description: Justification of a clinical guideline recommendation through the underlying evidence and their ratings
package_name: de.netzwerk
derivation: constraint
name: RecommendationJustification
type: ArtifactAssessment
elements:
  meta:
    mustSupport: true
    index: 0
    elements:
      source: {mustSupport: true, index: 1}
      profile: {mustSupport: true, index: 2}
    required: [profile]
  extension:
    array: true
    min: 2
    index: 3
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: 2
      slices:
        version:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ceosys-extension-artifact-assessment-version', index: 4}
          min: 1
          max: 1
        publicationStatus:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ceosys-extension-artifact-assessment-publication-status', index: 5}
          min: 1
          max: 1
  date: {index: 6}
  artifact:
    choices: [artifactReference]
    index: 8
  artifactReference:
    type: Reference
    choiceOf: artifact
    refers: ['https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/recommendation-plan']
    index: 9
  content:
    mustSupport: true
    array: true
    min: 2
    index: 10
    slicing:
      rules: closed
      discriminator:
      - {path: type, type: value}
      min: 2
      slices:
        acceptability:
          match:
            type:
              coding:
              - {code: acceptability, system: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-evidence-to-decision-certainty-type', display: Acceptability}
          schema:
            mustSupport: true
            index: 39
            elements:
              informationType:
                pattern: {type: Code, value: rating}
                index: 40
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: acceptability, system: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-evidence-to-decision-certainty-type', display: Acceptability}
                index: 41
              classifier:
                binding: {strength: required, valueSet: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-acceptability'}
                index: 42
            required: [type, classifier, informationType]
        equity:
          match:
            type:
              coding:
              - {code: equity, system: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-evidence-to-decision-certainty-type', display: Equity}
          schema:
            mustSupport: true
            index: 35
            elements:
              informationType:
                pattern: {type: Code, value: rating}
                index: 36
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: equity, system: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-evidence-to-decision-certainty-type', display: Equity}
                index: 37
              classifier:
                binding: {strength: required, valueSet: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-equity'}
                index: 38
            required: [type, classifier, informationType]
        preferenceAndValues:
          match:
            type:
              coding:
              - {code: preference-and-values, system: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-evidence-to-decision-certainty-type', display: Preference and values}
          schema:
            mustSupport: true
            index: 27
            elements:
              informationType:
                pattern: {type: Code, value: rating}
                index: 28
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: preference-and-values, system: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-evidence-to-decision-certainty-type', display: Preference and values}
                index: 29
              classifier:
                binding: {strength: required, valueSet: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-preference-and-values'}
                index: 30
            required: [type, classifier, informationType]
        benefitAndHarms:
          match:
            type:
              coding:
              - {code: benefit-and-harms, system: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-evidence-to-decision-certainty-type', display: Benefit and harms}
          schema:
            mustSupport: true
            index: 19
            elements:
              informationType:
                pattern: {type: Code, value: rating}
                index: 20
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: benefit-and-harms, system: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-evidence-to-decision-certainty-type', display: Benefit and harms}
                index: 21
              classifier:
                binding: {strength: required, valueSet: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-benefit-and-harms'}
                index: 22
            required: [type, classifier, informationType]
        certaintyOfEvidence:
          match:
            type:
              coding:
              - {code: Overall, system: 'http://hl7.org/fhir/certainty-type', display: Overall certainty}
          schema:
            mustSupport: true
            index: 23
            elements:
              informationType:
                pattern: {type: Code, value: rating}
                index: 24
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: Overall, system: 'http://hl7.org/fhir/certainty-type', display: Overall certainty}
                index: 25
              classifier:
                binding: {strength: required, valueSet: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-certainty-of-evidence'}
                index: 26
            required: [type, classifier, informationType]
        consensus:
          match:
            type:
              coding:
              - {code: consensus, system: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system', display: Consensus}
          schema:
            mustSupport: true
            index: 15
            elements:
              informationType:
                pattern: {type: Code, value: rating}
                index: 16
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: consensus, system: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system', display: Consensus}
                index: 17
              classifier:
                binding: {strength: required, valueSet: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-consensus'}
                index: 18
            required: [type, classifier, informationType]
        evidenceRating:
          match:
            type:
              coding:
              - {code: certainty-of-evidence-rating, system: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system', display: Certainty of evidence rating}
          schema:
            mustSupport: true
            array: true
            index: 47
            elements:
              informationType:
                pattern: {type: Code, value: container}
                index: 48
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: certainty-of-evidence-rating, system: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system', display: Certainty of evidence rating}
                index: 49
              relatedArtifact:
                mustSupport: true
                index: 50
                elements:
                  type:
                    pattern: {type: Code, value: justification}
                    index: 51
                  classifier:
                    pattern:
                      type: CodeableConcept
                      value:
                        coding:
                        - {code: certainty-of-evidence-rating, system: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system', display: Certainty of evidence rating}
                    index: 52
                  resourceReference:
                    type: Reference
                    mustSupport: true
                    refers: ['https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/certainty-of-evidence-rating']
                    index: 53
                required: [resourceReference, classifier]
            required: [relatedArtifact, type, informationType]
        strength:
          match:
            type:
              coding:
              - {code: strength, system: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system', display: Strength of recommendation}
          schema:
            mustSupport: true
            _required: true
            index: 11
            elements:
              informationType:
                pattern: {type: Code, value: rating}
                index: 12
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: strength, system: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system', display: Strength of recommendation}
                index: 13
              classifier:
                binding: {strength: required, valueSet: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/ceosys-vs-recommendation-strength'}
                index: 14
            required: [type, classifier, informationType]
        feasibility:
          match:
            type:
              coding:
              - {code: feasibility, system: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-evidence-to-decision-certainty-type', display: Feasibility}
          schema:
            mustSupport: true
            index: 43
            elements:
              informationType:
                pattern: {type: Code, value: rating}
                index: 44
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: feasibility, system: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-evidence-to-decision-certainty-type', display: Feasibility}
                index: 45
              classifier:
                binding: {strength: required, valueSet: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-feasibility'}
                index: 46
            required: [type, classifier, informationType]
        resources:
          match:
            type:
              coding:
              - {code: resources, system: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-evidence-to-decision-certainty-type', display: Resources}
          schema:
            mustSupport: true
            index: 31
            elements:
              informationType:
                pattern: {type: Code, value: rating}
                index: 32
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: resources, system: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-evidence-to-decision-certainty-type', display: Resources}
                index: 33
              classifier:
                binding: {strength: required, valueSet: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-resources'}
                index: 34
            required: [type, classifier, informationType]
        netEffect:
          match:
            type:
              coding:
              - {code: net-effect, system: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system', display: Net effect}
          schema:
            index: 54
            elements:
              informationType:
                pattern: {type: Code, value: container}
                index: 55
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: net-effect, system: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system', display: Net effect}
                index: 56
              relatedArtifact:
                mustSupport: true
                index: 57
                elements:
                  type:
                    pattern: {type: Code, value: supported-with}
                    index: 58
                  classifier:
                    pattern:
                      type: CodeableConcept
                      value:
                        coding:
                        - {code: net-effect, system: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system', display: Net effect}
                    index: 59
                  resourceReference:
                    type: Reference
                    mustSupport: true
                    refers: ['https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/net-effect-estimate']
                    index: 60
                required: [resourceReference, classifier]
            required: [relatedArtifact, type, informationType]
package_version: universitaetsmedizin.ebm-cpg-0.9.0
extensions:
  version: {url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ceosys-extension-artifact-assessment-version', min: 1, max: 1, type: Extension, mustSupport: true, index: 4}
  publicationStatus: {url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ceosys-extension-artifact-assessment-publication-status', min: 1, max: 1, type: Extension, mustSupport: true, index: 5}
class: profile
kind: resource
url: https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/recommendation-justification
base: http://hl7.org/fhir/StructureDefinition/ArtifactAssessment
version: 0.1.0
required: [meta, date]