<status value="active"/> <experimental value="false"/> <date value="2026-03-17T21:02:03.8104715+00:00"/> <publisher value="FHIR Infrastructure"/> <contact> <name value="FHIR Infrastructure"/> <telecom> <system value="url"/> <value value="http://www.hl7.org/Special/committees/fiwg"/> </telecom> </contact> <description value="R5: `Evidence.certainty` (new:BackboneElement)"/> <jurisdiction> <coding> <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> <code value="001"/> <display value="World"/> </coding> </jurisdiction> <purpose value="This extension is part of the cross-version definitions generated to enable use of the element `Evidence.certainty` as defined in FHIR R5 in FHIR R4. The source element is defined as: `Evidence.certainty` 0..* `BackboneElement` Across FHIR versions, the element set has been mapped as: * R5: `Evidence.certainty` 0..* `BackboneElement` * R4B: `Evidence.certainty` 0..* `BackboneElement` Following are the generation technical 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)."/> <fhirVersion value="4.0.1"/> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <kind value="complex-type"/> <abstract value="false"/> <context> <type value="element"/> <expression value="Evidence"/> </context> <type value="Extension"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> <derivation value="constraint"/> <snapshot> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"> <valueString value="4.0.1"/> </extension> <element id="Extension"> <path value="Extension"/> <short value="R5: Certainty or quality of the evidence (new)"/> <definition value="R5: `Evidence.certainty` (new:BackboneElement)"/> <comment value="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)."/> <min value="0"/> <max value="*"/> <base> <path value="Extension"/> <min value="0"/> <max value="*"/> </base> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> </element> <element id="Extension.id"> <path value="Extension.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension.extension"> <path value="Extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Extension.extension:description"> <path value="Extension.extension"/> <sliceName value="description"/> <short value="R5: Textual description of certainty (new)"/> <definition value="R5: `Evidence.certainty.description` (new:markdown)"/> <comment value="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)."/> <requirements value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Extension.extension:description.id"> <path value="Extension.extension.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension.extension:description.extension"> <path value="Extension.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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."/> <comment value="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."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension.extension:description.url"> <path value="Extension.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="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."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="uri"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <fixedUri value="description"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension.extension:description.value[x]"> <path value="Extension.extension.value[x]"/> <short value="Textual description of certainty"/> <definition value="Textual description of certainty."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension.extension:note"> <path value="Extension.extension"/> <sliceName value="note"/> <short value="R5: Footnotes and/or explanatory notes (new)"/> <definition value="R5: `Evidence.certainty.note` (new:Annotation)"/> <comment value="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)."/> <requirements value="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)."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Extension.extension:note.id"> <path value="Extension.extension.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension.extension:note.extension"> <path value="Extension.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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."/> <comment value="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."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension.extension:note.url"> <path value="Extension.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="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."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="uri"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <fixedUri value="note"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension.extension:note.value[x]"> <path value="Extension.extension.value[x]"/> <short value="Footnotes and/or explanatory notes"/> <definition value="Footnotes and/or explanatory notes."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Annotation"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension.extension:type"> <path value="Extension.extension"/> <sliceName value="type"/> <short value="R5: Aspect of certainty being rated (new)"/> <definition value="R5: `Evidence.certainty.type` (new:CodeableConcept)"/> <comment value="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)."/> <requirements value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Extension.extension:type.id"> <path value="Extension.extension.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension.extension:type.extension"> <path value="Extension.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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."/> <comment value="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."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension.extension:type.url"> <path value="Extension.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="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."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="uri"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <fixedUri value="type"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension.extension:type.value[x]"> <path value="Extension.extension.value[x]"/> <short value="Aspect of certainty being rated"/> <definition value="Aspect of certainty being rated."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <description value="The aspect of quality, confidence, or certainty."/> <valueSet value="http://hl7.org/fhir/uv/xver/ValueSet/R5-certainty-type-for-R4|0.1.0"/> </binding> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension.extension:rating"> <path value="Extension.extension"/> <sliceName value="rating"/> <short value="R5: Assessment or judgement of the aspect (new)"/> <definition value="R5: `Evidence.certainty.rating` (new:CodeableConcept)"/> <comment value="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)."/> <requirements value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Extension.extension:rating.id"> <path value="Extension.extension.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension.extension:rating.extension"> <path value="Extension.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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."/> <comment value="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."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension.extension:rating.url"> <path value="Extension.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="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."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="uri"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <fixedUri value="rating"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension.extension:rating.value[x]"> <path value="Extension.extension.value[x]"/> <short value="Assessment or judgement of the aspect"/> <definition value="Assessment or judgement of the aspect."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <description value="The assessment of quality, confidence, or certainty."/> <valueSet value="http://hl7.org/fhir/uv/xver/ValueSet/R5-certainty-rating-for-R4|0.1.0"/> </binding> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension.extension:rater"> <path value="Extension.extension"/> <sliceName value="rater"/> <short value="R5: Individual or group who did the rating (new)"/> <definition value="R5: `Evidence.certainty.rater` (new:string)"/> <comment value="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)."/> <requirements value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Extension.extension:rater.id"> <path value="Extension.extension.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension.extension:rater.extension"> <path value="Extension.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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."/> <comment value="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."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension.extension:rater.url"> <path value="Extension.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="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."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="uri"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <fixedUri value="rater"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension.extension:rater.value[x]"> <path value="Extension.extension.value[x]"/> <short value="Individual or group who did the rating"/> <definition value="Individual or group who did the rating."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension.extension:subcomponent"> <path value="Extension.extension"/> <sliceName value="subcomponent"/> <short value="R5: A domain or subdomain of certainty (new)"/> <definition value="R5: `Evidence.certainty.subcomponent` (new:Evidence.certainty)"/> <comment value="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)."/> <requirements value="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)."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Extension.extension:subcomponent.id"> <path value="Extension.extension.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension.extension:subcomponent.extension"> <path value="Extension.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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."/> <comment value="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."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension.extension:subcomponent.url"> <path value="Extension.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="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."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="uri"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <fixedUri value="http://hl7.org/fhir/5.0/StructureDefinition/extension-Evidence.certainty"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension.extension:subcomponent.value[x]"> <path value="Extension.extension.value[x]"/> <short value="Value of extension"/> <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)."/> <min value="0"/> <max value="0"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="base64Binary"/> </type> <type> <code value="boolean"/> </type> <type> <code value="canonical"/> </type> <type> <code value="code"/> </type> <type> <code value="date"/> </type> <type> <code value="dateTime"/> </type> <type> <code value="decimal"/> </type> <type> <code value="id"/> </type> <type> <code value="instant"/> </type> <type> <code value="integer"/> </type> <type> <code value="markdown"/> </type> <type> <code value="oid"/> </type> <type> <code value="positiveInt"/> </type> <type> <code value="string"/> </type> <type> <code value="time"/> </type> <type> <code value="unsignedInt"/> </type> <type> <code value="uri"/> </type> <type> <code value="url"/> </type> <type> <code value="uuid"/> </type> <type> <code value="Address"/> </type> <type> <code value="Age"/> </type> <type> <code value="Annotation"/> </type> <type> <code value="Attachment"/> </type> <type> <code value="CodeableConcept"/> </type> <type> <code value="Coding"/> </type> <type> <code value="ContactPoint"/> </type> <type> <code value="Count"/> </type> <type> <code value="Distance"/> </type> <type> <code value="Duration"/> </type> <type> <code value="HumanName"/> </type> <type> <code value="Identifier"/> </type> <type> <code value="Money"/> </type> <type> <code value="Period"/> </type> <type> <code value="Quantity"/> </type> <type> <code value="Range"/> </type> <type> <code value="Ratio"/> </type> <type> <code value="Reference"/> </type> <type> <code value="SampledData"/> </type> <type> <code value="Signature"/> </type> <type> <code value="Timing"/> </type> <type> <code value="ContactDetail"/> </type> <type> <code value="Contributor"/> </type> <type> <code value="DataRequirement"/> </type> <type> <code value="Expression"/> </type> <type> <code value="ParameterDefinition"/> </type> <type> <code value="RelatedArtifact"/> </type> <type> <code value="TriggerDefinition"/> </type> <type> <code value="UsageContext"/> </type> <type> <code value="Dosage"/> </type> <type> <code value="Meta"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension.url"> <path value="Extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="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."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="uri"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <fixedUri value="http://hl7.org/fhir/5.0/StructureDefinition/extension-Evidence.certainty"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension.value[x]"> <path value="Extension.value[x]"/> <short value="Value of extension"/> <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)."/> <min value="0"/> <max value="0"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="base64Binary"/> </type> <type> <code value="boolean"/> </type> <type> <code value="canonical"/> </type> <type> <code value="code"/> </type> <type> <code value="date"/> </type> <type> <code value="dateTime"/> </type> <type> <code value="decimal"/> </type> <type> <code value="id"/> </type> <type> <code value="instant"/> </type> <type> <code value="integer"/> </type> <type> <code value="markdown"/> </type> <type> <code value="oid"/> </type> <type> <code value="positiveInt"/> </type> <type> <code value="string"/> </type> <type> <code value="time"/> </type> <type> <code value="unsignedInt"/> </type> <type> <code value="uri"/> </type> <type> <code value="url"/> </type> <type> <code value="uuid"/> </type> <type> <code value="Address"/> </type> <type> <code value="Age"/> </type> <type> <code value="Annotation"/> </type> <type> <code value="Attachment"/> </type> <type> <code value="CodeableConcept"/> </type> <type> <code value="Coding"/> </type> <type> <code value="ContactPoint"/> </type> <type> <code value="Count"/> </type> <type> <code value="Distance"/> </type> <type> <code value="Duration"/> </type> <type> <code value="HumanName"/> </type> <type> <code value="Identifier"/> </type> <type> <code value="Money"/> </type> <type> <code value="Period"/> </type> <type> <code value="Quantity"/> </type> <type> <code value="Range"/> </type> <type> <code value="Ratio"/> </type> <type> <code value="Reference"/> </type> <type> <code value="SampledData"/> </type> <type> <code value="Signature"/> </type> <type> <code value="Timing"/> </type> <type> <code value="ContactDetail"/> </type> <type> <code value="Contributor"/> </type> <type> <code value="DataRequirement"/> </type> <type> <code value="Expression"/> </type> <type> <code value="ParameterDefinition"/> </type> <type> <code value="RelatedArtifact"/> </type> <type> <code value="TriggerDefinition"/> </type> <type> <code value="UsageContext"/> </type> <type> <code value="Dosage"/> </type> <type> <code value="Meta"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> </snapshot> <differential> <element id="Extension"> <path value="Extension"/> <short value="R5: Certainty or quality of the evidence (new)"/> <definition value="R5: `Evidence.certainty` (new:BackboneElement)"/> <comment value="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)."/> <min value="0"/> <max value="*"/> <base> <path value="Extension"/> <min value="0"/> <max value="*"/> </base> <isModifier value="false"/> </element> <element id="Extension.extension"> <path value="Extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> <base> <path value="Extension.extension"/> <min value="0"/> <max value="*"/> </base> </element> <element id="Extension.extension:description"> <path value="Extension.extension"/> <sliceName value="description"/> <short value="R5: Textual description of certainty (new)"/> <definition value="R5: `Evidence.certainty.description` (new:markdown)"/> <comment value="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)."/> <requirements value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.extension"/> <min value="0"/> <max value="*"/> </base> </element> <element id="Extension.extension:description.url"> <path value="Extension.extension.url"/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <fixedUri value="description"/> </element> <element id="Extension.extension:description.value[x]"> <path value="Extension.extension.value[x]"/> <short value="Textual description of certainty"/> <definition value="Textual description of certainty."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> </element> <element id="Extension.extension:note"> <path value="Extension.extension"/> <sliceName value="note"/> <short value="R5: Footnotes and/or explanatory notes (new)"/> <definition value="R5: `Evidence.certainty.note` (new:Annotation)"/> <comment value="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)."/> <requirements value="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)."/> <min value="0"/> <max value="*"/> <base> <path value="Extension.extension"/> <min value="0"/> <max value="*"/> </base> </element> <element id="Extension.extension:note.url"> <path value="Extension.extension.url"/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <fixedUri value="note"/> </element> <element id="Extension.extension:note.value[x]"> <path value="Extension.extension.value[x]"/> <short value="Footnotes and/or explanatory notes"/> <definition value="Footnotes and/or explanatory notes."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Annotation"/> </type> </element> <element id="Extension.extension:type"> <path value="Extension.extension"/> <sliceName value="type"/> <short value="R5: Aspect of certainty being rated (new)"/> <definition value="R5: `Evidence.certainty.type` (new:CodeableConcept)"/> <comment value="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)."/> <requirements value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.extension"/> <min value="0"/> <max value="*"/> </base> </element> <element id="Extension.extension:type.url"> <path value="Extension.extension.url"/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <fixedUri value="type"/> </element> <element id="Extension.extension:type.value[x]"> <path value="Extension.extension.value[x]"/> <short value="Aspect of certainty being rated"/> <definition value="Aspect of certainty being rated."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <binding> <strength value="extensible"/> <description value="The aspect of quality, confidence, or certainty."/> <valueSet value="http://hl7.org/fhir/uv/xver/ValueSet/R5-certainty-type-for-R4|0.1.0"/> </binding> </element> <element id="Extension.extension:rating"> <path value="Extension.extension"/> <sliceName value="rating"/> <short value="R5: Assessment or judgement of the aspect (new)"/> <definition value="R5: `Evidence.certainty.rating` (new:CodeableConcept)"/> <comment value="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)."/> <requirements value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.extension"/> <min value="0"/> <max value="*"/> </base> </element> <element id="Extension.extension:rating.url"> <path value="Extension.extension.url"/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <fixedUri value="rating"/> </element> <element id="Extension.extension:rating.value[x]"> <path value="Extension.extension.value[x]"/> <short value="Assessment or judgement of the aspect"/> <definition value="Assessment or judgement of the aspect."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <binding> <strength value="extensible"/> <description value="The assessment of quality, confidence, or certainty."/> <valueSet value="http://hl7.org/fhir/uv/xver/ValueSet/R5-certainty-rating-for-R4|0.1.0"/> </binding> </element> <element id="Extension.extension:rater"> <path value="Extension.extension"/> <sliceName value="rater"/> <short value="R5: Individual or group who did the rating (new)"/> <definition value="R5: `Evidence.certainty.rater` (new:string)"/> <comment value="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)."/> <requirements value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.extension"/> <min value="0"/> <max value="*"/> </base> </element> <element id="Extension.extension:rater.url"> <path value="Extension.extension.url"/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <fixedUri value="rater"/> </element> <element id="Extension.extension:rater.value[x]"> <path value="Extension.extension.value[x]"/> <short value="Individual or group who did the rating"/> <definition value="Individual or group who did the rating."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Extension.extension:subcomponent"> <path value="Extension.extension"/> <sliceName value="subcomponent"/> <short value="R5: A domain or subdomain of certainty (new)"/> <definition value="R5: `Evidence.certainty.subcomponent` (new:Evidence.certainty)"/> <comment value="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)."/> <requirements value="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)."/> <min value="0"/> <max value="*"/> <base> <path value="Extension.extension"/> <min value="0"/> <max value="*"/> </base> </element> <element id="Extension.extension:subcomponent.url"> <path value="Extension.extension.url"/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <fixedUri value="http://hl7.org/fhir/5.0/StructureDefinition/extension-Evidence.certainty"/> </element> <element id="Extension.extension:subcomponent.value[x]"> <path value="Extension.extension.value[x]"/> <min value="0"/> <max value="0"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> </element> <element id="Extension.url"> <path value="Extension.url"/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <fixedUri value="http://hl7.org/fhir/5.0/StructureDefinition/extension-Evidence.certainty"/> </element> <element id="Extension.value[x]"> <path value="Extension.value[x]"/> <min value="0"/> <max value="0"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> </element> </differential> </StructureDefinition>

Generated Narrative: StructureDefinition ext-R5-Evidence.certainty

Name	Card.	Type	Description & Constraints
Extension	0..*	Extension(4.0.1)	R5: Certainty or quality of the evidence (new)
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:description	0..1	Extension	R5: Textual description of certainty (new)
url	1..1	uri	"description"
value[x]	0..1	markdown	Textual description of certainty
extension:note	0..*	Extension	R5: Footnotes and/or explanatory notes (new)
url	1..1	uri	"note"
value[x]	0..1	Annotation	Footnotes and/or explanatory notes
extension:type	0..1	Extension	R5: Aspect of certainty being rated (new)
url	1..1	uri	"type"
value[x]	0..1	CodeableConcept	Aspect of certainty being rated Binding: R5CertaintyTypeForR4 (0.1.0) (extensible): The aspect of quality, confidence, or certainty.
extension:rating	0..1	Extension	R5: Assessment or judgement of the aspect (new)
url	1..1	uri	"rating"
value[x]	0..1	CodeableConcept	Assessment or judgement of the aspect Binding: R5CertaintyRatingForR4 (0.1.0) (extensible): The assessment of quality, confidence, or certainty.
extension:rater	0..1	Extension	R5: Individual or group who did the rating (new)
url	1..1	uri	"rater"
value[x]	0..1	string	Individual or group who did the rating
extension:subcomponent	0..*	Extension	R5: A domain or subdomain of certainty (new)
url	1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Evidence.certainty"
value[x]	0..0		Value of extension
url	1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Evidence.certainty"
value[x]	0..0		Value of extension
Documentation for this format