FHIR Extensions Pack
5.3.0 - May 2026 International flag

This page is part of the FHIR Core Extensions Registry (v5.3.0: Release 5.3) based on FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Extension: Strength of recommendation

Official URL: http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation Version: 5.3.0
Standards status: Trial-use Maturity Level: 3 Responsible: HL7 International / Clinical Decision Support Computable Name: StrengthOfRecommendation
Other Identifiers: OID:2.16.840.1.113883.4.642.5.1695

The strength of the recommendation assigned to this reference. The code system used specifies the rating scale used to rate this recommendation while the code specifies the actual recommendation rating (represented as a coded value) associated with this recommendation.

Context of Use

This extension may be used on the following element(s)

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version 5.2.0:

  • No changes

    • Formal Views of Extension Content

    Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

    This structure is derived from Extension

    Summary

    Simple Extension with the type CodeableConcept: The strength of the recommendation assigned to this reference. The code system used specifies the rating scale used to rate this recommendation while the code specifies the actual recommendation rating (represented as a coded value) associated with this recommendation.

    Maturity: 3

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..1 Extension The strength of the recommendation
    ... extension 0..0 Extension
    ... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation"
    ... value[x] 1..1 CodeableConcept Value of extension
    Binding: StrengthOfRecommendationRating (example)

    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..1 Extension The strength of the recommendation
    ... id 0..1 id Unique id for inter-element referencing
    ... extension 0..0 Extension
    Slice: Unordered, Open by value:url
    ... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation"

    doco Documentation for this format

    This structure is derived from Extension

    Summary

    Simple Extension with the type CodeableConcept: The strength of the recommendation assigned to this reference. The code system used specifies the rating scale used to rate this recommendation while the code specifies the actual recommendation rating (represented as a coded value) associated with this recommendation.

    Maturity: 3

    Differential View

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..1 Extension The strength of the recommendation
    ... extension 0..0 Extension
    ... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation"
    ... value[x] 1..1 CodeableConcept Value of extension
    Binding: StrengthOfRecommendationRating (example)

    doco Documentation for this format

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..1 Extension The strength of the recommendation
    ... id 0..1 id Unique id for inter-element referencing
    ... extension 0..0 Extension
    Slice: Unordered, Open by value:url
    ... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation"

    doco Documentation for this format

     

    Other representations of profile: CSV, Excel, Schematron

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Extension.value[x] Base example StrengthOfRecommendationRating 📦1.0.1 THO v7.1

    Constraints

    Id Grade Path(s) Description Expression
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

    R4B

    The extension is unchanged in R4B

    R4

    The extension is unchanged in R4

    R3

    The extension is unchanged in R3

    Search Parameters for this Extension

    (none found)