Extensions for Using Data Elements from FHIR R5 in FHIR R4
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Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions

Extension: ExtensionEvidence_Certainty - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 0

Definitions for the ext-R5-Evidence.certainty extension.

Guidance on how to interpret the contents of this table can be foundhere

0. Extension
Definition

R5: Evidence.certainty (new:BackboneElement)


Optional Extension Element - found in all resources.

ShortR5: Certainty or quality of the evidence (new)Optional Extensions Element
Comments

Element Evidence.certainty has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Control0..*
This element is affected by the following invariants: ele-1
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2. Extension.extension
Definition

An Extension


May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortExtensionAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 4. Extension.extension:description
    Slice Namedescription
    Definition

    R5: Evidence.certainty.description (new:markdown)

    ShortR5: Textual description of certainty (new)Additional content defined by implementations
    Comments

    Element Evidence.certainty.description is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.description has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.description has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..1*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Requirements

    Element Evidence.certainty.description is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.description has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.description has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    6. Extension.extension:description.url
    Definition

    Source of the definition for the extension code - a logical name or a URL.

    Shortidentifies the meaning of the extension
    Comments

    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

    Control1..1
    Typeuri
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    Fixed Valuedescription
    8. Extension.extension:description.value[x]
    Definition

    Textual description of certainty.


    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    ShortTextual description of certaintyValue of extension
    Control0..1
    Typemarkdown, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    10. Extension.extension:note
    Slice Namenote
    Definition

    R5: Evidence.certainty.note (new:Annotation)

    ShortR5: Footnotes and/or explanatory notes (new)Additional content defined by implementations
    Comments

    Element Evidence.certainty.note is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.note has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.note has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Requirements

    Element Evidence.certainty.note is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.note has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.note has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    12. Extension.extension:note.url
    Definition

    Source of the definition for the extension code - a logical name or a URL.

    Shortidentifies the meaning of the extension
    Comments

    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

    Control1..1
    Typeuri
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    Fixed Valuenote
    14. Extension.extension:note.value[x]
    Definition

    Footnotes and/or explanatory notes.


    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    ShortFootnotes and/or explanatory notesValue of extension
    Control0..1
    TypeAnnotation, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, ContactDetail, boolean, Expression, Signature, unsignedInt, time
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. Extension.extension:type
    Slice Nametype
    Definition

    R5: Evidence.certainty.type (new:CodeableConcept)

    ShortR5: Aspect of certainty being rated (new)Additional content defined by implementations
    Comments

    Element Evidence.certainty.type is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.type has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.type has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..1*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Requirements

    Element Evidence.certainty.type is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.type has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.type has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    18. Extension.extension:type.url
    Definition

    Source of the definition for the extension code - a logical name or a URL.

    Shortidentifies the meaning of the extension
    Comments

    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

    Control1..1
    Typeuri
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    Fixed Valuetype
    20. Extension.extension:type.value[x]
    Definition

    Aspect of certainty being rated.


    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    ShortAspect of certainty being ratedValue of extension
    Control0..1
    BindingUnless not suitable, these codes SHALL be taken from For codes, see R5CertaintyTypeForR4 (0.1.0)
    (extensible to http://hl7.org/fhir/uv/xver/ValueSet/R5-certainty-type-for-R4|0.1.0)

    The aspect of quality, confidence, or certainty.

    TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. Extension.extension:rating
    Slice Namerating
    Definition

    R5: Evidence.certainty.rating (new:CodeableConcept)

    ShortR5: Assessment or judgement of the aspect (new)Additional content defined by implementations
    Comments

    Element Evidence.certainty.rating is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.rating has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.rating has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..1*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Requirements

    Element Evidence.certainty.rating is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.rating has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.rating has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    24. Extension.extension:rating.url
    Definition

    Source of the definition for the extension code - a logical name or a URL.

    Shortidentifies the meaning of the extension
    Comments

    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

    Control1..1
    Typeuri
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    Fixed Valuerating
    26. Extension.extension:rating.value[x]
    Definition

    Assessment or judgement of the aspect.


    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    ShortAssessment or judgement of the aspectValue of extension
    Control0..1
    BindingUnless not suitable, these codes SHALL be taken from For codes, see R5CertaintyRatingForR4 (0.1.0)
    (extensible to http://hl7.org/fhir/uv/xver/ValueSet/R5-certainty-rating-for-R4|0.1.0)

    The assessment of quality, confidence, or certainty.

    TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. Extension.extension:rater
    Slice Namerater
    Definition

    R5: Evidence.certainty.rater (new:string)

    ShortR5: Individual or group who did the rating (new)Additional content defined by implementations
    Comments

    Element Evidence.certainty.rater is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.rater has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.rater has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..1*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Requirements

    Element Evidence.certainty.rater is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.rater has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.rater has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    30. Extension.extension:rater.url
    Definition

    Source of the definition for the extension code - a logical name or a URL.

    Shortidentifies the meaning of the extension
    Comments

    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

    Control1..1
    Typeuri
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    Fixed Valuerater
    32. Extension.extension:rater.value[x]
    Definition

    Individual or group who did the rating.


    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    ShortIndividual or group who did the ratingValue of extension
    Control0..1
    Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    34. Extension.extension:subcomponent
    Slice Namesubcomponent
    Definition

    R5: Evidence.certainty.subcomponent (new:Evidence.certainty)

    ShortR5: A domain or subdomain of certainty (new)Additional content defined by implementations
    Comments

    Element Evidence.certainty.subcomponent is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.subcomponent has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.subcomponent has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Requirements

    Element Evidence.certainty.subcomponent is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.subcomponent has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.subcomponent has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    36. Extension.extension:subcomponent.url
    Definition

    Source of the definition for the extension code - a logical name or a URL.

    Shortidentifies the meaning of the extension
    Comments

    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

    Control1..1
    Typeuri
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    Fixed Valuehttp://hl7.org/fhir/5.0/StructureDefinition/extension-Evidence.certainty
    38. Extension.extension:subcomponent.value[x]
    Definition

    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    ShortValue of extension
    Control0..01
    TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    40. Extension.url
    Definition

    Source of the definition for the extension code - a logical name or a URL.

    Shortidentifies the meaning of the extension
    Comments

    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

    Control1..1
    Typeuri
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    Fixed Valuehttp://hl7.org/fhir/5.0/StructureDefinition/extension-Evidence.certainty
    42. Extension.value[x]
    Definition

    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    ShortValue of extension
    Control0..01
    TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

    Guidance on how to interpret the contents of this table can be foundhere

    0. Extension
    Definition

    R5: Evidence.certainty (new:BackboneElement)

    ShortR5: Certainty or quality of the evidence (new)
    Comments

    Element Evidence.certainty has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..*
    Is Modifierfalse
    2. Extension.extension
    Control0..*
    SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 4. Extension.extension:description
      Slice Namedescription
      Definition

      R5: Evidence.certainty.description (new:markdown)

      ShortR5: Textual description of certainty (new)
      Comments

      Element Evidence.certainty.description is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.description has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.description has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control0..1
      Requirements

      Element Evidence.certainty.description is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.description has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.description has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      6. Extension.extension:description.url
      Control1..1
      Fixed Valuedescription
      8. Extension.extension:description.value[x]
      Definition

      Textual description of certainty.

      ShortTextual description of certainty
      Control0..1
      Typemarkdown
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      10. Extension.extension:note
      Slice Namenote
      Definition

      R5: Evidence.certainty.note (new:Annotation)

      ShortR5: Footnotes and/or explanatory notes (new)
      Comments

      Element Evidence.certainty.note is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.note has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.note has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control0..*
      Requirements

      Element Evidence.certainty.note is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.note has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.note has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      12. Extension.extension:note.url
      Control1..1
      Fixed Valuenote
      14. Extension.extension:note.value[x]
      Definition

      Footnotes and/or explanatory notes.

      ShortFootnotes and/or explanatory notes
      Control0..1
      TypeAnnotation
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      16. Extension.extension:type
      Slice Nametype
      Definition

      R5: Evidence.certainty.type (new:CodeableConcept)

      ShortR5: Aspect of certainty being rated (new)
      Comments

      Element Evidence.certainty.type is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.type has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.type has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control0..1
      Requirements

      Element Evidence.certainty.type is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.type has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.type has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      18. Extension.extension:type.url
      Control1..1
      Fixed Valuetype
      20. Extension.extension:type.value[x]
      Definition

      Aspect of certainty being rated.

      ShortAspect of certainty being rated
      Control0..1
      BindingUnless not suitable, these codes SHALL be taken from R5CertaintyTypeForR4 (0.1.0)
      (extensible to http://hl7.org/fhir/uv/xver/ValueSet/R5-certainty-type-for-R4|0.1.0)

      The aspect of quality, confidence, or certainty.

      TypeCodeableConcept
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      22. Extension.extension:rating
      Slice Namerating
      Definition

      R5: Evidence.certainty.rating (new:CodeableConcept)

      ShortR5: Assessment or judgement of the aspect (new)
      Comments

      Element Evidence.certainty.rating is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.rating has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.rating has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control0..1
      Requirements

      Element Evidence.certainty.rating is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.rating has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.rating has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      24. Extension.extension:rating.url
      Control1..1
      Fixed Valuerating
      26. Extension.extension:rating.value[x]
      Definition

      Assessment or judgement of the aspect.

      ShortAssessment or judgement of the aspect
      Control0..1
      BindingUnless not suitable, these codes SHALL be taken from R5CertaintyRatingForR4 (0.1.0)
      (extensible to http://hl7.org/fhir/uv/xver/ValueSet/R5-certainty-rating-for-R4|0.1.0)

      The assessment of quality, confidence, or certainty.

      TypeCodeableConcept
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      28. Extension.extension:rater
      Slice Namerater
      Definition

      R5: Evidence.certainty.rater (new:string)

      ShortR5: Individual or group who did the rating (new)
      Comments

      Element Evidence.certainty.rater is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.rater has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.rater has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control0..1
      Requirements

      Element Evidence.certainty.rater is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.rater has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.rater has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      30. Extension.extension:rater.url
      Control1..1
      Fixed Valuerater
      32. Extension.extension:rater.value[x]
      Definition

      Individual or group who did the rating.

      ShortIndividual or group who did the rating
      Control0..1
      Typestring
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      34. Extension.extension:subcomponent
      Slice Namesubcomponent
      Definition

      R5: Evidence.certainty.subcomponent (new:Evidence.certainty)

      ShortR5: A domain or subdomain of certainty (new)
      Comments

      Element Evidence.certainty.subcomponent is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.subcomponent has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.subcomponent has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control0..*
      Requirements

      Element Evidence.certainty.subcomponent is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.subcomponent has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.subcomponent has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      36. Extension.extension:subcomponent.url
      Control1..1
      Fixed Valuehttp://hl7.org/fhir/5.0/StructureDefinition/extension-Evidence.certainty
      38. Extension.extension:subcomponent.value[x]
      Control0..0
      40. Extension.url
      Control1..1
      Fixed Valuehttp://hl7.org/fhir/5.0/StructureDefinition/extension-Evidence.certainty
      42. Extension.value[x]
      Control0..0

      Guidance on how to interpret the contents of this table can be foundhere

      0. Extension
      Definition

      R5: Evidence.certainty (new:BackboneElement)

      ShortR5: Certainty or quality of the evidence (new)
      Comments

      Element Evidence.certainty has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control0..*
      This element is affected by the following invariants: ele-1
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      2. Extension.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      4. Extension.extension
      Definition

      An Extension

      ShortExtension
      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 6. Extension.extension:description
        Slice Namedescription
        Definition

        R5: Evidence.certainty.description (new:markdown)

        ShortR5: Textual description of certainty (new)
        Comments

        Element Evidence.certainty.description is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.description has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.description has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

        Control0..1
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Requirements

        Element Evidence.certainty.description is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.description has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.description has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        8. Extension.extension:description.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        10. Extension.extension:description.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 12. Extension.extension:description.url
          Definition

          Source of the definition for the extension code - a logical name or a URL.

          Shortidentifies the meaning of the extension
          Comments

          The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

          Control1..1
          Typeuri
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          Fixed Valuedescription
          14. Extension.extension:description.value[x]
          Definition

          Textual description of certainty.

          ShortTextual description of certainty
          Control0..1
          Typemarkdown
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          16. Extension.extension:note
          Slice Namenote
          Definition

          R5: Evidence.certainty.note (new:Annotation)

          ShortR5: Footnotes and/or explanatory notes (new)
          Comments

          Element Evidence.certainty.note is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.note has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.note has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Requirements

          Element Evidence.certainty.note is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.note has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.note has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          18. Extension.extension:note.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          20. Extension.extension:note.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 22. Extension.extension:note.url
            Definition

            Source of the definition for the extension code - a logical name or a URL.

            Shortidentifies the meaning of the extension
            Comments

            The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

            Control1..1
            Typeuri
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            Fixed Valuenote
            24. Extension.extension:note.value[x]
            Definition

            Footnotes and/or explanatory notes.

            ShortFootnotes and/or explanatory notes
            Control0..1
            TypeAnnotation
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            26. Extension.extension:type
            Slice Nametype
            Definition

            R5: Evidence.certainty.type (new:CodeableConcept)

            ShortR5: Aspect of certainty being rated (new)
            Comments

            Element Evidence.certainty.type is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.type has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.type has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            Control0..1
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Requirements

            Element Evidence.certainty.type is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.type has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.type has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            28. Extension.extension:type.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            30. Extension.extension:type.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 32. Extension.extension:type.url
              Definition

              Source of the definition for the extension code - a logical name or a URL.

              Shortidentifies the meaning of the extension
              Comments

              The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

              Control1..1
              Typeuri
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              Fixed Valuetype
              34. Extension.extension:type.value[x]
              Definition

              Aspect of certainty being rated.

              ShortAspect of certainty being rated
              Control0..1
              BindingUnless not suitable, these codes SHALL be taken from R5CertaintyTypeForR4 (0.1.0)
              (extensible to http://hl7.org/fhir/uv/xver/ValueSet/R5-certainty-type-for-R4|0.1.0)

              The aspect of quality, confidence, or certainty.

              TypeCodeableConcept
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              36. Extension.extension:rating
              Slice Namerating
              Definition

              R5: Evidence.certainty.rating (new:CodeableConcept)

              ShortR5: Assessment or judgement of the aspect (new)
              Comments

              Element Evidence.certainty.rating is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.rating has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.rating has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

              Control0..1
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Requirements

              Element Evidence.certainty.rating is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.rating has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.rating has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              38. Extension.extension:rating.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              40. Extension.extension:rating.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 42. Extension.extension:rating.url
                Definition

                Source of the definition for the extension code - a logical name or a URL.

                Shortidentifies the meaning of the extension
                Comments

                The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                Control1..1
                Typeuri
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                Fixed Valuerating
                44. Extension.extension:rating.value[x]
                Definition

                Assessment or judgement of the aspect.

                ShortAssessment or judgement of the aspect
                Control0..1
                BindingUnless not suitable, these codes SHALL be taken from R5CertaintyRatingForR4 (0.1.0)
                (extensible to http://hl7.org/fhir/uv/xver/ValueSet/R5-certainty-rating-for-R4|0.1.0)

                The assessment of quality, confidence, or certainty.

                TypeCodeableConcept
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                46. Extension.extension:rater
                Slice Namerater
                Definition

                R5: Evidence.certainty.rater (new:string)

                ShortR5: Individual or group who did the rating (new)
                Comments

                Element Evidence.certainty.rater is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.rater has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.rater has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                Control0..1
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Requirements

                Element Evidence.certainty.rater is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.rater has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.rater has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                48. Extension.extension:rater.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                50. Extension.extension:rater.extension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                ShortAdditional content defined by implementations
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 52. Extension.extension:rater.url
                  Definition

                  Source of the definition for the extension code - a logical name or a URL.

                  Shortidentifies the meaning of the extension
                  Comments

                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                  Control1..1
                  Typeuri
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  Fixed Valuerater
                  54. Extension.extension:rater.value[x]
                  Definition

                  Individual or group who did the rating.

                  ShortIndividual or group who did the rating
                  Control0..1
                  Typestring
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  56. Extension.extension:subcomponent
                  Slice Namesubcomponent
                  Definition

                  R5: Evidence.certainty.subcomponent (new:Evidence.certainty)

                  ShortR5: A domain or subdomain of certainty (new)
                  Comments

                  Element Evidence.certainty.subcomponent is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.subcomponent has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.subcomponent has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Requirements

                  Element Evidence.certainty.subcomponent is part of an existing definition because parent element Evidence.certainty requires a cross-version extension. Element Evidence.certainty.subcomponent has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.certainty.subcomponent has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  58. Extension.extension:subcomponent.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  60. Extension.extension:subcomponent.extension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 62. Extension.extension:subcomponent.url
                    Definition

                    Source of the definition for the extension code - a logical name or a URL.

                    Shortidentifies the meaning of the extension
                    Comments

                    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                    Control1..1
                    Typeuri
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    Fixed Valuehttp://hl7.org/fhir/5.0/StructureDefinition/extension-Evidence.certainty
                    64. Extension.extension:subcomponent.value[x]
                    Definition

                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                    ShortValue of extension
                    Control0..0
                    TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    66. Extension.url
                    Definition

                    Source of the definition for the extension code - a logical name or a URL.

                    Shortidentifies the meaning of the extension
                    Comments

                    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                    Control1..1
                    Typeuri
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    Fixed Valuehttp://hl7.org/fhir/5.0/StructureDefinition/extension-Evidence.certainty
                    68. Extension.value[x]
                    Definition

                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                    ShortValue of extension
                    Control0..0
                    TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))