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

Resource Profile: Profile_R5_EvidenceReport_R4 - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 0

Definitions for the profile-EvidenceReport resource profile.

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

0. Basic
Definition

Basic is used for handling concepts not yet defined in FHIR, narrative-only resources that don't map to an existing resource, and custom resources not appropriate for inclusion in the FHIR specification.

ShortResource for non-supported content
Control0..*
Is Modifierfalse
Summaryfalse
Alternate NamesZ-resource, Extension-resource, Custom-resource
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Basic.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.

ShortA 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.

Control0..1
Typeuri
Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Basic.extension
Definition

An Extension


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

ShortExtensionAdditional content defined by implementations
Comments

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

Control10..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Basic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 6. Basic.extension:url
    Slice Nameurl
    Definition

    R5: EvidenceReport.url (new:uri)

    ShortR5: Canonical identifier for this EvidenceReport, represented as a globally unique URI (new)
    Comments

    Element EvidenceReport.url is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.url has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). 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.

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Canonical identifier for this EvidenceReport, represented as a globally unique URI (new)) (Extension Type: uri)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    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())
    8. Basic.extension:useContext
    Slice NameuseContext
    Definition

    R5: EvidenceReport.useContext (new:UsageContext)

    ShortR5: The context that the content is intended to support (new)
    Comments

    Element EvidenceReport.useContext is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.useContext has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: The context that the content is intended to support (new)) (Extension Type: UsageContext)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    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())
    10. Basic.extension:relatedIdentifier
    Slice NamerelatedIdentifier
    Definition

    R5: EvidenceReport.relatedIdentifier (new:Identifier)

    ShortR5: Identifiers for articles that may relate to more than one evidence report (new)
    Comments

    Element EvidenceReport.relatedIdentifier is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.relatedIdentifier has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). May include trial registry identifiers, e.g. NCT04372602 from clinicaltrials.gov. This identifier can be valid for multiple EvidenceReport resources.

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Identifiers for articles that may relate to more than one evidence report (new)) (Extension Type: Identifier)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    12. Basic.extension:citeAs
    Slice NameciteAs
    Definition

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

    ShortR5: Citation for this report (new)
    Comments

    Element EvidenceReport.citeAs[x] is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.citeAs[x] has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). used for reports for which external citation is expected, such as use in support of scholarly publications.

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Citation for this report (new)) (Extension Type: Choice of: Reference(Cross-version Profile for R5.Citation for use in FHIR R4, Basic), markdown)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    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())
    14. Basic.extension:type
    Slice Nametype
    Definition

    R5: EvidenceReport.type (new:CodeableConcept)

    ShortR5: Kind of report (new)
    Comments

    Element EvidenceReport.type is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.type has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Kind of report (new)) (Extension Type: CodeableConcept)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    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())
    16. Basic.extension:note
    Slice Namenote
    Definition

    R5: EvidenceReport.note (new:Annotation)

    ShortR5: Used for footnotes and annotations (new)
    Comments

    Element EvidenceReport.note is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.note has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Used for footnotes and annotations (new)) (Extension Type: Annotation)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    18. Basic.extension:relatedArtifact
    Slice NamerelatedArtifact
    Definition

    R5: EvidenceReport.relatedArtifact (new:RelatedArtifact)

    ShortR5: Link, description or reference to artifact associated with the report (new)
    Comments

    Element EvidenceReport.relatedArtifact is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.relatedArtifact has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Link, description or reference to artifact associated with the report (new)) (Extension Type: RelatedArtifact)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    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())
    20. Basic.extension:subject
    Slice Namesubject
    Definition

    R5: EvidenceReport.subject (new:BackboneElement)

    ShortR5: Focus of the report (new)
    Comments

    Element EvidenceReport.subject is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.subject has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). While the source element matches Basic element path (), the definitions are not compatible (source: BackboneElement:1..1 -> basic: Reference(http://hl7.org/fhir/StructureDefinition/Resource):0..1). May be used as an expression for search queries and search results

    Control1..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Focus of the report (new)) (Complex Extension)
    Is Modifierfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    22. Basic.extension:publisher
    Slice Namepublisher
    Definition

    R5: EvidenceReport.publisher (new:string)

    ShortR5: Name of the publisher/steward (organization or individual) (new)
    Comments

    Element EvidenceReport.publisher is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.publisher has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Usually an organization but may be an individual. The publisher (or steward) of the evidence report is the organization or individual primarily responsible for the maintenance and upkeep of the evidence report. 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 report. This item SHOULD be populated unless the information is available from context.

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Name of the publisher/steward (organization or individual) (new)) (Extension Type: string)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    24. Basic.extension:contact
    Slice Namecontact
    Definition

    R5: EvidenceReport.contact (new:ContactDetail)

    ShortR5: Contact details for the publisher (new)
    Comments

    Element EvidenceReport.contact is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.contact has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see Clinical Reasoning Module).

    See guidance around (not) making local changes to elements here.

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Contact details for the publisher (new)) (Extension Type: ContactDetail)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    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())
    26. Basic.extension:author
    Slice Nameauthor
    Definition

    R5: EvidenceReport.author (new:ContactDetail)

    ShortR5: Who authored the content (new)
    Comments

    Element EvidenceReport.author is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.author has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). While the source element matches Basic element path (), the definitions are not compatible (source: ContactDetail:0..* -> basic: Reference(http://hl7.org/fhir/StructureDefinition/Practitioner,http://hl7.org/fhir/StructureDefinition/PractitionerRole,http://hl7.org/fhir/StructureDefinition/Patient,http://hl7.org/fhir/StructureDefinition/RelatedPerson,http://hl7.org/fhir/StructureDefinition/Organization):0..1). Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see Clinical Reasoning Module).

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Who authored the content (new)) (Extension Type: ContactDetail)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    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())
    28. Basic.extension:editor
    Slice Nameeditor
    Definition

    R5: EvidenceReport.editor (new:ContactDetail)

    ShortR5: Who edited the content (new)
    Comments

    Element EvidenceReport.editor is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.editor has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see Clinical Reasoning Module).

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Who edited the content (new)) (Extension Type: ContactDetail)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    30. Basic.extension:reviewer
    Slice Namereviewer
    Definition

    R5: EvidenceReport.reviewer (new:ContactDetail)

    ShortR5: Who reviewed the content (new)
    Comments

    Element EvidenceReport.reviewer is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.reviewer has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see Clinical Reasoning Module).

    See guidance around (not) making local changes to elements here.

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Who reviewed the content (new)) (Extension Type: ContactDetail)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    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())
    32. Basic.extension:endorser
    Slice Nameendorser
    Definition

    R5: EvidenceReport.endorser (new:ContactDetail)

    ShortR5: Who endorsed the content (new)
    Comments

    Element EvidenceReport.endorser is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.endorser has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see Clinical Reasoning Module).

    See guidance around (not) making local changes to elements here.

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Who endorsed the content (new)) (Extension Type: ContactDetail)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    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())
    34. Basic.extension:relatesTo
    Slice NamerelatesTo
    Definition

    R5: EvidenceReport.relatesTo (new:BackboneElement)

    ShortR5: Relationships to other compositions/documents (new)
    Comments

    Element EvidenceReport.relatesTo is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.relatesTo has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). A document is a version specific composition.

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Relationships to other compositions/documents (new)) (Complex Extension)
    Is Modifierfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    36. Basic.extension:section
    Slice Namesection
    Definition

    R5: EvidenceReport.section (new:BackboneElement)

    ShortR5: Composition is broken into sections (new)
    Comments

    Element EvidenceReport.section is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.section has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Composition is broken into sections (new)) (Complex Extension)
    Is Modifierfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    38. Basic.extension:section
    Slice Namesection
    Definition

    R5: EvidenceReport.section.section (new:EvidenceReport.section)

    ShortR5: Nested Section (new)
    Comments

    Element EvidenceReport.section.section is part of an existing definition because parent element EvidenceReport.section requires a cross-version extension. Element EvidenceReport.section.section is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.section.section has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Nested sections are primarily used to help human readers navigate to particular portions of the document.

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Composition is broken into sections (new)) (Complex Extension)
    Is Modifierfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    40. Basic.modifierExtension
    Definition

    An Extension


    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).

    ShortExtensionExtensions 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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Summaryfalse
    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 Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on Basic.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 42. Basic.modifierExtension:status
      Slice Namestatus
      Definition

      R5: EvidenceReport.status (new:code)

      ShortR5: draft | active | retired | unknown (new)
      Comments

      Element EvidenceReport.status is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.status has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Allows filtering of summaries that are appropriate for use versus not.

      See guidance around (not) making local changes to elements here.

      Control1..1
      This element is affected by the following invariants: ele-1
      TypeExtension(R5: draft | active | retired | unknown (new)) (Extension Type: code)
      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      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())
      44. Basic.code
      Definition

      Identifies the 'type' of resource - equivalent to the resource name for other resources.

      ShortKind of Resource
      Comments

      Because resource references will only be able to indicate 'Basic', the type of reference will need to be specified in a Profile identified as part of the resource. Refer to the resource notes section for information on appropriate terminologies for this code.

      This element is labeled as a modifier because it defines the meaning of the resource and cannot be ignored.

      Control1..1
      BindingFor example codes, see BasicResourceTypeshttp://hl7.org/fhir/ValueSet/basic-resource-type|4.0.1
      (example to http://hl7.org/fhir/ValueSet/basic-resource-type|4.0.1)

      Codes for identifying types of resources not yet defined by FHIR.

      TypeCodeableConcept
      Is Modifiertrue because This element determines what kind of resource is being represented which drives the meaning of all of the other elements.
      Summarytrue
      Requirements

      Must be able to distinguish different types of Basic resources.

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

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

      0. Basic
      2. Basic.extension
      Control1..*
      SlicingThis element introduces a set of slices on Basic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 4. Basic.extension:url
        Slice Nameurl
        Definition

        R5: EvidenceReport.url (new:uri)

        ShortR5: Canonical identifier for this EvidenceReport, represented as a globally unique URI (new)
        Comments

        Element EvidenceReport.url is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.url has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). 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.

        Control0..1
        TypeExtension(R5: Canonical identifier for this EvidenceReport, represented as a globally unique URI (new)) (Extension Type: uri)
        6. Basic.extension:useContext
        Slice NameuseContext
        Definition

        R5: EvidenceReport.useContext (new:UsageContext)

        ShortR5: The context that the content is intended to support (new)
        Comments

        Element EvidenceReport.useContext is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.useContext has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

        Control0..*
        TypeExtension(R5: The context that the content is intended to support (new)) (Extension Type: UsageContext)
        8. Basic.extension:relatedIdentifier
        Slice NamerelatedIdentifier
        Definition

        R5: EvidenceReport.relatedIdentifier (new:Identifier)

        ShortR5: Identifiers for articles that may relate to more than one evidence report (new)
        Comments

        Element EvidenceReport.relatedIdentifier is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.relatedIdentifier has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). May include trial registry identifiers, e.g. NCT04372602 from clinicaltrials.gov. This identifier can be valid for multiple EvidenceReport resources.

        Control0..*
        TypeExtension(R5: Identifiers for articles that may relate to more than one evidence report (new)) (Extension Type: Identifier)
        10. Basic.extension:citeAs
        Slice NameciteAs
        Definition

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

        ShortR5: Citation for this report (new)
        Comments

        Element EvidenceReport.citeAs[x] is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.citeAs[x] has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). used for reports for which external citation is expected, such as use in support of scholarly publications.

        Control0..1
        TypeExtension(R5: Citation for this report (new)) (Extension Type: Choice of: Reference(Cross-version Profile for R5.Citation for use in FHIR R4, Basic), markdown)
        12. Basic.extension:type
        Slice Nametype
        Definition

        R5: EvidenceReport.type (new:CodeableConcept)

        ShortR5: Kind of report (new)
        Comments

        Element EvidenceReport.type is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.type has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

        Control0..1
        TypeExtension(R5: Kind of report (new)) (Extension Type: CodeableConcept)
        14. Basic.extension:note
        Slice Namenote
        Definition

        R5: EvidenceReport.note (new:Annotation)

        ShortR5: Used for footnotes and annotations (new)
        Comments

        Element EvidenceReport.note is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.note has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

        Control0..*
        TypeExtension(R5: Used for footnotes and annotations (new)) (Extension Type: Annotation)
        16. Basic.extension:relatedArtifact
        Slice NamerelatedArtifact
        Definition

        R5: EvidenceReport.relatedArtifact (new:RelatedArtifact)

        ShortR5: Link, description or reference to artifact associated with the report (new)
        Comments

        Element EvidenceReport.relatedArtifact is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.relatedArtifact has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

        Control0..*
        TypeExtension(R5: Link, description or reference to artifact associated with the report (new)) (Extension Type: RelatedArtifact)
        18. Basic.extension:subject
        Slice Namesubject
        Definition

        R5: EvidenceReport.subject (new:BackboneElement)

        ShortR5: Focus of the report (new)
        Comments

        Element EvidenceReport.subject is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.subject has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). While the source element matches Basic element path (), the definitions are not compatible (source: BackboneElement:1..1 -> basic: Reference(http://hl7.org/fhir/StructureDefinition/Resource):0..1). May be used as an expression for search queries and search results

        Control1..1
        TypeExtension(R5: Focus of the report (new)) (Complex Extension)
        20. Basic.extension:publisher
        Slice Namepublisher
        Definition

        R5: EvidenceReport.publisher (new:string)

        ShortR5: Name of the publisher/steward (organization or individual) (new)
        Comments

        Element EvidenceReport.publisher is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.publisher has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Usually an organization but may be an individual. The publisher (or steward) of the evidence report is the organization or individual primarily responsible for the maintenance and upkeep of the evidence report. 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 report. This item SHOULD be populated unless the information is available from context.

        Control0..1
        TypeExtension(R5: Name of the publisher/steward (organization or individual) (new)) (Extension Type: string)
        22. Basic.extension:contact
        Slice Namecontact
        Definition

        R5: EvidenceReport.contact (new:ContactDetail)

        ShortR5: Contact details for the publisher (new)
        Comments

        Element EvidenceReport.contact is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.contact has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see Clinical Reasoning Module).

        See guidance around (not) making local changes to elements here.

        Control0..*
        TypeExtension(R5: Contact details for the publisher (new)) (Extension Type: ContactDetail)
        24. Basic.extension:author
        Slice Nameauthor
        Definition

        R5: EvidenceReport.author (new:ContactDetail)

        ShortR5: Who authored the content (new)
        Comments

        Element EvidenceReport.author is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.author has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). While the source element matches Basic element path (), the definitions are not compatible (source: ContactDetail:0..* -> basic: Reference(http://hl7.org/fhir/StructureDefinition/Practitioner,http://hl7.org/fhir/StructureDefinition/PractitionerRole,http://hl7.org/fhir/StructureDefinition/Patient,http://hl7.org/fhir/StructureDefinition/RelatedPerson,http://hl7.org/fhir/StructureDefinition/Organization):0..1). Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see Clinical Reasoning Module).

        Control0..*
        TypeExtension(R5: Who authored the content (new)) (Extension Type: ContactDetail)
        26. Basic.extension:editor
        Slice Nameeditor
        Definition

        R5: EvidenceReport.editor (new:ContactDetail)

        ShortR5: Who edited the content (new)
        Comments

        Element EvidenceReport.editor is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.editor has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see Clinical Reasoning Module).

        Control0..*
        TypeExtension(R5: Who edited the content (new)) (Extension Type: ContactDetail)
        28. Basic.extension:reviewer
        Slice Namereviewer
        Definition

        R5: EvidenceReport.reviewer (new:ContactDetail)

        ShortR5: Who reviewed the content (new)
        Comments

        Element EvidenceReport.reviewer is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.reviewer has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see Clinical Reasoning Module).

        See guidance around (not) making local changes to elements here.

        Control0..*
        TypeExtension(R5: Who reviewed the content (new)) (Extension Type: ContactDetail)
        30. Basic.extension:endorser
        Slice Nameendorser
        Definition

        R5: EvidenceReport.endorser (new:ContactDetail)

        ShortR5: Who endorsed the content (new)
        Comments

        Element EvidenceReport.endorser is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.endorser has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see Clinical Reasoning Module).

        See guidance around (not) making local changes to elements here.

        Control0..*
        TypeExtension(R5: Who endorsed the content (new)) (Extension Type: ContactDetail)
        32. Basic.extension:relatesTo
        Slice NamerelatesTo
        Definition

        R5: EvidenceReport.relatesTo (new:BackboneElement)

        ShortR5: Relationships to other compositions/documents (new)
        Comments

        Element EvidenceReport.relatesTo is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.relatesTo has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). A document is a version specific composition.

        Control0..*
        TypeExtension(R5: Relationships to other compositions/documents (new)) (Complex Extension)
        34. Basic.extension:section
        Slice Namesection
        Definition

        R5: EvidenceReport.section (new:BackboneElement)

        ShortR5: Composition is broken into sections (new)
        Comments

        Element EvidenceReport.section is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.section has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

        Control0..*
        TypeExtension(R5: Composition is broken into sections (new)) (Complex Extension)
        36. Basic.extension:section
        Slice Namesection
        Definition

        R5: EvidenceReport.section.section (new:EvidenceReport.section)

        ShortR5: Nested Section (new)
        Comments

        Element EvidenceReport.section.section is part of an existing definition because parent element EvidenceReport.section requires a cross-version extension. Element EvidenceReport.section.section is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.section.section has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Nested sections are primarily used to help human readers navigate to particular portions of the document.

        Control0..*
        TypeExtension(R5: Composition is broken into sections (new)) (Complex Extension)
        38. Basic.modifierExtension
        Control0..*
        SlicingThis element introduces a set of slices on Basic.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 40. Basic.modifierExtension:status
          Slice Namestatus
          Definition

          R5: EvidenceReport.status (new:code)

          ShortR5: draft | active | retired | unknown (new)
          Comments

          Element EvidenceReport.status is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.status has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Allows filtering of summaries that are appropriate for use versus not.

          See guidance around (not) making local changes to elements here.

          Control1..1
          TypeExtension(R5: draft | active | retired | unknown (new)) (Extension Type: code)

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

          0. Basic
          Definition

          Basic is used for handling concepts not yet defined in FHIR, narrative-only resources that don't map to an existing resource, and custom resources not appropriate for inclusion in the FHIR specification.

          ShortResource for non-supported content
          Control0..*
          Is Modifierfalse
          Summaryfalse
          Alternate NamesZ-resource, Extension-resource, Custom-resource
          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
          dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
          dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
          dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
          dom-6: A resource should have narrative for robust management (text.`div`.exists())
          2. Basic.id
          Definition

          The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

          ShortLogical id of this artifact
          Comments

          The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

          Control0..1
          Typeid
          Is Modifierfalse
          Summarytrue
          4. Basic.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.

          ShortMetadata about the resource
          Control0..1
          TypeMeta
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          6. Basic.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.

          ShortA 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.

          Control0..1
          Typeuri
          Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          8. Basic.language
          Definition

          The base language in which the resource is written.

          ShortLanguage 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).

          Control0..1
          BindingThe codes SHOULD be taken from CommonLanguages .
          (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

          A human language.

          Additional BindingsPurpose
          AllLanguagesMax Binding
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          10. Basic.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.

          ShortText 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.

          Control0..1
          TypeNarrative
          Is Modifierfalse
          Summaryfalse
          Alternate Namesnarrative, html, xhtml, display
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          12. Basic.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.

          ShortContained, 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.

          Control0..*
          TypeResource
          Is Modifierfalse
          Summaryfalse
          Alternate Namesinline resources, anonymous resources, contained resources
          14. Basic.extension
          Definition

          An Extension

          ShortExtension
          Control1..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on Basic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 16. Basic.extension:url
            Slice Nameurl
            Definition

            R5: EvidenceReport.url (new:uri)

            ShortR5: Canonical identifier for this EvidenceReport, represented as a globally unique URI (new)
            Comments

            Element EvidenceReport.url is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.url has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). 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.

            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Canonical identifier for this EvidenceReport, represented as a globally unique URI (new)) (Extension Type: uri)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            18. Basic.extension:useContext
            Slice NameuseContext
            Definition

            R5: EvidenceReport.useContext (new:UsageContext)

            ShortR5: The context that the content is intended to support (new)
            Comments

            Element EvidenceReport.useContext is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.useContext has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: The context that the content is intended to support (new)) (Extension Type: UsageContext)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            20. Basic.extension:relatedIdentifier
            Slice NamerelatedIdentifier
            Definition

            R5: EvidenceReport.relatedIdentifier (new:Identifier)

            ShortR5: Identifiers for articles that may relate to more than one evidence report (new)
            Comments

            Element EvidenceReport.relatedIdentifier is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.relatedIdentifier has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). May include trial registry identifiers, e.g. NCT04372602 from clinicaltrials.gov. This identifier can be valid for multiple EvidenceReport resources.

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Identifiers for articles that may relate to more than one evidence report (new)) (Extension Type: Identifier)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            22. Basic.extension:citeAs
            Slice NameciteAs
            Definition

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

            ShortR5: Citation for this report (new)
            Comments

            Element EvidenceReport.citeAs[x] is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.citeAs[x] has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). used for reports for which external citation is expected, such as use in support of scholarly publications.

            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Citation for this report (new)) (Extension Type: Choice of: Reference(Cross-version Profile for R5.Citation for use in FHIR R4, Basic), markdown)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            24. Basic.extension:type
            Slice Nametype
            Definition

            R5: EvidenceReport.type (new:CodeableConcept)

            ShortR5: Kind of report (new)
            Comments

            Element EvidenceReport.type is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.type has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Kind of report (new)) (Extension Type: CodeableConcept)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            26. Basic.extension:note
            Slice Namenote
            Definition

            R5: EvidenceReport.note (new:Annotation)

            ShortR5: Used for footnotes and annotations (new)
            Comments

            Element EvidenceReport.note is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.note has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Used for footnotes and annotations (new)) (Extension Type: Annotation)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            28. Basic.extension:relatedArtifact
            Slice NamerelatedArtifact
            Definition

            R5: EvidenceReport.relatedArtifact (new:RelatedArtifact)

            ShortR5: Link, description or reference to artifact associated with the report (new)
            Comments

            Element EvidenceReport.relatedArtifact is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.relatedArtifact has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Link, description or reference to artifact associated with the report (new)) (Extension Type: RelatedArtifact)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            30. Basic.extension:subject
            Slice Namesubject
            Definition

            R5: EvidenceReport.subject (new:BackboneElement)

            ShortR5: Focus of the report (new)
            Comments

            Element EvidenceReport.subject is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.subject has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). While the source element matches Basic element path (), the definitions are not compatible (source: BackboneElement:1..1 -> basic: Reference(http://hl7.org/fhir/StructureDefinition/Resource):0..1). May be used as an expression for search queries and search results

            Control1..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Focus of the report (new)) (Complex Extension)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            32. Basic.extension:publisher
            Slice Namepublisher
            Definition

            R5: EvidenceReport.publisher (new:string)

            ShortR5: Name of the publisher/steward (organization or individual) (new)
            Comments

            Element EvidenceReport.publisher is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.publisher has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Usually an organization but may be an individual. The publisher (or steward) of the evidence report is the organization or individual primarily responsible for the maintenance and upkeep of the evidence report. 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 report. This item SHOULD be populated unless the information is available from context.

            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Name of the publisher/steward (organization or individual) (new)) (Extension Type: string)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            34. Basic.extension:contact
            Slice Namecontact
            Definition

            R5: EvidenceReport.contact (new:ContactDetail)

            ShortR5: Contact details for the publisher (new)
            Comments

            Element EvidenceReport.contact is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.contact has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see Clinical Reasoning Module).

            See guidance around (not) making local changes to elements here.

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Contact details for the publisher (new)) (Extension Type: ContactDetail)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            36. Basic.extension:author
            Slice Nameauthor
            Definition

            R5: EvidenceReport.author (new:ContactDetail)

            ShortR5: Who authored the content (new)
            Comments

            Element EvidenceReport.author is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.author has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). While the source element matches Basic element path (), the definitions are not compatible (source: ContactDetail:0..* -> basic: Reference(http://hl7.org/fhir/StructureDefinition/Practitioner,http://hl7.org/fhir/StructureDefinition/PractitionerRole,http://hl7.org/fhir/StructureDefinition/Patient,http://hl7.org/fhir/StructureDefinition/RelatedPerson,http://hl7.org/fhir/StructureDefinition/Organization):0..1). Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see Clinical Reasoning Module).

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Who authored the content (new)) (Extension Type: ContactDetail)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            38. Basic.extension:editor
            Slice Nameeditor
            Definition

            R5: EvidenceReport.editor (new:ContactDetail)

            ShortR5: Who edited the content (new)
            Comments

            Element EvidenceReport.editor is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.editor has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see Clinical Reasoning Module).

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Who edited the content (new)) (Extension Type: ContactDetail)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            40. Basic.extension:reviewer
            Slice Namereviewer
            Definition

            R5: EvidenceReport.reviewer (new:ContactDetail)

            ShortR5: Who reviewed the content (new)
            Comments

            Element EvidenceReport.reviewer is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.reviewer has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see Clinical Reasoning Module).

            See guidance around (not) making local changes to elements here.

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Who reviewed the content (new)) (Extension Type: ContactDetail)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            42. Basic.extension:endorser
            Slice Nameendorser
            Definition

            R5: EvidenceReport.endorser (new:ContactDetail)

            ShortR5: Who endorsed the content (new)
            Comments

            Element EvidenceReport.endorser is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.endorser has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see Clinical Reasoning Module).

            See guidance around (not) making local changes to elements here.

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Who endorsed the content (new)) (Extension Type: ContactDetail)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            44. Basic.extension:relatesTo
            Slice NamerelatesTo
            Definition

            R5: EvidenceReport.relatesTo (new:BackboneElement)

            ShortR5: Relationships to other compositions/documents (new)
            Comments

            Element EvidenceReport.relatesTo is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.relatesTo has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). A document is a version specific composition.

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Relationships to other compositions/documents (new)) (Complex Extension)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            46. Basic.extension:section
            Slice Namesection
            Definition

            R5: EvidenceReport.section (new:BackboneElement)

            ShortR5: Composition is broken into sections (new)
            Comments

            Element EvidenceReport.section is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.section has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Composition is broken into sections (new)) (Complex Extension)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            48. Basic.extension:section
            Slice Namesection
            Definition

            R5: EvidenceReport.section.section (new:EvidenceReport.section)

            ShortR5: Nested Section (new)
            Comments

            Element EvidenceReport.section.section is part of an existing definition because parent element EvidenceReport.section requires a cross-version extension. Element EvidenceReport.section.section is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.section.section has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Nested sections are primarily used to help human readers navigate to particular portions of the document.

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Composition is broken into sections (new)) (Complex Extension)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            50. Basic.modifierExtension
            Definition

            An Extension

            ShortExtension
            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on Basic.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 52. Basic.modifierExtension:status
              Slice Namestatus
              Definition

              R5: EvidenceReport.status (new:code)

              ShortR5: draft | active | retired | unknown (new)
              Comments

              Element EvidenceReport.status is not mapped to FHIR R4, since FHIR R5 EvidenceReport is not mapped. Element EvidenceReport.status has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Allows filtering of summaries that are appropriate for use versus not.

              See guidance around (not) making local changes to elements here.

              Control1..1
              This element is affected by the following invariants: ele-1
              TypeExtension(R5: draft | active | retired | unknown (new)) (Extension Type: code)
              Is Modifiertrue because This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              54. Basic.identifier
              Definition

              Identifier assigned to the resource for business purposes, outside the context of FHIR.

              ShortBusiness identifier
              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control0..*
              TypeIdentifier
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              56. Basic.code
              Definition

              Identifies the 'type' of resource - equivalent to the resource name for other resources.

              ShortKind of Resource
              Comments

              Because resource references will only be able to indicate 'Basic', the type of reference will need to be specified in a Profile identified as part of the resource. Refer to the resource notes section for information on appropriate terminologies for this code.

              This element is labeled as a modifier because it defines the meaning of the resource and cannot be ignored.

              Control1..1
              BindingFor example codes, see BasicResourceTypes
              (example to http://hl7.org/fhir/ValueSet/basic-resource-type|4.0.1)

              Codes for identifying types of resources not yet defined by FHIR.

              TypeCodeableConcept
              Is Modifiertrue because This element determines what kind of resource is being represented which drives the meaning of all of the other elements.
              Summarytrue
              Requirements

              Must be able to distinguish different types of Basic resources.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              58. Basic.subject
              Definition

              Identifies the patient, practitioner, device or any other resource that is the "focus" of this resource.

              ShortIdentifies the focus of this resource
              Comments

              Optional as not all potential resources will have subjects. Resources associated with multiple subjects can handle this via extension.

              Control0..1
              TypeReference(Resource)
              Is Modifierfalse
              Summarytrue
              Requirements

              Needed for partitioning the resource by Patient.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              60. Basic.created
              Definition

              Identifies when the resource was first created.

              ShortWhen created
              Control0..1
              Typedate
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Allows ordering resource instances by time.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              62. Basic.author
              Definition

              Indicates who was responsible for creating the resource instance.

              ShortWho created
              Control0..1
              TypeReference(Practitioner, PractitionerRole, Patient, RelatedPerson, Organization)
              Is Modifierfalse
              Summarytrue
              Requirements

              Needed for partitioning the resource.

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