes to elements [here](canonicalresource.html#localization).",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.date"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.approvalDate",
"min": 0,
"definition": "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
"isModifier": false,
"short": "When the summary was approved by publisher",
"mapping": [ {
"map": "no-gen-base",
"identity": "objimpl"
} ],
"type": [ {
"code": "date"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.approvalDate",
"comment": "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.\n\nSee guidance around (not) making local changes to elements [here](canonicalresource.html#localization).",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.approvalDate"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.lastReviewDate",
"requirements": "Gives a sense of how \"current\" the content is. Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
"min": 0,
"definition": "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
"isModifier": false,
"short": "When the summary was last reviewed by the publisher",
"mapping": [ {
"map": "no-gen-base",
"identity": "objimpl"
} ],
"type": [ {
"code": "date"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.lastReviewDate",
"comment": "If specified, this date follows the original approval date.\n\nSee guidance around (not) making local changes to elements [here](canonicalresource.html#localization).",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.lastReviewDate"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.author",
"min": 0,
"definition": "An individiual, organization, or device primarily involved in the creation and maintenance of the content.",
"isModifier": false,
"short": "Who authored the content",
"mapping": [ {
"map": "FiveWs.author",
"identity": "w5"
} ],
"type": [ {
"code": "ContactDetail"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.author",
"comment": "Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see [Clinical Reasoning Module](clinicalreasoning-module.html)).",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.author"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.publisher",
"requirements": "Helps establish the \"authority/credibility\" of the evidence. May also allow for contact.",
"min": 0,
"definition": "The name of the organization or individual responsible for the release and ongoing maintenance of the evidence.",
"isModifier": false,
"short": "Name of the publisher/steward (organization or individual)",
"mapping": [ {
"map": "FiveWs.witness",
"identity": "w5"
} ],
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "Evidence.publisher",
"comment": "Usually an organization but may be an individual. The publisher (or steward) of the evidence is the organization or individual primarily responsible for the maintenance and upkeep of the evidence. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the evidence. This item SHOULD be populated unless the information is available from context.",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.publisher"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.contact",
"min": 0,
"definition": "Contact details to assist a user in finding and communicating with the publisher.",
"isModifier": false,
"short": "Contact details for the publisher",
"type": [ {
"code": "ContactDetail"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.contact",
"comment": "Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see [Clinical Reasoning Module](clinicalreasoning-module.html)).\n\nSee guidance around (not) making local changes to elements [here](canonicalresource.html#localization).",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.contact"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.recorder",
"min": 0,
"definition": "Who entered the data for the evidence.",
"isModifier": false,
"short": "Who entered the data for the evidence",
"type": [ {
"code": "ContactDetail"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.recorder",
"comment": "The Evidence.recorder element is structured to support a name (with a string datatype) and contact point information for the recorder, and is not structured to support unique identifiers for the recorder. If detailed contributorship data is needed, then one can create a Citation Resource for the Evidence Resource.",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.recorder"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.editor",
"min": 0,
"definition": "An individiual, organization, or device primarily responsible for internal coherence of the content.",
"isModifier": false,
"short": "Who edited the content",
"type": [ {
"code": "ContactDetail"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.editor",
"comment": "Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see [Clinical Reasoning Module](clinicalreasoning-module.html)).",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.editor"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.reviewer",
"min": 0,
"definition": "An individiual, organization, or device primarily responsible for review of some aspect of the content.",
"isModifier": false,
"short": "Who reviewed the content",
"type": [ {
"code": "ContactDetail"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.reviewer",
"comment": "Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see [Clinical Reasoning Module](clinicalreasoning-module.html)).\n\nSee guidance around (not) making local changes to elements [here](canonicalresource.html#localization).",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.reviewer"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.endorser",
"min": 0,
"definition": "An individiual, organization, or device responsible for officially endorsing the content for use in some setting.",
"isModifier": false,
"short": "Who endorsed the content",
"type": [ {
"code": "ContactDetail"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.endorser",
"comment": "Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see [Clinical Reasoning Module](clinicalreasoning-module.html)).\n\nSee guidance around (not) making local changes to elements [here](canonicalresource.html#localization).",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.endorser"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.useContext",
"requirements": "Assist in searching for appropriate content.",
"min": 0,
"definition": "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate evidence instances.",
"isModifier": false,
"short": "The context that the content is intended to support",
"type": [ {
"code": "UsageContext"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.useContext",
"comment": "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.useContext"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.purpose",
"min": 0,
"definition": "Explanation of why this Evidence is needed and why it has been designed as it has.",
"isModifier": false,
"short": "Why this Evidence is defined",
"mapping": [ {
"map": "FiveWs.why[x]",
"identity": "w5"
}, {
"map": "no-gen-base",
"identity": "objimpl"
} ],
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.purpose",
"comment": "This element does not describe the usage of the Evidence. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this Evidence.",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.purpose"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.copyright",
"requirements": "Consumers must be able to determine any legal restrictions on the use of the Evidence and/or its content.",
"min": 0,
"definition": "A copyright statement relating to the Evidence and/or its contents. Copyright statements are legal notices of intellectual property ownership and may include restrictions on the use and publishing of the Evidence.",
"isModifier": false,
"short": "Intellectual property ownership, may include restrictions on use",
"mapping": [ {
"map": "no-gen-base",
"identity": "objimpl"
} ],
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"alias": [ "License", "Restrictions" ],
"max": "1",
"id": "Evidence.copyright",
"comment": "The short copyright declaration (e.g. (c) '2015+ xyz organization') should be sent in the copyrightLabel element without the copyright prefix (i.e., do not include '(c)' or the symbol).",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.copyright"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.copyrightLabel",
"requirements": "Defines the content expected to be rendered in all representations of the artifact.",
"min": 0,
"definition": "A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved').",
"isModifier": false,
"short": "Copyright holder and year(s)",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "Evidence.copyrightLabel",
"comment": "The copyright symbol and the '(c)' textual representation SHOULD NOT be included in this string. It will be added by software when rendering the notation. Full details about licensing, restrictions, warrantees, etc. goes in the more general 'copyright' element.",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.copyrightLabel"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children or both",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.relatesTo",
"min": 0,
"definition": "Relationships that this Evidence has with other FHIR or non-FHIR resources that already exist.",
"isModifier": false,
"short": "Relationships to other Resources",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.relatesTo",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.relatesTo"
},
"isSummary": false
}, {
"path": "Evidence.relatesTo.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Evidence.relatesTo.id",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.relatesTo.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Evidence.relatesTo.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.relatesTo.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Evidence.relatesTo.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.relatesTo.type",
"min": 1,
"definition": "The type of relationship to the related artifact.",
"isModifier": false,
"short": "documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as | reprint | reprint-of | summarizes",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "extensible",
"valueSet": "http://terminology.hl7.org/ValueSet/artifact-relationship-type",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ArtifactRelationshipType"
} ],
"description": "The type of relationship to the related artifact."
},
"max": "1",
"id": "Evidence.relatesTo.type",
"base": {
"max": "1",
"min": 1,
"path": "Evidence.relatesTo.type"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.relatesTo.target[x]",
"min": 1,
"definition": "The artifact that is related to this Evidence Resource.",
"isModifier": false,
"short": "The artifact that is related to this Evidence",
"type": [ {
"code": "uri"
}, {
"code": "Attachment"
}, {
"code": "canonical",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ]
}, {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ]
}, {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.relatesTo.target[x]",
"base": {
"max": "1",
"min": 1,
"path": "Evidence.relatesTo.target[x]"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.description",
"min": 0,
"definition": "A natural language summary of the evidence.",
"isModifier": false,
"short": "Description of the particular summary",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "Evidence.description",
"comment": "This description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the evidence as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the evidence is presumed to be the predominant language in the place the evidence was created).",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.description"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.assertion",
"min": 0,
"definition": "Declarative description of the Evidence, such as conclusion or bottom line statement.",
"isModifier": false,
"short": "Declarative description of the Evidence",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "Evidence.assertion",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.assertion"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.note",
"min": 0,
"definition": "Footnotes and/or explanatory notes.",
"isModifier": false,
"short": "Footnotes and/or explanatory notes",
"type": [ {
"code": "Annotation"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.note",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.note"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children or both",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.variableDefinition",
"min": 0,
"definition": "Description, classification, and definition of a single variable. The collection of variables defines what the evidence is about.",
"isModifier": false,
"short": "Description, classification, and definition of a single variable",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.variableDefinition",
"comment": "Comparative evidence is often defined with a population variable, an exposure variable and an outcome variable, while non comparative evidence is often defined with a population variable and an outcome variable.",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.variableDefinition"
},
"isSummary": false
}, {
"path": "Evidence.variableDefinition.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Evidence.variableDefinition.id",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.variableDefinition.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Evidence.variableDefinition.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.variableDefinition.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Evidence.variableDefinition.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.variableDefinition.description",
"min": 0,
"definition": "A text description or summary of the variable.",
"isModifier": false,
"short": "A text description or summary of the variable",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.variableDefinition.description",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.variableDefinition.description"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.variableDefinition.note",
"min": 0,
"definition": "Footnotes and/or explanatory notes.",
"isModifier": false,
"short": "Footnotes and/or explanatory notes",
"type": [ {
"code": "Annotation"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.variableDefinition.note",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.variableDefinition.note"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.variableDefinition.variableRole",
"min": 1,
"definition": "Classification of the role of the variable.",
"isModifier": false,
"short": "population | exposure | outcome | covariate",
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/variable-role|6.0.0-ballot4",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "EvidenceVariableRole"
} ],
"description": "The role that the variable plays."
},
"max": "1",
"id": "Evidence.variableDefinition.variableRole",
"base": {
"max": "1",
"min": 1,
"path": "Evidence.variableDefinition.variableRole"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.variableDefinition.roleSubtype",
"min": 0,
"definition": "Sub-classification of the role of the variable.",
"isModifier": false,
"short": "Sub-classification of the role of the variable",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://terminology.hl7.org/ValueSet/variable-role-subtype",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "EvidenceVariableRoleSubtype"
} ],
"description": "The sub-role that the variable plays."
},
"max": "1",
"id": "Evidence.variableDefinition.roleSubtype",
"comment": "See the Evidence Based Medicine on FHIR Implementation Guide (https://hl7.org/fhir/uv/ebm) for Extensible and Preferred value sets for evidence-related terminologies.",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.variableDefinition.roleSubtype"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.variableDefinition.comparatorCategory",
"min": 0,
"definition": "The reference value used for comparison.",
"isModifier": false,
"short": "The reference value used for comparison",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.variableDefinition.comparatorCategory",
"comment": "Value should match EvidenceVariable.category.name in the EvidenceVariable referenced in the observed or intended element.",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.variableDefinition.comparatorCategory"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.variableDefinition.observed",
"min": 0,
"definition": "Definition of the actual variable related to the statistic(s), i.e., the population being the actual study sample or the measured variable (exposure, outcome, or covariate) being the actual observation that occurred or will occur in the study.",
"isModifier": false,
"short": "Definition of the actual variable related to the statistic(s)",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Group", "http://hl7.org/fhir/StructureDefinition/EvidenceVariable" ]
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.variableDefinition.observed",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.variableDefinition.observed"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.variableDefinition.intended",
"min": 0,
"definition": "Definition of the intended variable related to the Evidence, i.e., the population, exposure, or outcome for which the statistical finding is being interpreted.",
"isModifier": false,
"short": "Definition of the intended variable related to the Evidence",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Group", "http://hl7.org/fhir/StructureDefinition/EvidenceVariable" ]
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.variableDefinition.intended",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.variableDefinition.intended"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.variableDefinition.directnessMatch",
"min": 0,
"definition": "Indication of quality of match between intended variable to actual variable.",
"isModifier": false,
"short": "low | moderate | high | exact",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://terminology.hl7.org/ValueSet/directness",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "EvidenceDirectness"
} ],
"description": "The quality of how direct the match is."
},
"max": "1",
"id": "Evidence.variableDefinition.directnessMatch",
"comment": "See the Evidence Based Medicine on FHIR Implementation Guide (https://hl7.org/fhir/uv/ebm) for Extensible and Preferred value sets for evidence-related terminologies.",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.variableDefinition.directnessMatch"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.synthesisType",
"min": 0,
"definition": "The design of the synthesis (combination of studies) that produced this evidence. The design is described with any number of synthesis characteristics, such as type of meta-analysis.",
"isModifier": false,
"short": "The design of the synthesis (combination of studies) that produced this evidence",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://terminology.hl7.org/ValueSet/synthesis-type",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SynthesisType"
} ],
"description": "Types of combining results from a body of evidence (e.g. summary data meta-analysis)."
},
"max": "*",
"id": "Evidence.synthesisType",
"comment": "See the Evidence Based Medicine on FHIR Implementation Guide (https://hl7.org/fhir/uv/ebm) for Extensible and Preferred value sets for evidence-related terminologies.",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.synthesisType"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.studyDesign",
"min": 0,
"definition": "The design of the study that produced this evidence. The design is described with any number of study design characteristics.",
"isModifier": false,
"short": "The design of the study that produced this evidence",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "extensible",
"valueSet": "http://hl7.org/fhir/ValueSet/study-design",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "StudyDesign"
} ],
"description": "This is a set of terms for study design characteristics."
},
"max": "*",
"id": "Evidence.studyDesign",
"comment": "See the Evidence Based Medicine on FHIR Implementation Guide (https://hl7.org/fhir/uv/ebm) for Extensible and Preferred value sets for evidence-related terminologies.",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.studyDesign"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children or both",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic",
"min": 0,
"definition": "Values and parameters for a single statistic.",
"isModifier": false,
"short": "Values and parameters for a single statistic",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.statistic",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.statistic"
},
"isSummary": false
}, {
"path": "Evidence.statistic.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Evidence.statistic.id",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Evidence.statistic.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Evidence.statistic.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.description",
"min": 0,
"definition": "A natural language summary of the statistic.",
"isModifier": false,
"short": "A natural language summary of the statistic",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.description",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.statistic.description"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.note",
"min": 0,
"definition": "Footnotes and/or explanatory notes.",
"isModifier": false,
"short": "Footnotes and/or explanatory notes",
"type": [ {
"code": "Annotation"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.statistic.note",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.statistic.note"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.statisticType",
"min": 0,
"definition": "Type of statistic, e.g., relative risk. The statistic type is a classification that formally defines the relationship between the variables (noted in Evidence.variableDefinition) and the value specification (noted in Evidence.statistic.quantity).",
"isModifier": false,
"short": "Type of statistic, e.g., relative risk",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://terminology.hl7.org/ValueSet/statistic-type",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "StatisticType"
} ]
},
"max": "1",
"id": "Evidence.statistic.statisticType",
"comment": "See the Evidence Based Medicine on FHIR Implementation Guide (https://hl7.org/fhir/uv/ebm) for Extensible and Preferred value sets for evidence-related terminologies.",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.statistic.statisticType"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.category",
"min": 0,
"definition": "When the measured variable (outcome) is handled categorically, the category element is used to define which category the statistic is reporting.",
"isModifier": false,
"short": "Associated category for categorical variable",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.category",
"comment": "Simple strings can be used for descriptive purposes. Exact matching to EvidenceVariable.category.name for the Evidence.variableDefinition[variableRole=outcome].observed=Reference(EvidenceVariable) could facilitate validation within datasets.",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.statistic.category"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.quantity",
"min": 0,
"definition": "Statistic value.",
"isModifier": false,
"short": "Statistic value",
"type": [ {
"code": "Quantity"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.quantity",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.statistic.quantity"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.numberOfEvents",
"min": 0,
"definition": "The number of events associated with the statistic, where the unit of analysis is different from numberAffected, sampleSize.knownDataCount and sampleSize.numberOfParticipants.",
"isModifier": false,
"short": "The number of events associated with the statistic",
"type": [ {
"code": "unsignedInt"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.numberOfEvents",
"comment": "When the number of events is the statistic, use Evidence.statistic.quantity and set Evidence.statistic.type.coding.code=C25463 and Evidence.statistic.type.coding.display=Count. When the statistic is an Event Rate (where individual participants may have 2 or more events), use Evidence.statistic.numberOfEvents to record the total number of events rather than the number of participants with events.",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.statistic.numberOfEvents"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.numberAffected",
"min": 0,
"definition": "The number of participants affected where the unit of analysis is the same as sampleSize.knownDataCount and sampleSize.numberOfParticipants.",
"isModifier": false,
"short": "The number of participants affected",
"type": [ {
"code": "unsignedInt"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.numberAffected",
"comment": "When the number affected is the statistic, use Evidence.statistic.quantity and set Evidence.statistic.type.coding.code=C25463 and Evidence.statistic.type.coding.display=Count. When the statistic is a Proportion, use Evidence.statistic.numberAffected and enter an integer as the value. When the statistic is an Event Rate (where individual participants may have 2 or more events), use Evidence.statistic.numberAffected to record the number of participants with events rather than the total number of events.",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.statistic.numberAffected"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children or both",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.sampleSize",
"min": 0,
"definition": "Count of participants in the study sample.",
"isModifier": false,
"short": "Count of participants in the study sample",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.sampleSize",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.statistic.sampleSize"
},
"isSummary": false
}, {
"path": "Evidence.statistic.sampleSize.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Evidence.statistic.sampleSize.id",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.sampleSize.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Evidence.statistic.sampleSize.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.sampleSize.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Evidence.statistic.sampleSize.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.sampleSize.description",
"min": 0,
"definition": "Human-readable summary of study sample size. A human-readable string to clarify or explain concepts about the sample size.",
"isModifier": false,
"short": "Textual description of sample size for statistic",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.sampleSize.description",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.statistic.sampleSize.description"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.sampleSize.note",
"min": 0,
"definition": "Footnote or explanatory note about the sample size.",
"isModifier": false,
"short": "Footnote or explanatory note about the sample size",
"type": [ {
"code": "Annotation"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.statistic.sampleSize.note",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.statistic.sampleSize.note"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.sampleSize.numberOfStudies",
"min": 0,
"definition": "Count of studies or samples combined to become the total sample for the statistic.",
"isModifier": false,
"short": "Number of contributing studies",
"type": [ {
"code": "unsignedInt"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.sampleSize.numberOfStudies",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.statistic.sampleSize.numberOfStudies"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.sampleSize.numberOfParticipants",
"min": 0,
"definition": "Count of members in the total sample for the statistic.",
"isModifier": false,
"short": "Total number of participants",
"type": [ {
"code": "unsignedInt"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.sampleSize.numberOfParticipants",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.statistic.sampleSize.numberOfParticipants"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.sampleSize.knownDataCount",
"min": 0,
"definition": "Number of participants with known results for measured variables.",
"isModifier": false,
"short": "Number of participants with known results for measured variables",
"type": [ {
"code": "unsignedInt"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.sampleSize.knownDataCount",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.statistic.sampleSize.knownDataCount"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.sampleSize.numberAnalyzed",
"min": 0,
"definition": "Total number of participants who were analayzed.",
"isModifier": false,
"short": "Total number of participants who were analayzed",
"type": [ {
"code": "unsignedInt"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.sampleSize.numberAnalyzed",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.statistic.sampleSize.numberAnalyzed"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children or both",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.attributeEstimate",
"min": 0,
"definition": "A statistical attribute of the statistic such as a measure of heterogeneity.",
"isModifier": false,
"short": "An attribute of the Statistic",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.statistic.attributeEstimate",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.statistic.attributeEstimate"
},
"isSummary": false
}, {
"path": "Evidence.statistic.attributeEstimate.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Evidence.statistic.attributeEstimate.id",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.attributeEstimate.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Evidence.statistic.attributeEstimate.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.attributeEstimate.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Evidence.statistic.attributeEstimate.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.attributeEstimate.description",
"min": 0,
"definition": "Human-readable summary of the estimate.",
"isModifier": false,
"short": "Textual description of the attribute estimate",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.attributeEstimate.description",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.statistic.attributeEstimate.description"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.attributeEstimate.note",
"min": 0,
"definition": "Footnote or explanatory note about the estimate.",
"isModifier": false,
"short": "Footnote or explanatory note about the estimate",
"type": [ {
"code": "Annotation"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.statistic.attributeEstimate.note",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.statistic.attributeEstimate.note"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.attributeEstimate.type",
"min": 0,
"definition": "The type of attribute estimate, e.g., confidence interval or p value.",
"isModifier": false,
"short": "The type of attribute estimate, e.g., confidence interval or p value",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://terminology.hl7.org/ValueSet/attribute-estimate-type",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "AttributeEstimateType"
} ]
},
"max": "1",
"id": "Evidence.statistic.attributeEstimate.type",
"comment": "See the Evidence Based Medicine on FHIR Implementation Guide (https://hl7.org/fhir/uv/ebm) for Extensible and Preferred value sets for evidence-related terminologies.",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.statistic.attributeEstimate.type"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.attributeEstimate.quantity",
"min": 0,
"definition": "The singular quantity of the attribute estimate, for attribute estimates represented as single values, which may include a unit of measure.",
"isModifier": false,
"short": "The singular quantity of the attribute estimate, for attribute estimates represented as single values, which may include a unit of measure",
"type": [ {
"code": "Quantity"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.attributeEstimate.quantity",
"comment": "Often the p value",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.statistic.attributeEstimate.quantity"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.attributeEstimate.level",
"min": 0,
"definition": "Use 0.95 for a 95% confidence interval.",
"isModifier": false,
"short": "Level of confidence interval, e.g., 0.95 for 95% confidence interval",
"type": [ {
"code": "decimal"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.attributeEstimate.level",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.statistic.attributeEstimate.level"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.attributeEstimate.range",
"min": 0,
"definition": "Lower and upper bound values of the attribute estimate.",
"isModifier": false,
"short": "Lower and upper bound values of the attribute estimate",
"type": [ {
"code": "Range"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.attributeEstimate.range",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.statistic.attributeEstimate.range"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.attributeEstimate.attributeEstimate",
"min": 0,
"definition": "A nested attribute estimate; which is the attribute estimate of an attribute estimate.",
"isModifier": false,
"short": "A nested attribute estimate; which is the attribute estimate of an attribute estimate",
"contentReference": "#Evidence.statistic.attributeEstimate",
"mustSupport": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "AttributeEstimateAttributeEstimate"
} ],
"max": "*",
"id": "Evidence.statistic.attributeEstimate.attributeEstimate",
"comment": "A nested attribute estimate; which is the attribute estimate of an attribute estimate",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.statistic.attributeEstimate.attributeEstimate"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children or both",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.modelCharacteristic",
"min": 0,
"definition": "A component of the method to generate the statistic.",
"isModifier": false,
"short": "An aspect of the statistical model",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.statistic.modelCharacteristic",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.statistic.modelCharacteristic"
},
"isSummary": false
}, {
"path": "Evidence.statistic.modelCharacteristic.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Evidence.statistic.modelCharacteristic.id",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.modelCharacteristic.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Evidence.statistic.modelCharacteristic.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.modelCharacteristic.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
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"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Evidence.statistic.modelCharacteristic.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
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}, {
"constraint": [ {
"key": "ele-1",
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"severity": "error",
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} ],
"path": "Evidence.statistic.modelCharacteristic.code",
"min": 1,
"definition": "Description of a component of the method to generate the statistic.",
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"short": "Model specification",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
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"valueString": "StatisticModelCode"
} ]
},
"max": "1",
"id": "Evidence.statistic.modelCharacteristic.code",
"comment": "See the Evidence Based Medicine on FHIR Implementation Guide (https://hl7.org/fhir/uv/ebm) for Extensible and Preferred value sets for evidence-related terminologies.",
"base": {
"max": "1",
"min": 1,
"path": "Evidence.statistic.modelCharacteristic.code"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
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"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.modelCharacteristic.value[x]",
"min": 0,
"definition": "Further specification of the value of the component of the method to generate the statistic.",
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"short": "The specific value (when paired with code)",
"type": [ {
"code": "Quantity",
"profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
}, {
"code": "Range"
}, {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.modelCharacteristic.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.statistic.modelCharacteristic.value[x]"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
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"source": "http://hl7.org/fhir/StructureDefinition/Element",
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} ],
"path": "Evidence.statistic.modelCharacteristic.intended",
"min": 0,
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"code": "boolean"
} ],
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"id": "Evidence.statistic.modelCharacteristic.intended",
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"max": "1",
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"path": "Evidence.statistic.modelCharacteristic.intended"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
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} ],
"path": "Evidence.statistic.modelCharacteristic.applied",
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"type": [ {
"code": "boolean"
} ],
"mustSupport": false,
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"max": "1",
"id": "Evidence.statistic.modelCharacteristic.applied",
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"max": "1",
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"path": "Evidence.statistic.modelCharacteristic.applied"
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}, {
"constraint": [ {
"key": "ele-1",
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} ],
"path": "Evidence.statistic.modelCharacteristic.variable",
"min": 0,
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"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.statistic.modelCharacteristic.variable",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.statistic.modelCharacteristic.variable"
},
"isSummary": false
}, {
"path": "Evidence.statistic.modelCharacteristic.variable.id",
"min": 0,
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"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
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"base": {
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}, {
"constraint": [ {
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} ],
"path": "Evidence.statistic.modelCharacteristic.variable.extension",
"min": 0,
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"isModifier": false,
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"mapping": [ {
"map": "n/a",
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} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Evidence.statistic.modelCharacteristic.variable.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
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"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.modelCharacteristic.variable.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Evidence.statistic.modelCharacteristic.variable.modifierExtension",
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"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
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"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.modelCharacteristic.variable.variableDefinition",
"min": 1,
"definition": "Description and definition of the variable.",
"isModifier": false,
"short": "Description and definition of the variable",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Group", "http://hl7.org/fhir/StructureDefinition/EvidenceVariable" ]
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.modelCharacteristic.variable.variableDefinition",
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"max": "1",
"min": 1,
"path": "Evidence.statistic.modelCharacteristic.variable.variableDefinition"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
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"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.modelCharacteristic.variable.handling",
"min": 0,
"definition": "How the variable is classified for use in adjusted analysis.",
"isModifier": false,
"short": "boolean | continuous | dichotomous | ordinal | polychotomous | time-to-event | not-specified",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/variable-handling-example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "EvidenceVariableHandlingExample"
} ]
},
"max": "1",
"id": "Evidence.statistic.modelCharacteristic.variable.handling",
"comment": "See the Evidence Based Medicine on FHIR Implementation Guide (https://hl7.org/fhir/uv/ebm) for Extensible and Preferred value sets for evidence-related terminologies.",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.statistic.modelCharacteristic.variable.handling"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
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"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.modelCharacteristic.variable.valueCategory",
"min": 0,
"definition": "Qualitative label used for grouping values of a dichotomous, ordinal, or polychotomous variable.",
"isModifier": false,
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"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.statistic.modelCharacteristic.variable.valueCategory",
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"max": "*",
"min": 0,
"path": "Evidence.statistic.modelCharacteristic.variable.valueCategory"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
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"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.modelCharacteristic.variable.valueQuantity",
"min": 0,
"definition": "Quantitative label used for grouping values of a dichotomous, ordinal, or polychotomous variable.",
"isModifier": false,
"short": "Quantitative label used for grouping values of a dichotomous, ordinal, or polychotomous variable",
"type": [ {
"code": "Quantity"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.statistic.modelCharacteristic.variable.valueQuantity",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.statistic.modelCharacteristic.variable.valueQuantity"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
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"source": "http://hl7.org/fhir/StructureDefinition/Element",
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"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.modelCharacteristic.variable.valueRange",
"min": 0,
"definition": "Range of quantitative labels used for grouping values of a dichotomous, ordinal, or polychotomous variable.",
"isModifier": false,
"short": "Range of quantitative labels used for grouping values of a dichotomous, ordinal, or polychotomous variable",
"type": [ {
"code": "Range"
} ],
"mustSupport": false,
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"id": "Evidence.statistic.modelCharacteristic.variable.valueRange",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.statistic.modelCharacteristic.variable.valueRange"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
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"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.statistic.modelCharacteristic.attribute",
"min": 0,
"definition": "An attribute of the model characteristic.",
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"short": "An attribute of the model characteristic",
"contentReference": "#Evidence.statistic.attributeEstimate",
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"max": "*",
"id": "Evidence.statistic.modelCharacteristic.attribute",
"base": {
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"min": 0,
"path": "Evidence.statistic.modelCharacteristic.attribute"
},
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}, {
"constraint": [ {
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} ],
"path": "Evidence.certainty",
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"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.certainty",
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"max": "*",
"min": 0,
"path": "Evidence.certainty"
},
"isSummary": false
}, {
"path": "Evidence.certainty.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
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"mapping": [ {
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"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
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"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Evidence.certainty.id",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
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"severity": "error",
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} ],
"path": "Evidence.certainty.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
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} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Evidence.certainty.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
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"path": "Element.extension"
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}, {
"constraint": [ {
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} ],
"path": "Evidence.certainty.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
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} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Evidence.certainty.modifierExtension",
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"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
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}, {
"constraint": [ {
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} ],
"path": "Evidence.certainty.description",
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"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.certainty.description",
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"max": "1",
"min": 0,
"path": "Evidence.certainty.description"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
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"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.certainty.note",
"min": 0,
"definition": "Footnotes and/or explanatory notes.",
"isModifier": false,
"short": "Footnotes and/or explanatory notes",
"type": [ {
"code": "Annotation"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.certainty.note",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.certainty.note"
},
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}, {
"constraint": [ {
"key": "ele-1",
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} ],
"path": "Evidence.certainty.type",
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"short": "Aspect of certainty being rated",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
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"valueString": "EvidenceCertaintyType"
} ],
"description": "The aspect of quality, confidence, or certainty."
},
"max": "1",
"id": "Evidence.certainty.type",
"comment": "See the Evidence Based Medicine on FHIR Implementation Guide (https://hl7.org/fhir/uv/ebm) for Extensible and Preferred value sets for evidence-related terminologies.",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.certainty.type"
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}, {
"constraint": [ {
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} ],
"path": "Evidence.certainty.rating",
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"short": "Assessment or judgement of the aspect",
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"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
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"valueString": "EvidenceCertaintyRating"
} ],
"description": "The assessment of quality, confidence, or certainty."
},
"max": "1",
"id": "Evidence.certainty.rating",
"comment": "See the Evidence Based Medicine on FHIR Implementation Guide (https://hl7.org/fhir/uv/ebm) for Extensible and Preferred value sets for evidence-related terminologies.",
"base": {
"max": "1",
"min": 0,
"path": "Evidence.certainty.rating"
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}, {
"constraint": [ {
"key": "ele-1",
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"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.certainty.rater",
"min": 0,
"definition": "Individual or group who did the rating.",
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"short": "Individual or group who did the rating",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.certainty.rater",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.certainty.rater"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Evidence.certainty.subcomponent",
"min": 0,
"definition": "A domain or subdomain of certainty.",
"isModifier": false,
"short": "A domain or subdomain of certainty",
"contentReference": "#Evidence.certainty",
"mustSupport": false,
"max": "*",
"id": "Evidence.certainty.subcomponent",
"base": {
"max": "*",
"min": 0,
"path": "Evidence.certainty.subcomponent"
},
"isSummary": false
} ]
},
"status": "active",
"id": "9af6694b-2040-4332-a792-33eecb9deb5a",
"kind": "resource",
"url": "http://hl7.org/fhir/StructureDefinition/Evidence",
"version": "6.0.0-ballot4",
"differential": {
"element": [ {
"constraint": [ {
"key": "cnl-0",
"human": "Name should be usable as an identifier for the module by machine processing applications such as code generation",
"source": "http://hl7.org/fhir/StructureDefinition/Evidence",
"severity": "warning",
"expression": "name.exists() implies name.matches('^[A-Z]([A-Za-z0-9_]){1,254}$')"
} ],
"path": "Evidence",
"min": 0,
"definition": "The Evidence Resource provides a machine-interpretable expression of an evidence concept including the evidence variables (e.g., population, exposures/interventions, comparators, outcomes, measured variables, confounding variables), the statistics, and the certainty of this evidence.",
"isModifier": false,
"short": "Single evidence bit",
"mapping": [ {
"map": "clinical.general",
"identity": "w5"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence"
}, {
"constraint": [ {
"key": "cnl-1",
"human": "URL should not contain | or # - these characters make processing canonical references problematic",
"source": "http://hl7.org/fhir/StructureDefinition/Evidence",
"severity": "warning",
"expression": "exists() implies matches('^[^|# ]+$')"
} ],
"path": "Evidence.url",
"requirements": "Allows the evidence to be referenced by a single globally unique identifier.",
"min": 0,
"definition": "An absolute URI that is used to identify this evidence when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this summary is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the summary is stored on different servers.",
"isModifier": false,
"short": "Canonical identifier for this evidence, represented as a globally unique URI",
"mapping": [ {
"map": "FiveWs.identifier",
"identity": "w5"
} ],
"type": [ {
"code": "uri"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.url",
"comment": "In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found.",
"isSummary": true
}, {
"path": "Evidence.identifier",
"requirements": "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
"min": 0,
"definition": "A formal identifier that is used to identify this summary when it is represented in other formats, or referenced in a specification, model, design or an instance.",
"isModifier": false,
"short": "Additional identifier for the summary",
"mapping": [ {
"map": "FiveWs.identifier",
"identity": "w5"
}, {
"map": "no-gen-base",
"identity": "objimpl"
} ],
"type": [ {
"code": "Identifier"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.identifier",
"isSummary": true
}, {
"path": "Evidence.version",
"min": 0,
"definition": "The identifier that is used to identify this version of the summary when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the summary author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
"isModifier": false,
"short": "Business version of this summary",
"mapping": [ {
"map": "FiveWs.version",
"identity": "w5"
} ],
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.version",
"comment": "The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions.",
"isSummary": true
}, {
"path": "Evidence.versionAlgorithm[x]",
"min": 0,
"definition": "Indicates the mechanism used to compare versions to determine which is more current.",
"isModifier": false,
"short": "How to compare versions",
"type": [ {
"code": "string"
}, {
"code": "Coding"
} ],
"mustSupport": false,
"binding": {
"strength": "extensible",
"valueSet": "http://hl7.org/fhir/ValueSet/version-algorithm"
},
"max": "1",
"id": "Evidence.versionAlgorithm[x]",
"comment": "If set as a string, this is a FHIRPath expression that has two additional context variables passed in - %version1 and %version2 and will return a negative number if version1 is newer, a positive number if version2 is newer, and a 0 if the version ordering can't successfully be determined.",
"isSummary": true
}, {
"path": "Evidence.name",
"min": 0,
"definition": "A natural language name identifying the evidence. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
"isModifier": false,
"short": "Name for this summary (machine friendly)",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.name",
"condition": [ "cnl-0" ],
"comment": "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
"isSummary": false
}, {
"path": "Evidence.title",
"min": 0,
"definition": "A short, descriptive, user-friendly title for the summary.",
"isModifier": false,
"short": "Name for this summary (human friendly)",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "Evidence.title",
"isSummary": true
}, {
"path": "Evidence.citeAs",
"min": 0,
"definition": "Display of the suggested method of how to cite this Evidence.",
"isModifier": false,
"short": "Display of how to cite this Evidence",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.citeAs",
"isSummary": false
}, {
"path": "Evidence.status",
"min": 1,
"definition": "The status of this summary. Enables tracking the life-cycle of the content.",
"isModifier": true,
"short": "draft | active | retired | unknown",
"mapping": [ {
"map": "FiveWs.status",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot4",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "PublicationStatus"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
} ],
"description": "The lifecycle status of an artifact."
},
"max": "1",
"id": "Evidence.status",
"comment": "Allows filtering of summaries that are appropriate for use versus not.\n\nSee guidance around (not) making local changes to elements [here](canonicalresource.html#localization).",
"isModifierReason": "This is labeled as \"Is Modifier\" because applications should not use a retired Evidence without due consideration",
"isSummary": true
}, {
"path": "Evidence.experimental",
"min": 0,
"definition": "A Boolean value to indicate that this resource is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage.",
"isModifier": false,
"short": "For testing only - never for real usage",
"type": [ {
"code": "boolean"
} ],
"mustSupport": false,
"meaningWhenMissing": "If absent, this resource is treated as though it is not experimental.",
"max": "1",
"id": "Evidence.experimental",
"comment": "Allows filtering of artifacts that are appropriate for use versus not. Experimental resources might include example instances in implementation guides, instances created solely for testing purposes, etc. If experimental is 'true' for any version of a resource, it should be true for all versions of the resource. (If experimental changes, then it is being misused or a resource that was never intended for real-world use has unexpectedly changed its purpose.).\n\nExperimental resources are not expected to be stable and may well have breaking changes without a corresponding change to the 'version' element.",
"isSummary": false
}, {
"path": "Evidence.date",
"min": 0,
"definition": "The date (and optionally time) when the summary was last significantly changed. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the summary changes.",
"isModifier": false,
"short": "Date last changed",
"mapping": [ {
"map": "FiveWs.recorded",
"identity": "w5"
} ],
"type": [ {
"code": "dateTime"
} ],
"mustSupport": false,
"alias": [ "Revision Date" ],
"max": "1",
"id": "Evidence.date",
"comment": "The date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the summary. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.\n\nSee guidance around (not) making local changes to elements [here](canonicalresource.html#localization).",
"isSummary": true
}, {
"path": "Evidence.approvalDate",
"min": 0,
"definition": "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
"isModifier": false,
"short": "When the summary was approved by publisher",
"mapping": [ {
"map": "no-gen-base",
"identity": "objimpl"
} ],
"type": [ {
"code": "date"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.approvalDate",
"comment": "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.\n\nSee guidance around (not) making local changes to elements [here](canonicalresource.html#localization).",
"isSummary": false
}, {
"path": "Evidence.lastReviewDate",
"requirements": "Gives a sense of how \"current\" the content is. Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
"min": 0,
"definition": "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
"isModifier": false,
"short": "When the summary was last reviewed by the publisher",
"mapping": [ {
"map": "no-gen-base",
"identity": "objimpl"
} ],
"type": [ {
"code": "date"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.lastReviewDate",
"comment": "If specified, this date follows the original approval date.\n\nSee guidance around (not) making local changes to elements [here](canonicalresource.html#localization).",
"isSummary": false
}, {
"path": "Evidence.author",
"min": 0,
"definition": "An individiual, organization, or device primarily involved in the creation and maintenance of the content.",
"isModifier": false,
"short": "Who authored the content",
"mapping": [ {
"map": "FiveWs.author",
"identity": "w5"
} ],
"type": [ {
"code": "ContactDetail"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.author",
"comment": "Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see [Clinical Reasoning Module](clinicalreasoning-module.html)).",
"isSummary": true
}, {
"path": "Evidence.publisher",
"requirements": "Helps establish the \"authority/credibility\" of the evidence. May also allow for contact.",
"min": 0,
"definition": "The name of the organization or individual responsible for the release and ongoing maintenance of the evidence.",
"isModifier": false,
"short": "Name of the publisher/steward (organization or individual)",
"mapping": [ {
"map": "FiveWs.witness",
"identity": "w5"
} ],
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "Evidence.publisher",
"comment": "Usually an organization but may be an individual. The publisher (or steward) of the evidence is the organization or individual primarily responsible for the maintenance and upkeep of the evidence. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the evidence. This item SHOULD be populated unless the information is available from context.",
"isSummary": true
}, {
"path": "Evidence.contact",
"min": 0,
"definition": "Contact details to assist a user in finding and communicating with the publisher.",
"isModifier": false,
"short": "Contact details for the publisher",
"type": [ {
"code": "ContactDetail"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.contact",
"comment": "Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see [Clinical Reasoning Module](clinicalreasoning-module.html)).\n\nSee guidance around (not) making local changes to elements [here](canonicalresource.html#localization).",
"isSummary": true
}, {
"path": "Evidence.recorder",
"min": 0,
"definition": "Who entered the data for the evidence.",
"isModifier": false,
"short": "Who entered the data for the evidence",
"type": [ {
"code": "ContactDetail"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.recorder",
"comment": "The Evidence.recorder element is structured to support a name (with a string datatype) and contact point information for the recorder, and is not structured to support unique identifiers for the recorder. If detailed contributorship data is needed, then one can create a Citation Resource for the Evidence Resource.",
"isSummary": false
}, {
"path": "Evidence.editor",
"min": 0,
"definition": "An individiual, organization, or device primarily responsible for internal coherence of the content.",
"isModifier": false,
"short": "Who edited the content",
"type": [ {
"code": "ContactDetail"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.editor",
"comment": "Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see [Clinical Reasoning Module](clinicalreasoning-module.html)).",
"isSummary": false
}, {
"path": "Evidence.reviewer",
"min": 0,
"definition": "An individiual, organization, or device primarily responsible for review of some aspect of the content.",
"isModifier": false,
"short": "Who reviewed the content",
"type": [ {
"code": "ContactDetail"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.reviewer",
"comment": "Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see [Clinical Reasoning Module](clinicalreasoning-module.html)).\n\nSee guidance around (not) making local changes to elements [here](canonicalresource.html#localization).",
"isSummary": false
}, {
"path": "Evidence.endorser",
"min": 0,
"definition": "An individiual, organization, or device responsible for officially endorsing the content for use in some setting.",
"isModifier": false,
"short": "Who endorsed the content",
"type": [ {
"code": "ContactDetail"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.endorser",
"comment": "Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see [Clinical Reasoning Module](clinicalreasoning-module.html)).\n\nSee guidance around (not) making local changes to elements [here](canonicalresource.html#localization).",
"isSummary": false
}, {
"path": "Evidence.useContext",
"requirements": "Assist in searching for appropriate content.",
"min": 0,
"definition": "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate evidence instances.",
"isModifier": false,
"short": "The context that the content is intended to support",
"type": [ {
"code": "UsageContext"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.useContext",
"comment": "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
"isSummary": true
}, {
"path": "Evidence.purpose",
"min": 0,
"definition": "Explanation of why this Evidence is needed and why it has been designed as it has.",
"isModifier": false,
"short": "Why this Evidence is defined",
"mapping": [ {
"map": "FiveWs.why[x]",
"identity": "w5"
}, {
"map": "no-gen-base",
"identity": "objimpl"
} ],
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.purpose",
"comment": "This element does not describe the usage of the Evidence. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this Evidence.",
"isSummary": false
}, {
"path": "Evidence.copyright",
"requirements": "Consumers must be able to determine any legal restrictions on the use of the Evidence and/or its content.",
"min": 0,
"definition": "A copyright statement relating to the Evidence and/or its contents. Copyright statements are legal notices of intellectual property ownership and may include restrictions on the use and publishing of the Evidence.",
"isModifier": false,
"short": "Intellectual property ownership, may include restrictions on use",
"mapping": [ {
"map": "no-gen-base",
"identity": "objimpl"
} ],
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"alias": [ "License", "Restrictions" ],
"max": "1",
"id": "Evidence.copyright",
"comment": "The short copyright declaration (e.g. (c) '2015+ xyz organization') should be sent in the copyrightLabel element without the copyright prefix (i.e., do not include '(c)' or the symbol).",
"isSummary": false
}, {
"path": "Evidence.copyrightLabel",
"requirements": "Defines the content expected to be rendered in all representations of the artifact.",
"min": 0,
"definition": "A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved').",
"isModifier": false,
"short": "Copyright holder and year(s)",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "Evidence.copyrightLabel",
"comment": "The copyright symbol and the '(c)' textual representation SHOULD NOT be included in this string. It will be added by software when rendering the notation. Full details about licensing, restrictions, warrantees, etc. goes in the more general 'copyright' element.",
"isSummary": false
}, {
"path": "Evidence.relatesTo",
"min": 0,
"definition": "Relationships that this Evidence has with other FHIR or non-FHIR resources that already exist.",
"isModifier": false,
"short": "Relationships to other Resources",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.relatesTo",
"isSummary": false
}, {
"path": "Evidence.relatesTo.type",
"min": 1,
"definition": "The type of relationship to the related artifact.",
"isModifier": false,
"short": "documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as | reprint | reprint-of | summarizes",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "extensible",
"valueSet": "http://terminology.hl7.org/ValueSet/artifact-relationship-type",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ArtifactRelationshipType"
} ],
"description": "The type of relationship to the related artifact."
},
"max": "1",
"id": "Evidence.relatesTo.type",
"isSummary": false
}, {
"path": "Evidence.relatesTo.target[x]",
"min": 1,
"definition": "The artifact that is related to this Evidence Resource.",
"isModifier": false,
"short": "The artifact that is related to this Evidence",
"type": [ {
"code": "uri"
}, {
"code": "Attachment"
}, {
"code": "canonical",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ]
}, {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ]
}, {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.relatesTo.target[x]",
"isSummary": false
}, {
"path": "Evidence.description",
"min": 0,
"definition": "A natural language summary of the evidence.",
"isModifier": false,
"short": "Description of the particular summary",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "Evidence.description",
"comment": "This description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the evidence as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the evidence is presumed to be the predominant language in the place the evidence was created).",
"isSummary": true
}, {
"path": "Evidence.assertion",
"min": 0,
"definition": "Declarative description of the Evidence, such as conclusion or bottom line statement.",
"isModifier": false,
"short": "Declarative description of the Evidence",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "Evidence.assertion",
"isSummary": false
}, {
"path": "Evidence.note",
"min": 0,
"definition": "Footnotes and/or explanatory notes.",
"isModifier": false,
"short": "Footnotes and/or explanatory notes",
"type": [ {
"code": "Annotation"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.note",
"isSummary": false
}, {
"path": "Evidence.variableDefinition",
"min": 0,
"definition": "Description, classification, and definition of a single variable. The collection of variables defines what the evidence is about.",
"isModifier": false,
"short": "Description, classification, and definition of a single variable",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.variableDefinition",
"comment": "Comparative evidence is often defined with a population variable, an exposure variable and an outcome variable, while non comparative evidence is often defined with a population variable and an outcome variable.",
"isSummary": false
}, {
"path": "Evidence.variableDefinition.description",
"min": 0,
"definition": "A text description or summary of the variable.",
"isModifier": false,
"short": "A text description or summary of the variable",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.variableDefinition.description",
"isSummary": false
}, {
"path": "Evidence.variableDefinition.note",
"min": 0,
"definition": "Footnotes and/or explanatory notes.",
"isModifier": false,
"short": "Footnotes and/or explanatory notes",
"type": [ {
"code": "Annotation"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.variableDefinition.note",
"isSummary": false
}, {
"path": "Evidence.variableDefinition.variableRole",
"min": 1,
"definition": "Classification of the role of the variable.",
"isModifier": false,
"short": "population | exposure | outcome | covariate",
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/variable-role|6.0.0-ballot4",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "EvidenceVariableRole"
} ],
"description": "The role that the variable plays."
},
"max": "1",
"id": "Evidence.variableDefinition.variableRole",
"isSummary": true
}, {
"path": "Evidence.variableDefinition.roleSubtype",
"min": 0,
"definition": "Sub-classification of the role of the variable.",
"isModifier": false,
"short": "Sub-classification of the role of the variable",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://terminology.hl7.org/ValueSet/variable-role-subtype",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "EvidenceVariableRoleSubtype"
} ],
"description": "The sub-role that the variable plays."
},
"max": "1",
"id": "Evidence.variableDefinition.roleSubtype",
"comment": "See the Evidence Based Medicine on FHIR Implementation Guide (https://hl7.org/fhir/uv/ebm) for Extensible and Preferred value sets for evidence-related terminologies.",
"isSummary": false
}, {
"path": "Evidence.variableDefinition.comparatorCategory",
"min": 0,
"definition": "The reference value used for comparison.",
"isModifier": false,
"short": "The reference value used for comparison",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.variableDefinition.comparatorCategory",
"comment": "Value should match EvidenceVariable.category.name in the EvidenceVariable referenced in the observed or intended element.",
"isSummary": false
}, {
"path": "Evidence.variableDefinition.observed",
"min": 0,
"definition": "Definition of the actual variable related to the statistic(s), i.e., the population being the actual study sample or the measured variable (exposure, outcome, or covariate) being the actual observation that occurred or will occur in the study.",
"isModifier": false,
"short": "Definition of the actual variable related to the statistic(s)",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Group", "http://hl7.org/fhir/StructureDefinition/EvidenceVariable" ]
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.variableDefinition.observed",
"isSummary": true
}, {
"path": "Evidence.variableDefinition.intended",
"min": 0,
"definition": "Definition of the intended variable related to the Evidence, i.e., the population, exposure, or outcome for which the statistical finding is being interpreted.",
"isModifier": false,
"short": "Definition of the intended variable related to the Evidence",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Group", "http://hl7.org/fhir/StructureDefinition/EvidenceVariable" ]
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.variableDefinition.intended",
"isSummary": false
}, {
"path": "Evidence.variableDefinition.directnessMatch",
"min": 0,
"definition": "Indication of quality of match between intended variable to actual variable.",
"isModifier": false,
"short": "low | moderate | high | exact",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://terminology.hl7.org/ValueSet/directness",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "EvidenceDirectness"
} ],
"description": "The quality of how direct the match is."
},
"max": "1",
"id": "Evidence.variableDefinition.directnessMatch",
"comment": "See the Evidence Based Medicine on FHIR Implementation Guide (https://hl7.org/fhir/uv/ebm) for Extensible and Preferred value sets for evidence-related terminologies.",
"isSummary": false
}, {
"path": "Evidence.synthesisType",
"min": 0,
"definition": "The design of the synthesis (combination of studies) that produced this evidence. The design is described with any number of synthesis characteristics, such as type of meta-analysis.",
"isModifier": false,
"short": "The design of the synthesis (combination of studies) that produced this evidence",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://terminology.hl7.org/ValueSet/synthesis-type",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SynthesisType"
} ],
"description": "Types of combining results from a body of evidence (e.g. summary data meta-analysis)."
},
"max": "*",
"id": "Evidence.synthesisType",
"comment": "See the Evidence Based Medicine on FHIR Implementation Guide (https://hl7.org/fhir/uv/ebm) for Extensible and Preferred value sets for evidence-related terminologies.",
"isSummary": false
}, {
"path": "Evidence.studyDesign",
"min": 0,
"definition": "The design of the study that produced this evidence. The design is described with any number of study design characteristics.",
"isModifier": false,
"short": "The design of the study that produced this evidence",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "extensible",
"valueSet": "http://hl7.org/fhir/ValueSet/study-design",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "StudyDesign"
} ],
"description": "This is a set of terms for study design characteristics."
},
"max": "*",
"id": "Evidence.studyDesign",
"comment": "See the Evidence Based Medicine on FHIR Implementation Guide (https://hl7.org/fhir/uv/ebm) for Extensible and Preferred value sets for evidence-related terminologies.",
"isSummary": false
}, {
"path": "Evidence.statistic",
"min": 0,
"definition": "Values and parameters for a single statistic.",
"isModifier": false,
"short": "Values and parameters for a single statistic",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.statistic",
"isSummary": false
}, {
"path": "Evidence.statistic.description",
"min": 0,
"definition": "A natural language summary of the statistic.",
"isModifier": false,
"short": "A natural language summary of the statistic",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.description",
"isSummary": false
}, {
"path": "Evidence.statistic.note",
"min": 0,
"definition": "Footnotes and/or explanatory notes.",
"isModifier": false,
"short": "Footnotes and/or explanatory notes",
"type": [ {
"code": "Annotation"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.statistic.note",
"isSummary": false
}, {
"path": "Evidence.statistic.statisticType",
"min": 0,
"definition": "Type of statistic, e.g., relative risk. The statistic type is a classification that formally defines the relationship between the variables (noted in Evidence.variableDefinition) and the value specification (noted in Evidence.statistic.quantity).",
"isModifier": false,
"short": "Type of statistic, e.g., relative risk",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://terminology.hl7.org/ValueSet/statistic-type",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "StatisticType"
} ]
},
"max": "1",
"id": "Evidence.statistic.statisticType",
"comment": "See the Evidence Based Medicine on FHIR Implementation Guide (https://hl7.org/fhir/uv/ebm) for Extensible and Preferred value sets for evidence-related terminologies.",
"isSummary": true
}, {
"path": "Evidence.statistic.category",
"min": 0,
"definition": "When the measured variable (outcome) is handled categorically, the category element is used to define which category the statistic is reporting.",
"isModifier": false,
"short": "Associated category for categorical variable",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.category",
"comment": "Simple strings can be used for descriptive purposes. Exact matching to EvidenceVariable.category.name for the Evidence.variableDefinition[variableRole=outcome].observed=Reference(EvidenceVariable) could facilitate validation within datasets.",
"isSummary": false
}, {
"path": "Evidence.statistic.quantity",
"min": 0,
"definition": "Statistic value.",
"isModifier": false,
"short": "Statistic value",
"type": [ {
"code": "Quantity"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.quantity",
"isSummary": true
}, {
"path": "Evidence.statistic.numberOfEvents",
"min": 0,
"definition": "The number of events associated with the statistic, where the unit of analysis is different from numberAffected, sampleSize.knownDataCount and sampleSize.numberOfParticipants.",
"isModifier": false,
"short": "The number of events associated with the statistic",
"type": [ {
"code": "unsignedInt"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.numberOfEvents",
"comment": "When the number of events is the statistic, use Evidence.statistic.quantity and set Evidence.statistic.type.coding.code=C25463 and Evidence.statistic.type.coding.display=Count. When the statistic is an Event Rate (where individual participants may have 2 or more events), use Evidence.statistic.numberOfEvents to record the total number of events rather than the number of participants with events.",
"isSummary": false
}, {
"path": "Evidence.statistic.numberAffected",
"min": 0,
"definition": "The number of participants affected where the unit of analysis is the same as sampleSize.knownDataCount and sampleSize.numberOfParticipants.",
"isModifier": false,
"short": "The number of participants affected",
"type": [ {
"code": "unsignedInt"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.numberAffected",
"comment": "When the number affected is the statistic, use Evidence.statistic.quantity and set Evidence.statistic.type.coding.code=C25463 and Evidence.statistic.type.coding.display=Count. When the statistic is a Proportion, use Evidence.statistic.numberAffected and enter an integer as the value. When the statistic is an Event Rate (where individual participants may have 2 or more events), use Evidence.statistic.numberAffected to record the number of participants with events rather than the total number of events.",
"isSummary": false
}, {
"path": "Evidence.statistic.sampleSize",
"min": 0,
"definition": "Count of participants in the study sample.",
"isModifier": false,
"short": "Count of participants in the study sample",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.sampleSize",
"isSummary": false
}, {
"path": "Evidence.statistic.sampleSize.description",
"min": 0,
"definition": "Human-readable summary of study sample size. A human-readable string to clarify or explain concepts about the sample size.",
"isModifier": false,
"short": "Textual description of sample size for statistic",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.sampleSize.description",
"isSummary": false
}, {
"path": "Evidence.statistic.sampleSize.note",
"min": 0,
"definition": "Footnote or explanatory note about the sample size.",
"isModifier": false,
"short": "Footnote or explanatory note about the sample size",
"type": [ {
"code": "Annotation"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.statistic.sampleSize.note",
"isSummary": false
}, {
"path": "Evidence.statistic.sampleSize.numberOfStudies",
"min": 0,
"definition": "Count of studies or samples combined to become the total sample for the statistic.",
"isModifier": false,
"short": "Number of contributing studies",
"type": [ {
"code": "unsignedInt"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.sampleSize.numberOfStudies",
"isSummary": false
}, {
"path": "Evidence.statistic.sampleSize.numberOfParticipants",
"min": 0,
"definition": "Count of members in the total sample for the statistic.",
"isModifier": false,
"short": "Total number of participants",
"type": [ {
"code": "unsignedInt"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.sampleSize.numberOfParticipants",
"isSummary": false
}, {
"path": "Evidence.statistic.sampleSize.knownDataCount",
"min": 0,
"definition": "Number of participants with known results for measured variables.",
"isModifier": false,
"short": "Number of participants with known results for measured variables",
"type": [ {
"code": "unsignedInt"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.sampleSize.knownDataCount",
"isSummary": false
}, {
"path": "Evidence.statistic.sampleSize.numberAnalyzed",
"min": 0,
"definition": "Total number of participants who were analayzed.",
"isModifier": false,
"short": "Total number of participants who were analayzed",
"type": [ {
"code": "unsignedInt"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.sampleSize.numberAnalyzed",
"isSummary": false
}, {
"path": "Evidence.statistic.attributeEstimate",
"min": 0,
"definition": "A statistical attribute of the statistic such as a measure of heterogeneity.",
"isModifier": false,
"short": "An attribute of the Statistic",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.statistic.attributeEstimate",
"isSummary": false
}, {
"path": "Evidence.statistic.attributeEstimate.description",
"min": 0,
"definition": "Human-readable summary of the estimate.",
"isModifier": false,
"short": "Textual description of the attribute estimate",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.attributeEstimate.description",
"isSummary": false
}, {
"path": "Evidence.statistic.attributeEstimate.note",
"min": 0,
"definition": "Footnote or explanatory note about the estimate.",
"isModifier": false,
"short": "Footnote or explanatory note about the estimate",
"type": [ {
"code": "Annotation"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.statistic.attributeEstimate.note",
"isSummary": false
}, {
"path": "Evidence.statistic.attributeEstimate.type",
"min": 0,
"definition": "The type of attribute estimate, e.g., confidence interval or p value.",
"isModifier": false,
"short": "The type of attribute estimate, e.g., confidence interval or p value",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://terminology.hl7.org/ValueSet/attribute-estimate-type",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "AttributeEstimateType"
} ]
},
"max": "1",
"id": "Evidence.statistic.attributeEstimate.type",
"comment": "See the Evidence Based Medicine on FHIR Implementation Guide (https://hl7.org/fhir/uv/ebm) for Extensible and Preferred value sets for evidence-related terminologies.",
"isSummary": false
}, {
"path": "Evidence.statistic.attributeEstimate.quantity",
"min": 0,
"definition": "The singular quantity of the attribute estimate, for attribute estimates represented as single values, which may include a unit of measure.",
"isModifier": false,
"short": "The singular quantity of the attribute estimate, for attribute estimates represented as single values, which may include a unit of measure",
"type": [ {
"code": "Quantity"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.attributeEstimate.quantity",
"comment": "Often the p value",
"isSummary": false
}, {
"path": "Evidence.statistic.attributeEstimate.level",
"min": 0,
"definition": "Use 0.95 for a 95% confidence interval.",
"isModifier": false,
"short": "Level of confidence interval, e.g., 0.95 for 95% confidence interval",
"type": [ {
"code": "decimal"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.attributeEstimate.level",
"isSummary": false
}, {
"path": "Evidence.statistic.attributeEstimate.range",
"min": 0,
"definition": "Lower and upper bound values of the attribute estimate.",
"isModifier": false,
"short": "Lower and upper bound values of the attribute estimate",
"type": [ {
"code": "Range"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.attributeEstimate.range",
"isSummary": false
}, {
"path": "Evidence.statistic.attributeEstimate.attributeEstimate",
"min": 0,
"definition": "A nested attribute estimate; which is the attribute estimate of an attribute estimate.",
"isModifier": false,
"short": "A nested attribute estimate; which is the attribute estimate of an attribute estimate",
"contentReference": "#Evidence.statistic.attributeEstimate",
"mustSupport": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "AttributeEstimateAttributeEstimate"
} ],
"max": "*",
"id": "Evidence.statistic.attributeEstimate.attributeEstimate",
"comment": "A nested attribute estimate; which is the attribute estimate of an attribute estimate",
"isSummary": false
}, {
"path": "Evidence.statistic.modelCharacteristic",
"min": 0,
"definition": "A component of the method to generate the statistic.",
"isModifier": false,
"short": "An aspect of the statistical model",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.statistic.modelCharacteristic",
"isSummary": false
}, {
"path": "Evidence.statistic.modelCharacteristic.code",
"min": 1,
"definition": "Description of a component of the method to generate the statistic.",
"isModifier": false,
"short": "Model specification",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://terminology.hl7.org/ValueSet/statistic-model-code",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "StatisticModelCode"
} ]
},
"max": "1",
"id": "Evidence.statistic.modelCharacteristic.code",
"comment": "See the Evidence Based Medicine on FHIR Implementation Guide (https://hl7.org/fhir/uv/ebm) for Extensible and Preferred value sets for evidence-related terminologies.",
"isSummary": false
}, {
"path": "Evidence.statistic.modelCharacteristic.value[x]",
"min": 0,
"definition": "Further specification of the value of the component of the method to generate the statistic.",
"isModifier": false,
"short": "The specific value (when paired with code)",
"type": [ {
"code": "Quantity",
"profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
}, {
"code": "Range"
}, {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.modelCharacteristic.value[x]",
"isSummary": false
}, {
"path": "Evidence.statistic.modelCharacteristic.intended",
"min": 0,
"definition": "The plan for analysis.",
"isModifier": false,
"short": "The plan for analysis",
"type": [ {
"code": "boolean"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.modelCharacteristic.intended",
"isSummary": false
}, {
"path": "Evidence.statistic.modelCharacteristic.applied",
"min": 0,
"definition": "This model characteristic is part of the analysis that was applied, whether or not the analysis followed the plan.",
"isModifier": false,
"short": "This model characteristic is part of the analysis that was applied, whether or not the analysis followed the plan",
"type": [ {
"code": "boolean"
} ],
"mustSupport": false,
"meaningWhenMissing": "True, unless modelCharacteristic.intended = true; if modelCharacteristic.intended = true and .applied is missing, then meaning Unknown.",
"max": "1",
"id": "Evidence.statistic.modelCharacteristic.applied",
"isSummary": false
}, {
"path": "Evidence.statistic.modelCharacteristic.variable",
"min": 0,
"definition": "A variable adjusted for in the adjusted analysis.",
"isModifier": false,
"short": "A variable adjusted for in the adjusted analysis",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.statistic.modelCharacteristic.variable",
"isSummary": false
}, {
"path": "Evidence.statistic.modelCharacteristic.variable.variableDefinition",
"min": 1,
"definition": "Description and definition of the variable.",
"isModifier": false,
"short": "Description and definition of the variable",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Group", "http://hl7.org/fhir/StructureDefinition/EvidenceVariable" ]
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.statistic.modelCharacteristic.variable.variableDefinition",
"isSummary": false
}, {
"path": "Evidence.statistic.modelCharacteristic.variable.handling",
"min": 0,
"definition": "How the variable is classified for use in adjusted analysis.",
"isModifier": false,
"short": "boolean | continuous | dichotomous | ordinal | polychotomous | time-to-event | not-specified",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/variable-handling-example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "EvidenceVariableHandlingExample"
} ]
},
"max": "1",
"id": "Evidence.statistic.modelCharacteristic.variable.handling",
"comment": "See the Evidence Based Medicine on FHIR Implementation Guide (https://hl7.org/fhir/uv/ebm) for Extensible and Preferred value sets for evidence-related terminologies.",
"isSummary": false
}, {
"path": "Evidence.statistic.modelCharacteristic.variable.valueCategory",
"min": 0,
"definition": "Qualitative label used for grouping values of a dichotomous, ordinal, or polychotomous variable.",
"isModifier": false,
"short": "Qualitative label used for grouping values of a dichotomous, ordinal, or polychotomous variable",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.statistic.modelCharacteristic.variable.valueCategory",
"isSummary": false
}, {
"path": "Evidence.statistic.modelCharacteristic.variable.valueQuantity",
"min": 0,
"definition": "Quantitative label used for grouping values of a dichotomous, ordinal, or polychotomous variable.",
"isModifier": false,
"short": "Quantitative label used for grouping values of a dichotomous, ordinal, or polychotomous variable",
"type": [ {
"code": "Quantity"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.statistic.modelCharacteristic.variable.valueQuantity",
"isSummary": false
}, {
"path": "Evidence.statistic.modelCharacteristic.variable.valueRange",
"min": 0,
"definition": "Range of quantitative labels used for grouping values of a dichotomous, ordinal, or polychotomous variable.",
"isModifier": false,
"short": "Range of quantitative labels used for grouping values of a dichotomous, ordinal, or polychotomous variable",
"type": [ {
"code": "Range"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.statistic.modelCharacteristic.variable.valueRange",
"isSummary": false
}, {
"path": "Evidence.statistic.modelCharacteristic.attribute",
"min": 0,
"definition": "An attribute of the model characteristic.",
"isModifier": false,
"short": "An attribute of the model characteristic",
"contentReference": "#Evidence.statistic.attributeEstimate",
"mustSupport": false,
"max": "*",
"id": "Evidence.statistic.modelCharacteristic.attribute",
"isSummary": false
}, {
"path": "Evidence.certainty",
"min": 0,
"definition": "Assessment of certainty, confidence in the estimates, or quality of the evidence.",
"isModifier": false,
"short": "Certainty or quality of the evidence",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.certainty",
"isSummary": false
}, {
"path": "Evidence.certainty.description",
"min": 0,
"definition": "Textual description of certainty.",
"isModifier": false,
"short": "Textual description of certainty",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"id": "Evidence.certainty.description",
"isSummary": false
}, {
"path": "Evidence.certainty.note",
"min": 0,
"definition": "Footnotes and/or explanatory notes.",
"isModifier": false,
"short": "Footnotes and/or explanatory notes",
"type": [ {
"code": "Annotation"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.certainty.note",
"isSummary": false
}, {
"path": "Evidence.certainty.type",
"min": 0,
"definition": "Aspect of certainty being rated.",
"isModifier": false,
"short": "Aspect of certainty being rated",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://terminology.hl7.org/ValueSet/certainty-type",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "EvidenceCertaintyType"
} ],
"description": "The aspect of quality, confidence, or certainty."
},
"max": "1",
"id": "Evidence.certainty.type",
"comment": "See the Evidence Based Medicine on FHIR Implementation Guide (https://hl7.org/fhir/uv/ebm) for Extensible and Preferred value sets for evidence-related terminologies.",
"isSummary": false
}, {
"path": "Evidence.certainty.rating",
"min": 0,
"definition": "Assessment or judgement of the aspect.",
"isModifier": false,
"short": "Assessment or judgement of the aspect",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://terminology.hl7.org/ValueSet/certainty-rating",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "EvidenceCertaintyRating"
} ],
"description": "The assessment of quality, confidence, or certainty."
},
"max": "1",
"id": "Evidence.certainty.rating",
"comment": "See the Evidence Based Medicine on FHIR Implementation Guide (https://hl7.org/fhir/uv/ebm) for Extensible and Preferred value sets for evidence-related terminologies.",
"isSummary": false
}, {
"path": "Evidence.certainty.rater",
"min": 0,
"definition": "Individual or group who did the rating.",
"isModifier": false,
"short": "Individual or group who did the rating",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "*",
"id": "Evidence.certainty.rater",
"isSummary": false
}, {
"path": "Evidence.certainty.subcomponent",
"min": 0,
"definition": "A domain or subdomain of certainty.",
"isModifier": false,
"short": "A domain or subdomain of certainty",
"contentReference": "#Evidence.certainty",
"mustSupport": false,
"max": "*",
"id": "Evidence.certainty.subcomponent",
"isSummary": false
} ]
},
"contact": [ {
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/fiwg",
"system": "url"
} ]
}, {
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/dss",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/DomainResource"
}