Release 4B Snapshot #1

This page is part of the FHIR Specification v4.3.0-snapshot1: R4B Snapshot to support the Jan 2022 Connectathon. About the R4B version of FHIR. The current officially released version is 4.3.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

Clinical Decision Support Work GroupMaturity Level: 1 Trial UseSecurity Category: Business Compartments: Not linked to any defined compartments

Detailed Descriptions for the elements in the EvidenceVariable resource.

EvidenceVariable
Element IdEvidenceVariable
Definition

The EvidenceVariable resource describes an element that knowledge (Evidence) is about.

Cardinality0..*
TypeDomainResource
Requirements

Need to be able to define and reuse the definition of individual elements of a research question.

Summaryfalse
Comments

The EvidenceVariable may be an exposure variable (intervention, condition, or state), a measured variable (outcome or observed parameter), or other variable (such as confounding factor).

Invariants
Defined on this element
cnl-0Warning Name should be usable as an identifier for the module by machine processing applications such as code generationname.matches('[A-Z]([A-Za-z0-9_]){0,254}')
EvidenceVariable.url
Element IdEvidenceVariable.url
Definition

An absolute URI that is used to identify this evidence variable 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 evidence variable is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the evidence variable is stored on different servers.

Cardinality0..1
Typeuri
Requirements

Allows the evidence variable to be referenced by a single globally unique identifier.

Summarytrue
Comments

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.

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.

In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found.

EvidenceVariable.identifier
Element IdEvidenceVariable.identifier
Definition

A formal identifier that is used to identify this evidence variable when it is represented in other formats, or referenced in a specification, model, design or an instance.

NoteThis is a business identifier, not a resource identifier (see discussion)
Cardinality0..*
TypeIdentifier
Requirements

Allows externally provided and/or usable business identifiers to be easily associated with the module.

Summarytrue
Comments

Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this evidence variable outside of FHIR, where it is not possible to use the logical URI.

EvidenceVariable.version
Element IdEvidenceVariable.version
Definition

The identifier that is used to identify this version of the evidence variable when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the evidence variable 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. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.

NoteThis is a business versionId, not a resource version id (see discussion)
Cardinality0..1
Typestring
Summarytrue
Comments

There may be different evidence variable instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the evidence variable with the format [url]|[version].

EvidenceVariable.name
Element IdEvidenceVariable.name
Definition

A natural language name identifying the evidence variable. This name should be usable as an identifier for the module by machine processing applications such as code generation.

Cardinality0..1
Typestring
Requirements

Support human navigation and code generation.

Summarytrue
Comments

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.

Invariants
Affect this element
cnl-0Warning Name should be usable as an identifier for the module by machine processing applications such as code generationname.matches('[A-Z]([A-Za-z0-9_]){0,254}')
EvidenceVariable.title
Element IdEvidenceVariable.title
Definition

A short, descriptive, user-friendly title for the evidence variable.

Cardinality0..1
Typestring
Summarytrue
Comments

This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.

EvidenceVariable.shortTitle
Element IdEvidenceVariable.shortTitle
Definition

The short title provides an alternate title for use in informal descriptive contexts where the full, formal title is not necessary.

Cardinality0..1
Typestring
Requirements

Need to be able to reference the content by a short description, but still provide a longer, more formal title for the content.

Summarytrue
EvidenceVariable.subtitle
Element IdEvidenceVariable.subtitle
Definition

An explanatory or alternate title for the EvidenceVariable giving additional information about its content.

Cardinality0..1
Typestring
Summaryfalse
EvidenceVariable.status
Element IdEvidenceVariable.status
Definition

The status of this evidence variable. Enables tracking the life-cycle of the content.

Cardinality1..1
Terminology BindingPublicationStatus (Required)
Typecode
Is Modifiertrue (Reason: This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration)
Summarytrue
Comments

Allows filtering of evidence variables that are appropriate for use versus not.

EvidenceVariable.date
Element IdEvidenceVariable.date
Definition

The date (and optionally time) when the evidence variable 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 variable changes.

Cardinality0..1
TypedateTime
Alternate NamesRevision Date
Summarytrue
Comments

Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the evidence variable. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

EvidenceVariable.description
Element IdEvidenceVariable.description
Definition

A free text natural language description of the evidence variable from a consumer's perspective.

Cardinality0..1
Typemarkdown
Summarytrue
Comments

This description can be used to capture details such as why the evidence variable was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the evidence variable as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the evidence variable is presumed to be the predominant language in the place the evidence variable was created).

EvidenceVariable.note
Element IdEvidenceVariable.note
Definition

A human-readable string to clarify or explain concepts about the resource.

Cardinality0..*
TypeAnnotation
Summaryfalse
EvidenceVariable.useContext
Element IdEvidenceVariable.useContext
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 variable instances.

Cardinality0..*
TypeUsageContext
Requirements

Assist in searching for appropriate content.

Summarytrue
Comments

When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

EvidenceVariable.publisher
Element IdEvidenceVariable.publisher
Definition

The name of the organization or individual that published the evidence variable.

Cardinality0..1
Typestring
Requirements

Helps establish the "authority/credibility" of the evidence variable. May also allow for contact.

Summarytrue
Comments

Usually an organization but may be an individual. The publisher (or steward) of the evidence variable is the organization or individual primarily responsible for the maintenance and upkeep of the evidence variable. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the evidence variable. This item SHOULD be populated unless the information is available from context.

EvidenceVariable.contact
Element IdEvidenceVariable.contact
Definition

Contact details to assist a user in finding and communicating with the publisher.

Cardinality0..*
TypeContactDetail
Summarytrue
Comments

Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (Details at: http://build.fhir.org/clinicalreasoning-module.html).

EvidenceVariable.author
Element IdEvidenceVariable.author
Definition

An individiual or organization primarily involved in the creation and maintenance of the content.

Cardinality0..*
TypeContactDetail
Summaryfalse
Comments

Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (Details at: http://build.fhir.org/clinicalreasoning-module.html).

EvidenceVariable.editor
Element IdEvidenceVariable.editor
Definition

An individual or organization primarily responsible for internal coherence of the content.

Cardinality0..*
TypeContactDetail
Summaryfalse
Comments

Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (Details at: http://build.fhir.org/clinicalreasoning-module.html).

EvidenceVariable.reviewer
Element IdEvidenceVariable.reviewer
Definition

An individual or organization primarily responsible for review of some aspect of the content.

Cardinality0..*
TypeContactDetail
Summaryfalse
Comments

Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (Details at: http://build.fhir.org/clinicalreasoning-module.html).

EvidenceVariable.endorser
Element IdEvidenceVariable.endorser
Definition

An individual or organization responsible for officially endorsing the content for use in some setting.

Cardinality0..*
TypeContactDetail
Summaryfalse
Comments

Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (Details at: http://build.fhir.org/clinicalreasoning-module.html).

EvidenceVariable.relatedArtifact
Element IdEvidenceVariable.relatedArtifact
Definition

Related artifacts such as additional documentation, justification, or bibliographic references.

Cardinality0..*
TypeRelatedArtifact
Requirements

EvidenceVariables must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.

Summaryfalse
Comments

Each related artifact is either an attachment, or a reference to another resource, but not both.

EvidenceVariable.actual
Element IdEvidenceVariable.actual
Definition

True if the actual variable measured, false if a conceptual representation of the intended variable.

Cardinality0..1
Typeboolean
Summaryfalse
EvidenceVariable.characteristicCombination
Element IdEvidenceVariable.characteristicCombination
Definition

Used to specify if two or more characteristics are combined with OR or AND.

Cardinality0..1
Terminology BindingCharacteristicCombination (Required)
Typecode
Summaryfalse
EvidenceVariable.characteristic
Element IdEvidenceVariable.characteristic
Definition

A characteristic that defines the members of the evidence element. Multiple characteristics are applied with "and" semantics.

Cardinality0..*
Summarytrue
Comments

Characteristics can be defined flexibly to accommodate different use cases for membership criteria, ranging from simple codes, all the way to using an expression language to express the criteria.

EvidenceVariable.characteristic.description
Element IdEvidenceVariable.characteristic.description
Definition

A short, natural language description of the characteristic that could be used to communicate the criteria to an end-user.

Cardinality0..1
Typestring
Requirements

Need to be able to describe characteristics in natural language so that end users can understand the criteria.

Summaryfalse
EvidenceVariable.characteristic.definition[x]
Element IdEvidenceVariable.characteristic.definition[x]
Definition

Define members of the evidence element using Codes (such as condition, medication, or observation), Expressions ( using an expression language such as FHIRPath or CQL) or DataRequirements (such as Diabetes diagnosis onset in the last year).

Cardinality1..1
TypeReference(Group | EvidenceVariable)|canonical(Any)|CodeableConcept|Expression
[x] NoteSee Choice of Data Types for further information about how to use [x]
Requirements

Need to be able to define members in simple codes when the membership aligns well with terminology, with common criteria such as observations in a value set or lab tests within a year, or with expression language to support criteria that do not fit in the above.

Summarytrue
EvidenceVariable.characteristic.method
Element IdEvidenceVariable.characteristic.method
Definition

Method used for describing characteristic.

Cardinality0..1
Terminology BindingCharacteristicMethod (Example)
TypeCodeableConcept
Summaryfalse
EvidenceVariable.characteristic.device
Element IdEvidenceVariable.characteristic.device
Definition

Device used for determining characteristic.

Cardinality0..1
TypeReference(Device | DeviceMetric)
Summaryfalse
EvidenceVariable.characteristic.exclude
Element IdEvidenceVariable.characteristic.exclude
Definition

When true, members with this characteristic are excluded from the element.

Cardinality0..1
Typeboolean
Meaning if MissingFalse
Summaryfalse
EvidenceVariable.characteristic.timeFromStart
Element IdEvidenceVariable.characteristic.timeFromStart
Definition

Indicates duration, period, or point of observation from the participant's study entry.

Cardinality0..1
Summaryfalse
EvidenceVariable.characteristic.timeFromStart.description
Element IdEvidenceVariable.characteristic.timeFromStart.description
Definition

A short, natural language description.

Cardinality0..1
Typestring
Summaryfalse
EvidenceVariable.characteristic.timeFromStart.quantity
Element IdEvidenceVariable.characteristic.timeFromStart.quantity
Definition

Used to express the observation at a defined amount of time after the study start.

Cardinality0..1
TypeQuantity
Summaryfalse
EvidenceVariable.characteristic.timeFromStart.range
Element IdEvidenceVariable.characteristic.timeFromStart.range
Definition

Used to express the observation within a period after the study start.

Cardinality0..1
TypeRange
Summaryfalse
EvidenceVariable.characteristic.timeFromStart.note
Element IdEvidenceVariable.characteristic.timeFromStart.note
Definition

A human-readable string to clarify or explain concepts about the resource.

Cardinality0..*
TypeAnnotation
Summaryfalse
EvidenceVariable.characteristic.groupMeasure
Element IdEvidenceVariable.characteristic.groupMeasure
Definition

Indicates how elements are aggregated within the study effective period.

Cardinality0..1
Terminology BindingGroupMeasure (Required)
Typecode
Summaryfalse
EvidenceVariable.handling
Element IdEvidenceVariable.handling
Definition

Used for an outcome to classify.

Cardinality0..1
Terminology BindingEvidenceVariableHandling (Required)
Typecode
Summarytrue
EvidenceVariable.category
Element IdEvidenceVariable.category
Definition

A grouping (or set of values) described along with other groupings to specify the set of groupings allowed for the variable.

Cardinality0..*
Summaryfalse
EvidenceVariable.category.name
Element IdEvidenceVariable.category.name
Definition

A human-readable title or representation of the grouping.

Cardinality0..1
Typestring
Summaryfalse
EvidenceVariable.category.value[x]
Element IdEvidenceVariable.category.value[x]
Definition

Value or set of values that define the grouping.

Cardinality0..1
TypeCodeableConcept|Quantity|Range
[x] NoteSee Choice of Data Types for further information about how to use [x]
Summaryfalse