This page is part of the FHIR Specification v4.1.0: R4B Ballot. About the R4B version of FHIR. The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4
Clinical Decision Support Work Group | Maturity Level: 1 | Trial Use | Security Category: Business | Compartments: Not linked to any defined compartments |
Detailed Descriptions for the elements in the Evidence resource.
Evidence | |||||||||
Element Id | Evidence | ||||||||
Definition | The Evidence Resource provides a machine-interpretable expression of an evidence concept including the evidence variables (eg population, exposures/interventions, comparators, outcomes, measured variables, confounding variables), the statistics, and the certainty of this evidence. | ||||||||
Cardinality | 0..* | ||||||||
Type | DomainResource | ||||||||
Summary | false | ||||||||
Invariants |
| ||||||||
Evidence.url | |||||||||
Element Id | Evidence.url | ||||||||
Definition | An absolute URI that is used to identify this evidence when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this summary is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the summary is stored on different servers. | ||||||||
Cardinality | 0..1 | ||||||||
Type | uri | ||||||||
Requirements | Allows the evidence to be referenced by a single globally unique identifier. | ||||||||
Summary | true | ||||||||
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. | ||||||||
Evidence.identifier | |||||||||
Element Id | Evidence.identifier | ||||||||
Definition | A formal identifier that is used to identify this summary when it is represented in other formats, or referenced in a specification, model, design or an instance. | ||||||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||||||
Cardinality | 0..* | ||||||||
Type | Identifier | ||||||||
Requirements | Allows externally provided and/or usable business identifiers to be easily associated with the module. | ||||||||
Summary | true | ||||||||
Comments | Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this summary outside of FHIR, where it is not possible to use the logical URI. | ||||||||
Evidence.version | |||||||||
Element Id | Evidence.version | ||||||||
Definition | The identifier that is used to identify this version of the summary when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the summary 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. | ||||||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||||||
Cardinality | 0..1 | ||||||||
Type | string | ||||||||
Summary | true | ||||||||
Comments | 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. | ||||||||
Evidence.title | |||||||||
Element Id | Evidence.title | ||||||||
Definition | A short, descriptive, user-friendly title for the summary. | ||||||||
Cardinality | 0..1 | ||||||||
Type | string | ||||||||
Summary | true | ||||||||
Comments | 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. | ||||||||
Evidence.citeAs[x] | |||||||||
Element Id | Evidence.citeAs[x] | ||||||||
Definition | Citation Resource or display of suggested citation for this evidence. | ||||||||
Cardinality | 0..1 | ||||||||
Type | Reference(Citation)|markdown | ||||||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||||||
Summary | false | ||||||||
Evidence.status | |||||||||
Element Id | Evidence.status | ||||||||
Definition | The status of this summary. Enables tracking the life-cycle of the content. | ||||||||
Cardinality | 1..1 | ||||||||
Terminology Binding | PublicationStatus (Required) | ||||||||
Type | code | ||||||||
Is Modifier | true (Reason: This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration) | ||||||||
Summary | true | ||||||||
Comments | Allows filtering of summarys s that are appropriate for use versus not. | ||||||||
Evidence.date | |||||||||
Element Id | Evidence.date | ||||||||
Definition | The date (and optionally time) when the summary 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 summary changes. | ||||||||
Cardinality | 0..1 | ||||||||
Type | dateTime | ||||||||
Alternate Names | Revision Date | ||||||||
Summary | true | ||||||||
Comments | Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the summary. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource. | ||||||||
Evidence.useContext | |||||||||
Element Id | Evidence.useContext | ||||||||
Definition | The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate evidence instances. | ||||||||
Cardinality | 0..* | ||||||||
Type | UsageContext | ||||||||
Requirements | Assist in searching for appropriate content. | ||||||||
Summary | true | ||||||||
Comments | When multiple useContexts are specified, there is no expectation that all or any of the contexts apply. | ||||||||
Evidence.approvalDate | |||||||||
Element Id | Evidence.approvalDate | ||||||||
Definition | The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage. | ||||||||
Cardinality | 0..1 | ||||||||
Type | date | ||||||||
Summary | false | ||||||||
Comments | The 'date' element may be more recent than the approval date because of minor changes or editorial corrections. | ||||||||
Evidence.lastReviewDate | |||||||||
Element Id | Evidence.lastReviewDate | ||||||||
Definition | The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date. | ||||||||
Cardinality | 0..1 | ||||||||
Type | date | ||||||||
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. | ||||||||
Summary | false | ||||||||
Comments | If specified, this date follows the original approval date. | ||||||||
Evidence.publisher | |||||||||
Element Id | Evidence.publisher | ||||||||
Definition | The name of the organization or individual that published the evidence. | ||||||||
Cardinality | 0..1 | ||||||||
Type | string | ||||||||
Requirements | Helps establish the "authority/credibility" of the evidence. May also allow for contact. | ||||||||
Summary | true | ||||||||
Comments | Usually an organization but may be an individual. The publisher (or steward) of the evidence is the organization or individual primarily responsible for the maintenance and upkeep of the evidence. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the evidence. This item SHOULD be populated unless the information is available from context. | ||||||||
Evidence.contact | |||||||||
Element Id | Evidence.contact | ||||||||
Definition | Contact details to assist a user in finding and communicating with the publisher. | ||||||||
Cardinality | 0..* | ||||||||
Type | ContactDetail | ||||||||
Summary | true | ||||||||
Comments | Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (Details at: http://build.fhir.org/clinicalreasoning-module.html). | ||||||||
Evidence.author | |||||||||
Element Id | Evidence.author | ||||||||
Definition | An individiual, organization, or device primarily involved in the creation and maintenance of the content. | ||||||||
Cardinality | 0..* | ||||||||
Type | ContactDetail | ||||||||
Summary | true | ||||||||
Comments | Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (Details at: http://build.fhir.org/clinicalreasoning-module.html). | ||||||||
Evidence.editor | |||||||||
Element Id | Evidence.editor | ||||||||
Definition | An individiual, organization, or device primarily responsible for internal coherence of the content. | ||||||||
Cardinality | 0..* | ||||||||
Type | ContactDetail | ||||||||
Summary | false | ||||||||
Comments | Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (Details at: http://build.fhir.org/clinicalreasoning-module.html). | ||||||||
Evidence.reviewer | |||||||||
Element Id | Evidence.reviewer | ||||||||
Definition | An individiual, organization, or device primarily responsible for review of some aspect of the content. | ||||||||
Cardinality | 0..* | ||||||||
Type | ContactDetail | ||||||||
Summary | false | ||||||||
Comments | Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (Details at: http://build.fhir.org/clinicalreasoning-module.html). | ||||||||
Evidence.endorser | |||||||||
Element Id | Evidence.endorser | ||||||||
Definition | An individiual, organization, or device responsible for officially endorsing the content for use in some setting. | ||||||||
Cardinality | 0..* | ||||||||
Type | ContactDetail | ||||||||
Summary | true | ||||||||
Comments | Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (Details at: http://build.fhir.org/clinicalreasoning-module.html). | ||||||||
Evidence.relatedArtifact | |||||||||
Element Id | Evidence.relatedArtifact | ||||||||
Definition | Link or citation to artifact associated with the summary. | ||||||||
Cardinality | 0..* | ||||||||
Type | RelatedArtifact | ||||||||
Summary | false | ||||||||
Evidence.description | |||||||||
Element Id | Evidence.description | ||||||||
Definition | A free text natural language description of the evidence from a consumer's perspective. | ||||||||
Cardinality | 0..1 | ||||||||
Type | markdown | ||||||||
Summary | false | ||||||||
Comments | This description can be used to capture details such as why the evidence was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the evidence as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the evidence is presumed to be the predominant language in the place the evidence was created). | ||||||||
Evidence.assertion | |||||||||
Element Id | Evidence.assertion | ||||||||
Definition | Declarative description of the Evidence. | ||||||||
Cardinality | 0..1 | ||||||||
Type | markdown | ||||||||
Summary | false | ||||||||
Evidence.note | |||||||||
Element Id | Evidence.note | ||||||||
Definition | Footnotes and/or explanatory notes. | ||||||||
Cardinality | 0..* | ||||||||
Type | Annotation | ||||||||
Summary | false | ||||||||
Evidence.variableDefinition | |||||||||
Element Id | Evidence.variableDefinition | ||||||||
Definition | Evidence variable such as population, exposure, or outcome. | ||||||||
Cardinality | 1..* | ||||||||
Summary | false | ||||||||
Evidence.variableDefinition.description | |||||||||
Element Id | Evidence.variableDefinition.description | ||||||||
Definition | A text description or summary of the variable. | ||||||||
Cardinality | 0..1 | ||||||||
Type | markdown | ||||||||
Summary | false | ||||||||
Evidence.variableDefinition.note | |||||||||
Element Id | Evidence.variableDefinition.note | ||||||||
Definition | Footnotes and/or explanatory notes. | ||||||||
Cardinality | 0..* | ||||||||
Type | Annotation | ||||||||
Summary | false | ||||||||
Evidence.variableDefinition.variableRole | |||||||||
Element Id | Evidence.variableDefinition.variableRole | ||||||||
Definition | population | subpopulation | exposure | referenceExposure | measuredVariable | confounder. | ||||||||
Cardinality | 1..1 | ||||||||
Terminology Binding | EvidenceVariableRole (Extensible) | ||||||||
Type | CodeableConcept | ||||||||
Summary | true | ||||||||
Evidence.variableDefinition.observed | |||||||||
Element Id | Evidence.variableDefinition.observed | ||||||||
Definition | Definition of the actual variable related to the statistic(s). | ||||||||
Cardinality | 0..1 | ||||||||
Type | Reference(Group | EvidenceVariable) | ||||||||
Summary | true | ||||||||
Evidence.variableDefinition.intended | |||||||||
Element Id | Evidence.variableDefinition.intended | ||||||||
Definition | Definition of the intended variable related to the Evidence. | ||||||||
Cardinality | 0..1 | ||||||||
Type | Reference(Group | EvidenceVariable) | ||||||||
Summary | false | ||||||||
Evidence.variableDefinition.directnessMatch | |||||||||
Element Id | Evidence.variableDefinition.directnessMatch | ||||||||
Definition | Indication of quality of match between intended variable to actual variable. | ||||||||
Cardinality | 0..1 | ||||||||
Terminology Binding | EvidenceDirectness (Extensible) | ||||||||
Type | CodeableConcept | ||||||||
Summary | false | ||||||||
Evidence.synthesisType | |||||||||
Element Id | Evidence.synthesisType | ||||||||
Definition | The method to combine studies. | ||||||||
Cardinality | 0..1 | ||||||||
Terminology Binding | SynthesisType (Extensible) | ||||||||
Type | CodeableConcept | ||||||||
Summary | false | ||||||||
Evidence.studyType | |||||||||
Element Id | Evidence.studyType | ||||||||
Definition | The type of study that produced this evidence. | ||||||||
Cardinality | 0..1 | ||||||||
Terminology Binding | StudyType (Extensible) | ||||||||
Type | CodeableConcept | ||||||||
Summary | false | ||||||||
Evidence.statistic | |||||||||
Element Id | Evidence.statistic | ||||||||
Definition | Values and parameters for a single statistic. | ||||||||
Cardinality | 0..* | ||||||||
Type | Statistic | ||||||||
Summary | false | ||||||||
Evidence.distribution | |||||||||
Element Id | Evidence.distribution | ||||||||
Definition | An ordered group of statistics. | ||||||||
Cardinality | 0..* | ||||||||
Type | OrderedDistribution | ||||||||
Summary | false | ||||||||
Evidence.certainty | |||||||||
Element Id | Evidence.certainty | ||||||||
Definition | Assessment of certainty, confidence in the estimates, or quality of the evidence. | ||||||||
Cardinality | 0..* | ||||||||
Summary | false | ||||||||
Evidence.certainty.description | |||||||||
Element Id | Evidence.certainty.description | ||||||||
Definition | Textual description of certainty. | ||||||||
Cardinality | 0..1 | ||||||||
Type | string | ||||||||
Summary | false | ||||||||
Evidence.certainty.note | |||||||||
Element Id | Evidence.certainty.note | ||||||||
Definition | Footnotes and/or explanatory notes. | ||||||||
Cardinality | 0..* | ||||||||
Type | Annotation | ||||||||
Summary | false | ||||||||
Evidence.certainty.type | |||||||||
Element Id | Evidence.certainty.type | ||||||||
Definition | Aspect of certainty being rated. | ||||||||
Cardinality | 0..1 | ||||||||
Terminology Binding | EvidenceCertaintyType (Extensible) | ||||||||
Type | CodeableConcept | ||||||||
Summary | false | ||||||||
Evidence.certainty.rating | |||||||||
Element Id | Evidence.certainty.rating | ||||||||
Definition | Assessment or judgement of the aspect. | ||||||||
Cardinality | 0..1 | ||||||||
Terminology Binding | EvidenceCertaintyRating (Extensible) | ||||||||
Type | CodeableConcept | ||||||||
Summary | false | ||||||||
Evidence.certainty.rater | |||||||||
Element Id | Evidence.certainty.rater | ||||||||
Definition | Individual or group who did the rating. | ||||||||
Cardinality | 0..1 | ||||||||
Type | string | ||||||||
Summary | false | ||||||||
Evidence.certainty.subcomponent | |||||||||
Element Id | Evidence.certainty.subcomponent | ||||||||
Definition | A domain or subdomain of certainty. | ||||||||
Cardinality | 0..* | ||||||||
Type | See Evidence.certainty | ||||||||
Summary | false |