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_EvidenceVariable_R4 - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 0

Definitions for the profile-EvidenceVariable resource profile.

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

0. EvidenceVariable
Definition

The EvidenceVariable resource describes a "PICO" element that knowledge (evidence, assertion, recommendation) is about.

ShortA population, intervention, or exposure definition
Comments

PICO stands for Population (the population within which exposures are being compared), Intervention (the conditional state or exposure state being described for its effect on outcomes), Comparison (the alternative conditional state or alternative exposure state being compared against), and Outcome (the result or effect of the intervention in the population).

Control0..*
Is Modifierfalse
Summaryfalse
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())
evv-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.matches('[A-Z]([A-Za-z0-9_]){0,254}'))
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())
evv-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.matches('[A-Z]([A-Za-z0-9_]){0,254}'))
2. EvidenceVariable.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. EvidenceVariable.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.

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

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

    ShortR5: How to compare versions (new)
    Comments

    Element EvidenceVariable.versionAlgorithm[x] has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.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.

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: How to compare versions (new)) (Extension Type: Choice of: string, Coding)
    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. EvidenceVariable.extension:experimental
    Slice Nameexperimental
    Definition

    R5: EvidenceVariable.experimental (new:boolean)

    ShortR5: For testing purposes, not real usage (new)
    Comments

    Element EvidenceVariable.experimental has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.experimental 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: For testing purposes, not real usage (new)) (Extension Type: boolean)
    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. EvidenceVariable.extension:purpose
    Slice Namepurpose
    Definition

    R5: EvidenceVariable.purpose (new:markdown)

    ShortR5: Why this EvidenceVariable is defined (new)
    Comments

    Element EvidenceVariable.purpose has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.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 EvidenceVariable. 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 EvidenceVariable.

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Why this EvidenceVariable is defined (new)) (Extension Type: 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())
    12. EvidenceVariable.extension:copyright
    Slice Namecopyright
    Definition

    R5: EvidenceVariable.copyright (new:markdown)

    ShortR5: Use and/or publishing restrictions (new)
    Comments

    Element EvidenceVariable.copyright has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.copyright 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: Use and/or publishing restrictions (new)) (Extension Type: 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. EvidenceVariable.extension:copyrightLabel
    Slice NamecopyrightLabel
    Definition

    R5: EvidenceVariable.copyrightLabel (new:string)

    ShortR5: Copyright holder and year(s) (new)
    Comments

    Element EvidenceVariable.copyrightLabel has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.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.

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Copyright holder and year(s) (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())
    16. EvidenceVariable.extension:approvalDate
    Slice NameapprovalDate
    Definition

    R5: EvidenceVariable.approvalDate (new:date)

    ShortR5: When the resource was approved by publisher (new)
    Comments

    Element EvidenceVariable.approvalDate has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.approvalDate 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: When the resource was approved by publisher (new)) (Extension Type: date)
    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. EvidenceVariable.extension:lastReviewDate
    Slice NamelastReviewDate
    Definition

    R5: EvidenceVariable.lastReviewDate (new:date)

    ShortR5: When the resource was last reviewed by the publisher (new)
    Comments

    Element EvidenceVariable.lastReviewDate has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.lastReviewDate has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). If specified, this date follows the original approval date.

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

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: When the resource was last reviewed by the publisher (new)) (Extension Type: date)
    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. EvidenceVariable.extension:effectivePeriod
    Slice NameeffectivePeriod
    Definition

    R5: EvidenceVariable.effectivePeriod (new:Period)

    ShortR5: When the resource is expected to be used (new)
    Comments

    Element EvidenceVariable.effectivePeriod has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.effectivePeriod has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). The effective period for an EvidenceVariable determines when the content is applicable for usage and is independent of publication and review dates. For example, a variable intended to be used for the year 2016 might be published in 2015.

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

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: When the resource is expected to be used (new)) (Extension Type: Period)
    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())
    22. EvidenceVariable.extension:actual
    Slice Nameactual
    Definition

    R5: EvidenceVariable.actual (new:boolean)

    ShortR5: Actual or conceptual (new)
    Comments

    Element EvidenceVariable.actual has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.actual 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: Actual or conceptual (new)) (Extension Type: boolean)
    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. EvidenceVariable.extension:handling
    Slice Namehandling
    Definition

    R5: EvidenceVariable.handling (new:code)

    ShortR5: continuous | dichotomous | ordinal | polychotomous (new)
    Comments

    Element EvidenceVariable.handling has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.handling 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: continuous | dichotomous | ordinal | polychotomous (new)) (Extension Type: code)
    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. EvidenceVariable.extension:category
    Slice Namecategory
    Definition

    R5: EvidenceVariable.category (new:BackboneElement)

    ShortR5: A grouping for ordinal or polychotomous variables (new)
    Comments

    Element EvidenceVariable.category has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.category 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: A grouping for ordinal or polychotomous variables (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())
    28. EvidenceVariable.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).

    ShortExtensions 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())
    30. EvidenceVariable.status
    Definition

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

    Shortdraft | active | retired | unknown
    Comments

    Allows filtering of evidence variables that are appropriate for use versus not.

    Control1..1
    BindingThe codes SHALL be taken from PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1
    (required to http://hl7.org/fhir/ValueSet/publication-status|4.0.1)

    The lifecycle status of an artifact.

    Typecode
    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration
    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()))
    32. EvidenceVariable.characteristic
    Definition

    A characteristic that defines the members of the evidence element. Multiple characteristics are applied with "and" semantics.

    ShortWhat defines the members of the evidence element
    Comments

    Characteristics can be defined flexibly to accommodate different use cases for membership criteria, ranging from simple codes, all the way to using an expression language to express the criteria.

    Control1..*
    TypeBackboneElement
    Is Modifierfalse
    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()))
    34. EvidenceVariable.characteristic.extension
    Definition

    An Extension


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

    ShortExtensionAdditional content defined by implementations
    Comments

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

    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 EvidenceVariable.characteristic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 36. EvidenceVariable.characteristic.extension:linkId
      Slice NamelinkId
      Definition

      R5: EvidenceVariable.characteristic.linkId (new:id)

      ShortR5: Label for internal linking (new)
      Comments

      Element EvidenceVariable.characteristic.linkId has a context of EvidenceVariable.characteristic based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.linkId 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: Label for internal linking (new)) (Extension Type: id)
      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())
      38. EvidenceVariable.characteristic.extension:note
      Slice Namenote
      Definition

      R5: EvidenceVariable.characteristic.note (new:Annotation)

      ShortR5: Used for footnotes or explanatory notes (new)
      Comments

      Element EvidenceVariable.characteristic.note has a context of EvidenceVariable.characteristic based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.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 or explanatory notes (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())
      40. EvidenceVariable.characteristic.extension:definitionReference
      Slice NamedefinitionReference
      Definition

      R5: EvidenceVariable.characteristic.definitionReference (new:Reference(EvidenceVariable,Group,Evidence))

      ShortR5: Defines the characteristic (without using type and value) by a Reference (new)
      Comments

      Element EvidenceVariable.characteristic.definitionReference has a context of EvidenceVariable.characteristic based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.definitionReference 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: Defines the characteristic (without using type and value) by a Reference (new)) (Extension Type: Reference(Cross-version Profile for R5.EvidenceVariable for use in FHIR R4, EvidenceVariable, Cross-version Profile for R5.Group for use in FHIR R4, Group, Cross-version Profile for R5.Evidence for use in FHIR R4, Evidence))
      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())
      42. EvidenceVariable.characteristic.extension:definitionCanonical
      Slice NamedefinitionCanonical
      Definition

      R5: EvidenceVariable.characteristic.definitionCanonical (new:canonical(EvidenceVariable,Evidence))

      ShortR5: Defines the characteristic (without using type and value) by a Canonical (new)
      Comments

      Element EvidenceVariable.characteristic.definitionCanonical has a context of EvidenceVariable.characteristic based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.definitionCanonical 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: Defines the characteristic (without using type and value) by a Canonical (new)) (Extension Type: canonical(Cross-version Profile for R5.EvidenceVariable for use in FHIR R4, EvidenceVariable, Cross-version Profile for R5.Evidence for use in FHIR R4, Evidence))
      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())
      44. EvidenceVariable.characteristic.extension:definitionCodeableConcept
      Slice NamedefinitionCodeableConcept
      Definition

      R5: EvidenceVariable.characteristic.definitionCodeableConcept (new:CodeableConcept)

      ShortR5: Defines the characteristic (without using type and value) by a CodeableConcept (new)
      Comments

      Element EvidenceVariable.characteristic.definitionCodeableConcept has a context of EvidenceVariable.characteristic based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.definitionCodeableConcept 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: Defines the characteristic (without using type and value) by a CodeableConcept (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())
      46. EvidenceVariable.characteristic.extension:definitionExpression
      Slice NamedefinitionExpression
      Definition

      R5: EvidenceVariable.characteristic.definitionExpression (new:Expression)

      ShortR5: Defines the characteristic (without using type and value) by an expression (new)
      Comments

      Element EvidenceVariable.characteristic.definitionExpression has a context of EvidenceVariable.characteristic based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.definitionExpression has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). When another element provides a definition of the characteristic, the definitionExpression content SHALL match the definition (only adding technical concepts necessary for implementation) without changing the meaning.

      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(R5: Defines the characteristic (without using type and value) by an expression (new)) (Extension Type: Expression)
      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())
      48. EvidenceVariable.characteristic.extension:definitionId
      Slice NamedefinitionId
      Definition

      R5: EvidenceVariable.characteristic.definitionId (new:id)

      ShortR5: Defines the characteristic (without using type and value) by an id (new)
      Comments

      Element EvidenceVariable.characteristic.definitionId has a context of EvidenceVariable.characteristic based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.definitionId 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: Defines the characteristic (without using type and value) by an id (new)) (Extension Type: id)
      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())
      50. EvidenceVariable.characteristic.extension:definitionByTypeAndValue
      Slice NamedefinitionByTypeAndValue
      Definition

      R5: EvidenceVariable.characteristic.definitionByTypeAndValue (new:BackboneElement)

      ShortR5: Defines the characteristic using type and value (new)
      Comments

      Element EvidenceVariable.characteristic.definitionByTypeAndValue has a context of EvidenceVariable.characteristic based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.definitionByTypeAndValue 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: Defines the characteristic using type and value (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())
      52. EvidenceVariable.characteristic.extension:definitionByCombination
      Slice NamedefinitionByCombination
      Definition

      R5: EvidenceVariable.characteristic.definitionByCombination (new:BackboneElement)

      ShortR5: Used to specify how two or more characteristics are combined (new)
      Comments

      Element EvidenceVariable.characteristic.definitionByCombination has a context of EvidenceVariable.characteristic based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.definitionByCombination 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: Used to specify how two or more characteristics are combined (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())
      54. EvidenceVariable.characteristic.extension:characteristic
      Slice Namecharacteristic
      Definition

      R5: EvidenceVariable.characteristic.definitionByCombination.characteristic (new:EvidenceVariable.characteristic)

      ShortR5: A defining factor of the characteristic (new)
      Comments

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

      Control1..*
      This element is affected by the following invariants: ele-1
      TypeExtension(R5: A defining factor of the EvidenceVariable) (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())
      56. EvidenceVariable.characteristic.extension:instances
      Slice Nameinstances
      Definition

      R5: EvidenceVariable.characteristic.instances[x] (new:Quantity, Range)

      ShortR5: Number of occurrences meeting the characteristic (new)
      Comments

      Element EvidenceVariable.characteristic.instances[x] has a context of EvidenceVariable.characteristic based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.instances[x] 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: Number of occurrences meeting the characteristic (new)) (Extension Type: Choice of: Quantity, Range)
      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())
      58. EvidenceVariable.characteristic.extension:duration
      Slice Nameduration
      Definition

      R5: EvidenceVariable.characteristic.duration[x] (new:Quantity, Range)

      ShortR5: Length of time in which the characteristic is met (new)
      Comments

      Element EvidenceVariable.characteristic.duration[x] has a context of EvidenceVariable.characteristic based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.duration[x] 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: Length of time in which the characteristic is met (new)) (Extension Type: Choice of: Quantity, Range)
      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())
      60. EvidenceVariable.characteristic.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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).

      ShortExtensions that cannot be ignored even if unrecognized
      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 element that contains them
      Summarytrue
      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, modifiers
      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())
      62. EvidenceVariable.characteristic.definition[x]
      Definition

      Define members of the evidence element using Codes (such as condition, medication, or observation), Expressions ( using an expression language such as FHIRPath or CQL) or DataRequirements (such as Diabetes diagnosis onset in the last year).

      ShortWhat code or expression defines members?
      Control1..1
      TypeChoice of: Reference(Group), canonical(ActivityDefinition), CodeableConcept, Expression, DataRequirement, TriggerDefinition
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      Need to be able to define members in simple codes when the membership aligns well with terminology, with common criteria such as observations in a value set or lab tests within a year, or with expression language to support criteria that do not fit in the above.

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

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

        ShortR5: How to compare versions (new)
        Comments

        Element EvidenceVariable.versionAlgorithm[x] has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.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.

        Control0..1
        TypeExtension(R5: How to compare versions (new)) (Extension Type: Choice of: string, Coding)
        6. EvidenceVariable.extension:experimental
        Slice Nameexperimental
        Definition

        R5: EvidenceVariable.experimental (new:boolean)

        ShortR5: For testing purposes, not real usage (new)
        Comments

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

        Control0..1
        TypeExtension(R5: For testing purposes, not real usage (new)) (Extension Type: boolean)
        8. EvidenceVariable.extension:purpose
        Slice Namepurpose
        Definition

        R5: EvidenceVariable.purpose (new:markdown)

        ShortR5: Why this EvidenceVariable is defined (new)
        Comments

        Element EvidenceVariable.purpose has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.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 EvidenceVariable. 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 EvidenceVariable.

        Control0..1
        TypeExtension(R5: Why this EvidenceVariable is defined (new)) (Extension Type: markdown)
        10. EvidenceVariable.extension:copyright
        Slice Namecopyright
        Definition

        R5: EvidenceVariable.copyright (new:markdown)

        ShortR5: Use and/or publishing restrictions (new)
        Comments

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

        Control0..1
        TypeExtension(R5: Use and/or publishing restrictions (new)) (Extension Type: markdown)
        12. EvidenceVariable.extension:copyrightLabel
        Slice NamecopyrightLabel
        Definition

        R5: EvidenceVariable.copyrightLabel (new:string)

        ShortR5: Copyright holder and year(s) (new)
        Comments

        Element EvidenceVariable.copyrightLabel has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.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.

        Control0..1
        TypeExtension(R5: Copyright holder and year(s) (new)) (Extension Type: string)
        14. EvidenceVariable.extension:approvalDate
        Slice NameapprovalDate
        Definition

        R5: EvidenceVariable.approvalDate (new:date)

        ShortR5: When the resource was approved by publisher (new)
        Comments

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

        Control0..1
        TypeExtension(R5: When the resource was approved by publisher (new)) (Extension Type: date)
        16. EvidenceVariable.extension:lastReviewDate
        Slice NamelastReviewDate
        Definition

        R5: EvidenceVariable.lastReviewDate (new:date)

        ShortR5: When the resource was last reviewed by the publisher (new)
        Comments

        Element EvidenceVariable.lastReviewDate has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.lastReviewDate has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). If specified, this date follows the original approval date.

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

        Control0..1
        TypeExtension(R5: When the resource was last reviewed by the publisher (new)) (Extension Type: date)
        18. EvidenceVariable.extension:effectivePeriod
        Slice NameeffectivePeriod
        Definition

        R5: EvidenceVariable.effectivePeriod (new:Period)

        ShortR5: When the resource is expected to be used (new)
        Comments

        Element EvidenceVariable.effectivePeriod has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.effectivePeriod has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). The effective period for an EvidenceVariable determines when the content is applicable for usage and is independent of publication and review dates. For example, a variable intended to be used for the year 2016 might be published in 2015.

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

        Control0..1
        TypeExtension(R5: When the resource is expected to be used (new)) (Extension Type: Period)
        20. EvidenceVariable.extension:actual
        Slice Nameactual
        Definition

        R5: EvidenceVariable.actual (new:boolean)

        ShortR5: Actual or conceptual (new)
        Comments

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

        Control0..1
        TypeExtension(R5: Actual or conceptual (new)) (Extension Type: boolean)
        22. EvidenceVariable.extension:handling
        Slice Namehandling
        Definition

        R5: EvidenceVariable.handling (new:code)

        ShortR5: continuous | dichotomous | ordinal | polychotomous (new)
        Comments

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

        Control0..1
        TypeExtension(R5: continuous | dichotomous | ordinal | polychotomous (new)) (Extension Type: code)
        24. EvidenceVariable.extension:category
        Slice Namecategory
        Definition

        R5: EvidenceVariable.category (new:BackboneElement)

        ShortR5: A grouping for ordinal or polychotomous variables (new)
        Comments

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

        Control0..*
        TypeExtension(R5: A grouping for ordinal or polychotomous variables (new)) (Complex Extension)
        26. EvidenceVariable.characteristic
        28. EvidenceVariable.characteristic.extension
        Control1..*
        SlicingThis element introduces a set of slices on EvidenceVariable.characteristic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 30. EvidenceVariable.characteristic.extension:linkId
          Slice NamelinkId
          Definition

          R5: EvidenceVariable.characteristic.linkId (new:id)

          ShortR5: Label for internal linking (new)
          Comments

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

          Control0..1
          TypeExtension(R5: Label for internal linking (new)) (Extension Type: id)
          32. EvidenceVariable.characteristic.extension:note
          Slice Namenote
          Definition

          R5: EvidenceVariable.characteristic.note (new:Annotation)

          ShortR5: Used for footnotes or explanatory notes (new)
          Comments

          Element EvidenceVariable.characteristic.note has a context of EvidenceVariable.characteristic based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.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 or explanatory notes (new)) (Extension Type: Annotation)
          34. EvidenceVariable.characteristic.extension:definitionReference
          Slice NamedefinitionReference
          Definition

          R5: EvidenceVariable.characteristic.definitionReference (new:Reference(EvidenceVariable,Group,Evidence))

          ShortR5: Defines the characteristic (without using type and value) by a Reference (new)
          Comments

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

          Control0..1
          TypeExtension(R5: Defines the characteristic (without using type and value) by a Reference (new)) (Extension Type: Reference(Cross-version Profile for R5.EvidenceVariable for use in FHIR R4, EvidenceVariable, Cross-version Profile for R5.Group for use in FHIR R4, Group, Cross-version Profile for R5.Evidence for use in FHIR R4, Evidence))
          36. EvidenceVariable.characteristic.extension:definitionCanonical
          Slice NamedefinitionCanonical
          Definition

          R5: EvidenceVariable.characteristic.definitionCanonical (new:canonical(EvidenceVariable,Evidence))

          ShortR5: Defines the characteristic (without using type and value) by a Canonical (new)
          Comments

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

          Control0..1
          TypeExtension(R5: Defines the characteristic (without using type and value) by a Canonical (new)) (Extension Type: canonical(Cross-version Profile for R5.EvidenceVariable for use in FHIR R4, EvidenceVariable, Cross-version Profile for R5.Evidence for use in FHIR R4, Evidence))
          38. EvidenceVariable.characteristic.extension:definitionCodeableConcept
          Slice NamedefinitionCodeableConcept
          Definition

          R5: EvidenceVariable.characteristic.definitionCodeableConcept (new:CodeableConcept)

          ShortR5: Defines the characteristic (without using type and value) by a CodeableConcept (new)
          Comments

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

          Control0..1
          TypeExtension(R5: Defines the characteristic (without using type and value) by a CodeableConcept (new)) (Extension Type: CodeableConcept)
          40. EvidenceVariable.characteristic.extension:definitionExpression
          Slice NamedefinitionExpression
          Definition

          R5: EvidenceVariable.characteristic.definitionExpression (new:Expression)

          ShortR5: Defines the characteristic (without using type and value) by an expression (new)
          Comments

          Element EvidenceVariable.characteristic.definitionExpression has a context of EvidenceVariable.characteristic based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.definitionExpression has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). When another element provides a definition of the characteristic, the definitionExpression content SHALL match the definition (only adding technical concepts necessary for implementation) without changing the meaning.

          Control0..1
          TypeExtension(R5: Defines the characteristic (without using type and value) by an expression (new)) (Extension Type: Expression)
          42. EvidenceVariable.characteristic.extension:definitionId
          Slice NamedefinitionId
          Definition

          R5: EvidenceVariable.characteristic.definitionId (new:id)

          ShortR5: Defines the characteristic (without using type and value) by an id (new)
          Comments

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

          Control0..1
          TypeExtension(R5: Defines the characteristic (without using type and value) by an id (new)) (Extension Type: id)
          44. EvidenceVariable.characteristic.extension:definitionByTypeAndValue
          Slice NamedefinitionByTypeAndValue
          Definition

          R5: EvidenceVariable.characteristic.definitionByTypeAndValue (new:BackboneElement)

          ShortR5: Defines the characteristic using type and value (new)
          Comments

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

          Control0..1
          TypeExtension(R5: Defines the characteristic using type and value (new)) (Complex Extension)
          46. EvidenceVariable.characteristic.extension:definitionByCombination
          Slice NamedefinitionByCombination
          Definition

          R5: EvidenceVariable.characteristic.definitionByCombination (new:BackboneElement)

          ShortR5: Used to specify how two or more characteristics are combined (new)
          Comments

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

          Control0..1
          TypeExtension(R5: Used to specify how two or more characteristics are combined (new)) (Complex Extension)
          48. EvidenceVariable.characteristic.extension:characteristic
          Slice Namecharacteristic
          Definition

          R5: EvidenceVariable.characteristic.definitionByCombination.characteristic (new:EvidenceVariable.characteristic)

          ShortR5: A defining factor of the characteristic (new)
          Comments

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

          Control1..*
          TypeExtension(R5: A defining factor of the EvidenceVariable) (Complex Extension)
          50. EvidenceVariable.characteristic.extension:instances
          Slice Nameinstances
          Definition

          R5: EvidenceVariable.characteristic.instances[x] (new:Quantity, Range)

          ShortR5: Number of occurrences meeting the characteristic (new)
          Comments

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

          Control0..1
          TypeExtension(R5: Number of occurrences meeting the characteristic (new)) (Extension Type: Choice of: Quantity, Range)
          52. EvidenceVariable.characteristic.extension:duration
          Slice Nameduration
          Definition

          R5: EvidenceVariable.characteristic.duration[x] (new:Quantity, Range)

          ShortR5: Length of time in which the characteristic is met (new)
          Comments

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

          Control0..1
          TypeExtension(R5: Length of time in which the characteristic is met (new)) (Extension Type: Choice of: Quantity, Range)
          54. EvidenceVariable.characteristic.timeFromStart
          56. EvidenceVariable.characteristic.timeFromStart.extension
          Control0..*
          SlicingThis element introduces a set of slices on EvidenceVariable.characteristic.timeFromStart.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 58. EvidenceVariable.characteristic.timeFromStart.extension:description
            Slice Namedescription
            Definition

            R5: EvidenceVariable.characteristic.timeFromEvent.description (new:markdown)

            ShortR5: Human readable description (new)
            Comments

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

            Control0..1
            TypeExtension(R5: Human readable description (new)) (Extension Type: markdown)
            60. EvidenceVariable.characteristic.timeFromStart.extension:note
            Slice Namenote
            Definition

            R5: EvidenceVariable.characteristic.timeFromEvent.note (new:Annotation)

            ShortR5: Used for footnotes or explanatory notes (new)
            Comments

            Element EvidenceVariable.characteristic.timeFromEvent.note has a context of EvidenceVariable.characteristic.timeFromStart based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.timeFromEvent.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 or explanatory notes (new)) (Extension Type: Annotation)
            62. EvidenceVariable.characteristic.timeFromStart.extension:event
            Slice Nameevent
            Definition

            R5: EvidenceVariable.characteristic.timeFromEvent.event[x] (new:CodeableConcept, dateTime, id, Reference)

            ShortR5: The event used as a base point (reference point) in time (new)
            Comments

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

            Control0..1
            TypeExtension(R5: The event used as a base point (reference point) in time (new)) (Extension Type: Choice of: CodeableConcept, Reference, dateTime, id)
            64. EvidenceVariable.characteristic.timeFromStart.extension:quantity
            Slice Namequantity
            Definition

            R5: EvidenceVariable.characteristic.timeFromEvent.quantity (new:Quantity)

            ShortR5: Used to express the observation at a defined amount of time before or after the event (new)
            Comments

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

            Control0..1
            TypeExtension(R5: Used to express the observation at a defined amount of time before or after the event (new)) (Extension Type: Quantity)
            66. EvidenceVariable.characteristic.timeFromStart.extension:range
            Slice Namerange
            Definition

            R5: EvidenceVariable.characteristic.timeFromEvent.range (new:Range)

            ShortR5: Used to express the observation within a period before and/or after the event (new)
            Comments

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

            Control0..1
            TypeExtension(R5: Used to express the observation within a period before and/or after the event (new)) (Extension Type: Range)

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

            0. EvidenceVariable
            Definition

            The EvidenceVariable resource describes a "PICO" element that knowledge (evidence, assertion, recommendation) is about.

            ShortA population, intervention, or exposure definition
            Comments

            PICO stands for Population (the population within which exposures are being compared), Intervention (the conditional state or exposure state being described for its effect on outcomes), Comparison (the alternative conditional state or alternative exposure state being compared against), and Outcome (the result or effect of the intervention in the population).

            Control0..*
            Is Modifierfalse
            Summaryfalse
            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())
            evv-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.matches('[A-Z]([A-Za-z0-9_]){0,254}'))
            2. EvidenceVariable.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. EvidenceVariable.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. EvidenceVariable.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. EvidenceVariable.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. EvidenceVariable.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. EvidenceVariable.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. EvidenceVariable.extension
            Definition

            An Extension

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

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

              ShortR5: How to compare versions (new)
              Comments

              Element EvidenceVariable.versionAlgorithm[x] has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.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.

              Control0..1
              This element is affected by the following invariants: ele-1
              TypeExtension(R5: How to compare versions (new)) (Extension Type: Choice of: string, Coding)
              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. EvidenceVariable.extension:experimental
              Slice Nameexperimental
              Definition

              R5: EvidenceVariable.experimental (new:boolean)

              ShortR5: For testing purposes, not real usage (new)
              Comments

              Element EvidenceVariable.experimental has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.experimental 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: For testing purposes, not real usage (new)) (Extension Type: boolean)
              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. EvidenceVariable.extension:purpose
              Slice Namepurpose
              Definition

              R5: EvidenceVariable.purpose (new:markdown)

              ShortR5: Why this EvidenceVariable is defined (new)
              Comments

              Element EvidenceVariable.purpose has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.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 EvidenceVariable. 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 EvidenceVariable.

              Control0..1
              This element is affected by the following invariants: ele-1
              TypeExtension(R5: Why this EvidenceVariable is defined (new)) (Extension Type: 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())
              22. EvidenceVariable.extension:copyright
              Slice Namecopyright
              Definition

              R5: EvidenceVariable.copyright (new:markdown)

              ShortR5: Use and/or publishing restrictions (new)
              Comments

              Element EvidenceVariable.copyright has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.copyright 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: Use and/or publishing restrictions (new)) (Extension Type: 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. EvidenceVariable.extension:copyrightLabel
              Slice NamecopyrightLabel
              Definition

              R5: EvidenceVariable.copyrightLabel (new:string)

              ShortR5: Copyright holder and year(s) (new)
              Comments

              Element EvidenceVariable.copyrightLabel has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.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.

              Control0..1
              This element is affected by the following invariants: ele-1
              TypeExtension(R5: Copyright holder and year(s) (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())
              26. EvidenceVariable.extension:approvalDate
              Slice NameapprovalDate
              Definition

              R5: EvidenceVariable.approvalDate (new:date)

              ShortR5: When the resource was approved by publisher (new)
              Comments

              Element EvidenceVariable.approvalDate has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.approvalDate 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: When the resource was approved by publisher (new)) (Extension Type: date)
              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. EvidenceVariable.extension:lastReviewDate
              Slice NamelastReviewDate
              Definition

              R5: EvidenceVariable.lastReviewDate (new:date)

              ShortR5: When the resource was last reviewed by the publisher (new)
              Comments

              Element EvidenceVariable.lastReviewDate has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.lastReviewDate has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). If specified, this date follows the original approval date.

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

              Control0..1
              This element is affected by the following invariants: ele-1
              TypeExtension(R5: When the resource was last reviewed by the publisher (new)) (Extension Type: date)
              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. EvidenceVariable.extension:effectivePeriod
              Slice NameeffectivePeriod
              Definition

              R5: EvidenceVariable.effectivePeriod (new:Period)

              ShortR5: When the resource is expected to be used (new)
              Comments

              Element EvidenceVariable.effectivePeriod has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.effectivePeriod has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). The effective period for an EvidenceVariable determines when the content is applicable for usage and is independent of publication and review dates. For example, a variable intended to be used for the year 2016 might be published in 2015.

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

              Control0..1
              This element is affected by the following invariants: ele-1
              TypeExtension(R5: When the resource is expected to be used (new)) (Extension Type: Period)
              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())
              32. EvidenceVariable.extension:actual
              Slice Nameactual
              Definition

              R5: EvidenceVariable.actual (new:boolean)

              ShortR5: Actual or conceptual (new)
              Comments

              Element EvidenceVariable.actual has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.actual 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: Actual or conceptual (new)) (Extension Type: boolean)
              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. EvidenceVariable.extension:handling
              Slice Namehandling
              Definition

              R5: EvidenceVariable.handling (new:code)

              ShortR5: continuous | dichotomous | ordinal | polychotomous (new)
              Comments

              Element EvidenceVariable.handling has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.handling 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: continuous | dichotomous | ordinal | polychotomous (new)) (Extension Type: code)
              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. EvidenceVariable.extension:category
              Slice Namecategory
              Definition

              R5: EvidenceVariable.category (new:BackboneElement)

              ShortR5: A grouping for ordinal or polychotomous variables (new)
              Comments

              Element EvidenceVariable.category has a context of EvidenceVariable based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.category 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: A grouping for ordinal or polychotomous variables (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. EvidenceVariable.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).

              ShortExtensions 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())
              40. EvidenceVariable.url
              Definition

              An absolute URI that is used to identify this evidence variable 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 variable is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the evidence variable is stored on different servers.

              ShortCanonical identifier for this evidence variable, 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.

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

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

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

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

              ShortAdditional identifier for the evidence variable
              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 variable outside of FHIR, where it is not possible to use the logical URI.

              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control0..*
              TypeIdentifier
              Is Modifierfalse
              Summarytrue
              Requirements

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

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

              The identifier that is used to identify this version of the evidence variable when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the evidence variable 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.

              ShortBusiness version of the evidence variable
              Comments

              There may be different evidence variable 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 variable with the format [url]|[version].

              NoteThis is a business version Id, not a resource version Id (see discussion)
              Control0..1
              Typestring
              Is Modifierfalse
              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()))
              46. EvidenceVariable.name
              Definition

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

              ShortName for this evidence variable (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.

              Control0..1
              This element is affected by the following invariants: inv-0
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Support human navigation and code generation.

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

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

              ShortName for this evidence variable (human friendly)
              Comments

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

              Control0..1
              Typestring
              Is Modifierfalse
              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()))
              50. EvidenceVariable.shortTitle
              Definition

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

              ShortTitle for use in informal contexts
              Control0..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

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

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

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

              ShortSubordinate title of the EvidenceVariable
              Control0..1
              Typestring
              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()))
              54. EvidenceVariable.status
              Definition

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

              Shortdraft | active | retired | unknown
              Comments

              Allows filtering of evidence variables that are appropriate for use versus not.

              Control1..1
              BindingThe codes SHALL be taken from PublicationStatus
              (required to http://hl7.org/fhir/ValueSet/publication-status|4.0.1)

              The lifecycle status of an artifact.

              Typecode
              Is Modifiertrue because This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration
              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()))
              56. EvidenceVariable.date
              Definition

              The date (and optionally time) when the evidence variable 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 variable changes.

              ShortDate 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 variable. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

              Control0..1
              TypedateTime
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Alternate NamesRevision Date
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              58. EvidenceVariable.publisher
              Definition

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

              ShortName of the publisher (organization or individual)
              Comments

              Usually an organization but may be an individual. The publisher (or steward) of the evidence variable is the organization or individual primarily responsible for the maintenance and upkeep of the evidence variable. 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 variable. This item SHOULD be populated unless the information is available from context.

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

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

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

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

              ShortContact details for the publisher
              Comments

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

              Control0..*
              TypeContactDetail
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              62. EvidenceVariable.description
              Definition

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

              ShortNatural language description of the evidence variable
              Comments

              This description can be used to capture details such as why the evidence variable 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 variable 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 variable is presumed to be the predominant language in the place the evidence variable was created).

              Control0..1
              Typemarkdown
              Is Modifierfalse
              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()))
              64. EvidenceVariable.note
              Definition

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

              ShortUsed for footnotes or explanatory notes
              Control0..*
              TypeAnnotation
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              66. EvidenceVariable.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 variable instances.

              ShortThe 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.

              Control0..*
              TypeUsageContext
              Is Modifierfalse
              Summarytrue
              Requirements

              Assist in searching for appropriate content.

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

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

              ShortIntended jurisdiction for evidence variable (if applicable)
              Comments

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

              Control0..*
              BindingUnless 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.

              TypeCodeableConcept
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              70. EvidenceVariable.copyright
              Definition

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

              ShortUse and/or publishing restrictions
              Control0..1
              Typemarkdown
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Requirements

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

              Alternate NamesLicense, Restrictions
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              72. EvidenceVariable.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.

              ShortWhen the evidence variable was approved by publisher
              Comments

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

              Control0..1
              Typedate
              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()))
              74. EvidenceVariable.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.

              ShortWhen the evidence variable was last reviewed
              Comments

              If specified, this date follows the original approval date.

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

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

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

              ShortWhen the evidence variable is expected to be used
              Comments

              The effective period for a evidence variable 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.

              Control0..1
              TypePeriod
              Is Modifierfalse
              Summarytrue
              Requirements

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

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

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

              ShortThe category of the EvidenceVariable, such as Education, Treatment, Assessment, etc.
              Control0..*
              BindingFor 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.

              TypeCodeableConcept
              Is Modifierfalse
              Summaryfalse
              Requirements

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

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

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

              ShortWho authored the content
              Control0..*
              TypeContactDetail
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              82. EvidenceVariable.editor
              Definition

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

              ShortWho edited the content
              Control0..*
              TypeContactDetail
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              84. EvidenceVariable.reviewer
              Definition

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

              ShortWho reviewed the content
              Control0..*
              TypeContactDetail
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              86. EvidenceVariable.endorser
              Definition

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

              ShortWho endorsed the content
              Control0..*
              TypeContactDetail
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              88. EvidenceVariable.relatedArtifact
              Definition

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

              ShortAdditional documentation, citations, etc.
              Comments

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

              Control0..*
              TypeRelatedArtifact
              Is Modifierfalse
              Summaryfalse
              Requirements

              EvidenceVariables must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.

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

              The type of evidence element, a population, an exposure, or an outcome.

              Shortdichotomous | continuous | descriptive
              Control0..1
              BindingThe codes SHALL be taken from EvidenceVariableType
              (required to http://hl7.org/fhir/ValueSet/variable-type|4.0.1)

              The possible types of variables for exposures or outcomes (E.g. Dichotomous, Continuous, Descriptive).

              Typecode
              Is Modifierfalse
              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()))
              92. EvidenceVariable.characteristic
              Definition

              A characteristic that defines the members of the evidence element. Multiple characteristics are applied with "and" semantics.

              ShortWhat defines the members of the evidence element
              Comments

              Characteristics can be defined flexibly to accommodate different use cases for membership criteria, ranging from simple codes, all the way to using an expression language to express the criteria.

              Control1..*
              TypeBackboneElement
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              94. EvidenceVariable.characteristic.id
              Definition

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

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              96. EvidenceVariable.characteristic.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 EvidenceVariable.characteristic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 98. EvidenceVariable.characteristic.extension:linkId
                Slice NamelinkId
                Definition

                R5: EvidenceVariable.characteristic.linkId (new:id)

                ShortR5: Label for internal linking (new)
                Comments

                Element EvidenceVariable.characteristic.linkId has a context of EvidenceVariable.characteristic based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.linkId 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: Label for internal linking (new)) (Extension Type: id)
                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())
                100. EvidenceVariable.characteristic.extension:note
                Slice Namenote
                Definition

                R5: EvidenceVariable.characteristic.note (new:Annotation)

                ShortR5: Used for footnotes or explanatory notes (new)
                Comments

                Element EvidenceVariable.characteristic.note has a context of EvidenceVariable.characteristic based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.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 or explanatory notes (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())
                102. EvidenceVariable.characteristic.extension:definitionReference
                Slice NamedefinitionReference
                Definition

                R5: EvidenceVariable.characteristic.definitionReference (new:Reference(EvidenceVariable,Group,Evidence))

                ShortR5: Defines the characteristic (without using type and value) by a Reference (new)
                Comments

                Element EvidenceVariable.characteristic.definitionReference has a context of EvidenceVariable.characteristic based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.definitionReference 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: Defines the characteristic (without using type and value) by a Reference (new)) (Extension Type: Reference(Cross-version Profile for R5.EvidenceVariable for use in FHIR R4, EvidenceVariable, Cross-version Profile for R5.Group for use in FHIR R4, Group, Cross-version Profile for R5.Evidence for use in FHIR R4, Evidence))
                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())
                104. EvidenceVariable.characteristic.extension:definitionCanonical
                Slice NamedefinitionCanonical
                Definition

                R5: EvidenceVariable.characteristic.definitionCanonical (new:canonical(EvidenceVariable,Evidence))

                ShortR5: Defines the characteristic (without using type and value) by a Canonical (new)
                Comments

                Element EvidenceVariable.characteristic.definitionCanonical has a context of EvidenceVariable.characteristic based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.definitionCanonical 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: Defines the characteristic (without using type and value) by a Canonical (new)) (Extension Type: canonical(Cross-version Profile for R5.EvidenceVariable for use in FHIR R4, EvidenceVariable, Cross-version Profile for R5.Evidence for use in FHIR R4, Evidence))
                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())
                106. EvidenceVariable.characteristic.extension:definitionCodeableConcept
                Slice NamedefinitionCodeableConcept
                Definition

                R5: EvidenceVariable.characteristic.definitionCodeableConcept (new:CodeableConcept)

                ShortR5: Defines the characteristic (without using type and value) by a CodeableConcept (new)
                Comments

                Element EvidenceVariable.characteristic.definitionCodeableConcept has a context of EvidenceVariable.characteristic based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.definitionCodeableConcept 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: Defines the characteristic (without using type and value) by a CodeableConcept (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())
                108. EvidenceVariable.characteristic.extension:definitionExpression
                Slice NamedefinitionExpression
                Definition

                R5: EvidenceVariable.characteristic.definitionExpression (new:Expression)

                ShortR5: Defines the characteristic (without using type and value) by an expression (new)
                Comments

                Element EvidenceVariable.characteristic.definitionExpression has a context of EvidenceVariable.characteristic based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.definitionExpression has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). When another element provides a definition of the characteristic, the definitionExpression content SHALL match the definition (only adding technical concepts necessary for implementation) without changing the meaning.

                Control0..1
                This element is affected by the following invariants: ele-1
                TypeExtension(R5: Defines the characteristic (without using type and value) by an expression (new)) (Extension Type: Expression)
                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())
                110. EvidenceVariable.characteristic.extension:definitionId
                Slice NamedefinitionId
                Definition

                R5: EvidenceVariable.characteristic.definitionId (new:id)

                ShortR5: Defines the characteristic (without using type and value) by an id (new)
                Comments

                Element EvidenceVariable.characteristic.definitionId has a context of EvidenceVariable.characteristic based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.definitionId 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: Defines the characteristic (without using type and value) by an id (new)) (Extension Type: id)
                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())
                112. EvidenceVariable.characteristic.extension:definitionByTypeAndValue
                Slice NamedefinitionByTypeAndValue
                Definition

                R5: EvidenceVariable.characteristic.definitionByTypeAndValue (new:BackboneElement)

                ShortR5: Defines the characteristic using type and value (new)
                Comments

                Element EvidenceVariable.characteristic.definitionByTypeAndValue has a context of EvidenceVariable.characteristic based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.definitionByTypeAndValue 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: Defines the characteristic using type and value (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())
                114. EvidenceVariable.characteristic.extension:definitionByCombination
                Slice NamedefinitionByCombination
                Definition

                R5: EvidenceVariable.characteristic.definitionByCombination (new:BackboneElement)

                ShortR5: Used to specify how two or more characteristics are combined (new)
                Comments

                Element EvidenceVariable.characteristic.definitionByCombination has a context of EvidenceVariable.characteristic based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.definitionByCombination 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: Used to specify how two or more characteristics are combined (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())
                116. EvidenceVariable.characteristic.extension:characteristic
                Slice Namecharacteristic
                Definition

                R5: EvidenceVariable.characteristic.definitionByCombination.characteristic (new:EvidenceVariable.characteristic)

                ShortR5: A defining factor of the characteristic (new)
                Comments

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

                Control1..*
                This element is affected by the following invariants: ele-1
                TypeExtension(R5: A defining factor of the EvidenceVariable) (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())
                118. EvidenceVariable.characteristic.extension:instances
                Slice Nameinstances
                Definition

                R5: EvidenceVariable.characteristic.instances[x] (new:Quantity, Range)

                ShortR5: Number of occurrences meeting the characteristic (new)
                Comments

                Element EvidenceVariable.characteristic.instances[x] has a context of EvidenceVariable.characteristic based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.instances[x] 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: Number of occurrences meeting the characteristic (new)) (Extension Type: Choice of: Quantity, Range)
                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())
                120. EvidenceVariable.characteristic.extension:duration
                Slice Nameduration
                Definition

                R5: EvidenceVariable.characteristic.duration[x] (new:Quantity, Range)

                ShortR5: Length of time in which the characteristic is met (new)
                Comments

                Element EvidenceVariable.characteristic.duration[x] has a context of EvidenceVariable.characteristic based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.duration[x] 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: Length of time in which the characteristic is met (new)) (Extension Type: Choice of: Quantity, Range)
                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())
                122. EvidenceVariable.characteristic.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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).

                ShortExtensions that cannot be ignored even if unrecognized
                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 element that contains them
                Summarytrue
                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, modifiers
                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())
                124. EvidenceVariable.characteristic.description
                Definition

                A short, natural language description of the characteristic that could be used to communicate the criteria to an end-user.

                ShortNatural language description of the characteristic
                Control0..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Requirements

                Need to be able to describe characteristics in natural language so that end users can understand the criteria.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                126. EvidenceVariable.characteristic.definition[x]
                Definition

                Define members of the evidence element using Codes (such as condition, medication, or observation), Expressions ( using an expression language such as FHIRPath or CQL) or DataRequirements (such as Diabetes diagnosis onset in the last year).

                ShortWhat code or expression defines members?
                Control1..1
                TypeChoice of: Reference(Group), canonical(ActivityDefinition), CodeableConcept, Expression, DataRequirement, TriggerDefinition
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Need to be able to define members in simple codes when the membership aligns well with terminology, with common criteria such as observations in a value set or lab tests within a year, or with expression language to support criteria that do not fit in the above.

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

                Use UsageContext to define the members of the population, such as Age Ranges, Genders, Settings.

                ShortWhat code/value pairs define members?
                Control0..*
                TypeUsageContext
                Is Modifierfalse
                Summaryfalse
                Requirements

                Need to be able to define members more structurally when more information can be communicated such as age range.

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

                When true, members with this characteristic are excluded from the element.

                ShortWhether the characteristic includes or excludes members
                Control0..1
                Typeboolean
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Meaning if MissingFalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                132. EvidenceVariable.characteristic.participantEffective[x]
                Definition

                Indicates what effective period the study covers.

                ShortWhat time period do participants cover
                Control0..1
                TypeChoice of: dateTime, Period, Duration, Timing
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                134. EvidenceVariable.characteristic.timeFromStart
                Definition

                Indicates duration from the participant's study entry.

                ShortObservation time from study start
                Control0..1
                TypeDuration
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                136. EvidenceVariable.characteristic.timeFromStart.id
                Definition

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

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

                An Extension

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

                  R5: EvidenceVariable.characteristic.timeFromEvent.description (new:markdown)

                  ShortR5: Human readable description (new)
                  Comments

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

                  Control0..1
                  TypeExtension(R5: Human readable description (new)) (Extension Type: 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())
                  142. EvidenceVariable.characteristic.timeFromStart.extension:note
                  Slice Namenote
                  Definition

                  R5: EvidenceVariable.characteristic.timeFromEvent.note (new:Annotation)

                  ShortR5: Used for footnotes or explanatory notes (new)
                  Comments

                  Element EvidenceVariable.characteristic.timeFromEvent.note has a context of EvidenceVariable.characteristic.timeFromStart based on following the parent source element upwards and mapping to EvidenceVariable. Element EvidenceVariable.characteristic.timeFromEvent.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 or explanatory notes (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())
                  144. EvidenceVariable.characteristic.timeFromStart.extension:event
                  Slice Nameevent
                  Definition

                  R5: EvidenceVariable.characteristic.timeFromEvent.event[x] (new:CodeableConcept, dateTime, id, Reference)

                  ShortR5: The event used as a base point (reference point) in time (new)
                  Comments

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

                  Control0..1
                  TypeExtension(R5: The event used as a base point (reference point) in time (new)) (Extension Type: Choice of: CodeableConcept, Reference, dateTime, id)
                  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())
                  146. EvidenceVariable.characteristic.timeFromStart.extension:quantity
                  Slice Namequantity
                  Definition

                  R5: EvidenceVariable.characteristic.timeFromEvent.quantity (new:Quantity)

                  ShortR5: Used to express the observation at a defined amount of time before or after the event (new)
                  Comments

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

                  Control0..1
                  TypeExtension(R5: Used to express the observation at a defined amount of time before or after the event (new)) (Extension Type: Quantity)
                  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())
                  148. EvidenceVariable.characteristic.timeFromStart.extension:range
                  Slice Namerange
                  Definition

                  R5: EvidenceVariable.characteristic.timeFromEvent.range (new:Range)

                  ShortR5: Used to express the observation within a period before and/or after the event (new)
                  Comments

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

                  Control0..1
                  TypeExtension(R5: Used to express the observation within a period before and/or after the event (new)) (Extension Type: Range)
                  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())
                  150. EvidenceVariable.characteristic.timeFromStart.value
                  Definition

                  The value of the measured amount. The value includes an implicit precision in the presentation of the value.

                  ShortNumerical value (with implicit precision)
                  Comments

                  The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).

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

                  Precision is handled implicitly in almost all cases of measurement.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  152. EvidenceVariable.characteristic.timeFromStart.comparator
                  Definition

                  How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.

                  Short< | <= | >= | > - how to understand the value
                  Control0..1
                  BindingThe codes SHALL be taken from QuantityComparator .
                  (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)

                  How the Quantity should be understood and represented.

                  Typecode
                  Is Modifiertrue because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.

                  Meaning if MissingIf there is no comparator, then there is no modification of the value
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  154. EvidenceVariable.characteristic.timeFromStart.unit
                  Definition

                  A human-readable form of the unit.

                  ShortUnit representation
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  156. EvidenceVariable.characteristic.timeFromStart.system
                  Definition

                  The identification of the system that provides the coded form of the unit.

                  ShortSystem that defines coded unit form
                  Control0..1
                  This element is affected by the following invariants: qty-3
                  Typeuri
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  Need to know the system that defines the coded form of the unit.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  158. EvidenceVariable.characteristic.timeFromStart.code
                  Definition

                  A computer processable form of the unit in some unit representation system.

                  ShortCoded form of the unit
                  Comments

                  The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.

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

                  Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.

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

                  Indicates how elements are aggregated within the study effective period.

                  Shortmean | median | mean-of-mean | mean-of-median | median-of-mean | median-of-median
                  Control0..1
                  BindingThe codes SHALL be taken from GroupMeasure
                  (required to http://hl7.org/fhir/ValueSet/group-measure|4.0.1)

                  Possible group measure aggregates (E.g. Mean, Median).

                  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()))