{
  "description": "Justification of a clinical guideline recommendation through the underlying evidence and their ratings",
  "_filename": "StructureDefinition-recommendation-justification.json",
  "package_name": "de.netzwerk-universitaetsmedizin.ebm-cpg",
  "date": "2022-03-04",
  "derivation": "constraint",
  "publisher": "Netzwerk Universitätsmedizin (NUM)",
  "fhirVersion": "5.0.0",
  "purpose": "This profile is used to define the recommendation rating",
  "name": "RecommendationJustification",
  "mapping": [ {
    "uri": "http://hl7.org/fhir/fivews",
    "name": "FiveWs Pattern Mapping",
    "identity": "w5"
  }, {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  }, {
    "uri": "http://hl7.org/fhir/object-implementation",
    "name": "Object Implementation Information",
    "identity": "objimpl"
  } ],
  "abstract": false,
  "type": "ArtifactAssessment",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "Recommendation Justification",
  "package_version": "1.0.2",
  "snapshot": {
    "element": [ {
      "constraint": [ {
        "key": "dom-2",
        "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.contained.empty()"
      }, {
        "key": "dom-3",
        "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"
      }, {
        "key": "dom-4",
        "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
      }, {
        "key": "dom-5",
        "human": "If a resource is contained in another resource, it SHALL NOT have a security label",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.meta.security.empty()"
      }, {
        "key": "dom-6",
        "human": "A resource should have narrative for robust management",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "warning",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
          "valueBoolean": true
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
          "valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
        } ],
        "expression": "text.`div`.exists()"
      } ],
      "path": "ArtifactAssessment",
      "min": 0,
      "definition": "This Resource provides one or more comments, classifiers or ratings about a Resource and supports attribution and rights management metadata for the added content.",
      "isModifier": false,
      "short": "Adds metadata-supported comments, classifiers or ratings related to a Resource",
      "mapping": [ {
        "map": "Entity, Role, or Act,Act[classCode=ACT; moodCode=DEFN]",
        "identity": "rim"
      }, {
        "map": "clinical.general",
        "identity": "w5"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment"
      },
      "isSummary": false
    }, {
      "path": "ArtifactAssessment.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": "id"
        } ]
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.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": "ArtifactAssessment.meta",
      "min": 1,
      "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": true,
      "max": "1",
      "id": "ArtifactAssessment.meta",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.meta"
      },
      "isSummary": true
    }, {
      "path": "ArtifactAssessment.meta.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": "id"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "ArtifactAssessment.meta.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.meta.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"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "ArtifactAssessment.meta.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": "ArtifactAssessment.meta.versionId",
      "min": 0,
      "definition": "The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.",
      "isModifier": false,
      "short": "Version specific identifier",
      "type": [ {
        "code": "id"
      } ],
      "max": "1",
      "id": "ArtifactAssessment.meta.versionId",
      "comment": "The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Meta.versionId"
      },
      "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": "ArtifactAssessment.meta.lastUpdated",
      "min": 0,
      "definition": "When the resource last changed - e.g. when the version changed.",
      "isModifier": false,
      "short": "When the resource version last changed",
      "type": [ {
        "code": "instant"
      } ],
      "max": "1",
      "id": "ArtifactAssessment.meta.lastUpdated",
      "comment": "This element is generally omitted in instances submitted in a PUT or POST. Instead, it is populated in the response instance and when retrieving information using a GET. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http://hl7.org/fhir/R5/http.html#read) interaction.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Meta.lastUpdated"
      },
      "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": "ArtifactAssessment.meta.source",
      "min": 0,
      "definition": "A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R5/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.",
      "isModifier": false,
      "short": "Identifies where the resource comes from",
      "type": [ {
        "code": "uri"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "ArtifactAssessment.meta.source",
      "comment": "The exact use of the source (and the possible implied Provenance.entity.role and agent.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. The source may correspond to Provenance.entity.what[x] or Provenance.agent.who[x], though it may be a more general or abstract reference. \n\nThis element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Meta.source"
      },
      "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": "ArtifactAssessment.meta.profile",
      "min": 1,
      "definition": "A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R5/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R5/structuredefinition-definitions.html#StructureDefinition.url).",
      "isModifier": false,
      "short": "Profiles this resource claims to conform to",
      "type": [ {
        "code": "canonical",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/StructureDefinition" ]
      } ],
      "mustSupport": true,
      "max": "*",
      "id": "ArtifactAssessment.meta.profile",
      "comment": "It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time.  The list of profile URLs is a set.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Meta.profile"
      },
      "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": "ArtifactAssessment.meta.security",
      "min": 0,
      "definition": "Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.",
      "isModifier": false,
      "short": "Security Labels applied to this resource",
      "type": [ {
        "code": "Coding"
      } ],
      "binding": {
        "strength": "extensible",
        "valueSet": "http://hl7.org/fhir/ValueSet/security-labels",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "SecurityLabels"
        } ],
        "description": "Security Labels from the Healthcare Privacy and Security Classification System."
      },
      "max": "*",
      "id": "ArtifactAssessment.meta.security",
      "comment": "The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Meta.security"
      },
      "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": "ArtifactAssessment.meta.tag",
      "min": 0,
      "definition": "Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.",
      "isModifier": false,
      "short": "Tags applied to this resource",
      "type": [ {
        "code": "Coding"
      } ],
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/common-tags",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "Tags"
        } ],
        "description": "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\"."
      },
      "max": "*",
      "id": "ArtifactAssessment.meta.tag",
      "comment": "The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Meta.tag"
      },
      "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": "ArtifactAssessment.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.",
      "isModifier": true,
      "short": "A set of rules under which this content was created",
      "type": [ {
        "code": "uri"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.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": "ArtifactAssessment.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|5.0.0",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "Language"
        } ],
        "additional": [ {
          "purpose": "starter",
          "valueSet": "http://hl7.org/fhir/ValueSet/languages"
        } ],
        "description": "IETF language tag for a human language"
      },
      "max": "1",
      "id": "ArtifactAssessment.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": "ArtifactAssessment.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": "ArtifactAssessment.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": "ArtifactAssessment.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": "ArtifactAssessment.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.",
      "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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.extension",
      "min": 2,
      "definition": "An Extension",
      "isModifier": false,
      "short": "Extension",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.extension",
      "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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.extension",
      "min": 1,
      "definition": "Extension used on Artifact Assessment resources to describe the guideline recommendation version.",
      "isModifier": false,
      "short": "Version",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ceosys-extension-artifact-assessment-version" ]
      } ],
      "mustSupport": true,
      "sliceName": "version",
      "max": "1",
      "id": "ArtifactAssessment.extension:version",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      }
    }, {
      "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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.extension",
      "min": 1,
      "definition": "Extension used on ArtifactAssessment resources to describe the guideline recommendation publication status.",
      "isModifier": false,
      "short": "Publication status",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ceosys-extension-artifact-assessment-publication-status" ]
      } ],
      "mustSupport": true,
      "sliceName": "publicationStatus",
      "max": "1",
      "id": "ArtifactAssessment.extension:publicationStatus",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      }
    }, {
      "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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.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](http://hl7.org/fhir/R5/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": "ArtifactAssessment.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": "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": "ArtifactAssessment.identifier",
      "requirements": "Allows externally provided and/or usable business identifiers to be easily associated with the artifact assessment.",
      "min": 0,
      "definition": "A formal identifier that is used to identify this artifact assessment when it is represented in other formats, or referenced in a specification, model, design or an instance.",
      "isModifier": false,
      "short": "Additional identifier for the artifact assessment",
      "mapping": [ {
        "map": "FiveWs.identifier",
        "identity": "w5"
      }, {
        "map": ".identifier",
        "identity": "rim"
      }, {
        "map": "no-gen-base",
        "identity": "objimpl"
      } ],
      "type": [ {
        "code": "Identifier"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.identifier",
      "comment": "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this activity definition outside of FHIR, where it is not possible to use the logical URI.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.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": "ArtifactAssessment.title",
      "min": 0,
      "definition": "A short title for the assessment for use in displaying and selecting.",
      "isModifier": false,
      "short": "A short title for the assessment for use in displaying and selecting",
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": false,
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "ArtifactAssessment.title",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.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": "ArtifactAssessment.citeAs[x]",
      "min": 0,
      "definition": "Display of or reference to the bibliographic citation of the comment, classifier, or rating.",
      "isModifier": false,
      "short": "How to cite the comment or rating",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Citation" ]
      }, {
        "code": "markdown"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.citeAs[x]",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.citeAs[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": "ArtifactAssessment.date",
      "min": 1,
      "definition": "The date  (and optionally time) when the artifact assessment was published. The date must change when the disposition changes and it must change if the workflow status code changes. In addition, it should change when the substantive content of the artifact assessment changes.",
      "isModifier": false,
      "short": "Date last changed",
      "mapping": [ {
        "map": "FiveWs.recorded",
        "identity": "w5"
      }, {
        "map": ".participation[typeCode=AUT].time",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "mustSupport": false,
      "alias": [ "Revision Date" ],
      "max": "1",
      "id": "ArtifactAssessment.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 artifact assessment. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.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": "ArtifactAssessment.copyright",
      "requirements": "Consumers must be able to determine any legal restrictions on the use of the artifact assessment and/or its content.",
      "min": 0,
      "definition": "A copyright statement relating to the artifact assessment and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the artifact assessment.",
      "isModifier": false,
      "short": "Use and/or publishing restrictions",
      "mapping": [ {
        "map": "N/A (to add?)",
        "identity": "rim"
      }, {
        "map": "no-gen-base",
        "identity": "objimpl"
      } ],
      "type": [ {
        "code": "markdown"
      } ],
      "mustSupport": false,
      "alias": [ "License", "Restrictions" ],
      "max": "1",
      "id": "ArtifactAssessment.copyright",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.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": "ArtifactAssessment.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 artifact assessment was approved by publisher",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=\"SUBJ\"].act[classCode=CACT;moodCode=EVN;code=\"approval\"].effectiveTime",
        "identity": "rim"
      }, {
        "map": "no-gen-base",
        "identity": "objimpl"
      } ],
      "type": [ {
        "code": "date"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.approvalDate",
      "comment": "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.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": "ArtifactAssessment.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 artifact assessment was last reviewed by the publisher",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=\"SUBJ\"; subsetCode=\"RECENT\"].act[classCode=CACT;moodCode=EVN;code=\"review\"].effectiveTime",
        "identity": "rim"
      }, {
        "map": "no-gen-base",
        "identity": "objimpl"
      } ],
      "type": [ {
        "code": "date"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.lastReviewDate",
      "comment": "If specified, this date follows the original approval date.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.lastReviewDate"
      },
      "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": "ArtifactAssessment.artifact[x]",
      "min": 1,
      "definition": "A reference to a resource, canonical resource, or non-FHIR resource which the comment or assessment is about.",
      "isModifier": false,
      "short": "The artifact assessed, commented upon or rated",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/recommendation-plan" ]
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.artifact[x]",
      "base": {
        "max": "1",
        "min": 1,
        "path": "ArtifactAssessment.artifact[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": "ArtifactAssessment.content",
      "min": 2,
      "definition": "A component comment, classifier, or rating of the artifact.",
      "isModifier": false,
      "short": "Comment, classifier, or rating content",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "type",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "max": "*",
      "id": "ArtifactAssessment.content",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content"
      },
      "isSummary": false
    }, {
      "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.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](http://hl7.org/fhir/R5/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": "ArtifactAssessment.content.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": "ArtifactAssessment.content.informationType",
      "min": 0,
      "definition": "The type of information this component of the content represents.",
      "isModifier": false,
      "short": "comment | classifier | rating | container | response | change-request",
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/artifactassessment-information-type|5.0.0",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "InformationType"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.content.informationType",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.informationType"
      },
      "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": "ArtifactAssessment.content.summary",
      "min": 0,
      "definition": "A brief summary of the content of this component.",
      "isModifier": false,
      "short": "Brief summary of the content",
      "type": [ {
        "code": "markdown"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content.summary",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.summary"
      },
      "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": "ArtifactAssessment.content.type",
      "min": 0,
      "definition": "Indicates what type of content this component represents.",
      "isModifier": false,
      "short": "What type of content",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/certainty-type",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "EvidenceCertaintyType"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.content.type",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.classifier",
      "min": 0,
      "definition": "Represents a rating, classifier, or assessment of the artifact.",
      "isModifier": false,
      "short": "Rating, classifier, or assessment",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/certainty-rating",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "EvidenceCertaintyRating"
        } ]
      },
      "max": "*",
      "id": "ArtifactAssessment.content.classifier",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.classifier"
      },
      "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": "ArtifactAssessment.content.quantity",
      "min": 0,
      "definition": "A quantitative rating of the artifact.",
      "isModifier": false,
      "short": "Quantitative rating",
      "type": [ {
        "code": "Quantity"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content.quantity",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.author",
      "min": 0,
      "definition": "Indicates who or what authored the content.",
      "isModifier": false,
      "short": "Who authored the content",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Device" ]
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content.author",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.author"
      },
      "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": "ArtifactAssessment.content.path",
      "min": 0,
      "definition": "A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.",
      "isModifier": false,
      "short": "What the comment is directed to",
      "type": [ {
        "code": "uri"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content.path",
      "comment": "The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.path"
      },
      "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": "ArtifactAssessment.content.relatedArtifact",
      "min": 0,
      "definition": "Additional related artifacts that provide supporting documentation, additional evidence, or further information related to the content.",
      "isModifier": false,
      "short": "Additional information",
      "type": [ {
        "code": "RelatedArtifact"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content.relatedArtifact",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.relatedArtifact"
      },
      "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": "ArtifactAssessment.content.freeToShare",
      "min": 0,
      "definition": "Acceptable to publicly share the comment, classifier or rating.",
      "isModifier": false,
      "short": "Acceptable to publicly share the resource content",
      "type": [ {
        "code": "boolean"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content.freeToShare",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.freeToShare"
      },
      "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": "ArtifactAssessment.content.component",
      "min": 0,
      "definition": "If the informationType is container, the components of the content.",
      "isModifier": false,
      "short": "Contained content",
      "contentReference": "http://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.content",
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content.component",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.component"
      },
      "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": "ArtifactAssessment.content",
      "min": 1,
      "definition": "A component comment, classifier, or rating of the artifact.",
      "isModifier": false,
      "short": "Comment, classifier, or rating content",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "sliceName": "strength",
      "max": "1",
      "id": "ArtifactAssessment.content:strength",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content"
      },
      "isSummary": false
    }, {
      "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content:strength.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content:strength.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.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](http://hl7.org/fhir/R5/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": "ArtifactAssessment.content:strength.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": "ArtifactAssessment.content.informationType",
      "min": 1,
      "definition": "The type of information this component of the content represents.",
      "isModifier": false,
      "short": "comment | classifier | rating | container | response | change-request",
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": false,
      "patternCode": "rating",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/artifactassessment-information-type|5.0.0",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "InformationType"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.content:strength.informationType",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.informationType"
      },
      "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": "ArtifactAssessment.content.summary",
      "min": 0,
      "definition": "A brief summary of the content of this component.",
      "isModifier": false,
      "short": "Brief summary of the content",
      "type": [ {
        "code": "markdown"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:strength.summary",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.summary"
      },
      "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": "ArtifactAssessment.content.type",
      "min": 1,
      "definition": "Indicates what type of content this component represents.",
      "isModifier": false,
      "short": "What type of content",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/certainty-type",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "EvidenceCertaintyType"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.content:strength.type",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "strength",
          "system": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system",
          "display": "Strength of recommendation"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.classifier",
      "min": 1,
      "definition": "Represents a rating, classifier, or assessment of the artifact.",
      "isModifier": false,
      "short": "Rating, classifier, or assessment",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "required",
        "valueSet": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/ceosys-vs-recommendation-strength"
      },
      "max": "1",
      "id": "ArtifactAssessment.content:strength.classifier",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.classifier"
      },
      "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": "ArtifactAssessment.content.quantity",
      "min": 0,
      "definition": "A quantitative rating of the artifact.",
      "isModifier": false,
      "short": "Quantitative rating",
      "type": [ {
        "code": "Quantity"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:strength.quantity",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.author",
      "min": 0,
      "definition": "Indicates who or what authored the content.",
      "isModifier": false,
      "short": "Who authored the content",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Device" ]
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:strength.author",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.author"
      },
      "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": "ArtifactAssessment.content.path",
      "min": 0,
      "definition": "A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.",
      "isModifier": false,
      "short": "What the comment is directed to",
      "type": [ {
        "code": "uri"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:strength.path",
      "comment": "The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.path"
      },
      "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": "ArtifactAssessment.content.relatedArtifact",
      "min": 0,
      "definition": "Additional related artifacts that provide supporting documentation, additional evidence, or further information related to the content.",
      "isModifier": false,
      "short": "Additional information",
      "type": [ {
        "code": "RelatedArtifact"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:strength.relatedArtifact",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.relatedArtifact"
      },
      "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": "ArtifactAssessment.content.freeToShare",
      "min": 0,
      "definition": "Acceptable to publicly share the comment, classifier or rating.",
      "isModifier": false,
      "short": "Acceptable to publicly share the resource content",
      "type": [ {
        "code": "boolean"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:strength.freeToShare",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.freeToShare"
      },
      "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": "ArtifactAssessment.content.component",
      "min": 0,
      "definition": "If the informationType is container, the components of the content.",
      "isModifier": false,
      "short": "Contained content",
      "contentReference": "http://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.content",
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:strength.component",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.component"
      },
      "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": "ArtifactAssessment.content",
      "min": 0,
      "definition": "A component comment, classifier, or rating of the artifact.",
      "isModifier": false,
      "short": "Comment, classifier, or rating content",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "sliceName": "consensus",
      "max": "1",
      "id": "ArtifactAssessment.content:consensus",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content"
      },
      "isSummary": false
    }, {
      "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content:consensus.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content:consensus.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.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](http://hl7.org/fhir/R5/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": "ArtifactAssessment.content:consensus.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": "ArtifactAssessment.content.informationType",
      "min": 1,
      "definition": "The type of information this component of the content represents.",
      "isModifier": false,
      "short": "comment | classifier | rating | container | response | change-request",
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": false,
      "patternCode": "rating",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/artifactassessment-information-type|5.0.0",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "InformationType"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.content:consensus.informationType",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.informationType"
      },
      "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": "ArtifactAssessment.content.summary",
      "min": 0,
      "definition": "A brief summary of the content of this component.",
      "isModifier": false,
      "short": "Brief summary of the content",
      "type": [ {
        "code": "markdown"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:consensus.summary",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.summary"
      },
      "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": "ArtifactAssessment.content.type",
      "min": 1,
      "definition": "Indicates what type of content this component represents.",
      "isModifier": false,
      "short": "What type of content",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/certainty-type",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "EvidenceCertaintyType"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.content:consensus.type",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "consensus",
          "system": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system",
          "display": "Consensus"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.classifier",
      "min": 1,
      "definition": "Represents a rating, classifier, or assessment of the artifact.",
      "isModifier": false,
      "short": "Rating, classifier, or assessment",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "required",
        "valueSet": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-consensus"
      },
      "max": "1",
      "id": "ArtifactAssessment.content:consensus.classifier",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.classifier"
      },
      "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": "ArtifactAssessment.content.quantity",
      "min": 0,
      "definition": "A quantitative rating of the artifact.",
      "isModifier": false,
      "short": "Quantitative rating",
      "type": [ {
        "code": "Quantity"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:consensus.quantity",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.author",
      "min": 0,
      "definition": "Indicates who or what authored the content.",
      "isModifier": false,
      "short": "Who authored the content",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Device" ]
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:consensus.author",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.author"
      },
      "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": "ArtifactAssessment.content.path",
      "min": 0,
      "definition": "A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.",
      "isModifier": false,
      "short": "What the comment is directed to",
      "type": [ {
        "code": "uri"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:consensus.path",
      "comment": "The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.path"
      },
      "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": "ArtifactAssessment.content.relatedArtifact",
      "min": 0,
      "definition": "Additional related artifacts that provide supporting documentation, additional evidence, or further information related to the content.",
      "isModifier": false,
      "short": "Additional information",
      "type": [ {
        "code": "RelatedArtifact"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:consensus.relatedArtifact",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.relatedArtifact"
      },
      "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": "ArtifactAssessment.content.freeToShare",
      "min": 0,
      "definition": "Acceptable to publicly share the comment, classifier or rating.",
      "isModifier": false,
      "short": "Acceptable to publicly share the resource content",
      "type": [ {
        "code": "boolean"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:consensus.freeToShare",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.freeToShare"
      },
      "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": "ArtifactAssessment.content.component",
      "min": 0,
      "definition": "If the informationType is container, the components of the content.",
      "isModifier": false,
      "short": "Contained content",
      "contentReference": "http://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.content",
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:consensus.component",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.component"
      },
      "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": "ArtifactAssessment.content",
      "min": 0,
      "definition": "A component comment, classifier, or rating of the artifact.",
      "isModifier": false,
      "short": "Comment, classifier, or rating content",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "sliceName": "benefitAndHarms",
      "max": "1",
      "id": "ArtifactAssessment.content:benefitAndHarms",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content"
      },
      "isSummary": false
    }, {
      "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content:benefitAndHarms.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content:benefitAndHarms.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.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](http://hl7.org/fhir/R5/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": "ArtifactAssessment.content:benefitAndHarms.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": "ArtifactAssessment.content.informationType",
      "min": 1,
      "definition": "The type of information this component of the content represents.",
      "isModifier": false,
      "short": "comment | classifier | rating | container | response | change-request",
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": false,
      "patternCode": "rating",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/artifactassessment-information-type|5.0.0",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "InformationType"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.content:benefitAndHarms.informationType",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.informationType"
      },
      "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": "ArtifactAssessment.content.summary",
      "min": 0,
      "definition": "A brief summary of the content of this component.",
      "isModifier": false,
      "short": "Brief summary of the content",
      "type": [ {
        "code": "markdown"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:benefitAndHarms.summary",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.summary"
      },
      "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": "ArtifactAssessment.content.type",
      "min": 1,
      "definition": "Indicates what type of content this component represents.",
      "isModifier": false,
      "short": "What type of content",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/certainty-type",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "EvidenceCertaintyType"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.content:benefitAndHarms.type",
      "patternCodeableConcept": {
        "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"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.classifier",
      "min": 1,
      "definition": "Represents a rating, classifier, or assessment of the artifact.",
      "isModifier": false,
      "short": "Rating, classifier, or assessment",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "required",
        "valueSet": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-benefit-and-harms"
      },
      "max": "1",
      "id": "ArtifactAssessment.content:benefitAndHarms.classifier",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.classifier"
      },
      "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": "ArtifactAssessment.content.quantity",
      "min": 0,
      "definition": "A quantitative rating of the artifact.",
      "isModifier": false,
      "short": "Quantitative rating",
      "type": [ {
        "code": "Quantity"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:benefitAndHarms.quantity",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.author",
      "min": 0,
      "definition": "Indicates who or what authored the content.",
      "isModifier": false,
      "short": "Who authored the content",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Device" ]
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:benefitAndHarms.author",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.author"
      },
      "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": "ArtifactAssessment.content.path",
      "min": 0,
      "definition": "A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.",
      "isModifier": false,
      "short": "What the comment is directed to",
      "type": [ {
        "code": "uri"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:benefitAndHarms.path",
      "comment": "The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.path"
      },
      "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": "ArtifactAssessment.content.relatedArtifact",
      "min": 0,
      "definition": "Additional related artifacts that provide supporting documentation, additional evidence, or further information related to the content.",
      "isModifier": false,
      "short": "Additional information",
      "type": [ {
        "code": "RelatedArtifact"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:benefitAndHarms.relatedArtifact",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.relatedArtifact"
      },
      "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": "ArtifactAssessment.content.freeToShare",
      "min": 0,
      "definition": "Acceptable to publicly share the comment, classifier or rating.",
      "isModifier": false,
      "short": "Acceptable to publicly share the resource content",
      "type": [ {
        "code": "boolean"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:benefitAndHarms.freeToShare",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.freeToShare"
      },
      "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": "ArtifactAssessment.content.component",
      "min": 0,
      "definition": "If the informationType is container, the components of the content.",
      "isModifier": false,
      "short": "Contained content",
      "contentReference": "http://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.content",
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:benefitAndHarms.component",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.component"
      },
      "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": "ArtifactAssessment.content",
      "min": 0,
      "definition": "A component comment, classifier, or rating of the artifact.",
      "isModifier": false,
      "short": "Comment, classifier, or rating content",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "sliceName": "certaintyOfEvidence",
      "max": "1",
      "id": "ArtifactAssessment.content:certaintyOfEvidence",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content"
      },
      "isSummary": false
    }, {
      "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content:certaintyOfEvidence.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content:certaintyOfEvidence.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.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](http://hl7.org/fhir/R5/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": "ArtifactAssessment.content:certaintyOfEvidence.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": "ArtifactAssessment.content.informationType",
      "min": 1,
      "definition": "The type of information this component of the content represents.",
      "isModifier": false,
      "short": "comment | classifier | rating | container | response | change-request",
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": false,
      "patternCode": "rating",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/artifactassessment-information-type|5.0.0",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "InformationType"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.content:certaintyOfEvidence.informationType",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.informationType"
      },
      "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": "ArtifactAssessment.content.summary",
      "min": 0,
      "definition": "A brief summary of the content of this component.",
      "isModifier": false,
      "short": "Brief summary of the content",
      "type": [ {
        "code": "markdown"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:certaintyOfEvidence.summary",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.summary"
      },
      "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": "ArtifactAssessment.content.type",
      "min": 1,
      "definition": "Indicates what type of content this component represents.",
      "isModifier": false,
      "short": "What type of content",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/certainty-type",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "EvidenceCertaintyType"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.content:certaintyOfEvidence.type",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "Overall",
          "system": "http://hl7.org/fhir/certainty-type",
          "display": "Overall certainty"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.classifier",
      "min": 1,
      "definition": "Represents a rating, classifier, or assessment of the artifact.",
      "isModifier": false,
      "short": "Rating, classifier, or assessment",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "required",
        "valueSet": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-certainty-of-evidence"
      },
      "max": "1",
      "id": "ArtifactAssessment.content:certaintyOfEvidence.classifier",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.classifier"
      },
      "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": "ArtifactAssessment.content.quantity",
      "min": 0,
      "definition": "A quantitative rating of the artifact.",
      "isModifier": false,
      "short": "Quantitative rating",
      "type": [ {
        "code": "Quantity"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:certaintyOfEvidence.quantity",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.author",
      "min": 0,
      "definition": "Indicates who or what authored the content.",
      "isModifier": false,
      "short": "Who authored the content",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Device" ]
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:certaintyOfEvidence.author",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.author"
      },
      "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": "ArtifactAssessment.content.path",
      "min": 0,
      "definition": "A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.",
      "isModifier": false,
      "short": "What the comment is directed to",
      "type": [ {
        "code": "uri"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:certaintyOfEvidence.path",
      "comment": "The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.path"
      },
      "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": "ArtifactAssessment.content.relatedArtifact",
      "min": 0,
      "definition": "Additional related artifacts that provide supporting documentation, additional evidence, or further information related to the content.",
      "isModifier": false,
      "short": "Additional information",
      "type": [ {
        "code": "RelatedArtifact"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:certaintyOfEvidence.relatedArtifact",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.relatedArtifact"
      },
      "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": "ArtifactAssessment.content.freeToShare",
      "min": 0,
      "definition": "Acceptable to publicly share the comment, classifier or rating.",
      "isModifier": false,
      "short": "Acceptable to publicly share the resource content",
      "type": [ {
        "code": "boolean"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:certaintyOfEvidence.freeToShare",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.freeToShare"
      },
      "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": "ArtifactAssessment.content.component",
      "min": 0,
      "definition": "If the informationType is container, the components of the content.",
      "isModifier": false,
      "short": "Contained content",
      "contentReference": "http://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.content",
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:certaintyOfEvidence.component",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.component"
      },
      "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": "ArtifactAssessment.content",
      "min": 0,
      "definition": "A component comment, classifier, or rating of the artifact.",
      "isModifier": false,
      "short": "Comment, classifier, or rating content",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "sliceName": "preferenceAndValues",
      "max": "1",
      "id": "ArtifactAssessment.content:preferenceAndValues",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content"
      },
      "isSummary": false
    }, {
      "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content:preferenceAndValues.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content:preferenceAndValues.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.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](http://hl7.org/fhir/R5/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": "ArtifactAssessment.content:preferenceAndValues.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": "ArtifactAssessment.content.informationType",
      "min": 1,
      "definition": "The type of information this component of the content represents.",
      "isModifier": false,
      "short": "comment | classifier | rating | container | response | change-request",
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": false,
      "patternCode": "rating",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/artifactassessment-information-type|5.0.0",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "InformationType"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.content:preferenceAndValues.informationType",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.informationType"
      },
      "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": "ArtifactAssessment.content.summary",
      "min": 0,
      "definition": "A brief summary of the content of this component.",
      "isModifier": false,
      "short": "Brief summary of the content",
      "type": [ {
        "code": "markdown"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:preferenceAndValues.summary",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.summary"
      },
      "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": "ArtifactAssessment.content.type",
      "min": 1,
      "definition": "Indicates what type of content this component represents.",
      "isModifier": false,
      "short": "What type of content",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/certainty-type",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "EvidenceCertaintyType"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.content:preferenceAndValues.type",
      "patternCodeableConcept": {
        "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"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.classifier",
      "min": 1,
      "definition": "Represents a rating, classifier, or assessment of the artifact.",
      "isModifier": false,
      "short": "Rating, classifier, or assessment",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "required",
        "valueSet": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-preference-and-values"
      },
      "max": "1",
      "id": "ArtifactAssessment.content:preferenceAndValues.classifier",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.classifier"
      },
      "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": "ArtifactAssessment.content.quantity",
      "min": 0,
      "definition": "A quantitative rating of the artifact.",
      "isModifier": false,
      "short": "Quantitative rating",
      "type": [ {
        "code": "Quantity"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:preferenceAndValues.quantity",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.author",
      "min": 0,
      "definition": "Indicates who or what authored the content.",
      "isModifier": false,
      "short": "Who authored the content",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Device" ]
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:preferenceAndValues.author",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.author"
      },
      "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": "ArtifactAssessment.content.path",
      "min": 0,
      "definition": "A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.",
      "isModifier": false,
      "short": "What the comment is directed to",
      "type": [ {
        "code": "uri"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:preferenceAndValues.path",
      "comment": "The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.path"
      },
      "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": "ArtifactAssessment.content.relatedArtifact",
      "min": 0,
      "definition": "Additional related artifacts that provide supporting documentation, additional evidence, or further information related to the content.",
      "isModifier": false,
      "short": "Additional information",
      "type": [ {
        "code": "RelatedArtifact"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:preferenceAndValues.relatedArtifact",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.relatedArtifact"
      },
      "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": "ArtifactAssessment.content.freeToShare",
      "min": 0,
      "definition": "Acceptable to publicly share the comment, classifier or rating.",
      "isModifier": false,
      "short": "Acceptable to publicly share the resource content",
      "type": [ {
        "code": "boolean"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:preferenceAndValues.freeToShare",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.freeToShare"
      },
      "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": "ArtifactAssessment.content.component",
      "min": 0,
      "definition": "If the informationType is container, the components of the content.",
      "isModifier": false,
      "short": "Contained content",
      "contentReference": "http://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.content",
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:preferenceAndValues.component",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.component"
      },
      "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": "ArtifactAssessment.content",
      "min": 0,
      "definition": "A component comment, classifier, or rating of the artifact.",
      "isModifier": false,
      "short": "Comment, classifier, or rating content",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "sliceName": "resources",
      "max": "1",
      "id": "ArtifactAssessment.content:resources",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content"
      },
      "isSummary": false
    }, {
      "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content:resources.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content:resources.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.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](http://hl7.org/fhir/R5/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": "ArtifactAssessment.content:resources.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": "ArtifactAssessment.content.informationType",
      "min": 1,
      "definition": "The type of information this component of the content represents.",
      "isModifier": false,
      "short": "comment | classifier | rating | container | response | change-request",
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": false,
      "patternCode": "rating",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/artifactassessment-information-type|5.0.0",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "InformationType"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.content:resources.informationType",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.informationType"
      },
      "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": "ArtifactAssessment.content.summary",
      "min": 0,
      "definition": "A brief summary of the content of this component.",
      "isModifier": false,
      "short": "Brief summary of the content",
      "type": [ {
        "code": "markdown"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:resources.summary",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.summary"
      },
      "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": "ArtifactAssessment.content.type",
      "min": 1,
      "definition": "Indicates what type of content this component represents.",
      "isModifier": false,
      "short": "What type of content",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/certainty-type",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "EvidenceCertaintyType"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.content:resources.type",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "resources",
          "system": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-evidence-to-decision-certainty-type",
          "display": "Resources"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.classifier",
      "min": 1,
      "definition": "Represents a rating, classifier, or assessment of the artifact.",
      "isModifier": false,
      "short": "Rating, classifier, or assessment",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "required",
        "valueSet": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-resources"
      },
      "max": "1",
      "id": "ArtifactAssessment.content:resources.classifier",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.classifier"
      },
      "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": "ArtifactAssessment.content.quantity",
      "min": 0,
      "definition": "A quantitative rating of the artifact.",
      "isModifier": false,
      "short": "Quantitative rating",
      "type": [ {
        "code": "Quantity"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:resources.quantity",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.author",
      "min": 0,
      "definition": "Indicates who or what authored the content.",
      "isModifier": false,
      "short": "Who authored the content",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Device" ]
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:resources.author",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.author"
      },
      "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": "ArtifactAssessment.content.path",
      "min": 0,
      "definition": "A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.",
      "isModifier": false,
      "short": "What the comment is directed to",
      "type": [ {
        "code": "uri"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:resources.path",
      "comment": "The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.path"
      },
      "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": "ArtifactAssessment.content.relatedArtifact",
      "min": 0,
      "definition": "Additional related artifacts that provide supporting documentation, additional evidence, or further information related to the content.",
      "isModifier": false,
      "short": "Additional information",
      "type": [ {
        "code": "RelatedArtifact"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:resources.relatedArtifact",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.relatedArtifact"
      },
      "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": "ArtifactAssessment.content.freeToShare",
      "min": 0,
      "definition": "Acceptable to publicly share the comment, classifier or rating.",
      "isModifier": false,
      "short": "Acceptable to publicly share the resource content",
      "type": [ {
        "code": "boolean"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:resources.freeToShare",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.freeToShare"
      },
      "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": "ArtifactAssessment.content.component",
      "min": 0,
      "definition": "If the informationType is container, the components of the content.",
      "isModifier": false,
      "short": "Contained content",
      "contentReference": "http://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.content",
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:resources.component",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.component"
      },
      "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": "ArtifactAssessment.content",
      "min": 0,
      "definition": "A component comment, classifier, or rating of the artifact.",
      "isModifier": false,
      "short": "Comment, classifier, or rating content",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "sliceName": "equity",
      "max": "1",
      "id": "ArtifactAssessment.content:equity",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content"
      },
      "isSummary": false
    }, {
      "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content:equity.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content:equity.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.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](http://hl7.org/fhir/R5/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": "ArtifactAssessment.content:equity.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": "ArtifactAssessment.content.informationType",
      "min": 1,
      "definition": "The type of information this component of the content represents.",
      "isModifier": false,
      "short": "comment | classifier | rating | container | response | change-request",
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": false,
      "patternCode": "rating",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/artifactassessment-information-type|5.0.0",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "InformationType"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.content:equity.informationType",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.informationType"
      },
      "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": "ArtifactAssessment.content.summary",
      "min": 0,
      "definition": "A brief summary of the content of this component.",
      "isModifier": false,
      "short": "Brief summary of the content",
      "type": [ {
        "code": "markdown"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:equity.summary",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.summary"
      },
      "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": "ArtifactAssessment.content.type",
      "min": 1,
      "definition": "Indicates what type of content this component represents.",
      "isModifier": false,
      "short": "What type of content",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/certainty-type",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "EvidenceCertaintyType"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.content:equity.type",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "equity",
          "system": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-evidence-to-decision-certainty-type",
          "display": "Equity"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.classifier",
      "min": 1,
      "definition": "Represents a rating, classifier, or assessment of the artifact.",
      "isModifier": false,
      "short": "Rating, classifier, or assessment",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "required",
        "valueSet": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-equity"
      },
      "max": "1",
      "id": "ArtifactAssessment.content:equity.classifier",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.classifier"
      },
      "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": "ArtifactAssessment.content.quantity",
      "min": 0,
      "definition": "A quantitative rating of the artifact.",
      "isModifier": false,
      "short": "Quantitative rating",
      "type": [ {
        "code": "Quantity"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:equity.quantity",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.author",
      "min": 0,
      "definition": "Indicates who or what authored the content.",
      "isModifier": false,
      "short": "Who authored the content",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Device" ]
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:equity.author",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.author"
      },
      "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": "ArtifactAssessment.content.path",
      "min": 0,
      "definition": "A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.",
      "isModifier": false,
      "short": "What the comment is directed to",
      "type": [ {
        "code": "uri"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:equity.path",
      "comment": "The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.path"
      },
      "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": "ArtifactAssessment.content.relatedArtifact",
      "min": 0,
      "definition": "Additional related artifacts that provide supporting documentation, additional evidence, or further information related to the content.",
      "isModifier": false,
      "short": "Additional information",
      "type": [ {
        "code": "RelatedArtifact"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:equity.relatedArtifact",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.relatedArtifact"
      },
      "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": "ArtifactAssessment.content.freeToShare",
      "min": 0,
      "definition": "Acceptable to publicly share the comment, classifier or rating.",
      "isModifier": false,
      "short": "Acceptable to publicly share the resource content",
      "type": [ {
        "code": "boolean"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:equity.freeToShare",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.freeToShare"
      },
      "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": "ArtifactAssessment.content.component",
      "min": 0,
      "definition": "If the informationType is container, the components of the content.",
      "isModifier": false,
      "short": "Contained content",
      "contentReference": "http://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.content",
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:equity.component",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.component"
      },
      "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": "ArtifactAssessment.content",
      "min": 0,
      "definition": "A component comment, classifier, or rating of the artifact.",
      "isModifier": false,
      "short": "Comment, classifier, or rating content",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "sliceName": "acceptability",
      "max": "1",
      "id": "ArtifactAssessment.content:acceptability",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content"
      },
      "isSummary": false
    }, {
      "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content:acceptability.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content:acceptability.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.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](http://hl7.org/fhir/R5/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": "ArtifactAssessment.content:acceptability.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": "ArtifactAssessment.content.informationType",
      "min": 1,
      "definition": "The type of information this component of the content represents.",
      "isModifier": false,
      "short": "comment | classifier | rating | container | response | change-request",
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": false,
      "patternCode": "rating",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/artifactassessment-information-type|5.0.0",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "InformationType"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.content:acceptability.informationType",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.informationType"
      },
      "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": "ArtifactAssessment.content.summary",
      "min": 0,
      "definition": "A brief summary of the content of this component.",
      "isModifier": false,
      "short": "Brief summary of the content",
      "type": [ {
        "code": "markdown"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:acceptability.summary",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.summary"
      },
      "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": "ArtifactAssessment.content.type",
      "min": 1,
      "definition": "Indicates what type of content this component represents.",
      "isModifier": false,
      "short": "What type of content",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/certainty-type",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "EvidenceCertaintyType"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.content:acceptability.type",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "acceptability",
          "system": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-evidence-to-decision-certainty-type",
          "display": "Acceptability"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.classifier",
      "min": 1,
      "definition": "Represents a rating, classifier, or assessment of the artifact.",
      "isModifier": false,
      "short": "Rating, classifier, or assessment",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "required",
        "valueSet": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-acceptability"
      },
      "max": "1",
      "id": "ArtifactAssessment.content:acceptability.classifier",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.classifier"
      },
      "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": "ArtifactAssessment.content.quantity",
      "min": 0,
      "definition": "A quantitative rating of the artifact.",
      "isModifier": false,
      "short": "Quantitative rating",
      "type": [ {
        "code": "Quantity"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:acceptability.quantity",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.author",
      "min": 0,
      "definition": "Indicates who or what authored the content.",
      "isModifier": false,
      "short": "Who authored the content",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Device" ]
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:acceptability.author",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.author"
      },
      "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": "ArtifactAssessment.content.path",
      "min": 0,
      "definition": "A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.",
      "isModifier": false,
      "short": "What the comment is directed to",
      "type": [ {
        "code": "uri"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:acceptability.path",
      "comment": "The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.path"
      },
      "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": "ArtifactAssessment.content.relatedArtifact",
      "min": 0,
      "definition": "Additional related artifacts that provide supporting documentation, additional evidence, or further information related to the content.",
      "isModifier": false,
      "short": "Additional information",
      "type": [ {
        "code": "RelatedArtifact"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:acceptability.relatedArtifact",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.relatedArtifact"
      },
      "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": "ArtifactAssessment.content.freeToShare",
      "min": 0,
      "definition": "Acceptable to publicly share the comment, classifier or rating.",
      "isModifier": false,
      "short": "Acceptable to publicly share the resource content",
      "type": [ {
        "code": "boolean"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:acceptability.freeToShare",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.freeToShare"
      },
      "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": "ArtifactAssessment.content.component",
      "min": 0,
      "definition": "If the informationType is container, the components of the content.",
      "isModifier": false,
      "short": "Contained content",
      "contentReference": "http://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.content",
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:acceptability.component",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.component"
      },
      "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": "ArtifactAssessment.content",
      "min": 0,
      "definition": "A component comment, classifier, or rating of the artifact.",
      "isModifier": false,
      "short": "Comment, classifier, or rating content",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "sliceName": "feasibility",
      "max": "1",
      "id": "ArtifactAssessment.content:feasibility",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content"
      },
      "isSummary": false
    }, {
      "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content:feasibility.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content:feasibility.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.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](http://hl7.org/fhir/R5/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": "ArtifactAssessment.content:feasibility.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": "ArtifactAssessment.content.informationType",
      "min": 1,
      "definition": "The type of information this component of the content represents.",
      "isModifier": false,
      "short": "comment | classifier | rating | container | response | change-request",
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": false,
      "patternCode": "rating",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/artifactassessment-information-type|5.0.0",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "InformationType"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.content:feasibility.informationType",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.informationType"
      },
      "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": "ArtifactAssessment.content.summary",
      "min": 0,
      "definition": "A brief summary of the content of this component.",
      "isModifier": false,
      "short": "Brief summary of the content",
      "type": [ {
        "code": "markdown"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:feasibility.summary",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.summary"
      },
      "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": "ArtifactAssessment.content.type",
      "min": 1,
      "definition": "Indicates what type of content this component represents.",
      "isModifier": false,
      "short": "What type of content",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/certainty-type",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "EvidenceCertaintyType"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.content:feasibility.type",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "feasibility",
          "system": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-evidence-to-decision-certainty-type",
          "display": "Feasibility"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.classifier",
      "min": 1,
      "definition": "Represents a rating, classifier, or assessment of the artifact.",
      "isModifier": false,
      "short": "Rating, classifier, or assessment",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "required",
        "valueSet": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-feasibility"
      },
      "max": "1",
      "id": "ArtifactAssessment.content:feasibility.classifier",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.classifier"
      },
      "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": "ArtifactAssessment.content.quantity",
      "min": 0,
      "definition": "A quantitative rating of the artifact.",
      "isModifier": false,
      "short": "Quantitative rating",
      "type": [ {
        "code": "Quantity"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:feasibility.quantity",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.author",
      "min": 0,
      "definition": "Indicates who or what authored the content.",
      "isModifier": false,
      "short": "Who authored the content",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Device" ]
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:feasibility.author",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.author"
      },
      "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": "ArtifactAssessment.content.path",
      "min": 0,
      "definition": "A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.",
      "isModifier": false,
      "short": "What the comment is directed to",
      "type": [ {
        "code": "uri"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:feasibility.path",
      "comment": "The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.path"
      },
      "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": "ArtifactAssessment.content.relatedArtifact",
      "min": 0,
      "definition": "Additional related artifacts that provide supporting documentation, additional evidence, or further information related to the content.",
      "isModifier": false,
      "short": "Additional information",
      "type": [ {
        "code": "RelatedArtifact"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:feasibility.relatedArtifact",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.relatedArtifact"
      },
      "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": "ArtifactAssessment.content.freeToShare",
      "min": 0,
      "definition": "Acceptable to publicly share the comment, classifier or rating.",
      "isModifier": false,
      "short": "Acceptable to publicly share the resource content",
      "type": [ {
        "code": "boolean"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:feasibility.freeToShare",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.freeToShare"
      },
      "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": "ArtifactAssessment.content.component",
      "min": 0,
      "definition": "If the informationType is container, the components of the content.",
      "isModifier": false,
      "short": "Contained content",
      "contentReference": "http://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.content",
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:feasibility.component",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.component"
      },
      "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": "ArtifactAssessment.content",
      "min": 0,
      "definition": "A component comment, classifier, or rating of the artifact.",
      "isModifier": false,
      "short": "Comment, classifier, or rating content",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "sliceName": "evidenceRating",
      "max": "*",
      "id": "ArtifactAssessment.content:evidenceRating",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content"
      },
      "isSummary": false
    }, {
      "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content:evidenceRating.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content:evidenceRating.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.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](http://hl7.org/fhir/R5/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": "ArtifactAssessment.content:evidenceRating.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": "ArtifactAssessment.content.informationType",
      "min": 1,
      "definition": "The type of information this component of the content represents.",
      "isModifier": false,
      "short": "comment | classifier | rating | container | response | change-request",
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": false,
      "patternCode": "container",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/artifactassessment-information-type|5.0.0",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "InformationType"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.content:evidenceRating.informationType",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.informationType"
      },
      "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": "ArtifactAssessment.content.summary",
      "min": 0,
      "definition": "A brief summary of the content of this component.",
      "isModifier": false,
      "short": "Brief summary of the content",
      "type": [ {
        "code": "markdown"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:evidenceRating.summary",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.summary"
      },
      "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": "ArtifactAssessment.content.type",
      "min": 1,
      "definition": "Indicates what type of content this component represents.",
      "isModifier": false,
      "short": "What type of content",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/certainty-type",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "EvidenceCertaintyType"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.content:evidenceRating.type",
      "patternCodeableConcept": {
        "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"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.classifier",
      "min": 0,
      "definition": "Represents a rating, classifier, or assessment of the artifact.",
      "isModifier": false,
      "short": "Rating, classifier, or assessment",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/certainty-rating",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "EvidenceCertaintyRating"
        } ]
      },
      "max": "*",
      "id": "ArtifactAssessment.content:evidenceRating.classifier",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.classifier"
      },
      "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": "ArtifactAssessment.content.quantity",
      "min": 0,
      "definition": "A quantitative rating of the artifact.",
      "isModifier": false,
      "short": "Quantitative rating",
      "type": [ {
        "code": "Quantity"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:evidenceRating.quantity",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.author",
      "min": 0,
      "definition": "Indicates who or what authored the content.",
      "isModifier": false,
      "short": "Who authored the content",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Device" ]
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:evidenceRating.author",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.author"
      },
      "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": "ArtifactAssessment.content.path",
      "min": 0,
      "definition": "A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.",
      "isModifier": false,
      "short": "What the comment is directed to",
      "type": [ {
        "code": "uri"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:evidenceRating.path",
      "comment": "The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.path"
      },
      "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": "ArtifactAssessment.content.relatedArtifact",
      "min": 1,
      "definition": "Additional related artifacts that provide supporting documentation, additional evidence, or further information related to the content.",
      "isModifier": false,
      "short": "Additional information",
      "type": [ {
        "code": "RelatedArtifact"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "ArtifactAssessment.content:evidenceRating.relatedArtifact",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.relatedArtifact"
      },
      "isSummary": false
    }, {
      "path": "ArtifactAssessment.content.relatedArtifact.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": "id"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "ArtifactAssessment.content:evidenceRating.relatedArtifact.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.relatedArtifact.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"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "ArtifactAssessment.content:evidenceRating.relatedArtifact.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": "ArtifactAssessment.content.relatedArtifact.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",
      "type": [ {
        "code": "code"
      } ],
      "patternCode": "justification",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/related-artifact-type|5.0.0",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "RelatedArtifactType"
        } ],
        "description": "The type of relationship to the related artifact."
      },
      "max": "1",
      "id": "ArtifactAssessment.content:evidenceRating.relatedArtifact.type",
      "comment": "The presence of both sides of a relationship type (e.g. successor and predecessor) is required to support use cases where one side of a relationship is not represented in FHIR. However, this feature SHALL NOT be used to create bi-directional resource links in FHIR instances. Specifically, following the methodology of \"new points to old\" and \"many points to one\", when using related artifact elements to describe and reference FHIR resources, the type element SHALL be drawn from the fhir-related-artifact-type ValueSet.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "RelatedArtifact.type"
      },
      "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": "ArtifactAssessment.content.relatedArtifact.classifier",
      "min": 1,
      "definition": "Provides additional classifiers of the related artifact.",
      "isModifier": false,
      "short": "Additional classifiers",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/citation-artifact-classifier",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "RelatedArtifactClassifier"
        } ],
        "description": "Additional classifiers for the related artifact."
      },
      "max": "1",
      "id": "ArtifactAssessment.content:evidenceRating.relatedArtifact.classifier",
      "patternCodeableConcept": {
        "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"
        } ]
      },
      "base": {
        "max": "*",
        "min": 0,
        "path": "RelatedArtifact.classifier"
      },
      "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": "ArtifactAssessment.content.relatedArtifact.label",
      "min": 0,
      "definition": "A short label that can be used to reference the citation from elsewhere in the containing artifact, such as a footnote index.",
      "isModifier": false,
      "short": "Short label",
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "id": "ArtifactAssessment.content:evidenceRating.relatedArtifact.label",
      "base": {
        "max": "1",
        "min": 0,
        "path": "RelatedArtifact.label"
      },
      "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": "ArtifactAssessment.content.relatedArtifact.display",
      "min": 0,
      "definition": "A brief description of the document or knowledge resource being referenced, suitable for display to a consumer.",
      "isModifier": false,
      "short": "Brief description of the related artifact",
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "id": "ArtifactAssessment.content:evidenceRating.relatedArtifact.display",
      "base": {
        "max": "1",
        "min": 0,
        "path": "RelatedArtifact.display"
      },
      "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": "ArtifactAssessment.content.relatedArtifact.citation",
      "min": 0,
      "definition": "A bibliographic citation for the related artifact. This text SHOULD be formatted according to an accepted citation format.",
      "isModifier": false,
      "short": "Bibliographic citation for the artifact",
      "type": [ {
        "code": "markdown"
      } ],
      "max": "1",
      "id": "ArtifactAssessment.content:evidenceRating.relatedArtifact.citation",
      "comment": "Additional structured information about citations should be captured as extensions.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "RelatedArtifact.citation"
      },
      "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": "ArtifactAssessment.content.relatedArtifact.document",
      "min": 0,
      "definition": "The document being referenced, represented as an attachment. This is exclusive with the resource element.",
      "isModifier": false,
      "short": "What document is being referenced",
      "type": [ {
        "code": "Attachment"
      } ],
      "max": "1",
      "id": "ArtifactAssessment.content:evidenceRating.relatedArtifact.document",
      "base": {
        "max": "1",
        "min": 0,
        "path": "RelatedArtifact.document"
      },
      "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": "ArtifactAssessment.content.relatedArtifact.resource",
      "min": 0,
      "definition": "The related artifact, such as a library, value set, profile, or other knowledge resource.",
      "isModifier": false,
      "short": "What artifact is being referenced",
      "type": [ {
        "code": "canonical",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ]
      } ],
      "max": "1",
      "id": "ArtifactAssessment.content:evidenceRating.relatedArtifact.resource",
      "comment": "If the type is predecessor, this is a reference to the succeeding knowledge resource. If the type is successor, this is a reference to the prior knowledge resource.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "RelatedArtifact.resource"
      },
      "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": "ArtifactAssessment.content.relatedArtifact.resourceReference",
      "min": 1,
      "definition": "The related artifact, if the artifact is not a canonical resource, or a resource reference to a canonical resource.",
      "isModifier": false,
      "short": "What artifact, if not a conformance resource",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/certainty-of-evidence-rating" ]
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "ArtifactAssessment.content:evidenceRating.relatedArtifact.resourceReference",
      "comment": "If both resource and resourceReference are present, they SHOULD be consistent and reference the same resource. Although relatedArtifact is intended to support references to definitional resources, there are cases where non-definitional resources can be definitional (such as Location where the kind is mode). Related artifacts SHOULD be used to reference definitional resources, and profiles SHOULD be used to make that explicit for particular use cases.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "RelatedArtifact.resourceReference"
      },
      "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": "ArtifactAssessment.content.relatedArtifact.publicationStatus",
      "min": 0,
      "definition": "The publication status of the artifact being referred to.",
      "isModifier": false,
      "short": "draft | active | retired | unknown",
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/publication-status|5.0.0",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "RelatedArtifactPublicationStatus"
        } ],
        "description": "Publication status of an artifact being referred to."
      },
      "max": "1",
      "id": "ArtifactAssessment.content:evidenceRating.relatedArtifact.publicationStatus",
      "base": {
        "max": "1",
        "min": 0,
        "path": "RelatedArtifact.publicationStatus"
      },
      "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": "ArtifactAssessment.content.relatedArtifact.publicationDate",
      "min": 0,
      "definition": "The date of publication of the artifact being referred to.",
      "isModifier": false,
      "short": "Date of publication of the artifact being referred to",
      "type": [ {
        "code": "date"
      } ],
      "max": "1",
      "id": "ArtifactAssessment.content:evidenceRating.relatedArtifact.publicationDate",
      "base": {
        "max": "1",
        "min": 0,
        "path": "RelatedArtifact.publicationDate"
      },
      "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": "ArtifactAssessment.content.freeToShare",
      "min": 0,
      "definition": "Acceptable to publicly share the comment, classifier or rating.",
      "isModifier": false,
      "short": "Acceptable to publicly share the resource content",
      "type": [ {
        "code": "boolean"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:evidenceRating.freeToShare",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.freeToShare"
      },
      "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": "ArtifactAssessment.content.component",
      "min": 0,
      "definition": "If the informationType is container, the components of the content.",
      "isModifier": false,
      "short": "Contained content",
      "contentReference": "http://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.content",
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:evidenceRating.component",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.component"
      },
      "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": "ArtifactAssessment.content",
      "min": 0,
      "definition": "A component comment, classifier, or rating of the artifact.",
      "isModifier": false,
      "short": "Comment, classifier, or rating content",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": false,
      "sliceName": "netEffect",
      "max": "1",
      "id": "ArtifactAssessment.content:netEffect",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content"
      },
      "isSummary": false
    }, {
      "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content:netEffect.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content:netEffect.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.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](http://hl7.org/fhir/R5/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": "ArtifactAssessment.content:netEffect.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": "ArtifactAssessment.content.informationType",
      "min": 1,
      "definition": "The type of information this component of the content represents.",
      "isModifier": false,
      "short": "comment | classifier | rating | container | response | change-request",
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": false,
      "patternCode": "container",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/artifactassessment-information-type|5.0.0",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "InformationType"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.content:netEffect.informationType",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.informationType"
      },
      "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": "ArtifactAssessment.content.summary",
      "min": 0,
      "definition": "A brief summary of the content of this component.",
      "isModifier": false,
      "short": "Brief summary of the content",
      "type": [ {
        "code": "markdown"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:netEffect.summary",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.summary"
      },
      "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": "ArtifactAssessment.content.type",
      "min": 1,
      "definition": "Indicates what type of content this component represents.",
      "isModifier": false,
      "short": "What type of content",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/certainty-type",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "EvidenceCertaintyType"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.content:netEffect.type",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "net-effect",
          "system": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system",
          "display": "Net effect"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.classifier",
      "min": 0,
      "definition": "Represents a rating, classifier, or assessment of the artifact.",
      "isModifier": false,
      "short": "Rating, classifier, or assessment",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/certainty-rating",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "EvidenceCertaintyRating"
        } ]
      },
      "max": "*",
      "id": "ArtifactAssessment.content:netEffect.classifier",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.classifier"
      },
      "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": "ArtifactAssessment.content.quantity",
      "min": 0,
      "definition": "A quantitative rating of the artifact.",
      "isModifier": false,
      "short": "Quantitative rating",
      "type": [ {
        "code": "Quantity"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:netEffect.quantity",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.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": "ArtifactAssessment.content.author",
      "min": 0,
      "definition": "Indicates who or what authored the content.",
      "isModifier": false,
      "short": "Who authored the content",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Device" ]
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:netEffect.author",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.author"
      },
      "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": "ArtifactAssessment.content.path",
      "min": 0,
      "definition": "A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.",
      "isModifier": false,
      "short": "What the comment is directed to",
      "type": [ {
        "code": "uri"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:netEffect.path",
      "comment": "The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.path"
      },
      "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": "ArtifactAssessment.content.relatedArtifact",
      "min": 1,
      "definition": "Additional related artifacts that provide supporting documentation, additional evidence, or further information related to the content.",
      "isModifier": false,
      "short": "Additional information",
      "type": [ {
        "code": "RelatedArtifact"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "ArtifactAssessment.content:netEffect.relatedArtifact",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.relatedArtifact"
      },
      "isSummary": false
    }, {
      "path": "ArtifactAssessment.content.relatedArtifact.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": "id"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "ArtifactAssessment.content:netEffect.relatedArtifact.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())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "ArtifactAssessment.content.relatedArtifact.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"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "ArtifactAssessment.content:netEffect.relatedArtifact.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": "ArtifactAssessment.content.relatedArtifact.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",
      "type": [ {
        "code": "code"
      } ],
      "patternCode": "supported-with",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/related-artifact-type|5.0.0",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "RelatedArtifactType"
        } ],
        "description": "The type of relationship to the related artifact."
      },
      "max": "1",
      "id": "ArtifactAssessment.content:netEffect.relatedArtifact.type",
      "comment": "The presence of both sides of a relationship type (e.g. successor and predecessor) is required to support use cases where one side of a relationship is not represented in FHIR. However, this feature SHALL NOT be used to create bi-directional resource links in FHIR instances. Specifically, following the methodology of \"new points to old\" and \"many points to one\", when using related artifact elements to describe and reference FHIR resources, the type element SHALL be drawn from the fhir-related-artifact-type ValueSet.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "RelatedArtifact.type"
      },
      "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": "ArtifactAssessment.content.relatedArtifact.classifier",
      "min": 1,
      "definition": "Provides additional classifiers of the related artifact.",
      "isModifier": false,
      "short": "Additional classifiers",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/citation-artifact-classifier",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "RelatedArtifactClassifier"
        } ],
        "description": "Additional classifiers for the related artifact."
      },
      "max": "1",
      "id": "ArtifactAssessment.content:netEffect.relatedArtifact.classifier",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "net-effect",
          "system": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system",
          "display": "Net effect"
        } ]
      },
      "base": {
        "max": "*",
        "min": 0,
        "path": "RelatedArtifact.classifier"
      },
      "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": "ArtifactAssessment.content.relatedArtifact.label",
      "min": 0,
      "definition": "A short label that can be used to reference the citation from elsewhere in the containing artifact, such as a footnote index.",
      "isModifier": false,
      "short": "Short label",
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "id": "ArtifactAssessment.content:netEffect.relatedArtifact.label",
      "base": {
        "max": "1",
        "min": 0,
        "path": "RelatedArtifact.label"
      },
      "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": "ArtifactAssessment.content.relatedArtifact.display",
      "min": 0,
      "definition": "A brief description of the document or knowledge resource being referenced, suitable for display to a consumer.",
      "isModifier": false,
      "short": "Brief description of the related artifact",
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "id": "ArtifactAssessment.content:netEffect.relatedArtifact.display",
      "base": {
        "max": "1",
        "min": 0,
        "path": "RelatedArtifact.display"
      },
      "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": "ArtifactAssessment.content.relatedArtifact.citation",
      "min": 0,
      "definition": "A bibliographic citation for the related artifact. This text SHOULD be formatted according to an accepted citation format.",
      "isModifier": false,
      "short": "Bibliographic citation for the artifact",
      "type": [ {
        "code": "markdown"
      } ],
      "max": "1",
      "id": "ArtifactAssessment.content:netEffect.relatedArtifact.citation",
      "comment": "Additional structured information about citations should be captured as extensions.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "RelatedArtifact.citation"
      },
      "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": "ArtifactAssessment.content.relatedArtifact.document",
      "min": 0,
      "definition": "The document being referenced, represented as an attachment. This is exclusive with the resource element.",
      "isModifier": false,
      "short": "What document is being referenced",
      "type": [ {
        "code": "Attachment"
      } ],
      "max": "1",
      "id": "ArtifactAssessment.content:netEffect.relatedArtifact.document",
      "base": {
        "max": "1",
        "min": 0,
        "path": "RelatedArtifact.document"
      },
      "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": "ArtifactAssessment.content.relatedArtifact.resource",
      "min": 0,
      "definition": "The related artifact, such as a library, value set, profile, or other knowledge resource.",
      "isModifier": false,
      "short": "What artifact is being referenced",
      "type": [ {
        "code": "canonical",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ]
      } ],
      "max": "1",
      "id": "ArtifactAssessment.content:netEffect.relatedArtifact.resource",
      "comment": "If the type is predecessor, this is a reference to the succeeding knowledge resource. If the type is successor, this is a reference to the prior knowledge resource.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "RelatedArtifact.resource"
      },
      "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": "ArtifactAssessment.content.relatedArtifact.resourceReference",
      "min": 1,
      "definition": "The related artifact, if the artifact is not a canonical resource, or a resource reference to a canonical resource.",
      "isModifier": false,
      "short": "What artifact, if not a conformance resource",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/net-effect-estimate" ]
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "ArtifactAssessment.content:netEffect.relatedArtifact.resourceReference",
      "comment": "If both resource and resourceReference are present, they SHOULD be consistent and reference the same resource. Although relatedArtifact is intended to support references to definitional resources, there are cases where non-definitional resources can be definitional (such as Location where the kind is mode). Related artifacts SHOULD be used to reference definitional resources, and profiles SHOULD be used to make that explicit for particular use cases.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "RelatedArtifact.resourceReference"
      },
      "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": "ArtifactAssessment.content.relatedArtifact.publicationStatus",
      "min": 0,
      "definition": "The publication status of the artifact being referred to.",
      "isModifier": false,
      "short": "draft | active | retired | unknown",
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/publication-status|5.0.0",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "RelatedArtifactPublicationStatus"
        } ],
        "description": "Publication status of an artifact being referred to."
      },
      "max": "1",
      "id": "ArtifactAssessment.content:netEffect.relatedArtifact.publicationStatus",
      "base": {
        "max": "1",
        "min": 0,
        "path": "RelatedArtifact.publicationStatus"
      },
      "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": "ArtifactAssessment.content.relatedArtifact.publicationDate",
      "min": 0,
      "definition": "The date of publication of the artifact being referred to.",
      "isModifier": false,
      "short": "Date of publication of the artifact being referred to",
      "type": [ {
        "code": "date"
      } ],
      "max": "1",
      "id": "ArtifactAssessment.content:netEffect.relatedArtifact.publicationDate",
      "base": {
        "max": "1",
        "min": 0,
        "path": "RelatedArtifact.publicationDate"
      },
      "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": "ArtifactAssessment.content.freeToShare",
      "min": 0,
      "definition": "Acceptable to publicly share the comment, classifier or rating.",
      "isModifier": false,
      "short": "Acceptable to publicly share the resource content",
      "type": [ {
        "code": "boolean"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "ArtifactAssessment.content:netEffect.freeToShare",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.content.freeToShare"
      },
      "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": "ArtifactAssessment.content.component",
      "min": 0,
      "definition": "If the informationType is container, the components of the content.",
      "isModifier": false,
      "short": "Contained content",
      "contentReference": "http://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.content",
      "mustSupport": false,
      "max": "*",
      "id": "ArtifactAssessment.content:netEffect.component",
      "base": {
        "max": "*",
        "min": 0,
        "path": "ArtifactAssessment.content.component"
      },
      "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": "ArtifactAssessment.workflowStatus",
      "min": 0,
      "definition": "Indicates the workflow status of the comment or change request.",
      "isModifier": false,
      "short": "submitted | triaged | waiting-for-input | resolved-no-change | resolved-change-required | deferred | duplicate | applied | published | entered-in-error",
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/artifactassessment-workflow-status|5.0.0",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "WorkflowStatus"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.workflowStatus",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.workflowStatus"
      },
      "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": "ArtifactAssessment.disposition",
      "min": 0,
      "definition": "Indicates the disposition of the responsible party to the comment or change request.",
      "isModifier": false,
      "short": "unresolved | not-persuasive | persuasive | persuasive-with-modification | not-persuasive-with-modification",
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/artifactassessment-disposition|5.0.0",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "Disposition"
        } ]
      },
      "max": "1",
      "id": "ArtifactAssessment.disposition",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ArtifactAssessment.disposition"
      },
      "isSummary": true
    } ]
  },
  "status": "draft",
  "id": "e9041282-a0a5-448c-81d4-eef73efcc182",
  "kind": "resource",
  "url": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/recommendation-justification",
  "version": "0.1.0",
  "differential": {
    "element": [ {
      "id": "ArtifactAssessment.meta",
      "min": 1,
      "path": "ArtifactAssessment.meta",
      "mustSupport": true
    }, {
      "id": "ArtifactAssessment.meta.source",
      "path": "ArtifactAssessment.meta.source",
      "mustSupport": true
    }, {
      "id": "ArtifactAssessment.meta.profile",
      "min": 1,
      "path": "ArtifactAssessment.meta.profile",
      "mustSupport": true
    }, {
      "id": "ArtifactAssessment.extension",
      "min": 2,
      "path": "ArtifactAssessment.extension",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "ArtifactAssessment.extension:version",
      "max": "1",
      "min": 1,
      "path": "ArtifactAssessment.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ceosys-extension-artifact-assessment-version" ]
      } ],
      "sliceName": "version",
      "mustSupport": true
    }, {
      "id": "ArtifactAssessment.extension:publicationStatus",
      "max": "1",
      "min": 1,
      "path": "ArtifactAssessment.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ceosys-extension-artifact-assessment-publication-status" ]
      } ],
      "sliceName": "publicationStatus",
      "mustSupport": true
    }, {
      "id": "ArtifactAssessment.date",
      "min": 1,
      "path": "ArtifactAssessment.date"
    }, {
      "id": "ArtifactAssessment.artifact[x]",
      "path": "ArtifactAssessment.artifact[x]",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/recommendation-plan" ]
      } ]
    }, {
      "id": "ArtifactAssessment.content",
      "min": 2,
      "path": "ArtifactAssessment.content",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "type",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "ArtifactAssessment.content:strength",
      "max": "1",
      "min": 1,
      "path": "ArtifactAssessment.content",
      "sliceName": "strength",
      "mustSupport": true
    }, {
      "id": "ArtifactAssessment.content:strength.informationType",
      "min": 1,
      "path": "ArtifactAssessment.content.informationType",
      "patternCode": "rating"
    }, {
      "id": "ArtifactAssessment.content:strength.type",
      "min": 1,
      "path": "ArtifactAssessment.content.type",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "strength",
          "system": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system",
          "display": "Strength of recommendation"
        } ]
      }
    }, {
      "id": "ArtifactAssessment.content:strength.classifier",
      "max": "1",
      "min": 1,
      "path": "ArtifactAssessment.content.classifier",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/ceosys-vs-recommendation-strength"
      }
    }, {
      "id": "ArtifactAssessment.content:consensus",
      "max": "1",
      "min": 0,
      "path": "ArtifactAssessment.content",
      "sliceName": "consensus",
      "mustSupport": true
    }, {
      "id": "ArtifactAssessment.content:consensus.informationType",
      "min": 1,
      "path": "ArtifactAssessment.content.informationType",
      "patternCode": "rating"
    }, {
      "id": "ArtifactAssessment.content:consensus.type",
      "min": 1,
      "path": "ArtifactAssessment.content.type",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "consensus",
          "system": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system",
          "display": "Consensus"
        } ]
      }
    }, {
      "id": "ArtifactAssessment.content:consensus.classifier",
      "max": "1",
      "min": 1,
      "path": "ArtifactAssessment.content.classifier",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-consensus"
      }
    }, {
      "id": "ArtifactAssessment.content:benefitAndHarms",
      "max": "1",
      "min": 0,
      "path": "ArtifactAssessment.content",
      "sliceName": "benefitAndHarms",
      "mustSupport": true
    }, {
      "id": "ArtifactAssessment.content:benefitAndHarms.informationType",
      "min": 1,
      "path": "ArtifactAssessment.content.informationType",
      "patternCode": "rating"
    }, {
      "id": "ArtifactAssessment.content:benefitAndHarms.type",
      "min": 1,
      "path": "ArtifactAssessment.content.type",
      "patternCodeableConcept": {
        "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"
        } ]
      }
    }, {
      "id": "ArtifactAssessment.content:benefitAndHarms.classifier",
      "max": "1",
      "min": 1,
      "path": "ArtifactAssessment.content.classifier",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-benefit-and-harms"
      }
    }, {
      "id": "ArtifactAssessment.content:certaintyOfEvidence",
      "max": "1",
      "min": 0,
      "path": "ArtifactAssessment.content",
      "sliceName": "certaintyOfEvidence",
      "mustSupport": true
    }, {
      "id": "ArtifactAssessment.content:certaintyOfEvidence.informationType",
      "min": 1,
      "path": "ArtifactAssessment.content.informationType",
      "patternCode": "rating"
    }, {
      "id": "ArtifactAssessment.content:certaintyOfEvidence.type",
      "min": 1,
      "path": "ArtifactAssessment.content.type",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "Overall",
          "system": "http://hl7.org/fhir/certainty-type",
          "display": "Overall certainty"
        } ]
      }
    }, {
      "id": "ArtifactAssessment.content:certaintyOfEvidence.classifier",
      "max": "1",
      "min": 1,
      "path": "ArtifactAssessment.content.classifier",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-certainty-of-evidence"
      }
    }, {
      "id": "ArtifactAssessment.content:preferenceAndValues",
      "max": "1",
      "min": 0,
      "path": "ArtifactAssessment.content",
      "sliceName": "preferenceAndValues",
      "mustSupport": true
    }, {
      "id": "ArtifactAssessment.content:preferenceAndValues.informationType",
      "min": 1,
      "path": "ArtifactAssessment.content.informationType",
      "patternCode": "rating"
    }, {
      "id": "ArtifactAssessment.content:preferenceAndValues.type",
      "min": 1,
      "path": "ArtifactAssessment.content.type",
      "patternCodeableConcept": {
        "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"
        } ]
      }
    }, {
      "id": "ArtifactAssessment.content:preferenceAndValues.classifier",
      "max": "1",
      "min": 1,
      "path": "ArtifactAssessment.content.classifier",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-preference-and-values"
      }
    }, {
      "id": "ArtifactAssessment.content:resources",
      "max": "1",
      "min": 0,
      "path": "ArtifactAssessment.content",
      "sliceName": "resources",
      "mustSupport": true
    }, {
      "id": "ArtifactAssessment.content:resources.informationType",
      "min": 1,
      "path": "ArtifactAssessment.content.informationType",
      "patternCode": "rating"
    }, {
      "id": "ArtifactAssessment.content:resources.type",
      "min": 1,
      "path": "ArtifactAssessment.content.type",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "resources",
          "system": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-evidence-to-decision-certainty-type",
          "display": "Resources"
        } ]
      }
    }, {
      "id": "ArtifactAssessment.content:resources.classifier",
      "max": "1",
      "min": 1,
      "path": "ArtifactAssessment.content.classifier",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-resources"
      }
    }, {
      "id": "ArtifactAssessment.content:equity",
      "max": "1",
      "min": 0,
      "path": "ArtifactAssessment.content",
      "sliceName": "equity",
      "mustSupport": true
    }, {
      "id": "ArtifactAssessment.content:equity.informationType",
      "min": 1,
      "path": "ArtifactAssessment.content.informationType",
      "patternCode": "rating"
    }, {
      "id": "ArtifactAssessment.content:equity.type",
      "min": 1,
      "path": "ArtifactAssessment.content.type",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "equity",
          "system": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-evidence-to-decision-certainty-type",
          "display": "Equity"
        } ]
      }
    }, {
      "id": "ArtifactAssessment.content:equity.classifier",
      "max": "1",
      "min": 1,
      "path": "ArtifactAssessment.content.classifier",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-equity"
      }
    }, {
      "id": "ArtifactAssessment.content:acceptability",
      "max": "1",
      "min": 0,
      "path": "ArtifactAssessment.content",
      "sliceName": "acceptability",
      "mustSupport": true
    }, {
      "id": "ArtifactAssessment.content:acceptability.informationType",
      "min": 1,
      "path": "ArtifactAssessment.content.informationType",
      "patternCode": "rating"
    }, {
      "id": "ArtifactAssessment.content:acceptability.type",
      "min": 1,
      "path": "ArtifactAssessment.content.type",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "acceptability",
          "system": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/cs-evidence-to-decision-certainty-type",
          "display": "Acceptability"
        } ]
      }
    }, {
      "id": "ArtifactAssessment.content:acceptability.classifier",
      "max": "1",
      "min": 1,
      "path": "ArtifactAssessment.content.classifier",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-acceptability"
      }
    }, {
      "id": "ArtifactAssessment.content:feasibility",
      "max": "1",
      "min": 0,
      "path": "ArtifactAssessment.content",
      "sliceName": "feasibility",
      "mustSupport": true
    }, {
      "id": "ArtifactAssessment.content:feasibility.informationType",
      "min": 1,
      "path": "ArtifactAssessment.content.informationType",
      "patternCode": "rating"
    }, {
      "id": "ArtifactAssessment.content:feasibility.type",
      "min": 1,
      "path": "ArtifactAssessment.content.type",
      "patternCodeableConcept": {
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