Profile_R5_Evidence_R4 - Definitions - Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1.0

Is Modifier false

Summary true

4. Evidence.meta

Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Short Metadata about the resource

Control 0..1

Meta

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

6. Evidence.implicitRules

Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Short A set of rules under which this content was created

Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control 0..1

uri

Is Modifier true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

8. Evidence.language

Definition

The base language in which the resource is written.

Short Language of the resource content

Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Control 0..1

The codes SHOULD be taken from CommonLanguages

(preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

A human language.

Additional Bindings

Purpose

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

10. Evidence.text

Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Short Text summary of the resource, for human interpretation

Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Control 0..1

Narrative

Is Modifier false

Summary false

Alternate Names narrative, html, xhtml, display

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

12. Evidence.contained

Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Short Contained, inline Resources

Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Control 0..*

Resource

Is Modifier false

Summary false

Alternate Names inline resources, anonymous resources, contained resources

14. Evidence.extension

Definition

An Extension

Short Extension

Control 1..*

Extension

Is Modifier false

Summary false

Invariants 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())

Slicing

This element introduces a set of slices on Evidence.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

16. Evidence.extension:versionAlgorithm

Slice Name versionAlgorithm

Definition

R5: Evidence.versionAlgorithm[x] (new:Coding, string)

Short R5: How to compare versions (new)

Comments

Element Evidence.versionAlgorithm[x] has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.versionAlgorithm[x] has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). If set as a string, this is a FHIRPath expression that has two additional context variables passed in - %version1 and %version2 and will return a negative number if version1 is newer, a positive number if version2 is newer, and a 0 if the version ordering can't successfully be determined.

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(R5: How to compare versions (new)) (Extension Type: Choice of: string, Coding)

Is Modifier false

Summary false

18. Evidence.extension:name

Slice Name name

Definition

R5: Evidence.name (new:string)

Short R5: Name for this summary (machine friendly) (new)

Comments

Element Evidence.name has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.name has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(R5: Name for this summary (machine friendly) (new)) (Extension Type: string)

Is Modifier false

Summary false

20. Evidence.extension:citeAs

Slice Name citeAs

Definition

R5: Evidence.citeAs[x] (new:markdown, Reference(Citation))

Short R5: Citation for this evidence (new)

Comments

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

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(R5: Citation for this evidence (new)) (Extension Type: Choice of: Reference(Cross-version Profile for R5.Citation for use in FHIR R4, Basic), markdown)

Is Modifier false

Summary false

22. Evidence.extension:experimental

Slice Name experimental

Definition

R5: Evidence.experimental (new:boolean)

Short R5: For testing purposes, not real usage (new)

Comments

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

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(R5: For testing purposes, not real usage (new)) (Extension Type: boolean)

Is Modifier false

Summary false

24. Evidence.extension:purpose

Slice Name purpose

Definition

R5: Evidence.purpose (new:markdown)

Short R5: Why this Evidence is defined (new)

Comments

Element Evidence.purpose has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.purpose has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This element does not describe the usage of the Evidence. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this Evidence.

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(R5: Why this Evidence is defined (new)) (Extension Type: markdown)

Is Modifier false

Summary false

26. Evidence.extension:copyright

Slice Name copyright

Definition

R5: Evidence.copyright (new:markdown)

Short R5: Use and/or publishing restrictions (new)

Comments

Element Evidence.copyright has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.copyright has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). The short copyright declaration (e.g. (c) '2015+ xyz organization' should be sent in the copyrightLabel element.

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(R5: Use and/or publishing restrictions (new)) (Extension Type: markdown)

Is Modifier false

Summary false

28. Evidence.extension:copyrightLabel

Slice Name copyrightLabel

Definition

R5: Evidence.copyrightLabel (new:string)

Short R5: Copyright holder and year(s) (new)

Comments

Element Evidence.copyrightLabel has a context of Evidence based on following the parent source element upwards and mapping to Evidence. Element Evidence.copyrightLabel has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). The (c) symbol should NOT be included in this string. It will be added by software when rendering the notation. Full details about licensing, restrictions, warrantees, etc. goes in the more general 'copyright' element.

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(R5: Copyright holder and year(s) (new)) (Extension Type: string)

Is Modifier false

Summary false

30. Evidence.extension:assertion

Slice Name assertion

Definition

R5: Evidence.assertion (new:markdown)

Short R5: Declarative description of the Evidence (new)

Comments

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

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(R5: Declarative description of the Evidence (new)) (Extension Type: markdown)

Is Modifier false

Summary false

32. Evidence.extension:variableDefinition

Slice Name variableDefinition

Definition

R5: Evidence.variableDefinition (new:BackboneElement)

Short R5: Evidence variable such as population, exposure, or outcome (new)

Comments

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

Control 1..*
This element is affected by the following invariants: ele-1

Type Extension(R5: Evidence variable such as population, exposure, or outcome (new)) (Complex Extension)

Is Modifier false

34. Evidence.extension:synthesisType

Slice Name synthesisType

Definition

R5: Evidence.synthesisType (new:CodeableConcept)

Short R5: The method to combine studies (new)

Comments

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

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(R5: The method to combine studies (new)) (Extension Type: CodeableConcept)

Is Modifier false

Summary false

36. Evidence.extension:studyDesign

Slice Name studyDesign

Definition

R5: Evidence.studyDesign (new:CodeableConcept)

Short R5: The design of the study that produced this evidence (new)

Comments

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

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(R5: The design of the study that produced this evidence (new)) (Extension Type: CodeableConcept)

Is Modifier false

Summary false

38. Evidence.extension:statistic

Slice Name statistic

Definition

R5: Evidence.statistic (new:BackboneElement)

Short R5: Values and parameters for a single statistic (new)

Comments

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

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(R5: Values and parameters for a single statistic (new)) (Complex Extension)

Is Modifier false

40. Evidence.extension:attributeEstimate

Slice Name attributeEstimate

Definition

R5: Evidence.statistic.attributeEstimate (new:BackboneElement)

Short R5: An attribute of the Statistic (new)

Comments

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

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(R5: An attribute of the Statistic (new)) (Complex Extension)

Is Modifier false

42. Evidence.extension:attributeEstimate

Slice Name attributeEstimate

Definition

R5: Evidence.statistic.attributeEstimate.attributeEstimate (new:Evidence.statistic.attributeEstimate)

Short R5: A nested attribute estimate; which is the attribute estimate of an attribute estimate (new)

Comments

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

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(R5: An attribute of the Statistic (new)) (Complex Extension)

Is Modifier false

44. Evidence.extension:attributeEstimate

Slice Name attributeEstimate

Definition

R5: Evidence.statistic.modelCharacteristic.attributeEstimate (new:Evidence.statistic.attributeEstimate)

Short R5: An attribute of the statistic used as a model characteristic (new)

Comments

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

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(R5: An attribute of the Statistic (new)) (Complex Extension)

Is Modifier false

46. Evidence.extension:certainty

Slice Name certainty

Definition

R5: Evidence.certainty (new:BackboneElement)

Short R5: 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).

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(R5: Certainty or quality of the evidence (new)) (Complex Extension)

Is Modifier false

48. Evidence.extension:subcomponent

Slice Name subcomponent

Definition

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

Short R5: 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).

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(R5: Certainty or quality of the evidence (new)) (Complex Extension)

Is Modifier false

50. Evidence.modifierExtension

Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short Extensions that cannot be ignored

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.

Control 0..*

Extension

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them

Summary false

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Names extensions, user content

52. Evidence.url

Definition

An absolute URI that is used to identify this evidence when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this evidence is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the evidence is stored on different servers.

Short Canonical identifier for this evidence, represented as a URI (globally unique)

Comments

Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.

The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions.

In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found.

Control 0..1

uri

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Allows the evidence to be referenced by a single globally unique identifier.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

54. Evidence.identifier

Definition

A formal identifier that is used to identify this evidence when it is represented in other formats, or referenced in a specification, model, design or an instance.

Short Additional identifier for the evidence

Comments

Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this evidence outside of FHIR, where it is not possible to use the logical URI.

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..*

Identifier

Is Modifier false

Summary true

Requirements

Allows externally provided and/or usable business identifiers to be easily associated with the module.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

56. Evidence.version

Definition

The identifier that is used to identify this version of the evidence when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the evidence author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.

Short Business version of the evidence

Comments

There may be different evidence instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the evidence with the format [url]|[version].

Note This is a business version Id, not a resource version Id (see discussion)

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

58. Evidence.name

Definition

A natural language name identifying the evidence. This name should be usable as an identifier for the module by machine processing applications such as code generation.

Short Name for this evidence (computer friendly)

Comments

The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.

Control 0..1
This element is affected by the following invariants: inv-0

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Support human navigation and code generation.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

60. Evidence.title

Definition

A short, descriptive, user-friendly title for the evidence.

Short Name for this evidence (human friendly)

Comments

This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

62. Evidence.shortTitle

Definition

The short title provides an alternate title for use in informal descriptive contexts where the full, formal title is not necessary.

Short Title for use in informal contexts

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Need to be able to reference the content by a short description, but still provide a longer, more formal title for the content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

64. Evidence.subtitle

Definition

An explanatory or alternate title for the Evidence giving additional information about its content.

Short Subordinate title of the Evidence

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

66. Evidence.status

Definition

The status of this evidence. Enables tracking the life-cycle of the content.

Short draft | active | retired | unknown

Comments

Allows filtering of evidences that are appropriate for use versus not.

Control 1..1

The codes SHALL be taken from PublicationStatus
(required to http://hl7.org/fhir/ValueSet/publication-status|4.0.1)

The lifecycle status of an artifact.

code

Is Modifier true because This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

68. Evidence.date

Definition

The date (and optionally time) when the evidence was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the evidence changes.

Short Date last changed

Comments

Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the evidence. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

Control 0..1

dateTime

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Alternate Names Revision Date

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

70. Evidence.publisher

Definition

The name of the organization or individual that published the evidence.

Short Name of the publisher (organization or individual)

Comments

Usually an organization but may be an individual. The publisher (or steward) of the evidence is the organization or individual primarily responsible for the maintenance and upkeep of the evidence. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the evidence. This item SHOULD be populated unless the information is available from context.

Control 0..1

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Helps establish the "authority/credibility" of the evidence. May also allow for contact.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

72. Evidence.contact

Definition

Contact details to assist a user in finding and communicating with the publisher.

Short Contact details for the publisher

Comments

May be a web site, an email address, a telephone number, etc.

Control 0..*

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

74. Evidence.description

Definition

A free text natural language description of the evidence from a consumer's perspective.

Short Natural language description of the evidence

Comments

This description can be used to capture details such as why the evidence was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the evidence as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the evidence is presumed to be the predominant language in the place the evidence was created).

Control 0..1

markdown

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

76. Evidence.note

Definition

A human-readable string to clarify or explain concepts about the resource.

Short Used for footnotes or explanatory notes

Control 0..*

Annotation

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

78. Evidence.useContext

Definition

The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate evidence instances.

Short The context that the content is intended to support

Comments

When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

Control 0..*

UsageContext

Is Modifier false

Summary true

Requirements

Assist in searching for appropriate content.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

80. Evidence.jurisdiction

Definition

A legal or geographic region in which the evidence is intended to be used.

Short Intended jurisdiction for evidence (if applicable)

Comments

It may be possible for the evidence to be used in jurisdictions other than those for which it was originally designed or intended.

Control 0..*

Unless not suitable, these codes SHALL be taken from Jurisdiction ValueSet
(extensible to http://hl7.org/fhir/ValueSet/jurisdiction|4.0.1)

Countries and regions within which this artifact is targeted for use.

CodeableConcept

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

82. Evidence.copyright

Definition

A copyright statement relating to the evidence and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the evidence.

Short Use and/or publishing restrictions

Control 0..1

markdown

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Consumers must be able to determine any legal restrictions on the use of the evidence and/or its content.

Alternate Names License, Restrictions

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

84. Evidence.approvalDate

Definition

The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.

Short When the evidence was approved by publisher

Comments

The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.

Control 0..1

date

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

86. Evidence.lastReviewDate

Definition

The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.

Short When the evidence was last reviewed

Comments

If specified, this date follows the original approval date.

Control 0..1

date

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Requirements

Gives a sense of how "current" the content is. Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

88. Evidence.effectivePeriod

Definition

The period during which the evidence content was or is planned to be in active use.

Short When the evidence is expected to be used

Comments

The effective period for a evidence determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.

Control 0..1

Period

Is Modifier false

Summary true

Requirements

Allows establishing a transition before a resource comes into effect and also allows for a sunsetting process when new versions of the evidence are or are expected to be used instead.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

90. Evidence.topic

Definition

Descriptive topics related to the content of the Evidence. Topics provide a high-level categorization grouping types of Evidences that can be useful for filtering and searching.

Short The category of the Evidence, such as Education, Treatment, Assessment, etc.

Control 0..*

For example codes, see DefinitionTopic
(example to http://hl7.org/fhir/ValueSet/definition-topic|4.0.1)

High-level categorization of the definition, used for searching, sorting, and filtering.

CodeableConcept

Is Modifier false

Summary false

Requirements

Repositories must be able to determine how to categorize the Evidence so that it can be found by topical searches.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

92. Evidence.author

Definition

An individiual or organization primarily involved in the creation and maintenance of the content.

Short Who authored the content

Control 0..*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

94. Evidence.editor

Definition

An individual or organization primarily responsible for internal coherence of the content.

Short Who edited the content

Control 0..*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

96. Evidence.reviewer

Definition

An individual or organization primarily responsible for review of some aspect of the content.

Short Who reviewed the content

Control 0..*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

98. Evidence.endorser

Definition

An individual or organization responsible for officially endorsing the content for use in some setting.

Short Who endorsed the content

Control 0..*

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

100. Evidence.relatedArtifact

Definition

Related artifacts such as additional documentation, justification, or bibliographic references.

Short Additional documentation, citations, etc.

Comments

Each related artifact is either an attachment, or a reference to another resource, but not both.

Control 0..*