Release 4B

This page is part of the FHIR Specification (v4.3.0: R4B - STU). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

14.10 Resource Evidence - Content

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

The Evidence Resource provides a machine-interpretable expression of an evidence concept including the evidence variables (eg population, exposures/interventions, comparators, outcomes, measured variables, confounding variables), the statistics, and the certainty of this evidence.

14.10.1 Scope and Usage

The Evidence Resource enables the expression of the most granular form of evidence, such as the actual quantitative results of a study or scientific analysis.

Human-readable summaries of the Evidence Resource may be expressed in description, assertion, and note elements. The description element is typically used for the primary expression. The assertion element is less commonly used and is typically used for interpretive expression. The note element may be used for any number of explanatory, variant, or related comments.

The variableDefinition element is used to describe what the evidence is about. Each variable defined must be assigned a variable role which signals how that variable is used in the statistics within the Evidence Resource. The variable definition may be expressed in human-readable form (with a description element) and/or expressed in computable form by referencing Group or EvidenceVariable Resources. In general, Group Resources are used to define populations and EvidenceVariable Resources are used to define exposures and measured variables. The variableDefinition elements allows expression of the observed variable and the intended variable. In many forms of expression the Evidence is interpreted for a specific context and recognition of both observed and intended variables is important for understanding the applicability and certainty of the evidence.

The heart of the evidence is the statistic. The statistic BackboneElement provides a machine-interpretable expression of a statistic, including the quantity; unit of measure; classification of statistic type; sample size; attributes such as confidence intervals, p values, and heterogeneity estimates; and statistic model characteristics. An Evidence Resource may contain more than one statistic, in which case each statistic matches the same combination of variable definitions.

Because a statistic can rarely be interpreted without knowing how it was obtained, the Evidence Resource enables expression of the studyType. For evidence derived from synthesis of evidence, the Evidence Resource enables expression of the synthesisType.

The certainty Element provides a machine-interpretable expression of certainty, confidence or quality of the resource in which it is included. The certainty Element can express overall certainty and certainty of any subcomponent concepts using codeable concepts from structured rating systems. The certainty Element enables machine-to-machine communication of the certainty of evidence.

14.10.2 Boundaries and Relationships

The Evidence Resource is the central atomic component for the Evidence-related Resources. The Evidence Resource may reference multiple Group and EvidenceVariable Resources; in these cases, the Group and EvidenceVariable Resources to which an Evidence Resource points does not refer back to the Evidence. In the context of evidence synthesis, an EvidenceVariable Resource may reference Evidence Resources where the EvidenceVariable Resource is used to define the set of evidence being synthesized.

14.10.3 References

No resources refer to this resource directly.

This resource does not implement any patterns.

14.10.4 Resource Content

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Evidence TUDomainResourceSingle evidence bit
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... url Σ0..1uriCanonical identifier for this evidence, represented as a globally unique URI
... identifier Σ0..*IdentifierAdditional identifier for the summary
... version Σ0..1stringBusiness version of this summary
... citeAs[x] 0..1Citation for this evidence
.... citeAsReferenceReference(Citation)
.... citeAsMarkdownmarkdown
... status ?!Σ1..1codedraft | active | retired | unknown
PublicationStatus (Required)
... date Σ0..1dateTimeDate last changed
... useContext Σ0..*UsageContextThe context that the content is intended to support
... approvalDate 0..1dateWhen the summary was approved by publisher
... lastReviewDate 0..1dateWhen the summary was last reviewed
... publisher Σ0..1stringName of the publisher (organization or individual)
... contact Σ0..*ContactDetailContact details for the publisher
... author Σ0..*ContactDetailWho authored the content
... editor 0..*ContactDetailWho edited the content
... reviewer 0..*ContactDetailWho reviewed the content
... endorser Σ0..*ContactDetailWho endorsed the content
... relatedArtifact 0..*RelatedArtifactLink or citation to artifact associated with the summary
... description 0..1markdownDescription of the particular summary
... assertion 0..1markdownDeclarative description of the Evidence
... note 0..*AnnotationFootnotes and/or explanatory notes
... variableDefinition 1..*BackboneElementEvidence variable such as population, exposure, or outcome
.... description 0..1markdownA text description or summary of the variable
.... note 0..*AnnotationFootnotes and/or explanatory notes
.... variableRole Σ1..1CodeableConceptpopulation | subpopulation | exposure | referenceExposure | measuredVariable | confounder
EvidenceVariableRole (Extensible)
.... observed Σ0..1Reference(Group | EvidenceVariable)Definition of the actual variable related to the statistic(s)
.... intended 0..1Reference(Group | EvidenceVariable)Definition of the intended variable related to the Evidence
.... directnessMatch 0..1CodeableConceptlow | moderate | high | exact
EvidenceDirectness (Extensible)
... synthesisType 0..1CodeableConceptThe method to combine studies
SynthesisType (Extensible)
... studyType 0..1CodeableConceptThe type of study that produced this evidence
StudyType (Extensible)
... statistic 0..*BackboneElementValues and parameters for a single statistic
.... description 0..1stringDescription of content
.... note 0..*AnnotationFootnotes and/or explanatory notes
.... statisticType 0..1CodeableConceptType of statistic, eg relative risk
StatisticType (Extensible)
.... category 0..1CodeableConceptAssociated category for categorical variable
.... quantity 0..1QuantityStatistic value
.... numberOfEvents 0..1unsignedIntThe number of events associated with the statistic
.... numberAffected 0..1unsignedIntThe number of participants affected
.... sampleSize 0..1BackboneElementNumber of samples in the statistic
..... description 0..1stringTextual description of sample size for statistic
..... note 0..*AnnotationFootnote or explanatory note about the sample size
..... numberOfStudies 0..1unsignedIntNumber of contributing studies
..... numberOfParticipants 0..1unsignedIntCumulative number of participants
..... knownDataCount 0..1unsignedIntNumber of participants with known results for measured variables
.... attributeEstimate 0..*BackboneElementAn attribute of the Statistic
..... description 0..1stringTextual description of the attribute estimate
..... note 0..*AnnotationFootnote or explanatory note about the estimate
..... type 0..1CodeableConceptThe type of attribute estimate, eg confidence interval or p value
AttributeEstimateType (Extensible)
..... quantity 0..1QuantityThe singular quantity of the attribute estimate, for attribute estimates represented as single values; also used to report unit of measure
..... level 0..1decimalLevel of confidence interval, eg 0.95 for 95% confidence interval
..... range 0..1RangeLower and upper bound values of the attribute estimate
..... attributeEstimate 0..*see attributeEstimateA nested attribute estimate; which is the attribute estimate of an attribute estimate
.... modelCharacteristic 0..*BackboneElementAn aspect of the statistical model
..... code 1..1CodeableConceptModel specification
StatisticModelCode (Extensible)
..... value 0..1SimpleQuantityNumerical value to complete model specification
..... variable 0..*BackboneElementA variable adjusted for in the adjusted analysis
...... variableDefinition 1..1Reference(Group | EvidenceVariable)Description of the variable
...... handling 0..1codecontinuous | dichotomous | ordinal | polychotomous
EvidenceVariableHandling (Required)
...... valueCategory 0..*CodeableConceptDescription for grouping of ordinal or polychotomous variables
...... valueQuantity 0..*QuantityDiscrete value for grouping of ordinal or polychotomous variables
...... valueRange 0..*RangeRange of values for grouping of ordinal or polychotomous variables
..... attributeEstimate 0..*see attributeEstimateAn attribute of the statistic used as a model characteristic
... certainty 0..*BackboneElementCertainty or quality of the evidence
.... description 0..1stringTextual description of certainty
.... note 0..*AnnotationFootnotes and/or explanatory notes
.... type 0..1CodeableConceptAspect of certainty being rated
EvidenceCertaintyType (Extensible)
.... rating 0..1CodeableConceptAssessment or judgement of the aspect
EvidenceCertaintyRating (Extensible)
.... rater 0..1stringIndividual or group who did the rating
.... subcomponent 0..*see certaintyA domain or subdomain of certainty

doco Documentation for this format

UML Diagram (Legend)

Evidence (DomainResource)An absolute URI that is used to identify this evidence when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which 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 serversurl : uri [0..1]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 instanceidentifier : Identifier [0..*]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 sequenceversion : string [0..1]A short, descriptive, user-friendly title for the summarytitle : string [0..1]Citation Resource or display of suggested citation for this evidenceciteAs[x] : Element [0..1] « Reference(Citation)|markdown »The status of this summary. Enables tracking the life-cycle of the content (this element modifies the meaning of other elements)status : code [1..1] « null (Strength=Required)PublicationStatus! »The date (and optionally time) when the summary 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 summary changesdate : dateTime [0..1]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 instancesuseContext : UsageContext [0..*]The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usageapprovalDate : date [0..1]The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval datelastReviewDate : date [0..1]The name of the organization or individual that published the evidencepublisher : string [0..1]Contact details to assist a user in finding and communicating with the publishercontact : ContactDetail [0..*]An individiual, organization, or device primarily involved in the creation and maintenance of the contentauthor : ContactDetail [0..*]An individiual, organization, or device primarily responsible for internal coherence of the contenteditor : ContactDetail [0..*]An individiual, organization, or device primarily responsible for review of some aspect of the contentreviewer : ContactDetail [0..*]An individiual, organization, or device responsible for officially endorsing the content for use in some settingendorser : ContactDetail [0..*]Link or citation to artifact associated with the summaryrelatedArtifact : RelatedArtifact [0..*]A free text natural language description of the evidence from a consumer's perspectivedescription : markdown [0..1]Declarative description of the Evidenceassertion : markdown [0..1]Footnotes and/or explanatory notesnote : Annotation [0..*]The method to combine studiessynthesisType : CodeableConcept [0..1] « null (Strength=Extensible)SynthesisType+ »The type of study that produced this evidencestudyType : CodeableConcept [0..1] « null (Strength=Extensible)StudyType+ »VariableDefinitionA text description or summary of the variabledescription : markdown [0..1]Footnotes and/or explanatory notesnote : Annotation [0..*]population | subpopulation | exposure | referenceExposure | measuredVariable | confoundervariableRole : CodeableConcept [1..1] « null (Strength=Extensible)EvidenceVariableRole+ »Definition of the actual variable related to the statistic(s)observed : Reference [0..1] « Group|EvidenceVariable »Definition of the intended variable related to the Evidenceintended : Reference [0..1] « Group|EvidenceVariable »Indication of quality of match between intended variable to actual variabledirectnessMatch : CodeableConcept [0..1] « null (Strength=Extensible)EvidenceDirectness+ »StatisticA description of the content value of the statisticdescription : string [0..1]Footnotes and/or explanatory notesnote : Annotation [0..*]Type of statistic, eg relative riskstatisticType : CodeableConcept [0..1] « null (Strength=Extensible)StatisticType+ »When the measured variable is handled categorically, the category element is used to define which category the statistic is reportingcategory : CodeableConcept [0..1]Statistic valuequantity : Quantity [0..1]The number of events associated with the statistic, where the unit of analysis is different from numberAffected, sampleSize.knownDataCount and sampleSize.numberOfParticipantsnumberOfEvents : unsignedInt [0..1]The number of participants affected where the unit of analysis is the same as sampleSize.knownDataCount and sampleSize.numberOfParticipantsnumberAffected : unsignedInt [0..1]SampleSizeHuman-readable summary of population sample sizedescription : string [0..1]Footnote or explanatory note about the sample sizenote : Annotation [0..*]Number of participants in the populationnumberOfStudies : unsignedInt [0..1]A human-readable string to clarify or explain concepts about the sample sizenumberOfParticipants : unsignedInt [0..1]Number of participants with known results for measured variablesknownDataCount : unsignedInt [0..1]AttributeEstimateHuman-readable summary of the estimatedescription : string [0..1]Footnote or explanatory note about the estimatenote : Annotation [0..*]The type of attribute estimate, eg confidence interval or p valuetype : CodeableConcept [0..1] « null (Strength=Extensible)AttributeEstimateType+ »The singular quantity of the attribute estimate, for attribute estimates represented as single values; also used to report unit of measurequantity : Quantity [0..1]Use 95 for a 95% confidence intervallevel : decimal [0..1]Lower bound of confidence intervalrange : Range [0..1]ModelCharacteristicDescription of a component of the method to generate the statisticcode : CodeableConcept [1..1] « null (Strength=Extensible)StatisticModelCode+ »Further specification of the quantified value of the component of the method to generate the statisticvalue : Quantity(SimpleQuantity) [0..1]VariableDescription of the variablevariableDefinition : Reference [1..1] « Group|EvidenceVariable »How the variable is classified for use in adjusted analysishandling : code [0..1] « null (Strength=Required)EvidenceVariableHandling! »Description for grouping of ordinal or polychotomous variablesvalueCategory : CodeableConcept [0..*]Discrete value for grouping of ordinal or polychotomous variablesvalueQuantity : Quantity [0..*]Range of values for grouping of ordinal or polychotomous variablesvalueRange : Range [0..*]CertaintyTextual description of certaintydescription : string [0..1]Footnotes and/or explanatory notesnote : Annotation [0..*]Aspect of certainty being ratedtype : CodeableConcept [0..1] « null (Strength=Extensible)EvidenceCertaintyType+ »Assessment or judgement of the aspectrating : CodeableConcept [0..1] « null (Strength=Extensible)EvidenceCertaintyRating+ »Individual or group who did the ratingrater : string [0..1]Evidence variable such as population, exposure, or outcomevariableDefinition[1..*]Number of samples in the statisticsampleSize[0..1]A nested attribute estimate; which is the attribute estimate of an attribute estimateattributeEstimate[0..*]A statistical attribute of the statistic such as a measure of heterogeneityattributeEstimate[0..*]A variable adjusted for in the adjusted analysisvariable[0..*]An attribute of the statistic used as a model characteristicattributeEstimate[0..*]A component of the method to generate the statisticmodelCharacteristic[0..*]Values and parameters for a single statisticstatistic[0..*]A domain or subdomain of certaintysubcomponent[0..*]Assessment of certainty, confidence in the estimates, or quality of the evidencecertainty[0..*]

XML Template

<Evidence xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <url value="[uri]"/><!-- 0..1 Canonical identifier for this evidence, represented as a globally unique URI -->
 <identifier><!-- 0..* Identifier Additional identifier for the summary --></identifier>
 <version value="[string]"/><!-- 0..1 Business version of this summary -->
 <title value="[string]"/><!-- 0..1 Name for this summary (human friendly) -->
 <citeAs[x]><!-- 0..1 Reference(Citation)|markdown Citation for this evidence --></citeAs[x]>
 <status value="[code]"/><!-- 1..1 draft | active | retired | unknown -->
 <date value="[dateTime]"/><!-- 0..1 Date last changed -->
 <useContext><!-- 0..* UsageContext The context that the content is intended to support --></useContext>
 <approvalDate value="[date]"/><!-- 0..1 When the summary was approved by publisher -->
 <lastReviewDate value="[date]"/><!-- 0..1 When the summary was last reviewed -->
 <publisher value="[string]"/><!-- 0..1 Name of the publisher (organization or individual) -->
 <contact><!-- 0..* ContactDetail Contact details for the publisher --></contact>
 <author><!-- 0..* ContactDetail Who authored the content --></author>
 <editor><!-- 0..* ContactDetail Who edited the content --></editor>
 <reviewer><!-- 0..* ContactDetail Who reviewed the content --></reviewer>
 <endorser><!-- 0..* ContactDetail Who endorsed the content --></endorser>
 <relatedArtifact><!-- 0..* RelatedArtifact Link or citation to artifact associated with the summary --></relatedArtifact>
 <description value="[markdown]"/><!-- 0..1 Description of the particular summary -->
 <assertion value="[markdown]"/><!-- 0..1 Declarative description of the Evidence -->
 <note><!-- 0..* Annotation Footnotes and/or explanatory notes --></note>
 <variableDefinition>  <!-- 1..* Evidence variable such as population, exposure, or outcome -->
  <description value="[markdown]"/><!-- 0..1 A text description or summary of the variable -->
  <note><!-- 0..* Annotation Footnotes and/or explanatory notes --></note>
  <variableRole><!-- 1..1 CodeableConcept population | subpopulation | exposure | referenceExposure | measuredVariable | confounder --></variableRole>
  <observed><!-- 0..1 Reference(EvidenceVariable|Group) Definition of the actual variable related to the statistic(s) --></observed>
  <intended><!-- 0..1 Reference(EvidenceVariable|Group) Definition of the intended variable related to the Evidence --></intended>
  <directnessMatch><!-- 0..1 CodeableConcept low | moderate | high | exact --></directnessMatch>
 </variableDefinition>
 <synthesisType><!-- 0..1 CodeableConcept The method to combine studies --></synthesisType>
 <studyType><!-- 0..1 CodeableConcept The type of study that produced this evidence --></studyType>
 <statistic>  <!-- 0..* Values and parameters for a single statistic -->
  <description value="[string]"/><!-- 0..1 Description of content -->
  <note><!-- 0..* Annotation Footnotes and/or explanatory notes --></note>
  <statisticType><!-- 0..1 CodeableConcept Type of statistic, eg relative risk --></statisticType>
  <category><!-- 0..1 CodeableConcept Associated category for categorical variable --></category>
  <quantity><!-- 0..1 Quantity Statistic value --></quantity>
  <numberOfEvents value="[unsignedInt]"/><!-- 0..1 The number of events associated with the statistic -->
  <numberAffected value="[unsignedInt]"/><!-- 0..1 The number of participants affected -->
  <sampleSize>  <!-- 0..1 Number of samples in the statistic -->
   <description value="[string]"/><!-- 0..1 Textual description of sample size for statistic -->
   <note><!-- 0..* Annotation Footnote or explanatory note about the sample size --></note>
   <numberOfStudies value="[unsignedInt]"/><!-- 0..1 Number of contributing studies -->
   <numberOfParticipants value="[unsignedInt]"/><!-- 0..1 Cumulative number of participants -->
   <knownDataCount value="[unsignedInt]"/><!-- 0..1 Number of participants with known results for measured variables -->
  </sampleSize>
  <attributeEstimate>  <!-- 0..* An attribute of the Statistic -->
   <description value="[string]"/><!-- 0..1 Textual description of the attribute estimate -->
   <note><!-- 0..* Annotation Footnote or explanatory note about the estimate --></note>
   <type><!-- 0..1 CodeableConcept The type of attribute estimate, eg confidence interval or p value --></type>
   <quantity><!-- 0..1 Quantity The singular quantity of the attribute estimate, for attribute estimates represented as single values; also used to report unit of measure --></quantity>
   <level value="[decimal]"/><!-- 0..1 Level of confidence interval, eg 0.95 for 95% confidence interval -->
   <range><!-- 0..1 Range Lower and upper bound values of the attribute estimate --></range>
   <attributeEstimate><!-- 0..* Content as for Evidence.statistic.attributeEstimate A nested attribute estimate; which is the attribute estimate of an attribute estimate --></attributeEstimate>
  </attributeEstimate>
  <modelCharacteristic>  <!-- 0..* An aspect of the statistical model -->
   <code><!-- 1..1 CodeableConcept Model specification --></code>
   <value><!-- 0..1 Quantity(SimpleQuantity) Numerical value to complete model specification --></value>
   <variable>  <!-- 0..* A variable adjusted for in the adjusted analysis -->
    <variableDefinition><!-- 1..1 Reference(EvidenceVariable|Group) Description of the variable --></variableDefinition>
    <handling value="[code]"/><!-- 0..1 continuous | dichotomous | ordinal | polychotomous -->
    <valueCategory><!-- 0..* CodeableConcept Description for grouping of ordinal or polychotomous variables --></valueCategory>
    <valueQuantity><!-- 0..* Quantity Discrete value for grouping of ordinal or polychotomous variables --></valueQuantity>
    <valueRange><!-- 0..* Range Range of values for grouping of ordinal or polychotomous variables --></valueRange>
   </variable>
   <attributeEstimate><!-- 0..* Content as for Evidence.statistic.attributeEstimate An attribute of the statistic used as a model characteristic --></attributeEstimate>
  </modelCharacteristic>
 </statistic>
 <certainty>  <!-- 0..* Certainty or quality of the evidence -->
  <description value="[string]"/><!-- 0..1 Textual description of certainty -->
  <note><!-- 0..* Annotation Footnotes and/or explanatory notes --></note>
  <type><!-- 0..1 CodeableConcept Aspect of certainty being rated --></type>
  <rating><!-- 0..1 CodeableConcept Assessment or judgement of the aspect --></rating>
  <rater value="[string]"/><!-- 0..1 Individual or group who did the rating -->
  <subcomponent><!-- 0..* Content as for Evidence.certainty A domain or subdomain of certainty --></subcomponent>
 </certainty>
</Evidence>

JSON Template

{doco
  "resourceType" : "Evidence",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "url" : "<uri>", // Canonical identifier for this evidence, represented as a globally unique URI
  "identifier" : [{ Identifier }], // Additional identifier for the summary
  "version" : "<string>", // Business version of this summary
  "title" : "<string>", // Name for this summary (human friendly)
  // citeAs[x]: Citation for this evidence. One of these 2:
  "citeAsReference" : { Reference(Citation) },
  "citeAsMarkdown" : "<markdown>",
  "status" : "<code>", // R!  draft | active | retired | unknown
  "date" : "<dateTime>", // Date last changed
  "useContext" : [{ UsageContext }], // The context that the content is intended to support
  "approvalDate" : "<date>", // When the summary was approved by publisher
  "lastReviewDate" : "<date>", // When the summary was last reviewed
  "publisher" : "<string>", // Name of the publisher (organization or individual)
  "contact" : [{ ContactDetail }], // Contact details for the publisher
  "author" : [{ ContactDetail }], // Who authored the content
  "editor" : [{ ContactDetail }], // Who edited the content
  "reviewer" : [{ ContactDetail }], // Who reviewed the content
  "endorser" : [{ ContactDetail }], // Who endorsed the content
  "relatedArtifact" : [{ RelatedArtifact }], // Link or citation to artifact associated with the summary
  "description" : "<markdown>", // Description of the particular summary
  "assertion" : "<markdown>", // Declarative description of the Evidence
  "note" : [{ Annotation }], // Footnotes and/or explanatory notes
  "variableDefinition" : [{ // R!  Evidence variable such as population, exposure, or outcome
    "description" : "<markdown>", // A text description or summary of the variable
    "note" : [{ Annotation }], // Footnotes and/or explanatory notes
    "variableRole" : { CodeableConcept }, // R!  population | subpopulation | exposure | referenceExposure | measuredVariable | confounder
    "observed" : { Reference(EvidenceVariable|Group) }, // Definition of the actual variable related to the statistic(s)
    "intended" : { Reference(EvidenceVariable|Group) }, // Definition of the intended variable related to the Evidence
    "directnessMatch" : { CodeableConcept } // low | moderate | high | exact
  }],
  "synthesisType" : { CodeableConcept }, // The method to combine studies
  "studyType" : { CodeableConcept }, // The type of study that produced this evidence
  "statistic" : [{ // Values and parameters for a single statistic
    "description" : "<string>", // Description of content
    "note" : [{ Annotation }], // Footnotes and/or explanatory notes
    "statisticType" : { CodeableConcept }, // Type of statistic, eg relative risk
    "category" : { CodeableConcept }, // Associated category for categorical variable
    "quantity" : { Quantity }, // Statistic value
    "numberOfEvents" : "<unsignedInt>", // The number of events associated with the statistic
    "numberAffected" : "<unsignedInt>", // The number of participants affected
    "sampleSize" : { // Number of samples in the statistic
      "description" : "<string>", // Textual description of sample size for statistic
      "note" : [{ Annotation }], // Footnote or explanatory note about the sample size
      "numberOfStudies" : "<unsignedInt>", // Number of contributing studies
      "numberOfParticipants" : "<unsignedInt>", // Cumulative number of participants
      "knownDataCount" : "<unsignedInt>" // Number of participants with known results for measured variables
    },
    "attributeEstimate" : [{ // An attribute of the Statistic
      "description" : "<string>", // Textual description of the attribute estimate
      "note" : [{ Annotation }], // Footnote or explanatory note about the estimate
      "type" : { CodeableConcept }, // The type of attribute estimate, eg confidence interval or p value
      "quantity" : { Quantity }, // The singular quantity of the attribute estimate, for attribute estimates represented as single values; also used to report unit of measure
      "level" : <decimal>, // Level of confidence interval, eg 0.95 for 95% confidence interval
      "range" : { Range }, // Lower and upper bound values of the attribute estimate
      "attributeEstimate" : [{ Content as for Evidence.statistic.attributeEstimate }] // A nested attribute estimate; which is the attribute estimate of an attribute estimate
    }],
    "modelCharacteristic" : [{ // An aspect of the statistical model
      "code" : { CodeableConcept }, // R!  Model specification
      "value" : { Quantity(SimpleQuantity) }, // Numerical value to complete model specification
      "variable" : [{ // A variable adjusted for in the adjusted analysis
        "variableDefinition" : { Reference(EvidenceVariable|Group) }, // R!  Description of the variable
        "handling" : "<code>", // continuous | dichotomous | ordinal | polychotomous
        "valueCategory" : [{ CodeableConcept }], // Description for grouping of ordinal or polychotomous variables
        "valueQuantity" : [{ Quantity }], // Discrete value for grouping of ordinal or polychotomous variables
        "valueRange" : [{ Range }] // Range of values for grouping of ordinal or polychotomous variables
      }],
      "attributeEstimate" : [{ Content as for Evidence.statistic.attributeEstimate }] // An attribute of the statistic used as a model characteristic
    }]
  }],
  "certainty" : [{ // Certainty or quality of the evidence
    "description" : "<string>", // Textual description of certainty
    "note" : [{ Annotation }], // Footnotes and/or explanatory notes
    "type" : { CodeableConcept }, // Aspect of certainty being rated
    "rating" : { CodeableConcept }, // Assessment or judgement of the aspect
    "rater" : "<string>", // Individual or group who did the rating
    "subcomponent" : [{ Content as for Evidence.certainty }] // A domain or subdomain of certainty
  }]
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:Evidence;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:Evidence.url [ uri ]; # 0..1 Canonical identifier for this evidence, represented as a globally unique URI
  fhir:Evidence.identifier [ Identifier ], ... ; # 0..* Additional identifier for the summary
  fhir:Evidence.version [ string ]; # 0..1 Business version of this summary
  fhir:Evidence.title [ string ]; # 0..1 Name for this summary (human friendly)
  # Evidence.citeAs[x] : 0..1 Citation for this evidence. One of these 2
    fhir:Evidence.citeAsReference [ Reference(Citation) ]
    fhir:Evidence.citeAsMarkdown [ markdown ]
  fhir:Evidence.status [ code ]; # 1..1 draft | active | retired | unknown
  fhir:Evidence.date [ dateTime ]; # 0..1 Date last changed
  fhir:Evidence.useContext [ UsageContext ], ... ; # 0..* The context that the content is intended to support
  fhir:Evidence.approvalDate [ date ]; # 0..1 When the summary was approved by publisher
  fhir:Evidence.lastReviewDate [ date ]; # 0..1 When the summary was last reviewed
  fhir:Evidence.publisher [ string ]; # 0..1 Name of the publisher (organization or individual)
  fhir:Evidence.contact [ ContactDetail ], ... ; # 0..* Contact details for the publisher
  fhir:Evidence.author [ ContactDetail ], ... ; # 0..* Who authored the content
  fhir:Evidence.editor [ ContactDetail ], ... ; # 0..* Who edited the content
  fhir:Evidence.reviewer [ ContactDetail ], ... ; # 0..* Who reviewed the content
  fhir:Evidence.endorser [ ContactDetail ], ... ; # 0..* Who endorsed the content
  fhir:Evidence.relatedArtifact [ RelatedArtifact ], ... ; # 0..* Link or citation to artifact associated with the summary
  fhir:Evidence.description [ markdown ]; # 0..1 Description of the particular summary
  fhir:Evidence.assertion [ markdown ]; # 0..1 Declarative description of the Evidence
  fhir:Evidence.note [ Annotation ], ... ; # 0..* Footnotes and/or explanatory notes
  fhir:Evidence.variableDefinition [ # 1..* Evidence variable such as population, exposure, or outcome
    fhir:Evidence.variableDefinition.description [ markdown ]; # 0..1 A text description or summary of the variable
    fhir:Evidence.variableDefinition.note [ Annotation ], ... ; # 0..* Footnotes and/or explanatory notes
    fhir:Evidence.variableDefinition.variableRole [ CodeableConcept ]; # 1..1 population | subpopulation | exposure | referenceExposure | measuredVariable | confounder
    fhir:Evidence.variableDefinition.observed [ Reference(EvidenceVariable|Group) ]; # 0..1 Definition of the actual variable related to the statistic(s)
    fhir:Evidence.variableDefinition.intended [ Reference(EvidenceVariable|Group) ]; # 0..1 Definition of the intended variable related to the Evidence
    fhir:Evidence.variableDefinition.directnessMatch [ CodeableConcept ]; # 0..1 low | moderate | high | exact
  ], ...;
  fhir:Evidence.synthesisType [ CodeableConcept ]; # 0..1 The method to combine studies
  fhir:Evidence.studyType [ CodeableConcept ]; # 0..1 The type of study that produced this evidence
  fhir:Evidence.statistic [ # 0..* Values and parameters for a single statistic
    fhir:Evidence.statistic.description [ string ]; # 0..1 Description of content
    fhir:Evidence.statistic.note [ Annotation ], ... ; # 0..* Footnotes and/or explanatory notes
    fhir:Evidence.statistic.statisticType [ CodeableConcept ]; # 0..1 Type of statistic, eg relative risk
    fhir:Evidence.statistic.category [ CodeableConcept ]; # 0..1 Associated category for categorical variable
    fhir:Evidence.statistic.quantity [ Quantity ]; # 0..1 Statistic value
    fhir:Evidence.statistic.numberOfEvents [ unsignedInt ]; # 0..1 The number of events associated with the statistic
    fhir:Evidence.statistic.numberAffected [ unsignedInt ]; # 0..1 The number of participants affected
    fhir:Evidence.statistic.sampleSize [ # 0..1 Number of samples in the statistic
      fhir:Evidence.statistic.sampleSize.description [ string ]; # 0..1 Textual description of sample size for statistic
      fhir:Evidence.statistic.sampleSize.note [ Annotation ], ... ; # 0..* Footnote or explanatory note about the sample size
      fhir:Evidence.statistic.sampleSize.numberOfStudies [ unsignedInt ]; # 0..1 Number of contributing studies
      fhir:Evidence.statistic.sampleSize.numberOfParticipants [ unsignedInt ]; # 0..1 Cumulative number of participants
      fhir:Evidence.statistic.sampleSize.knownDataCount [ unsignedInt ]; # 0..1 Number of participants with known results for measured variables
    ];
    fhir:Evidence.statistic.attributeEstimate [ # 0..* An attribute of the Statistic
      fhir:Evidence.statistic.attributeEstimate.description [ string ]; # 0..1 Textual description of the attribute estimate
      fhir:Evidence.statistic.attributeEstimate.note [ Annotation ], ... ; # 0..* Footnote or explanatory note about the estimate
      fhir:Evidence.statistic.attributeEstimate.type [ CodeableConcept ]; # 0..1 The type of attribute estimate, eg confidence interval or p value
      fhir:Evidence.statistic.attributeEstimate.quantity [ Quantity ]; # 0..1 The singular quantity of the attribute estimate, for attribute estimates represented as single values; also used to report unit of measure
      fhir:Evidence.statistic.attributeEstimate.level [ decimal ]; # 0..1 Level of confidence interval, eg 0.95 for 95% confidence interval
      fhir:Evidence.statistic.attributeEstimate.range [ Range ]; # 0..1 Lower and upper bound values of the attribute estimate
      fhir:Evidence.statistic.attributeEstimate.attributeEstimate [ See Evidence.statistic.attributeEstimate ], ... ; # 0..* A nested attribute estimate; which is the attribute estimate of an attribute estimate
    ], ...;
    fhir:Evidence.statistic.modelCharacteristic [ # 0..* An aspect of the statistical model
      fhir:Evidence.statistic.modelCharacteristic.code [ CodeableConcept ]; # 1..1 Model specification
      fhir:Evidence.statistic.modelCharacteristic.value [ Quantity(SimpleQuantity) ]; # 0..1 Numerical value to complete model specification
      fhir:Evidence.statistic.modelCharacteristic.variable [ # 0..* A variable adjusted for in the adjusted analysis
        fhir:Evidence.statistic.modelCharacteristic.variable.variableDefinition [ Reference(EvidenceVariable|Group) ]; # 1..1 Description of the variable
        fhir:Evidence.statistic.modelCharacteristic.variable.handling [ code ]; # 0..1 continuous | dichotomous | ordinal | polychotomous
        fhir:Evidence.statistic.modelCharacteristic.variable.valueCategory [ CodeableConcept ], ... ; # 0..* Description for grouping of ordinal or polychotomous variables
        fhir:Evidence.statistic.modelCharacteristic.variable.valueQuantity [ Quantity ], ... ; # 0..* Discrete value for grouping of ordinal or polychotomous variables
        fhir:Evidence.statistic.modelCharacteristic.variable.valueRange [ Range ], ... ; # 0..* Range of values for grouping of ordinal or polychotomous variables
      ], ...;
      fhir:Evidence.statistic.modelCharacteristic.attributeEstimate [ See Evidence.statistic.attributeEstimate ], ... ; # 0..* An attribute of the statistic used as a model characteristic
    ], ...;
  ], ...;
  fhir:Evidence.certainty [ # 0..* Certainty or quality of the evidence
    fhir:Evidence.certainty.description [ string ]; # 0..1 Textual description of certainty
    fhir:Evidence.certainty.note [ Annotation ], ... ; # 0..* Footnotes and/or explanatory notes
    fhir:Evidence.certainty.type [ CodeableConcept ]; # 0..1 Aspect of certainty being rated
    fhir:Evidence.certainty.rating [ CodeableConcept ]; # 0..1 Assessment or judgement of the aspect
    fhir:Evidence.certainty.rater [ string ]; # 0..1 Individual or group who did the rating
    fhir:Evidence.certainty.subcomponent [ See Evidence.certainty ], ... ; # 0..* A domain or subdomain of certainty
  ], ...;
]

Changes since R4

Evidence
Evidence.citeAs[x]
  • Added Element
Evidence.assertion
  • Added Element
Evidence.variableDefinition
  • Added Mandatory Element
Evidence.variableDefinition.description
  • Added Element
Evidence.variableDefinition.note
  • Added Element
Evidence.variableDefinition.variableRole
  • Added Mandatory Element
Evidence.variableDefinition.observed
  • Added Element
Evidence.variableDefinition.intended
  • Added Element
Evidence.variableDefinition.directnessMatch
  • Added Element
Evidence.synthesisType
  • Added Element
Evidence.studyType
  • Added Element
Evidence.statistic
  • Added Element
Evidence.statistic.description
  • Added Element
Evidence.statistic.note
  • Added Element
Evidence.statistic.statisticType
  • Added Element
Evidence.statistic.category
  • Added Element
Evidence.statistic.quantity
  • Added Element
Evidence.statistic.numberOfEvents
  • Added Element
Evidence.statistic.numberAffected
  • Added Element
Evidence.statistic.sampleSize
  • Added Element
Evidence.statistic.sampleSize.description
  • Added Element
Evidence.statistic.sampleSize.note
  • Added Element
Evidence.statistic.sampleSize.numberOfStudies
  • Added Element
Evidence.statistic.sampleSize.numberOfParticipants
  • Added Element
Evidence.statistic.sampleSize.knownDataCount
  • Added Element
Evidence.statistic.attributeEstimate
  • Added Element
Evidence.statistic.attributeEstimate.description
  • Added Element
Evidence.statistic.attributeEstimate.note
  • Added Element
Evidence.statistic.attributeEstimate.type
  • Added Element
Evidence.statistic.attributeEstimate.quantity
  • Added Element
Evidence.statistic.attributeEstimate.level
  • Added Element
Evidence.statistic.attributeEstimate.range
  • Added Element
Evidence.statistic.attributeEstimate.attributeEstimate
  • Added Element
Evidence.statistic.modelCharacteristic
  • Added Element
Evidence.statistic.modelCharacteristic.code
  • Added Mandatory Element
Evidence.statistic.modelCharacteristic.value
  • Added Element
Evidence.statistic.modelCharacteristic.variable
  • Added Element
Evidence.statistic.modelCharacteristic.variable.variableDefinition
  • Added Mandatory Element
Evidence.statistic.modelCharacteristic.variable.handling
  • Added Element
Evidence.statistic.modelCharacteristic.variable.valueCategory
  • Added Element
Evidence.statistic.modelCharacteristic.variable.valueQuantity
  • Added Element
Evidence.statistic.modelCharacteristic.variable.valueRange
  • Added Element
Evidence.statistic.modelCharacteristic.attributeEstimate
  • Added Element
Evidence.certainty
  • Added Element
Evidence.certainty.description
  • Added Element
Evidence.certainty.note
  • Added Element
Evidence.certainty.type
  • Added Element
Evidence.certainty.rating
  • Added Element
Evidence.certainty.rater
  • Added Element
Evidence.certainty.subcomponent
  • Added Element
Evidence.name
  • deleted
Evidence.shortTitle
  • deleted
Evidence.subtitle
  • deleted
Evidence.jurisdiction
  • deleted
Evidence.copyright
  • deleted
Evidence.effectivePeriod
  • deleted
Evidence.topic
  • deleted
Evidence.exposureBackground
  • deleted
Evidence.exposureVariant
  • deleted
Evidence.outcome
  • deleted

See the Full Difference for further information

This analysis is available as XML or JSON.

Conversions between R3 and R4

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Evidence TUDomainResourceSingle evidence bit
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... url Σ0..1uriCanonical identifier for this evidence, represented as a globally unique URI
... identifier Σ0..*IdentifierAdditional identifier for the summary
... version Σ0..1stringBusiness version of this summary
... citeAs[x] 0..1Citation for this evidence
.... citeAsReferenceReference(Citation)
.... citeAsMarkdownmarkdown
... status ?!Σ1..1codedraft | active | retired | unknown
PublicationStatus (Required)
... date Σ0..1dateTimeDate last changed
... useContext Σ0..*UsageContextThe context that the content is intended to support
... approvalDate 0..1dateWhen the summary was approved by publisher
... lastReviewDate 0..1dateWhen the summary was last reviewed
... publisher Σ0..1stringName of the publisher (organization or individual)
... contact Σ0..*ContactDetailContact details for the publisher
... author Σ0..*ContactDetailWho authored the content
... editor 0..*ContactDetailWho edited the content
... reviewer 0..*ContactDetailWho reviewed the content
... endorser Σ0..*ContactDetailWho endorsed the content
... relatedArtifact 0..*RelatedArtifactLink or citation to artifact associated with the summary
... description 0..1markdownDescription of the particular summary
... assertion 0..1markdownDeclarative description of the Evidence
... note 0..*AnnotationFootnotes and/or explanatory notes
... variableDefinition 1..*BackboneElementEvidence variable such as population, exposure, or outcome
.... description 0..1markdownA text description or summary of the variable
.... note 0..*AnnotationFootnotes and/or explanatory notes
.... variableRole Σ1..1CodeableConceptpopulation | subpopulation | exposure | referenceExposure | measuredVariable | confounder
EvidenceVariableRole (Extensible)
.... observed Σ0..1Reference(Group | EvidenceVariable)Definition of the actual variable related to the statistic(s)
.... intended 0..1Reference(Group | EvidenceVariable)Definition of the intended variable related to the Evidence
.... directnessMatch 0..1CodeableConceptlow | moderate | high | exact
EvidenceDirectness (Extensible)
... synthesisType 0..1CodeableConceptThe method to combine studies
SynthesisType (Extensible)
... studyType 0..1CodeableConceptThe type of study that produced this evidence
StudyType (Extensible)
... statistic 0..*BackboneElementValues and parameters for a single statistic
.... description 0..1stringDescription of content
.... note 0..*AnnotationFootnotes and/or explanatory notes
.... statisticType 0..1CodeableConceptType of statistic, eg relative risk
StatisticType (Extensible)
.... category 0..1CodeableConceptAssociated category for categorical variable
.... quantity 0..1QuantityStatistic value
.... numberOfEvents 0..1unsignedIntThe number of events associated with the statistic
.... numberAffected 0..1unsignedIntThe number of participants affected
.... sampleSize 0..1BackboneElementNumber of samples in the statistic
..... description 0..1stringTextual description of sample size for statistic
..... note 0..*AnnotationFootnote or explanatory note about the sample size
..... numberOfStudies 0..1unsignedIntNumber of contributing studies
..... numberOfParticipants 0..1unsignedIntCumulative number of participants
..... knownDataCount 0..1unsignedIntNumber of participants with known results for measured variables
.... attributeEstimate 0..*BackboneElementAn attribute of the Statistic
..... description 0..1stringTextual description of the attribute estimate
..... note 0..*AnnotationFootnote or explanatory note about the estimate
..... type 0..1CodeableConceptThe type of attribute estimate, eg confidence interval or p value
AttributeEstimateType (Extensible)
..... quantity 0..1QuantityThe singular quantity of the attribute estimate, for attribute estimates represented as single values; also used to report unit of measure
..... level 0..1decimalLevel of confidence interval, eg 0.95 for 95% confidence interval
..... range 0..1RangeLower and upper bound values of the attribute estimate
..... attributeEstimate 0..*see attributeEstimateA nested attribute estimate; which is the attribute estimate of an attribute estimate
.... modelCharacteristic 0..*BackboneElementAn aspect of the statistical model
..... code 1..1CodeableConceptModel specification
StatisticModelCode (Extensible)
..... value 0..1SimpleQuantityNumerical value to complete model specification
..... variable 0..*BackboneElementA variable adjusted for in the adjusted analysis
...... variableDefinition 1..1Reference(Group | EvidenceVariable)Description of the variable
...... handling 0..1codecontinuous | dichotomous | ordinal | polychotomous
EvidenceVariableHandling (Required)
...... valueCategory 0..*CodeableConceptDescription for grouping of ordinal or polychotomous variables
...... valueQuantity 0..*QuantityDiscrete value for grouping of ordinal or polychotomous variables
...... valueRange 0..*RangeRange of values for grouping of ordinal or polychotomous variables
..... attributeEstimate 0..*see attributeEstimateAn attribute of the statistic used as a model characteristic
... certainty 0..*BackboneElementCertainty or quality of the evidence
.... description 0..1stringTextual description of certainty
.... note 0..*AnnotationFootnotes and/or explanatory notes
.... type 0..1CodeableConceptAspect of certainty being rated
EvidenceCertaintyType (Extensible)
.... rating 0..1CodeableConceptAssessment or judgement of the aspect
EvidenceCertaintyRating (Extensible)
.... rater 0..1stringIndividual or group who did the rating
.... subcomponent 0..*see certaintyA domain or subdomain of certainty

doco Documentation for this format

UML Diagram (Legend)

Evidence (DomainResource)An absolute URI that is used to identify this evidence when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which 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 serversurl : uri [0..1]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 instanceidentifier : Identifier [0..*]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 sequenceversion : string [0..1]A short, descriptive, user-friendly title for the summarytitle : string [0..1]Citation Resource or display of suggested citation for this evidenceciteAs[x] : Element [0..1] « Reference(Citation)|markdown »The status of this summary. Enables tracking the life-cycle of the content (this element modifies the meaning of other elements)status : code [1..1] « null (Strength=Required)PublicationStatus! »The date (and optionally time) when the summary 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 summary changesdate : dateTime [0..1]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 instancesuseContext : UsageContext [0..*]The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usageapprovalDate : date [0..1]The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval datelastReviewDate : date [0..1]The name of the organization or individual that published the evidencepublisher : string [0..1]Contact details to assist a user in finding and communicating with the publishercontact : ContactDetail [0..*]An individiual, organization, or device primarily involved in the creation and maintenance of the contentauthor : ContactDetail [0..*]An individiual, organization, or device primarily responsible for internal coherence of the contenteditor : ContactDetail [0..*]An individiual, organization, or device primarily responsible for review of some aspect of the contentreviewer : ContactDetail [0..*]An individiual, organization, or device responsible for officially endorsing the content for use in some settingendorser : ContactDetail [0..*]Link or citation to artifact associated with the summaryrelatedArtifact : RelatedArtifact [0..*]A free text natural language description of the evidence from a consumer's perspectivedescription : markdown [0..1]Declarative description of the Evidenceassertion : markdown [0..1]Footnotes and/or explanatory notesnote : Annotation [0..*]The method to combine studiessynthesisType : CodeableConcept [0..1] « null (Strength=Extensible)SynthesisType+ »The type of study that produced this evidencestudyType : CodeableConcept [0..1] « null (Strength=Extensible)StudyType+ »VariableDefinitionA text description or summary of the variabledescription : markdown [0..1]Footnotes and/or explanatory notesnote : Annotation [0..*]population | subpopulation | exposure | referenceExposure | measuredVariable | confoundervariableRole : CodeableConcept [1..1] « null (Strength=Extensible)EvidenceVariableRole+ »Definition of the actual variable related to the statistic(s)observed : Reference [0..1] « Group|EvidenceVariable »Definition of the intended variable related to the Evidenceintended : Reference [0..1] « Group|EvidenceVariable »Indication of quality of match between intended variable to actual variabledirectnessMatch : CodeableConcept [0..1] « null (Strength=Extensible)EvidenceDirectness+ »StatisticA description of the content value of the statisticdescription : string [0..1]Footnotes and/or explanatory notesnote : Annotation [0..*]Type of statistic, eg relative riskstatisticType : CodeableConcept [0..1] « null (Strength=Extensible)StatisticType+ »When the measured variable is handled categorically, the category element is used to define which category the statistic is reportingcategory : CodeableConcept [0..1]Statistic valuequantity : Quantity [0..1]The number of events associated with the statistic, where the unit of analysis is different from numberAffected, sampleSize.knownDataCount and sampleSize.numberOfParticipantsnumberOfEvents : unsignedInt [0..1]The number of participants affected where the unit of analysis is the same as sampleSize.knownDataCount and sampleSize.numberOfParticipantsnumberAffected : unsignedInt [0..1]SampleSizeHuman-readable summary of population sample sizedescription : string [0..1]Footnote or explanatory note about the sample sizenote : Annotation [0..*]Number of participants in the populationnumberOfStudies : unsignedInt [0..1]A human-readable string to clarify or explain concepts about the sample sizenumberOfParticipants : unsignedInt [0..1]Number of participants with known results for measured variablesknownDataCount : unsignedInt [0..1]AttributeEstimateHuman-readable summary of the estimatedescription : string [0..1]Footnote or explanatory note about the estimatenote : Annotation [0..*]The type of attribute estimate, eg confidence interval or p valuetype : CodeableConcept [0..1] « null (Strength=Extensible)AttributeEstimateType+ »The singular quantity of the attribute estimate, for attribute estimates represented as single values; also used to report unit of measurequantity : Quantity [0..1]Use 95 for a 95% confidence intervallevel : decimal [0..1]Lower bound of confidence intervalrange : Range [0..1]ModelCharacteristicDescription of a component of the method to generate the statisticcode : CodeableConcept [1..1] « null (Strength=Extensible)StatisticModelCode+ »Further specification of the quantified value of the component of the method to generate the statisticvalue : Quantity(SimpleQuantity) [0..1]VariableDescription of the variablevariableDefinition : Reference [1..1] « Group|EvidenceVariable »How the variable is classified for use in adjusted analysishandling : code [0..1] « null (Strength=Required)EvidenceVariableHandling! »Description for grouping of ordinal or polychotomous variablesvalueCategory : CodeableConcept [0..*]Discrete value for grouping of ordinal or polychotomous variablesvalueQuantity : Quantity [0..*]Range of values for grouping of ordinal or polychotomous variablesvalueRange : Range [0..*]CertaintyTextual description of certaintydescription : string [0..1]Footnotes and/or explanatory notesnote : Annotation [0..*]Aspect of certainty being ratedtype : CodeableConcept [0..1] « null (Strength=Extensible)EvidenceCertaintyType+ »Assessment or judgement of the aspectrating : CodeableConcept [0..1] « null (Strength=Extensible)EvidenceCertaintyRating+ »Individual or group who did the ratingrater : string [0..1]Evidence variable such as population, exposure, or outcomevariableDefinition[1..*]Number of samples in the statisticsampleSize[0..1]A nested attribute estimate; which is the attribute estimate of an attribute estimateattributeEstimate[0..*]A statistical attribute of the statistic such as a measure of heterogeneityattributeEstimate[0..*]A variable adjusted for in the adjusted analysisvariable[0..*]An attribute of the statistic used as a model characteristicattributeEstimate[0..*]A component of the method to generate the statisticmodelCharacteristic[0..*]Values and parameters for a single statisticstatistic[0..*]A domain or subdomain of certaintysubcomponent[0..*]Assessment of certainty, confidence in the estimates, or quality of the evidencecertainty[0..*]

XML Template

<Evidence xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <url value="[uri]"/><!-- 0..1 Canonical identifier for this evidence, represented as a globally unique URI -->
 <identifier><!-- 0..* Identifier Additional identifier for the summary --></identifier>
 <version value="[string]"/><!-- 0..1 Business version of this summary -->
 <title value="[string]"/><!-- 0..1 Name for this summary (human friendly) -->
 <citeAs[x]><!-- 0..1 Reference(Citation)|markdown Citation for this evidence --></citeAs[x]>
 <status value="[code]"/><!-- 1..1 draft | active | retired | unknown -->
 <date value="[dateTime]"/><!-- 0..1 Date last changed -->
 <useContext><!-- 0..* UsageContext The context that the content is intended to support --></useContext>
 <approvalDate value="[date]"/><!-- 0..1 When the summary was approved by publisher -->
 <lastReviewDate value="[date]"/><!-- 0..1 When the summary was last reviewed -->
 <publisher value="[string]"/><!-- 0..1 Name of the publisher (organization or individual) -->
 <contact><!-- 0..* ContactDetail Contact details for the publisher --></contact>
 <author><!-- 0..* ContactDetail Who authored the content --></author>
 <editor><!-- 0..* ContactDetail Who edited the content --></editor>
 <reviewer><!-- 0..* ContactDetail Who reviewed the content --></reviewer>
 <endorser><!-- 0..* ContactDetail Who endorsed the content --></endorser>
 <relatedArtifact><!-- 0..* RelatedArtifact Link or citation to artifact associated with the summary --></relatedArtifact>
 <description value="[markdown]"/><!-- 0..1 Description of the particular summary -->
 <assertion value="[markdown]"/><!-- 0..1 Declarative description of the Evidence -->
 <note><!-- 0..* Annotation Footnotes and/or explanatory notes --></note>
 <variableDefinition>  <!-- 1..* Evidence variable such as population, exposure, or outcome -->
  <description value="[markdown]"/><!-- 0..1 A text description or summary of the variable -->
  <note><!-- 0..* Annotation Footnotes and/or explanatory notes --></note>
  <variableRole><!-- 1..1 CodeableConcept population | subpopulation | exposure | referenceExposure | measuredVariable | confounder --></variableRole>
  <observed><!-- 0..1 Reference(EvidenceVariable|Group) Definition of the actual variable related to the statistic(s) --></observed>
  <intended><!-- 0..1 Reference(EvidenceVariable|Group) Definition of the intended variable related to the Evidence --></intended>
  <directnessMatch><!-- 0..1 CodeableConcept low | moderate | high | exact --></directnessMatch>
 </variableDefinition>
 <synthesisType><!-- 0..1 CodeableConcept The method to combine studies --></synthesisType>
 <studyType><!-- 0..1 CodeableConcept The type of study that produced this evidence --></studyType>
 <statistic>  <!-- 0..* Values and parameters for a single statistic -->
  <description value="[string]"/><!-- 0..1 Description of content -->
  <note><!-- 0..* Annotation Footnotes and/or explanatory notes --></note>
  <statisticType><!-- 0..1 CodeableConcept Type of statistic, eg relative risk --></statisticType>
  <category><!-- 0..1 CodeableConcept Associated category for categorical variable --></category>
  <quantity><!-- 0..1 Quantity Statistic value --></quantity>
  <numberOfEvents value="[unsignedInt]"/><!-- 0..1 The number of events associated with the statistic -->
  <numberAffected value="[unsignedInt]"/><!-- 0..1 The number of participants affected -->
  <sampleSize>  <!-- 0..1 Number of samples in the statistic -->
   <description value="[string]"/><!-- 0..1 Textual description of sample size for statistic -->
   <note><!-- 0..* Annotation Footnote or explanatory note about the sample size --></note>
   <numberOfStudies value="[unsignedInt]"/><!-- 0..1 Number of contributing studies -->
   <numberOfParticipants value="[unsignedInt]"/><!-- 0..1 Cumulative number of participants -->
   <knownDataCount value="[unsignedInt]"/><!-- 0..1 Number of participants with known results for measured variables -->
  </sampleSize>
  <attributeEstimate>  <!-- 0..* An attribute of the Statistic -->
   <description value="[string]"/><!-- 0..1 Textual description of the attribute estimate -->
   <note><!-- 0..* Annotation Footnote or explanatory note about the estimate --></note>
   <type><!-- 0..1 CodeableConcept The type of attribute estimate, eg confidence interval or p value --></type>
   <quantity><!-- 0..1 Quantity The singular quantity of the attribute estimate, for attribute estimates represented as single values; also used to report unit of measure --></quantity>
   <level value="[decimal]"/><!-- 0..1 Level of confidence interval, eg 0.95 for 95% confidence interval -->
   <range><!-- 0..1 Range Lower and upper bound values of the attribute estimate --></range>
   <attributeEstimate><!-- 0..* Content as for Evidence.statistic.attributeEstimate A nested attribute estimate; which is the attribute estimate of an attribute estimate --></attributeEstimate>
  </attributeEstimate>
  <modelCharacteristic>  <!-- 0..* An aspect of the statistical model -->
   <code><!-- 1..1 CodeableConcept Model specification --></code>
   <value><!-- 0..1 Quantity(SimpleQuantity) Numerical value to complete model specification --></value>
   <variable>  <!-- 0..* A variable adjusted for in the adjusted analysis -->
    <variableDefinition><!-- 1..1 Reference(EvidenceVariable|Group) Description of the variable --></variableDefinition>
    <handling value="[code]"/><!-- 0..1 continuous | dichotomous | ordinal | polychotomous -->
    <valueCategory><!-- 0..* CodeableConcept Description for grouping of ordinal or polychotomous variables --></valueCategory>
    <valueQuantity><!-- 0..* Quantity Discrete value for grouping of ordinal or polychotomous variables --></valueQuantity>
    <valueRange><!-- 0..* Range Range of values for grouping of ordinal or polychotomous variables --></valueRange>
   </variable>
   <attributeEstimate><!-- 0..* Content as for Evidence.statistic.attributeEstimate An attribute of the statistic used as a model characteristic --></attributeEstimate>
  </modelCharacteristic>
 </statistic>
 <certainty>  <!-- 0..* Certainty or quality of the evidence -->
  <description value="[string]"/><!-- 0..1 Textual description of certainty -->
  <note><!-- 0..* Annotation Footnotes and/or explanatory notes --></note>
  <type><!-- 0..1 CodeableConcept Aspect of certainty being rated --></type>
  <rating><!-- 0..1 CodeableConcept Assessment or judgement of the aspect --></rating>
  <rater value="[string]"/><!-- 0..1 Individual or group who did the rating -->
  <subcomponent><!-- 0..* Content as for Evidence.certainty A domain or subdomain of certainty --></subcomponent>
 </certainty>
</Evidence>

JSON Template

{doco
  "resourceType" : "Evidence",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "url" : "<uri>", // Canonical identifier for this evidence, represented as a globally unique URI
  "identifier" : [{ Identifier }], // Additional identifier for the summary
  "version" : "<string>", // Business version of this summary
  "title" : "<string>", // Name for this summary (human friendly)
  // citeAs[x]: Citation for this evidence. One of these 2:
  "citeAsReference" : { Reference(Citation) },
  "citeAsMarkdown" : "<markdown>",
  "status" : "<code>", // R!  draft | active | retired | unknown
  "date" : "<dateTime>", // Date last changed
  "useContext" : [{ UsageContext }], // The context that the content is intended to support
  "approvalDate" : "<date>", // When the summary was approved by publisher
  "lastReviewDate" : "<date>", // When the summary was last reviewed
  "publisher" : "<string>", // Name of the publisher (organization or individual)
  "contact" : [{ ContactDetail }], // Contact details for the publisher
  "author" : [{ ContactDetail }], // Who authored the content
  "editor" : [{ ContactDetail }], // Who edited the content
  "reviewer" : [{ ContactDetail }], // Who reviewed the content
  "endorser" : [{ ContactDetail }], // Who endorsed the content
  "relatedArtifact" : [{ RelatedArtifact }], // Link or citation to artifact associated with the summary
  "description" : "<markdown>", // Description of the particular summary
  "assertion" : "<markdown>", // Declarative description of the Evidence
  "note" : [{ Annotation }], // Footnotes and/or explanatory notes
  "variableDefinition" : [{ // R!  Evidence variable such as population, exposure, or outcome
    "description" : "<markdown>", // A text description or summary of the variable
    "note" : [{ Annotation }], // Footnotes and/or explanatory notes
    "variableRole" : { CodeableConcept }, // R!  population | subpopulation | exposure | referenceExposure | measuredVariable | confounder
    "observed" : { Reference(EvidenceVariable|Group) }, // Definition of the actual variable related to the statistic(s)
    "intended" : { Reference(EvidenceVariable|Group) }, // Definition of the intended variable related to the Evidence
    "directnessMatch" : { CodeableConcept } // low | moderate | high | exact
  }],
  "synthesisType" : { CodeableConcept }, // The method to combine studies
  "studyType" : { CodeableConcept }, // The type of study that produced this evidence
  "statistic" : [{ // Values and parameters for a single statistic
    "description" : "<string>", // Description of content
    "note" : [{ Annotation }], // Footnotes and/or explanatory notes
    "statisticType" : { CodeableConcept }, // Type of statistic, eg relative risk
    "category" : { CodeableConcept }, // Associated category for categorical variable
    "quantity" : { Quantity }, // Statistic value
    "numberOfEvents" : "<unsignedInt>", // The number of events associated with the statistic
    "numberAffected" : "<unsignedInt>", // The number of participants affected
    "sampleSize" : { // Number of samples in the statistic
      "description" : "<string>", // Textual description of sample size for statistic
      "note" : [{ Annotation }], // Footnote or explanatory note about the sample size
      "numberOfStudies" : "<unsignedInt>", // Number of contributing studies
      "numberOfParticipants" : "<unsignedInt>", // Cumulative number of participants
      "knownDataCount" : "<unsignedInt>" // Number of participants with known results for measured variables
    },
    "attributeEstimate" : [{ // An attribute of the Statistic
      "description" : "<string>", // Textual description of the attribute estimate
      "note" : [{ Annotation }], // Footnote or explanatory note about the estimate
      "type" : { CodeableConcept }, // The type of attribute estimate, eg confidence interval or p value
      "quantity" : { Quantity }, // The singular quantity of the attribute estimate, for attribute estimates represented as single values; also used to report unit of measure
      "level" : <decimal>, // Level of confidence interval, eg 0.95 for 95% confidence interval
      "range" : { Range }, // Lower and upper bound values of the attribute estimate
      "attributeEstimate" : [{ Content as for Evidence.statistic.attributeEstimate }] // A nested attribute estimate; which is the attribute estimate of an attribute estimate
    }],
    "modelCharacteristic" : [{ // An aspect of the statistical model
      "code" : { CodeableConcept }, // R!  Model specification
      "value" : { Quantity(SimpleQuantity) }, // Numerical value to complete model specification
      "variable" : [{ // A variable adjusted for in the adjusted analysis
        "variableDefinition" : { Reference(EvidenceVariable|Group) }, // R!  Description of the variable
        "handling" : "<code>", // continuous | dichotomous | ordinal | polychotomous
        "valueCategory" : [{ CodeableConcept }], // Description for grouping of ordinal or polychotomous variables
        "valueQuantity" : [{ Quantity }], // Discrete value for grouping of ordinal or polychotomous variables
        "valueRange" : [{ Range }] // Range of values for grouping of ordinal or polychotomous variables
      }],
      "attributeEstimate" : [{ Content as for Evidence.statistic.attributeEstimate }] // An attribute of the statistic used as a model characteristic
    }]
  }],
  "certainty" : [{ // Certainty or quality of the evidence
    "description" : "<string>", // Textual description of certainty
    "note" : [{ Annotation }], // Footnotes and/or explanatory notes
    "type" : { CodeableConcept }, // Aspect of certainty being rated
    "rating" : { CodeableConcept }, // Assessment or judgement of the aspect
    "rater" : "<string>", // Individual or group who did the rating
    "subcomponent" : [{ Content as for Evidence.certainty }] // A domain or subdomain of certainty
  }]
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:Evidence;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:Evidence.url [ uri ]; # 0..1 Canonical identifier for this evidence, represented as a globally unique URI
  fhir:Evidence.identifier [ Identifier ], ... ; # 0..* Additional identifier for the summary
  fhir:Evidence.version [ string ]; # 0..1 Business version of this summary
  fhir:Evidence.title [ string ]; # 0..1 Name for this summary (human friendly)
  # Evidence.citeAs[x] : 0..1 Citation for this evidence. One of these 2
    fhir:Evidence.citeAsReference [ Reference(Citation) ]
    fhir:Evidence.citeAsMarkdown [ markdown ]
  fhir:Evidence.status [ code ]; # 1..1 draft | active | retired | unknown
  fhir:Evidence.date [ dateTime ]; # 0..1 Date last changed
  fhir:Evidence.useContext [ UsageContext ], ... ; # 0..* The context that the content is intended to support
  fhir:Evidence.approvalDate [ date ]; # 0..1 When the summary was approved by publisher
  fhir:Evidence.lastReviewDate [ date ]; # 0..1 When the summary was last reviewed
  fhir:Evidence.publisher [ string ]; # 0..1 Name of the publisher (organization or individual)
  fhir:Evidence.contact [ ContactDetail ], ... ; # 0..* Contact details for the publisher
  fhir:Evidence.author [ ContactDetail ], ... ; # 0..* Who authored the content
  fhir:Evidence.editor [ ContactDetail ], ... ; # 0..* Who edited the content
  fhir:Evidence.reviewer [ ContactDetail ], ... ; # 0..* Who reviewed the content
  fhir:Evidence.endorser [ ContactDetail ], ... ; # 0..* Who endorsed the content
  fhir:Evidence.relatedArtifact [ RelatedArtifact ], ... ; # 0..* Link or citation to artifact associated with the summary
  fhir:Evidence.description [ markdown ]; # 0..1 Description of the particular summary
  fhir:Evidence.assertion [ markdown ]; # 0..1 Declarative description of the Evidence
  fhir:Evidence.note [ Annotation ], ... ; # 0..* Footnotes and/or explanatory notes
  fhir:Evidence.variableDefinition [ # 1..* Evidence variable such as population, exposure, or outcome
    fhir:Evidence.variableDefinition.description [ markdown ]; # 0..1 A text description or summary of the variable
    fhir:Evidence.variableDefinition.note [ Annotation ], ... ; # 0..* Footnotes and/or explanatory notes
    fhir:Evidence.variableDefinition.variableRole [ CodeableConcept ]; # 1..1 population | subpopulation | exposure | referenceExposure | measuredVariable | confounder
    fhir:Evidence.variableDefinition.observed [ Reference(EvidenceVariable|Group) ]; # 0..1 Definition of the actual variable related to the statistic(s)
    fhir:Evidence.variableDefinition.intended [ Reference(EvidenceVariable|Group) ]; # 0..1 Definition of the intended variable related to the Evidence
    fhir:Evidence.variableDefinition.directnessMatch [ CodeableConcept ]; # 0..1 low | moderate | high | exact
  ], ...;
  fhir:Evidence.synthesisType [ CodeableConcept ]; # 0..1 The method to combine studies
  fhir:Evidence.studyType [ CodeableConcept ]; # 0..1 The type of study that produced this evidence
  fhir:Evidence.statistic [ # 0..* Values and parameters for a single statistic
    fhir:Evidence.statistic.description [ string ]; # 0..1 Description of content
    fhir:Evidence.statistic.note [ Annotation ], ... ; # 0..* Footnotes and/or explanatory notes
    fhir:Evidence.statistic.statisticType [ CodeableConcept ]; # 0..1 Type of statistic, eg relative risk
    fhir:Evidence.statistic.category [ CodeableConcept ]; # 0..1 Associated category for categorical variable
    fhir:Evidence.statistic.quantity [ Quantity ]; # 0..1 Statistic value
    fhir:Evidence.statistic.numberOfEvents [ unsignedInt ]; # 0..1 The number of events associated with the statistic
    fhir:Evidence.statistic.numberAffected [ unsignedInt ]; # 0..1 The number of participants affected
    fhir:Evidence.statistic.sampleSize [ # 0..1 Number of samples in the statistic
      fhir:Evidence.statistic.sampleSize.description [ string ]; # 0..1 Textual description of sample size for statistic
      fhir:Evidence.statistic.sampleSize.note [ Annotation ], ... ; # 0..* Footnote or explanatory note about the sample size
      fhir:Evidence.statistic.sampleSize.numberOfStudies [ unsignedInt ]; # 0..1 Number of contributing studies
      fhir:Evidence.statistic.sampleSize.numberOfParticipants [ unsignedInt ]; # 0..1 Cumulative number of participants
      fhir:Evidence.statistic.sampleSize.knownDataCount [ unsignedInt ]; # 0..1 Number of participants with known results for measured variables
    ];
    fhir:Evidence.statistic.attributeEstimate [ # 0..* An attribute of the Statistic
      fhir:Evidence.statistic.attributeEstimate.description [ string ]; # 0..1 Textual description of the attribute estimate
      fhir:Evidence.statistic.attributeEstimate.note [ Annotation ], ... ; # 0..* Footnote or explanatory note about the estimate
      fhir:Evidence.statistic.attributeEstimate.type [ CodeableConcept ]; # 0..1 The type of attribute estimate, eg confidence interval or p value
      fhir:Evidence.statistic.attributeEstimate.quantity [ Quantity ]; # 0..1 The singular quantity of the attribute estimate, for attribute estimates represented as single values; also used to report unit of measure
      fhir:Evidence.statistic.attributeEstimate.level [ decimal ]; # 0..1 Level of confidence interval, eg 0.95 for 95% confidence interval
      fhir:Evidence.statistic.attributeEstimate.range [ Range ]; # 0..1 Lower and upper bound values of the attribute estimate
      fhir:Evidence.statistic.attributeEstimate.attributeEstimate [ See Evidence.statistic.attributeEstimate ], ... ; # 0..* A nested attribute estimate; which is the attribute estimate of an attribute estimate
    ], ...;
    fhir:Evidence.statistic.modelCharacteristic [ # 0..* An aspect of the statistical model
      fhir:Evidence.statistic.modelCharacteristic.code [ CodeableConcept ]; # 1..1 Model specification
      fhir:Evidence.statistic.modelCharacteristic.value [ Quantity(SimpleQuantity) ]; # 0..1 Numerical value to complete model specification
      fhir:Evidence.statistic.modelCharacteristic.variable [ # 0..* A variable adjusted for in the adjusted analysis
        fhir:Evidence.statistic.modelCharacteristic.variable.variableDefinition [ Reference(EvidenceVariable|Group) ]; # 1..1 Description of the variable
        fhir:Evidence.statistic.modelCharacteristic.variable.handling [ code ]; # 0..1 continuous | dichotomous | ordinal | polychotomous
        fhir:Evidence.statistic.modelCharacteristic.variable.valueCategory [ CodeableConcept ], ... ; # 0..* Description for grouping of ordinal or polychotomous variables
        fhir:Evidence.statistic.modelCharacteristic.variable.valueQuantity [ Quantity ], ... ; # 0..* Discrete value for grouping of ordinal or polychotomous variables
        fhir:Evidence.statistic.modelCharacteristic.variable.valueRange [ Range ], ... ; # 0..* Range of values for grouping of ordinal or polychotomous variables
      ], ...;
      fhir:Evidence.statistic.modelCharacteristic.attributeEstimate [ See Evidence.statistic.attributeEstimate ], ... ; # 0..* An attribute of the statistic used as a model characteristic
    ], ...;
  ], ...;
  fhir:Evidence.certainty [ # 0..* Certainty or quality of the evidence
    fhir:Evidence.certainty.description [ string ]; # 0..1 Textual description of certainty
    fhir:Evidence.certainty.note [ Annotation ], ... ; # 0..* Footnotes and/or explanatory notes
    fhir:Evidence.certainty.type [ CodeableConcept ]; # 0..1 Aspect of certainty being rated
    fhir:Evidence.certainty.rating [ CodeableConcept ]; # 0..1 Assessment or judgement of the aspect
    fhir:Evidence.certainty.rater [ string ]; # 0..1 Individual or group who did the rating
    fhir:Evidence.certainty.subcomponent [ See Evidence.certainty ], ... ; # 0..* A domain or subdomain of certainty
  ], ...;
]

Changes since Release 4

Evidence
Evidence.citeAs[x]
  • Added Element
Evidence.assertion
  • Added Element
Evidence.variableDefinition
  • Added Mandatory Element
Evidence.variableDefinition.description
  • Added Element
Evidence.variableDefinition.note
  • Added Element
Evidence.variableDefinition.variableRole
  • Added Mandatory Element
Evidence.variableDefinition.observed
  • Added Element
Evidence.variableDefinition.intended
  • Added Element
Evidence.variableDefinition.directnessMatch
  • Added Element
Evidence.synthesisType
  • Added Element
Evidence.studyType
  • Added Element
Evidence.statistic
  • Added Element
Evidence.statistic.description
  • Added Element
Evidence.statistic.note
  • Added Element
Evidence.statistic.statisticType
  • Added Element
Evidence.statistic.category
  • Added Element
Evidence.statistic.quantity
  • Added Element
Evidence.statistic.numberOfEvents
  • Added Element
Evidence.statistic.numberAffected
  • Added Element
Evidence.statistic.sampleSize
  • Added Element
Evidence.statistic.sampleSize.description
  • Added Element
Evidence.statistic.sampleSize.note
  • Added Element
Evidence.statistic.sampleSize.numberOfStudies
  • Added Element
Evidence.statistic.sampleSize.numberOfParticipants
  • Added Element
Evidence.statistic.sampleSize.knownDataCount
  • Added Element
Evidence.statistic.attributeEstimate
  • Added Element
Evidence.statistic.attributeEstimate.description
  • Added Element
Evidence.statistic.attributeEstimate.note
  • Added Element
Evidence.statistic.attributeEstimate.type
  • Added Element
Evidence.statistic.attributeEstimate.quantity
  • Added Element
Evidence.statistic.attributeEstimate.level
  • Added Element
Evidence.statistic.attributeEstimate.range
  • Added Element
Evidence.statistic.attributeEstimate.attributeEstimate
  • Added Element
Evidence.statistic.modelCharacteristic
  • Added Element
Evidence.statistic.modelCharacteristic.code
  • Added Mandatory Element
Evidence.statistic.modelCharacteristic.value
  • Added Element
Evidence.statistic.modelCharacteristic.variable
  • Added Element
Evidence.statistic.modelCharacteristic.variable.variableDefinition
  • Added Mandatory Element
Evidence.statistic.modelCharacteristic.variable.handling
  • Added Element
Evidence.statistic.modelCharacteristic.variable.valueCategory
  • Added Element
Evidence.statistic.modelCharacteristic.variable.valueQuantity
  • Added Element
Evidence.statistic.modelCharacteristic.variable.valueRange
  • Added Element
Evidence.statistic.modelCharacteristic.attributeEstimate
  • Added Element
Evidence.certainty
  • Added Element
Evidence.certainty.description
  • Added Element
Evidence.certainty.note
  • Added Element
Evidence.certainty.type
  • Added Element
Evidence.certainty.rating
  • Added Element
Evidence.certainty.rater
  • Added Element
Evidence.certainty.subcomponent
  • Added Element
Evidence.name
  • deleted
Evidence.shortTitle
  • deleted
Evidence.subtitle
  • deleted
Evidence.jurisdiction
  • deleted
Evidence.copyright
  • deleted
Evidence.effectivePeriod
  • deleted
Evidence.topic
  • deleted
Evidence.exposureBackground
  • deleted
Evidence.exposureVariant
  • deleted
Evidence.outcome
  • deleted

See the Full Difference for further information

This analysis is available as XML or JSON.

Conversions between R3 and R4

 

See the Profiles & Extensions and the alternate definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions & the dependency analysis

14.10.4.1 Terminology Bindings

PathDefinitionTypeReference
Evidence.status RequiredPublicationStatus
Evidence.variableDefinition.variableRole ExtensibleEvidenceVariableRole
Evidence.variableDefinition.directnessMatch ExtensibleEvidenceDirectness
Evidence.synthesisType ExtensibleSynthesisType
Evidence.studyType ExtensibleStudyType
Evidence.statistic.statisticType ExtensibleStatisticType
Evidence.statistic.attributeEstimate.type ExtensibleAttributeEstimateType
Evidence.statistic.modelCharacteristic.code ExtensibleStatisticModelCode
Evidence.statistic.modelCharacteristic.variable.handling RequiredEvidenceVariableHandling
Evidence.certainty.type ExtensibleEvidenceCertaintyType
Evidence.certainty.rating ExtensibleEvidenceCertaintyRating

14.10.4.2 Constraints

idLevelLocationDescriptionExpression
cnl-0Warning (base)Name should be usable as an identifier for the module by machine processing applications such as code generationname.exists() implies name.matches('[A-Z]([A-Za-z0-9_]){0,254}')

14.10.5 Search Parameters

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

NameTypeDescriptionExpressionIn Common
contexttokenA use context assigned to the evidence(Evidence.useContext.value as CodeableConcept)
context-quantityquantityA quantity- or range-valued use context assigned to the evidence(Evidence.useContext.value as Quantity) | (Evidence.useContext.value as Range)
context-typetokenA type of use context assigned to the evidenceEvidence.useContext.code
context-type-quantitycompositeA use context type and quantity- or range-based value assigned to the evidenceOn Evidence.useContext:
  context-type: code
  context-quantity: value.as(Quantity) | value.as(Range)
context-type-valuecompositeA use context type and value assigned to the evidenceOn Evidence.useContext:
  context-type: code
  context: value.as(CodeableConcept)
date NdateThe evidence publication dateEvidence.date
description NstringThe description of the evidenceEvidence.description
identifiertokenExternal identifier for the evidenceEvidence.identifier
publisher NstringName of the publisher of the evidenceEvidence.publisher
status NtokenThe current status of the evidenceEvidence.status
title NstringThe human-friendly name of the evidenceEvidence.title
url NuriThe uri that identifies the evidenceEvidence.url
version NtokenThe business version of the evidenceEvidence.version