Release 4

This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU) in it's permanent home (it will always be available at this URL). 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

14.9 Resource Evidence - Content

Clinical Decision Support Work GroupMaturity Level: 0 Trial UseSecurity Category: Business Compartments: Not linked to any defined compartments

The Evidence resource describes the conditional state (population and any exposures being compared within the population) and outcome (if specified) that the knowledge (evidence, assertion, recommendation) is about.

14.9.1 Scope and Usage

The scope of the Evidence resource is to describe the conditional state (population and exposures being considered or compared within a population) with or without the outcomes that knowledge (evidence, assertion, recommendation) is about. The Evidence resource is a commonly bundled series of evidence variables from the "PICO" specification of medical knowledge: Population - the population within which exposures and outcomes are being considered Intervention - the conditional state or exposure state being described for which one is expressing the risk of or effect on an outcome Comparison - the alternative conditional state or alternative exposure state when one is comparing states for the effect on an outcome Outcome - the result or effect of an intervention or exposure in a population PICO (and its variants like PECO or PICOT) is a universal acronym used in evidence-based medicine communities to clearly express research questions and evidence findings. The Evidence resource allows expression of the higher-order concept for recommendations in healthcare where multiple outcomes are considered, and the higher-order concept/combination for framing research questions.

14.9.2 Boundaries and Relationships

The Evidence resource references the EvidenceVariable resource two or more times to clearly specify the relationship among evidence variable concepts in framing a research question, evidence assertion, or recommendation.

14.9.3 Resource Content

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Evidence ITUDomainResourceA research context or question
+ 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 URI (globally unique)
... identifier Σ0..*IdentifierAdditional identifier for the evidence
... version Σ0..1stringBusiness version of the evidence
... name ΣI0..1stringName for this evidence (computer friendly)
... title Σ0..1stringName for this evidence (human friendly)
... shortTitle 0..1stringTitle for use in informal contexts
... subtitle 0..1stringSubordinate title of the Evidence
... status ?!Σ1..1codedraft | active | retired | unknown
PublicationStatus (Required)
... date Σ0..1dateTimeDate last changed
... publisher Σ0..1stringName of the publisher (organization or individual)
... contact Σ0..*ContactDetailContact details for the publisher
... description Σ0..1markdownNatural language description of the evidence
... note 0..*AnnotationUsed for footnotes or explanatory notes
... useContext Σ0..*UsageContextThe context that the content is intended to support
... jurisdiction Σ0..*CodeableConceptIntended jurisdiction for evidence (if applicable)
Jurisdiction (Extensible)
... copyright 0..1markdownUse and/or publishing restrictions
... approvalDate 0..1dateWhen the evidence was approved by publisher
... lastReviewDate 0..1dateWhen the evidence was last reviewed
... effectivePeriod Σ0..1PeriodWhen the evidence is expected to be used
... topic 0..*CodeableConceptThe category of the Evidence, such as Education, Treatment, Assessment, etc.
DefinitionTopic (Example)
... author 0..*ContactDetailWho authored the content
... editor 0..*ContactDetailWho edited the content
... reviewer 0..*ContactDetailWho reviewed the content
... endorser 0..*ContactDetailWho endorsed the content
... relatedArtifact 0..*RelatedArtifactAdditional documentation, citations, etc.
... exposureBackground Σ1..1Reference(EvidenceVariable)What population?
... exposureVariant Σ0..*Reference(EvidenceVariable)What exposure?
... outcome Σ0..*Reference(EvidenceVariable)What outcome?

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 evidence is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the evidence is stored on different serversurl : uri [0..1]A formal identifier that is used to identify this evidence 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 evidence when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the evidence 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 artifactsversion : string [0..1]A natural language name identifying the evidence. This name should be usable as an identifier for the module by machine processing applications such as code generationname : string [0..1]A short, descriptive, user-friendly title for the evidencetitle : string [0..1]The short title provides an alternate title for use in informal descriptive contexts where the full, formal title is not necessaryshortTitle : string [0..1]An explanatory or alternate title for the Evidence giving additional information about its contentsubtitle : string [0..1]The status of this evidence. Enables tracking the life-cycle of the content (this element modifies the meaning of other elements)status : code [1..1] « The lifecycle status of an artifact. (Strength=Required)PublicationStatus! »The date (and optionally time) when the evidence 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 changesdate : dateTime [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..*]A free text natural language description of the evidence from a consumer's perspectivedescription : markdown [0..1]A human-readable string to clarify or explain concepts about the resourcenote : Annotation [0..*]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..*]A legal or geographic region in which the evidence is intended to be usedjurisdiction : CodeableConcept [0..*] « Countries and regions within which this artifact is targeted for use. (Strength=Extensible)Jurisdiction ValueSet+ »A copyright statement relating to the evidence and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the evidencecopyright : markdown [0..1]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 period during which the evidence content was or is planned to be in active useeffectivePeriod : Period [0..1]Descriptive topics related to the content of the Evidence. Topics provide a high-level categorization grouping types of Evidences that can be useful for filtering and searchingtopic : CodeableConcept [0..*] « High-level categorization of the definition, used for searching, sorting, and filtering. (Strength=Example)DefinitionTopic?? »An individiual or organization primarily involved in the creation and maintenance of the contentauthor : ContactDetail [0..*]An individual or organization primarily responsible for internal coherence of the contenteditor : ContactDetail [0..*]An individual or organization primarily responsible for review of some aspect of the contentreviewer : ContactDetail [0..*]An individual or organization responsible for officially endorsing the content for use in some settingendorser : ContactDetail [0..*]Related artifacts such as additional documentation, justification, or bibliographic referencesrelatedArtifact : RelatedArtifact [0..*]A reference to a EvidenceVariable resource that defines the population for the researchexposureBackground : Reference [1..1] « EvidenceVariable »A reference to a EvidenceVariable resource that defines the exposure for the researchexposureVariant : Reference [0..*] « EvidenceVariable »A reference to a EvidenceVariable resomece that defines the outcome for the researchoutcome : Reference [0..*] « EvidenceVariable »

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 URI (globally unique) -->
 <identifier><!-- 0..* Identifier Additional identifier for the evidence --></identifier>
 <version value="[string]"/><!-- 0..1 Business version of the evidence -->
 <name value="[string]"/><!-- ?? 0..1 Name for this evidence (computer friendly) -->
 <title value="[string]"/><!-- 0..1 Name for this evidence (human friendly) -->
 <shortTitle value="[string]"/><!-- 0..1 Title for use in informal contexts -->
 <subtitle value="[string]"/><!-- 0..1 Subordinate title of the Evidence -->
 <status value="[code]"/><!-- 1..1 draft | active | retired | unknown -->
 <date value="[dateTime]"/><!-- 0..1 Date last changed -->
 <publisher value="[string]"/><!-- 0..1 Name of the publisher (organization or individual) -->
 <contact><!-- 0..* ContactDetail Contact details for the publisher --></contact>
 <description value="[markdown]"/><!-- 0..1 Natural language description of the evidence -->
 <note><!-- 0..* Annotation Used for footnotes or explanatory notes --></note>
 <useContext><!-- 0..* UsageContext The context that the content is intended to support --></useContext>
 <jurisdiction><!-- 0..* CodeableConcept Intended jurisdiction for evidence (if applicable) --></jurisdiction>
 <copyright value="[markdown]"/><!-- 0..1 Use and/or publishing restrictions -->
 <approvalDate value="[date]"/><!-- 0..1 When the evidence was approved by publisher -->
 <lastReviewDate value="[date]"/><!-- 0..1 When the evidence was last reviewed -->
 <effectivePeriod><!-- 0..1 Period When the evidence is expected to be used --></effectivePeriod>
 <topic><!-- 0..* CodeableConcept The category of the Evidence, such as Education, Treatment, Assessment, etc. --></topic>
 <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 Additional documentation, citations, etc. --></relatedArtifact>
 <exposureBackground><!-- 1..1 Reference(EvidenceVariable) What population? --></exposureBackground>
 <exposureVariant><!-- 0..* Reference(EvidenceVariable) What exposure? --></exposureVariant>
 <outcome><!-- 0..* Reference(EvidenceVariable) What outcome? --></outcome>
</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 URI (globally unique)
  "identifier" : [{ Identifier }], // Additional identifier for the evidence
  "version" : "<string>", // Business version of the evidence
  "name" : "<string>", // C? Name for this evidence (computer friendly)
  "title" : "<string>", // Name for this evidence (human friendly)
  "shortTitle" : "<string>", // Title for use in informal contexts
  "subtitle" : "<string>", // Subordinate title of the Evidence
  "status" : "<code>", // R!  draft | active | retired | unknown
  "date" : "<dateTime>", // Date last changed
  "publisher" : "<string>", // Name of the publisher (organization or individual)
  "contact" : [{ ContactDetail }], // Contact details for the publisher
  "description" : "<markdown>", // Natural language description of the evidence
  "note" : [{ Annotation }], // Used for footnotes or explanatory notes
  "useContext" : [{ UsageContext }], // The context that the content is intended to support
  "jurisdiction" : [{ CodeableConcept }], // Intended jurisdiction for evidence (if applicable)
  "copyright" : "<markdown>", // Use and/or publishing restrictions
  "approvalDate" : "<date>", // When the evidence was approved by publisher
  "lastReviewDate" : "<date>", // When the evidence was last reviewed
  "effectivePeriod" : { Period }, // When the evidence is expected to be used
  "topic" : [{ CodeableConcept }], // The category of the Evidence, such as Education, Treatment, Assessment, etc.
  "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 }], // Additional documentation, citations, etc.
  "exposureBackground" : { Reference(EvidenceVariable) }, // R!  What population?
  "exposureVariant" : [{ Reference(EvidenceVariable) }], // What exposure?
  "outcome" : [{ Reference(EvidenceVariable) }] // What outcome?
}

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 URI (globally unique)
  fhir:Evidence.identifier [ Identifier ], ... ; # 0..* Additional identifier for the evidence
  fhir:Evidence.version [ string ]; # 0..1 Business version of the evidence
  fhir:Evidence.name [ string ]; # 0..1 Name for this evidence (computer friendly)
  fhir:Evidence.title [ string ]; # 0..1 Name for this evidence (human friendly)
  fhir:Evidence.shortTitle [ string ]; # 0..1 Title for use in informal contexts
  fhir:Evidence.subtitle [ string ]; # 0..1 Subordinate title of the Evidence
  fhir:Evidence.status [ code ]; # 1..1 draft | active | retired | unknown
  fhir:Evidence.date [ dateTime ]; # 0..1 Date last changed
  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.description [ markdown ]; # 0..1 Natural language description of the evidence
  fhir:Evidence.note [ Annotation ], ... ; # 0..* Used for footnotes or explanatory notes
  fhir:Evidence.useContext [ UsageContext ], ... ; # 0..* The context that the content is intended to support
  fhir:Evidence.jurisdiction [ CodeableConcept ], ... ; # 0..* Intended jurisdiction for evidence (if applicable)
  fhir:Evidence.copyright [ markdown ]; # 0..1 Use and/or publishing restrictions
  fhir:Evidence.approvalDate [ date ]; # 0..1 When the evidence was approved by publisher
  fhir:Evidence.lastReviewDate [ date ]; # 0..1 When the evidence was last reviewed
  fhir:Evidence.effectivePeriod [ Period ]; # 0..1 When the evidence is expected to be used
  fhir:Evidence.topic [ CodeableConcept ], ... ; # 0..* The category of the Evidence, such as Education, Treatment, Assessment, etc.
  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..* Additional documentation, citations, etc.
  fhir:Evidence.exposureBackground [ Reference(EvidenceVariable) ]; # 1..1 What population?
  fhir:Evidence.exposureVariant [ Reference(EvidenceVariable) ], ... ; # 0..* What exposure?
  fhir:Evidence.outcome [ Reference(EvidenceVariable) ], ... ; # 0..* What outcome?
]

Changes since R3

This resource did not exist in Release 2

This analysis is available as XML or JSON.

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Evidence ITUDomainResourceA research context or question
+ 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 URI (globally unique)
... identifier Σ0..*IdentifierAdditional identifier for the evidence
... version Σ0..1stringBusiness version of the evidence
... name ΣI0..1stringName for this evidence (computer friendly)
... title Σ0..1stringName for this evidence (human friendly)
... shortTitle 0..1stringTitle for use in informal contexts
... subtitle 0..1stringSubordinate title of the Evidence
... status ?!Σ1..1codedraft | active | retired | unknown
PublicationStatus (Required)
... date Σ0..1dateTimeDate last changed
... publisher Σ0..1stringName of the publisher (organization or individual)
... contact Σ0..*ContactDetailContact details for the publisher
... description Σ0..1markdownNatural language description of the evidence
... note 0..*AnnotationUsed for footnotes or explanatory notes
... useContext Σ0..*UsageContextThe context that the content is intended to support
... jurisdiction Σ0..*CodeableConceptIntended jurisdiction for evidence (if applicable)
Jurisdiction (Extensible)
... copyright 0..1markdownUse and/or publishing restrictions
... approvalDate 0..1dateWhen the evidence was approved by publisher
... lastReviewDate 0..1dateWhen the evidence was last reviewed
... effectivePeriod Σ0..1PeriodWhen the evidence is expected to be used
... topic 0..*CodeableConceptThe category of the Evidence, such as Education, Treatment, Assessment, etc.
DefinitionTopic (Example)
... author 0..*ContactDetailWho authored the content
... editor 0..*ContactDetailWho edited the content
... reviewer 0..*ContactDetailWho reviewed the content
... endorser 0..*ContactDetailWho endorsed the content
... relatedArtifact 0..*RelatedArtifactAdditional documentation, citations, etc.
... exposureBackground Σ1..1Reference(EvidenceVariable)What population?
... exposureVariant Σ0..*Reference(EvidenceVariable)What exposure?
... outcome Σ0..*Reference(EvidenceVariable)What outcome?

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 evidence is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the evidence is stored on different serversurl : uri [0..1]A formal identifier that is used to identify this evidence 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 evidence when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the evidence 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 artifactsversion : string [0..1]A natural language name identifying the evidence. This name should be usable as an identifier for the module by machine processing applications such as code generationname : string [0..1]A short, descriptive, user-friendly title for the evidencetitle : string [0..1]The short title provides an alternate title for use in informal descriptive contexts where the full, formal title is not necessaryshortTitle : string [0..1]An explanatory or alternate title for the Evidence giving additional information about its contentsubtitle : string [0..1]The status of this evidence. Enables tracking the life-cycle of the content (this element modifies the meaning of other elements)status : code [1..1] « The lifecycle status of an artifact. (Strength=Required)PublicationStatus! »The date (and optionally time) when the evidence 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 changesdate : dateTime [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..*]A free text natural language description of the evidence from a consumer's perspectivedescription : markdown [0..1]A human-readable string to clarify or explain concepts about the resourcenote : Annotation [0..*]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..*]A legal or geographic region in which the evidence is intended to be usedjurisdiction : CodeableConcept [0..*] « Countries and regions within which this artifact is targeted for use. (Strength=Extensible)Jurisdiction ValueSet+ »A copyright statement relating to the evidence and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the evidencecopyright : markdown [0..1]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 period during which the evidence content was or is planned to be in active useeffectivePeriod : Period [0..1]Descriptive topics related to the content of the Evidence. Topics provide a high-level categorization grouping types of Evidences that can be useful for filtering and searchingtopic : CodeableConcept [0..*] « High-level categorization of the definition, used for searching, sorting, and filtering. (Strength=Example)DefinitionTopic?? »An individiual or organization primarily involved in the creation and maintenance of the contentauthor : ContactDetail [0..*]An individual or organization primarily responsible for internal coherence of the contenteditor : ContactDetail [0..*]An individual or organization primarily responsible for review of some aspect of the contentreviewer : ContactDetail [0..*]An individual or organization responsible for officially endorsing the content for use in some settingendorser : ContactDetail [0..*]Related artifacts such as additional documentation, justification, or bibliographic referencesrelatedArtifact : RelatedArtifact [0..*]A reference to a EvidenceVariable resource that defines the population for the researchexposureBackground : Reference [1..1] « EvidenceVariable »A reference to a EvidenceVariable resource that defines the exposure for the researchexposureVariant : Reference [0..*] « EvidenceVariable »A reference to a EvidenceVariable resomece that defines the outcome for the researchoutcome : Reference [0..*] « EvidenceVariable »

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 URI (globally unique) -->
 <identifier><!-- 0..* Identifier Additional identifier for the evidence --></identifier>
 <version value="[string]"/><!-- 0..1 Business version of the evidence -->
 <name value="[string]"/><!-- ?? 0..1 Name for this evidence (computer friendly) -->
 <title value="[string]"/><!-- 0..1 Name for this evidence (human friendly) -->
 <shortTitle value="[string]"/><!-- 0..1 Title for use in informal contexts -->
 <subtitle value="[string]"/><!-- 0..1 Subordinate title of the Evidence -->
 <status value="[code]"/><!-- 1..1 draft | active | retired | unknown -->
 <date value="[dateTime]"/><!-- 0..1 Date last changed -->
 <publisher value="[string]"/><!-- 0..1 Name of the publisher (organization or individual) -->
 <contact><!-- 0..* ContactDetail Contact details for the publisher --></contact>
 <description value="[markdown]"/><!-- 0..1 Natural language description of the evidence -->
 <note><!-- 0..* Annotation Used for footnotes or explanatory notes --></note>
 <useContext><!-- 0..* UsageContext The context that the content is intended to support --></useContext>
 <jurisdiction><!-- 0..* CodeableConcept Intended jurisdiction for evidence (if applicable) --></jurisdiction>
 <copyright value="[markdown]"/><!-- 0..1 Use and/or publishing restrictions -->
 <approvalDate value="[date]"/><!-- 0..1 When the evidence was approved by publisher -->
 <lastReviewDate value="[date]"/><!-- 0..1 When the evidence was last reviewed -->
 <effectivePeriod><!-- 0..1 Period When the evidence is expected to be used --></effectivePeriod>
 <topic><!-- 0..* CodeableConcept The category of the Evidence, such as Education, Treatment, Assessment, etc. --></topic>
 <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 Additional documentation, citations, etc. --></relatedArtifact>
 <exposureBackground><!-- 1..1 Reference(EvidenceVariable) What population? --></exposureBackground>
 <exposureVariant><!-- 0..* Reference(EvidenceVariable) What exposure? --></exposureVariant>
 <outcome><!-- 0..* Reference(EvidenceVariable) What outcome? --></outcome>
</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 URI (globally unique)
  "identifier" : [{ Identifier }], // Additional identifier for the evidence
  "version" : "<string>", // Business version of the evidence
  "name" : "<string>", // C? Name for this evidence (computer friendly)
  "title" : "<string>", // Name for this evidence (human friendly)
  "shortTitle" : "<string>", // Title for use in informal contexts
  "subtitle" : "<string>", // Subordinate title of the Evidence
  "status" : "<code>", // R!  draft | active | retired | unknown
  "date" : "<dateTime>", // Date last changed
  "publisher" : "<string>", // Name of the publisher (organization or individual)
  "contact" : [{ ContactDetail }], // Contact details for the publisher
  "description" : "<markdown>", // Natural language description of the evidence
  "note" : [{ Annotation }], // Used for footnotes or explanatory notes
  "useContext" : [{ UsageContext }], // The context that the content is intended to support
  "jurisdiction" : [{ CodeableConcept }], // Intended jurisdiction for evidence (if applicable)
  "copyright" : "<markdown>", // Use and/or publishing restrictions
  "approvalDate" : "<date>", // When the evidence was approved by publisher
  "lastReviewDate" : "<date>", // When the evidence was last reviewed
  "effectivePeriod" : { Period }, // When the evidence is expected to be used
  "topic" : [{ CodeableConcept }], // The category of the Evidence, such as Education, Treatment, Assessment, etc.
  "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 }], // Additional documentation, citations, etc.
  "exposureBackground" : { Reference(EvidenceVariable) }, // R!  What population?
  "exposureVariant" : [{ Reference(EvidenceVariable) }], // What exposure?
  "outcome" : [{ Reference(EvidenceVariable) }] // What outcome?
}

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 URI (globally unique)
  fhir:Evidence.identifier [ Identifier ], ... ; # 0..* Additional identifier for the evidence
  fhir:Evidence.version [ string ]; # 0..1 Business version of the evidence
  fhir:Evidence.name [ string ]; # 0..1 Name for this evidence (computer friendly)
  fhir:Evidence.title [ string ]; # 0..1 Name for this evidence (human friendly)
  fhir:Evidence.shortTitle [ string ]; # 0..1 Title for use in informal contexts
  fhir:Evidence.subtitle [ string ]; # 0..1 Subordinate title of the Evidence
  fhir:Evidence.status [ code ]; # 1..1 draft | active | retired | unknown
  fhir:Evidence.date [ dateTime ]; # 0..1 Date last changed
  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.description [ markdown ]; # 0..1 Natural language description of the evidence
  fhir:Evidence.note [ Annotation ], ... ; # 0..* Used for footnotes or explanatory notes
  fhir:Evidence.useContext [ UsageContext ], ... ; # 0..* The context that the content is intended to support
  fhir:Evidence.jurisdiction [ CodeableConcept ], ... ; # 0..* Intended jurisdiction for evidence (if applicable)
  fhir:Evidence.copyright [ markdown ]; # 0..1 Use and/or publishing restrictions
  fhir:Evidence.approvalDate [ date ]; # 0..1 When the evidence was approved by publisher
  fhir:Evidence.lastReviewDate [ date ]; # 0..1 When the evidence was last reviewed
  fhir:Evidence.effectivePeriod [ Period ]; # 0..1 When the evidence is expected to be used
  fhir:Evidence.topic [ CodeableConcept ], ... ; # 0..* The category of the Evidence, such as Education, Treatment, Assessment, etc.
  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..* Additional documentation, citations, etc.
  fhir:Evidence.exposureBackground [ Reference(EvidenceVariable) ]; # 1..1 What population?
  fhir:Evidence.exposureVariant [ Reference(EvidenceVariable) ], ... ; # 0..* What exposure?
  fhir:Evidence.outcome [ Reference(EvidenceVariable) ], ... ; # 0..* What outcome?
]

Changes since Release 3

This resource did not exist in Release 2

This analysis is available as XML or JSON.

 

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

14.9.3.1 Terminology Bindings

PathDefinitionTypeReference
Evidence.status The lifecycle status of an artifact.RequiredPublicationStatus
Evidence.jurisdiction Countries and regions within which this artifact is targeted for use.ExtensibleJurisdiction ValueSet
Evidence.topic High-level categorization of the definition, used for searching, sorting, and filtering.ExampleDefinitionTopic

14.9.3.2 Constraints

idLevelLocationDescriptionExpression
evi-0Warning (base)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}')

14.9.4 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
composed-ofreferenceWhat resource is being referencedEvidence.relatedArtifact.where(type='composed-of').resource
(Any)
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)
datedateThe evidence publication dateEvidence.date
depends-onreferenceWhat resource is being referencedEvidence.relatedArtifact.where(type='depends-on').resource
(Any)
derived-fromreferenceWhat resource is being referencedEvidence.relatedArtifact.where(type='derived-from').resource
(Any)
descriptionstringThe description of the evidenceEvidence.description
effectivedateThe time during which the evidence is intended to be in useEvidence.effectivePeriod
identifiertokenExternal identifier for the evidenceEvidence.identifier
jurisdictiontokenIntended jurisdiction for the evidenceEvidence.jurisdiction
namestringComputationally friendly name of the evidenceEvidence.name
predecessorreferenceWhat resource is being referencedEvidence.relatedArtifact.where(type='predecessor').resource
(Any)
publisherstringName of the publisher of the evidenceEvidence.publisher
statustokenThe current status of the evidenceEvidence.status
successorreferenceWhat resource is being referencedEvidence.relatedArtifact.where(type='successor').resource
(Any)
titlestringThe human-friendly name of the evidenceEvidence.title
topictokenTopics associated with the EvidenceEvidence.topic
urluriThe uri that identifies the evidenceEvidence.url
versiontokenThe business version of the evidenceEvidence.version