Release 5 Preview #2
Clinical ReasoningThis page is part of the FHIR Specification (v4.4.0: R5 Preview #2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
| Clinical Decision Support Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Not linked to any defined compartments |
Raw JSON (canonical form + also see JSON Format Specification)
StructureDefinition for evidencefocus
{
"resourceType" : "StructureDefinition",
"id" : "EvidenceFocus",
"meta" : {
"lastUpdated" : "2020-05-03T08:43:35.811+10:00"
},
"text" : {
"status" : "generated",
"div" : "<div>!-- Snipped for Brevity --></div>"
},
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "trial-use"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 0
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
"valueCode" : "business"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "cds"
}],
"url" : "http://hl7.org/fhir/StructureDefinition/EvidenceFocus",
"version" : "4.4.0",
"name" : "EvidenceFocus",
"status" : "draft",
"date" : "2020-05-03T08:43:35+10:00",
"publisher" : "Health Level Seven International (Clinical Decision Support)",
"contact" : [{
"telecom" : [{
"system" : "url",
"value" : "http://hl7.org/fhir"
}]
},
{
"telecom" : [{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/dss/index.cfm"
}]
}],
"description" : "EvidenceFocus.",
"fhirVersion" : "4.4.0",
"mapping" : [{
"identity" : "workflow",
"uri" : "http://hl7.org/fhir/workflow",
"name" : "Workflow Pattern"
},
{
"identity" : "w5",
"uri" : "http://hl7.org/fhir/fivews",
"name" : "FiveWs Pattern Mapping"
},
{
"identity" : "objimpl",
"uri" : "http://hl7.org/fhir/object-implementation",
"name" : "Object Implementation Information"
},
{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
}],
"kind" : "resource",
"abstract" : false,
"type" : "EvidenceFocus",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/MetadataResource",
"derivation" : "specialization",
"snapshot" : {
"element" : [{
"id" : "EvidenceFocus",
"path" : "EvidenceFocus",
"short" : "An EvidenceFocus",
"definition" : "EvidenceFocus.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "EvidenceFocus",
"min" : 0,
"max" : "*"
},
"constraint" : [{
"key" : "cnl-0",
"severity" : "warning",
"human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
"expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
"xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')",
"source" : "http://hl7.org/fhir/StructureDefinition/null"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "workflow",
"map" : "Definition"
}]
},
{
"id" : "EvidenceFocus.id",
"path" : "EvidenceFocus.id",
"short" : "Logical id of this artifact",
"definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.id",
"min" : 0,
"max" : "1"
},
"type" : [{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUri" : "id"
}],
"code" : "http://hl7.org/fhirpath/System.String"
}],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "EvidenceFocus.meta",
"path" : "EvidenceFocus.meta",
"short" : "Metadata about the resource",
"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.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.meta",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "Meta"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "EvidenceFocus.implicitRules",
"path" : "EvidenceFocus.implicitRules",
"short" : "A set of rules under which this content was created",
"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.",
"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 it's narrative along with other profiles, value sets, etc.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.implicitRules",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "uri"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : true,
"isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary" : true
},
{
"id" : "EvidenceFocus.language",
"path" : "EvidenceFocus.language",
"short" : "Language of the resource content",
"definition" : "The base language in which the resource is written.",
"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).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.language",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "code"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "Language"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean" : true
}],
"strength" : "preferred",
"description" : "A human language.",
"valueSet" : "http://hl7.org/fhir/ValueSet/languages"
}
},
{
"id" : "EvidenceFocus.text",
"path" : "EvidenceFocus.text",
"short" : "Text summary of the resource, for human interpretation",
"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.",
"comment" : "Contained resources do not have 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.",
"alias" : ["narrative",
"html",
"xhtml",
"display"],
"min" : 0,
"max" : "1",
"base" : {
"path" : "DomainResource.text",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "Narrative"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "Act.text?"
}]
},
{
"id" : "EvidenceFocus.contained",
"path" : "EvidenceFocus.contained",
"short" : "Contained, inline Resources",
"definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"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.",
"alias" : ["inline resources",
"anonymous resources",
"contained resources"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.contained",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Resource"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "EvidenceFocus.extension",
"path" : "EvidenceFocus.extension",
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, 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.",
"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.",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "EvidenceFocus.modifierExtension",
"path" : "EvidenceFocus.modifierExtension",
"short" : "Extensions that cannot be ignored",
"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 manageable, 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).",
"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.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "EvidenceFocus.url",
"path" : "EvidenceFocus.url",
"short" : "Canonical identifier for this EvidenceFocus, represented as a globally unique URI",
"definition" : "An absolute URI that is used to identify this EvidenceFocus when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this summary is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the summary is stored on different servers.",
"comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.",
"requirements" : "Allows the EvidenceFocus to be referenced by a single globally unique identifier.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "EvidenceFocus.url",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "uri"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Definition.url"
},
{
"identity" : "w5",
"map" : "FiveWs.identifier"
}]
},
{
"id" : "EvidenceFocus.identifier",
"path" : "EvidenceFocus.identifier",
"short" : "Unique to the EvidenceFocus Resource",
"definition" : "A formal identifier that is used to identify this summary when it is represented in other formats, or referenced in a specification, model, design or an instance.",
"comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this summary outside of FHIR, where it is not possible to use the logical URI.",
"requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "EvidenceFocus.identifier",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Identifier"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Definition.identifier"
},
{
"identity" : "w5",
"map" : "FiveWs.identifier"
},
{
"identity" : "objimpl",
"map" : "no-gen-base"
}]
},
{
"id" : "EvidenceFocus.version",
"path" : "EvidenceFocus.version",
"short" : "Business version of this summary",
"definition" : "The identifier that is used to identify this version of the summary when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the summary author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
"comment" : "The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "EvidenceFocus.version",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "string"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Definition.version"
},
{
"identity" : "w5",
"map" : "FiveWs.version"
}]
},
{
"id" : "EvidenceFocus.name",
"path" : "EvidenceFocus.name",
"short" : "Name",
"definition" : "A natural language name identifying the evidence focus. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
"comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
"requirements" : "Support human navigation and code generation.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "EvidenceFocus.name",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "string"
}],
"condition" : ["cnl-0"],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "EvidenceFocus.status",
"path" : "EvidenceFocus.status",
"short" : "draft | active | retired | unknown",
"definition" : "The status of this summary. Enables tracking the life-cycle of the content.",
"comment" : "Allows filtering of summarys s that are appropriate for use versus not.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "EvidenceFocus.status",
"min" : 1,
"max" : "1"
},
"type" : [{
"code" : "code"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : true,
"isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "PublicationStatus"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean" : true
}],
"strength" : "required",
"description" : "The lifecycle status of an artifact.",
"valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.4.0"
},
"mapping" : [{
"identity" : "workflow",
"map" : "Definition.status"
},
{
"identity" : "w5",
"map" : "FiveWs.status"
}]
},
{
"id" : "EvidenceFocus.useContext",
"path" : "EvidenceFocus.useContext",
"short" : "Use context",
"definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate evidence focus instances.",
"comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
"requirements" : "Assist in searching for appropriate content.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "EvidenceFocus.useContext",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "UsageContext"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Definition.useContext"
}]
},
{
"id" : "EvidenceFocus.date",
"path" : "EvidenceFocus.date",
"short" : "Date created",
"definition" : "The date (and optionally time) when the evidence focus was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the evidence focus changes.",
"comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the evidence focus. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
"alias" : ["Revision Date"],
"min" : 0,
"max" : "1",
"base" : {
"path" : "EvidenceFocus.date",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "dateTime"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Definition.date"
},
{
"identity" : "w5",
"map" : "FiveWs.recorded"
}]
},
{
"id" : "EvidenceFocus.note",
"path" : "EvidenceFocus.note",
"short" : "Footnotes and/or explanatory notes",
"definition" : "Used for general notes and annotations not coded elsewhere.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "EvidenceFocus.note",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Annotation"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "EvidenceFocus.copyright",
"path" : "EvidenceFocus.copyright",
"short" : "Copyright",
"definition" : "A copyright statement relating to the evidence focus and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the evidence focus.",
"requirements" : "Consumers must be able to determine any legal restrictions on the use of the evidence focus and/or its content.",
"alias" : ["License",
"Restrictions"],
"min" : 0,
"max" : "1",
"base" : {
"path" : "EvidenceFocus.copyright",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "markdown"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "workflow",
"map" : "Definition.copyright"
},
{
"identity" : "objimpl",
"map" : "no-gen-base"
}]
},
{
"id" : "EvidenceFocus.citeAs",
"path" : "EvidenceFocus.citeAs",
"short" : "Citation for this EvidenceFocus resource",
"definition" : "Citation for this EvidenceFocus resource.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "EvidenceFocus.citeAs",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Citation"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "EvidenceFocus.characteristic",
"path" : "EvidenceFocus.characteristic",
"short" : "Characteristic",
"definition" : "Characteristic.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "EvidenceFocus.characteristic",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "BackboneElement"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "EvidenceFocus.characteristic.id",
"path" : "EvidenceFocus.characteristic.id",
"representation" : ["xmlAttr"],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUri" : "id"
}],
"code" : "http://hl7.org/fhirpath/System.String"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "EvidenceFocus.characteristic.extension",
"path" : "EvidenceFocus.characteristic.extension",
"short" : "Additional content defined by implementations",
"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 manageable, 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.",
"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.",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "EvidenceFocus.characteristic.modifierExtension",
"path" : "EvidenceFocus.characteristic.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"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 manageable, 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).",
"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.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : ["extensions",
"user content",
"modifiers"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "EvidenceFocus.characteristic.code",
"path" : "EvidenceFocus.characteristic.code",
"short" : "Characteristic code",
"definition" : "Characteristic code.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "EvidenceFocus.characteristic.code",
"min" : 1,
"max" : "1"
},
"type" : [{
"code" : "CodeableConcept"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "EvidenceFocusCharacteristicCode"
}],
"strength" : "extensible",
"description" : "Evidence focus characteristic code.",
"valueSet" : "http://hl7.org/fhir/ValueSet/evfocus-characteristic-code"
}
},
{
"id" : "EvidenceFocus.characteristic.value[x]",
"path" : "EvidenceFocus.characteristic.value[x]",
"short" : "Characteristic value",
"definition" : "Characteristic value.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "EvidenceFocus.characteristic.value[x]",
"min" : 1,
"max" : "1"
},
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
},
{
"code" : "CodeableConcept"
},
{
"code" : "boolean"
},
{
"code" : "Quantity"
},
{
"code" : "Range"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "EvidenceFocus.characteristic.exclude",
"path" : "EvidenceFocus.characteristic.exclude",
"short" : "Is used to express not the characteristic",
"definition" : "Is used to express not the characteristic.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "EvidenceFocus.characteristic.exclude",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "boolean"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "EvidenceFocus.characteristic.period",
"path" : "EvidenceFocus.characteristic.period",
"short" : "Timeframe for the characteristic",
"definition" : "Timeframe for the characteristic.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "EvidenceFocus.characteristic.period",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "Period"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "EvidenceFocus.relatedArtifact",
"path" : "EvidenceFocus.relatedArtifact",
"short" : "Additional documentation",
"definition" : "Additional documentation.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "EvidenceFocus.relatedArtifact",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "RelatedArtifact"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false
}]
},
"differential" : {
"element" : [{
"id" : "EvidenceFocus",
"path" : "EvidenceFocus",
"short" : "An EvidenceFocus",
"definition" : "EvidenceFocus.",
"min" : 0,
"max" : "*",
"constraint" : [{
"key" : "cnl-0",
"severity" : "warning",
"human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
"expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
"xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')",
"source" : "http://hl7.org/fhir/StructureDefinition/null"
}]
},
{
"id" : "EvidenceFocus.url",
"path" : "EvidenceFocus.url",
"short" : "Canonical identifier for this EvidenceFocus, represented as a globally unique URI",
"definition" : "An absolute URI that is used to identify this EvidenceFocus when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this summary is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the summary is stored on different servers.",
"comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.",
"requirements" : "Allows the EvidenceFocus to be referenced by a single globally unique identifier.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "uri"
}],
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Definition.url"
},
{
"identity" : "w5",
"map" : "FiveWs.identifier"
}]
},
{
"id" : "EvidenceFocus.identifier",
"path" : "EvidenceFocus.identifier",
"short" : "Unique to the EvidenceFocus Resource",
"definition" : "A formal identifier that is used to identify this summary when it is represented in other formats, or referenced in a specification, model, design or an instance.",
"comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this summary outside of FHIR, where it is not possible to use the logical URI.",
"requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "Identifier"
}],
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Definition.identifier"
},
{
"identity" : "w5",
"map" : "FiveWs.identifier"
},
{
"identity" : "objimpl",
"map" : "no-gen-base"
}]
},
{
"id" : "EvidenceFocus.version",
"path" : "EvidenceFocus.version",
"short" : "Business version of this summary",
"definition" : "The identifier that is used to identify this version of the summary when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the summary author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
"comment" : "The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "string"
}],
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Definition.version"
},
{
"identity" : "w5",
"map" : "FiveWs.version"
}]
},
{
"id" : "EvidenceFocus.name",
"path" : "EvidenceFocus.name",
"short" : "Name",
"definition" : "A natural language name identifying the evidence focus. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
"comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
"requirements" : "Support human navigation and code generation.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "string"
}],
"condition" : ["cnl-0"],
"isSummary" : true
},
{
"id" : "EvidenceFocus.status",
"path" : "EvidenceFocus.status",
"short" : "draft | active | retired | unknown",
"definition" : "The status of this summary. Enables tracking the life-cycle of the content.",
"comment" : "Allows filtering of summarys s that are appropriate for use versus not.",
"min" : 1,
"max" : "1",
"type" : [{
"code" : "code"
}],
"isModifier" : true,
"isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "PublicationStatus"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean" : true
}],
"strength" : "required",
"description" : "The lifecycle status of an artifact.",
"valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.4.0"
},
"mapping" : [{
"identity" : "workflow",
"map" : "Definition.status"
},
{
"identity" : "w5",
"map" : "FiveWs.status"
}]
},
{
"id" : "EvidenceFocus.useContext",
"path" : "EvidenceFocus.useContext",
"short" : "Use context",
"definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate evidence focus instances.",
"comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
"requirements" : "Assist in searching for appropriate content.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "UsageContext"
}],
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Definition.useContext"
}]
},
{
"id" : "EvidenceFocus.date",
"path" : "EvidenceFocus.date",
"short" : "Date created",
"definition" : "The date (and optionally time) when the evidence focus was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the evidence focus changes.",
"comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the evidence focus. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
"alias" : ["Revision Date"],
"min" : 0,
"max" : "1",
"type" : [{
"code" : "dateTime"
}],
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Definition.date"
},
{
"identity" : "w5",
"map" : "FiveWs.recorded"
}]
},
{
"id" : "EvidenceFocus.note",
"path" : "EvidenceFocus.note",
"short" : "Footnotes and/or explanatory notes",
"definition" : "Used for general notes and annotations not coded elsewhere.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "Annotation"
}]
},
{
"id" : "EvidenceFocus.copyright",
"path" : "EvidenceFocus.copyright",
"short" : "Copyright",
"definition" : "A copyright statement relating to the evidence focus and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the evidence focus.",
"requirements" : "Consumers must be able to determine any legal restrictions on the use of the evidence focus and/or its content.",
"alias" : ["License",
"Restrictions"],
"min" : 0,
"max" : "1",
"type" : [{
"code" : "markdown"
}],
"mapping" : [{
"identity" : "workflow",
"map" : "Definition.copyright"
},
{
"identity" : "objimpl",
"map" : "no-gen-base"
}]
},
{
"id" : "EvidenceFocus.citeAs",
"path" : "EvidenceFocus.citeAs",
"short" : "Citation for this EvidenceFocus resource",
"definition" : "Citation for this EvidenceFocus resource.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Citation"]
}],
"isSummary" : true
},
{
"id" : "EvidenceFocus.characteristic",
"path" : "EvidenceFocus.characteristic",
"short" : "Characteristic",
"definition" : "Characteristic.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "BackboneElement"
}]
},
{
"id" : "EvidenceFocus.characteristic.code",
"path" : "EvidenceFocus.characteristic.code",
"short" : "Characteristic code",
"definition" : "Characteristic code.",
"min" : 1,
"max" : "1",
"type" : [{
"code" : "CodeableConcept"
}],
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "EvidenceFocusCharacteristicCode"
}],
"strength" : "extensible",
"description" : "Evidence focus characteristic code.",
"valueSet" : "http://hl7.org/fhir/ValueSet/evfocus-characteristic-code"
}
},
{
"id" : "EvidenceFocus.characteristic.value[x]",
"path" : "EvidenceFocus.characteristic.value[x]",
"short" : "Characteristic value",
"definition" : "Characteristic value.",
"min" : 1,
"max" : "1",
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
},
{
"code" : "CodeableConcept"
},
{
"code" : "boolean"
},
{
"code" : "Quantity"
},
{
"code" : "Range"
}],
"isSummary" : true
},
{
"id" : "EvidenceFocus.characteristic.exclude",
"path" : "EvidenceFocus.characteristic.exclude",
"short" : "Is used to express not the characteristic",
"definition" : "Is used to express not the characteristic.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "boolean"
}]
},
{
"id" : "EvidenceFocus.characteristic.period",
"path" : "EvidenceFocus.characteristic.period",
"short" : "Timeframe for the characteristic",
"definition" : "Timeframe for the characteristic.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "Period"
}]
},
{
"id" : "EvidenceFocus.relatedArtifact",
"path" : "EvidenceFocus.relatedArtifact",
"short" : "Additional documentation",
"definition" : "Additional documentation.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "RelatedArtifact"
}]
}]
}
}
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
FHIR ®© HL7.org 2011+. FHIR CI Build hl7.fhir.core#4.4.0 generated on Sun, May 3, 2020 08:46+1000.
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