Release 4 5 Preview #3
This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU ). This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

14.9 14.12 Resource Evidence - Content

Clinical Decision Support Work Group Maturity Level : 0 1   Trial Use Security Category : Business Compartments : Not linked to any defined compartments

The Evidence resource describes Resource provides a machine-interpretable expression of an evidence concept including the conditional state (population and any exposures being compared within evidence variables (eg population, exposures/interventions, comparators, outcomes, measured variables, confounding variables), the population) statistics, and outcome (if specified) that the knowledge (evidence, assertion, recommendation) is about. certainty of this evidence.

14.9.1 14.12.1 Scope and Usage

The scope Evidence Resource enables the expression of the Evidence resource is to describe most granular form of evidence, such as the conditional state (population and exposures being considered or compared within actual quantitative results of a population) with study or without scientific analysis.

Human-readable summaries of the outcomes that knowledge (evidence, Evidence Resource may be expressed in description, assertion, recommendation) and note elements. The description element is about. typically used for the primary expression. The Evidence resource assertion element is a less commonly bundled series used and is typically used for interpretive expression. The note element may be used for any number of evidence variables from explanatory, variant, or related comments.

The variableDefinition element is used to describe What the "PICO" specification of medical knowledge: Population - evidence is about. Each variable defined must be assigned a variable role which signals how that variable is used in the population statistics within which exposures the Evidence resource. The variable definition may be expressed in human-readable form (with a description element) and/or expressed in computable form by referencing Group or EvidenceVariable resources. In general, Group resources are used to define populations and outcomes EvidenceVariable resources are being considered Intervention - used to define exposures and measured variables. The variableDefinition elements allows expression of the conditional state or exposure state being described observed variable and the intended variable. In many forms of expression the Evidence is interpreted for which one a specific context and recognition of both observed and intended variables is expressing important for understanding the risk applicability and certainty of or effect on an outcome Comparison - the alternative conditional state or alternative exposure state when one evidence.

The heart of the evidence is comparing states for the effect on an outcome Outcome - statistic. The Statistic DataType provides a machine-interpretable expression of a statistic, including the result or effect quantity; unit of an intervention or exposure measure; classification of statistic type; sample size; attributes such as confidence intervals, p values, and heterogeneity estimates; and statistic model characteristics. An Evidence resource may contain more than one statistic, in which case each statistic matches the same combination of variable definitions. The OrderedDistribution DataType provides a population PICO (and its variants like PECO machine-interpretable expression of an ordered array of statistics, such as a histogram or PICOT) is a universal acronym used in evidence-based medicine communities to clearly express research questions and report stratified by quintiles.

Because a statistic can rarely be interpreted without knowing how it was obtained, the Evidence Resource enables expression of the studyType . For evidence findings. The derived from synthesis of evidence, the Evidence resource allows Resource enables expression of the higher-order concept for recommendations synthesisType .

The certainty Element provides a machine-interpretable expression of certainty, confidence or quality of the resource in healthcare where multiple outcomes are considered, which it is included. The certainty Element can express overall certainty and certainty of any subcomponent concepts using codeable concepts from structured rating systems. The certainty Element enables machine-to-machine communication of the higher-order concept/combination for framing research questions. certainty of evidence.

14.9.2

14.12.2 Boundaries and Relationships

The Evidence resource references Resource is the central atomic component for the Evidence-related resources. The Evidence Resource may reference multiple Group and EvidenceVariable resource two or more times Resources; in these cases, the Group and EvidenceVariable Resources to which an Evidence Resource points does not refer back to clearly specify the relationship among Evidence. In the context of evidence variable concepts in framing a research question, synthesis, an EvidenceVariable Resource may reference Evidence Resources where the EvidenceVariable Resource is used to define the set of evidence assertion, or recommendation. being synthesized.

14.12.3 References

No resources refer to this resource directly.

This resource does not implement any patterns.

14.9.3 14.12.4 Resource Content

Structure

Reference
Name Flags Card. Type Description & Constraints doco
. . Evidence I TU DomainResource MetadataResource A research context or question Single evidence bit
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id , meta , implicitRules , language , text , contained , extension , modifierExtension , url , identifier , version , name , title , status , experimental , date , publisher , contact , description , useContext , jurisdiction , purpose , copyright , approvalDate , lastReviewDate , effectivePeriod
. . . url Σ 0..1 uri Canonical identifier for this evidence, represented as a globally unique URI (globally unique)
. . . identifier Σ 0..* Identifier Additional identifier for the evidence summary
. . . version Σ 0..1 string Business version of the evidence this summary
. . . title status ?! Σ 0..1 1..1 string code Name for this evidence (human friendly) draft | active | retired | unknown
PublicationStatus ( Required )
. . . shortTitle date Σ 0..1 string dateTime Title for use in informal contexts Date last changed
. . subtitle . useContext Σ 0..1 0..* string UsageContext Subordinate title of The context that the Evidence content is intended to support
. . . status approvalDate ?! Σ 1..1 0..1 code date draft | active | retired | unknown PublicationStatus ( Required ) When the summary was approved by publisher
. . . date lastReviewDate Σ 0..1 dateTime date Date When the summary was last changed reviewed
. . . publisher Σ 0..1 string Name of the publisher (organization or individual)
. . . contact Σ 0..* ContactDetail Contact details for the publisher
. . description . author Σ 0..1 0..* markdown ContactDetail Natural language description of Who authored the evidence content
. . . note editor 0..* Annotation ContactDetail Used for footnotes or explanatory notes Who edited the content
. . . useContext reviewer Σ 0..* UsageContext ContactDetail The context that Who reviewed the content is intended to support
. . . jurisdiction endorser Σ 0..* CodeableConcept ContactDetail Intended jurisdiction for evidence (if applicable) Who endorsed the content
Jurisdiction
. . . relatedArtifact ( Extensible ) 0..* RelatedArtifact Link or citation to artifact associated with the summary
. . . description 0..1 markdown Description of the particular summary
. . . copyright assertion 0..1 markdown Use and/or publishing restrictions Declarative description of the Evidence
. . . note 0..* Annotation Footnotes and/or explanatory notes
... variableDefinition 1..* BackboneElement Evidence variable such as population, exposure, or outcome
... . approvalDate description 0..1 date markdown When A text description or summary of the evidence was approved by publisher variable
. . . lastReviewDate . note 0..1 0..* date Annotation When the evidence was last reviewed Footnotes and/or explanatory notes
. . . . effectivePeriod variableRole Σ 0..1 1..1 Period CodeableConcept When population | subpopulation | exposure | referenceExposure | measuredVariable | confounder
EvidenceVariableRole ( Extensible )
.... observed Σ 0..1 Reference ( Group | EvidenceVariable ) Definition of the evidence is expected actual variable related to be used the statistic(s)
. . . . intended 0..1 Reference ( Group | EvidenceVariable ) Definition of the intended variable related to the Evidence
... . topic directnessMatch 0..* 0..1 CodeableConcept The category of the Evidence, such as Education, Treatment, Assessment, etc. low | moderate | high | exact
DefinitionTopic EvidenceDirectness ( Example Extensible )
. . . author synthesisType 0..* 0..1 ContactDetail CodeableConcept Who authored the content The method to combine studies
SynthesisType ( Extensible )
. . . editor studyType 0..* 0..1 ContactDetail CodeableConcept Who edited the content The type of study that produced this evidence
StudyType ( Extensible )
. . . reviewer statistic 0..* ContactDetail Statistic Who reviewed the content Values and parameters for a single statistic
. . . endorser distribution 0..* ContactDetail OrderedDistribution Who endorsed An ordered group of statistics
... certainty 0..* BackboneElement Certainty or quality of the content evidence
. . . . description 0..1 string Textual description of certainty
.. . . relatedArtifact note 0..* RelatedArtifact Annotation Additional documentation, citations, etc. Footnotes and/or explanatory notes
. . . exposureBackground . type Σ 0..1 CodeableConcept 1..1 Aspect of certainty being rated
Reference EvidenceCertaintyType ( EvidenceVariable Extensible ) What population?
. . . exposureVariant . rating Σ 0..1 CodeableConcept 0..* Assessment or judgement of the aspect
Reference EvidenceCertaintyRating ( EvidenceVariable Extensible ) What exposure?
. . outcome . . rater Σ 0..1 string 0..* Individual or group who did the rating
. . . . subcomponent ( EvidenceVariable ) What outcome? 0..* see certainty A domain or subdomain of certainty

doco Documentation for this format

UML Diagram ( Legend )

Evidence ( DomainResource MetadataResource ) An absolute URI that is used to identify this evidence when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this evidence summary is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the evidence summary is stored on different servers url : uri [0..1] A formal identifier that is used to identify this evidence summary when it is represented in other formats, or referenced in a specification, model, design or an instance identifier : Identifier [0..*] The identifier that is used to identify this version of the evidence summary when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the evidence 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. 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 sequence version : string [0..1] A natural language name identifying the evidence. This name should be usable as an identifier for the module by machine processing applications such as code generation name : string [0..1] A short, descriptive, user-friendly title for the evidence summary title : string [0..1] The short title provides an alternate title for use in informal descriptive contexts where the full, formal title is not necessary shortTitle : string [0..1] An explanatory or alternate title for the Evidence giving additional information about its content subtitle : string [0..1] The status of this evidence. summary. Enables tracking the life-cycle of the content (this element modifies the meaning of other elements) status : code [1..1] « The lifecycle status of an artifact. (Strength=Required) PublicationStatus ! » The date (and optionally time) when the evidence 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 evidence summary changes date : dateTime [0..1] The name of the organization or individual that published the evidence publisher : string [0..1] Contact details to assist a user in finding and communicating with the publisher contact : ContactDetail [0..*] A free text natural language description of the evidence from a consumer's perspective description : markdown [0..1] A human-readable string to clarify or explain concepts about the resource note : Annotation [0..*] 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 useContext : UsageContext [0..*] A legal or geographic region in which the evidence is intended to be used jurisdiction : CodeableConcept [0..*] « Countries and regions within which this artifact is targeted for use. (Strength=Extensible) Jurisdiction ValueSet + » A copyright statement relating to the evidence and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the evidence copyright : markdown [0..1] The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage approvalDate : date [0..1] The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date lastReviewDate : date [0..1] The period during which name of the evidence content was organization or is planned to be in active use individual that published the evidence effectivePeriod publisher : Period string [0..1] Descriptive topics related Contact details to the content of the Evidence. Topics provide assist a high-level categorization grouping types of Evidences that can be useful for filtering user in finding and searching communicating with the publisher topic contact : CodeableConcept ContactDetail [0..*] « High-level categorization of the definition, used for searching, sorting, and filtering. (Strength=Example) DefinitionTopic ?? » An individiual individiual, organization, or organization device primarily involved in the creation and maintenance of the content author : ContactDetail [0..*] An individual individiual, organization, or organization device primarily responsible for internal coherence of the content editor : ContactDetail [0..*] An individual individiual, organization, or organization device primarily responsible for review of some aspect of the content reviewer : ContactDetail [0..*] An individual individiual, organization, or organization device responsible for officially endorsing the content for use in some setting endorser : ContactDetail [0..*] Related artifacts such as additional documentation, justification, Link or bibliographic references citation to artifact associated with the summary relatedArtifact : RelatedArtifact [0..*] A reference free text natural language description of the evidence from a consumer's perspective description : markdown [0..1] Declarative description of the Evidence assertion : markdown [0..1] Footnotes and/or explanatory notes note : Annotation [0..*] The method to combine studies synthesisType : CodeableConcept [0..1] « Types of combining results from a EvidenceVariable resource body of evidence (eg. summary data meta-analysis). (Strength=Extensible) SynthesisType + » The type of study that defines produced this evidence studyType : CodeableConcept [0..1] « The type of study the population evidence was derived from. (Strength=Extensible) StudyType + » Values and parameters for a single statistic statistic : Statistic [0..*] An ordered group of statistics distribution : OrderedDistribution [0..*] VariableDefinition A text description or summary of the research variable exposureBackground description : Reference markdown [0..1] Footnotes and/or explanatory notes note : Annotation [0..*] population | subpopulation | exposure | referenceExposure | measuredVariable | confounder variableRole : CodeableConcept [1..1] « EvidenceVariable The role that the assertion variable plays. (Strength=Extensible) EvidenceVariableRole + » A reference Definition of the actual variable related to a the statistic(s) observed : Reference [0..1] « Group | EvidenceVariable resource that defines » Definition of the exposure for intended variable related to the research Evidence exposureVariant intended : Reference [0..*] [0..1] « Group | EvidenceVariable » A reference Indication of quality of match between intended variable to a EvidenceVariable resomece that defines the outcome for actual variable directnessMatch : CodeableConcept [0..1] « The quality of how direct the research match is. (Strength=Extensible) outcome EvidenceDirectness + » Certainty Textual description of certainty description : Reference string [0..1] Footnotes and/or explanatory notes note : Annotation [0..*] Aspect of certainty being rated type : CodeableConcept [0..1] « EvidenceVariable The aspect of quality, confidence, or certainty. (Strength=Extensible) EvidenceCertaintyType + » Assessment or judgement of the aspect rating : CodeableConcept [0..1] « The assessment of quality, confidence, or certainty. (Strength=Extensible) EvidenceCertaintyRating + » Individual or group who did the rating rater : string [0..1] Evidence variable such as population, exposure, or outcome variableDefinition [1..*] A domain or subdomain of certainty subcomponent [0..*] Assessment of certainty, confidence in the estimates, or quality of the evidence certainty [0..*]

XML Template 

<Evidence xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from  -->
 <
 <</identifier>
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 <url value="[uri]"/><!-- 0..1 Canonical identifier for this evidence, represented as a globally unique URI -->
 <identifier><!-- 0..* Identifier Additional identifier for the summary --></identifier>
 <version value="[string]"/><!-- 0..1 Business version of this summary -->
 <title value="[string]"/><!-- 0..1 Name for this summary (human friendly) -->
 <status value="[code]"/><!-- 1..1 draft | active | retired | unknown -->
 <date value="[dateTime]"/><!-- 0..1 Date last changed -->
 <useContext><!-- 0..* UsageContext The context that the content is intended to support --></useContext>
 <approvalDate value="[date]"/><!-- 0..1 When the summary was approved by publisher -->
 <lastReviewDate value="[date]"/><!-- 0..1 When the summary was last reviewed -->

 <publisher value="[string]"/><!-- 0..1 Name of the publisher (organization or individual) -->
 <contact><!-- 0..* ContactDetail Contact details for the publisher --></contact>
 <
 <</note>
 <</useContext>
 <</jurisdiction>
 <
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 <</effectivePeriod>
 <</topic>
 <</author>
 <</editor>
 <</reviewer>
 <</endorser>
 <</relatedArtifact>
 <</exposureBackground>
 <</exposureVariant>
 <</outcome>

 <author><!-- 0..* ContactDetail Who authored the content --></author>
 <editor><!-- 0..* ContactDetail Who edited the content --></editor>
 <reviewer><!-- 0..* ContactDetail Who reviewed the content --></reviewer>
 <endorser><!-- 0..* ContactDetail Who endorsed the content --></endorser>
 <relatedArtifact><!-- 0..* RelatedArtifact Link or citation to artifact associated with the summary --></relatedArtifact>
 <description value="[markdown]"/><!-- 0..1 Description of the particular summary -->
 <assertion value="[markdown]"/><!-- 0..1 Declarative description of the Evidence -->
 <note><!-- 0..* Annotation Footnotes and/or explanatory notes --></note>
 <variableDefinition>  <!-- 1..* Evidence variable such as population, exposure, or outcome -->
  <description value="[markdown]"/><!-- 0..1 A text description or summary of the variable -->
  <note><!-- 0..* Annotation Footnotes and/or explanatory notes --></note>
  <variableRole><!-- 1..1 CodeableConcept population | subpopulation | exposure | referenceExposure | measuredVariable | confounder --></variableRole>
  <observed><!-- 0..1 Reference(EvidenceVariable|Group) Definition of the actual variable related to the statistic(s) --></observed>
  <intended><!-- 0..1 Reference(EvidenceVariable|Group) Definition of the intended variable related to the Evidence --></intended>
  <directnessMatch><!-- 0..1 CodeableConcept low | moderate | high | exact --></directnessMatch>
 </variableDefinition>
 <synthesisType><!-- 0..1 CodeableConcept The method to combine studies --></synthesisType>
 <studyType><!-- 0..1 CodeableConcept The type of study that produced this evidence --></studyType>
 <statistic><!-- 0..* Statistic Values and parameters for a single statistic --></statistic>
 <distribution><!-- 0..* OrderedDistribution An ordered group of statistics --></distribution>
 <certainty>  <!-- 0..* Certainty or quality of the evidence -->
  <description value="[string]"/><!-- 0..1 Textual description of certainty -->
  <note><!-- 0..* Annotation Footnotes and/or explanatory notes --></note>
  <type><!-- 0..1 CodeableConcept Aspect of certainty being rated --></type>
  <rating><!-- 0..1 CodeableConcept Assessment or judgement of the aspect --></rating>
  <rater value="[string]"/><!-- 0..1 Individual or group who did the rating -->
  <subcomponent><!-- 0..* Content as for Evidence.certainty A domain or subdomain of certainty --></subcomponent>
 </certainty>

</Evidence>

JSON Template 

{doco
  "resourceType" : "",

  "resourceType" : "Evidence",

  // from Resource: id, meta, implicitRules, and language
  // from 
  "
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  "

  "url" : "<uri>", // Canonical identifier for this evidence, represented as a globally unique URI
  "identifier" : [{ Identifier }], // Additional identifier for the summary
  "version" : "<string>", // Business version of this summary
  "title" : "<string>", // Name for this summary (human friendly)
  "status" : "<code>", // R!  draft | active | retired | unknown
  "date" : "<dateTime>", // Date last changed
  "useContext" : [{ UsageContext }], // The context that the content is intended to support
  "approvalDate" : "<date>", // When the summary was approved by publisher
  "lastReviewDate" : "<date>", // When the summary was last reviewed

  "publisher" : "<string>", // Name of the publisher (organization or individual)
  "contact" : [{ ContactDetail }], // Contact details for the publisher
  "
  "
  "
  "
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  "
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  "author" : [{ ContactDetail }], // Who authored the content
  "editor" : [{ ContactDetail }], // Who edited the content
  "reviewer" : [{ ContactDetail }], // Who reviewed the content
  "endorser" : [{ ContactDetail }], // Who endorsed the content
  "relatedArtifact" : [{ RelatedArtifact }], // Link or citation to artifact associated with the summary
  "description" : "<markdown>", // Description of the particular summary
  "assertion" : "<markdown>", // Declarative description of the Evidence
  "note" : [{ Annotation }], // Footnotes and/or explanatory notes
  "variableDefinition" : [{ // R!  Evidence variable such as population, exposure, or outcome
    "description" : "<markdown>", // A text description or summary of the variable
    "note" : [{ Annotation }], // Footnotes and/or explanatory notes
    "variableRole" : { CodeableConcept }, // R!  population | subpopulation | exposure | referenceExposure | measuredVariable | confounder
    "observed" : { Reference(EvidenceVariable|Group) }, // Definition of the actual variable related to the statistic(s)
    "intended" : { Reference(EvidenceVariable|Group) }, // Definition of the intended variable related to the Evidence
    "directnessMatch" : { CodeableConcept } // low | moderate | high | exact
  }],
  "synthesisType" : { CodeableConcept }, // The method to combine studies
  "studyType" : { CodeableConcept }, // The type of study that produced this evidence
  "statistic" : [{ Statistic }], // Values and parameters for a single statistic
  "distribution" : [{ OrderedDistribution }], // An ordered group of statistics
  "certainty" : [{ // Certainty or quality of the evidence
    "description" : "<string>", // Textual description of certainty
    "note" : [{ Annotation }], // Footnotes and/or explanatory notes
    "type" : { CodeableConcept }, // Aspect of certainty being rated
    "rating" : { CodeableConcept }, // Assessment or judgement of the aspect
    "rater" : "<string>", // Individual or group who did the rating
    "subcomponent" : [{ Content as for Evidence.certainty }] // A domain or subdomain of certainty
  }]

}

Turtle Template 

@prefix fhir: <http://hl7.org/fhir/> .doco
[ a fhir:;

[ a fhir:Evidence;

  fhir:nodeRole fhir:treeRoot; # if this is the parser root
  # from Resource: .id, .meta, .implicitRules, and .language
  # from 
  fhir:
  fhir:
  fhir:
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  fhir:Evidence.url [ uri ]; # 0..1 Canonical identifier for this evidence, represented as a globally unique URI
  fhir:Evidence.identifier [ Identifier ], ... ; # 0..* Additional identifier for the summary
  fhir:Evidence.version [ string ]; # 0..1 Business version of this summary
  fhir:Evidence.title [ string ]; # 0..1 Name for this summary (human friendly)
  fhir:Evidence.status [ code ]; # 1..1 draft | active | retired | unknown
  fhir:Evidence.date [ dateTime ]; # 0..1 Date last changed
  fhir:Evidence.useContext [ UsageContext ], ... ; # 0..* The context that the content is intended to support
  fhir:Evidence.approvalDate [ date ]; # 0..1 When the summary was approved by publisher
  fhir:Evidence.lastReviewDate [ date ]; # 0..1 When the summary was last reviewed

  fhir:Evidence.publisher [ string ]; # 0..1 Name of the publisher (organization or individual)
  fhir:Evidence.contact [ ContactDetail ], ... ; # 0..* Contact details for the publisher
  fhir:
  fhir:
  fhir:
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  fhir:
  fhir:
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  fhir:

  fhir:Evidence.author [ ContactDetail ], ... ; # 0..* Who authored the content
  fhir:Evidence.editor [ ContactDetail ], ... ; # 0..* Who edited the content
  fhir:Evidence.reviewer [ ContactDetail ], ... ; # 0..* Who reviewed the content
  fhir:Evidence.endorser [ ContactDetail ], ... ; # 0..* Who endorsed the content
  fhir:Evidence.relatedArtifact [ RelatedArtifact ], ... ; # 0..* Link or citation to artifact associated with the summary
  fhir:Evidence.description [ markdown ]; # 0..1 Description of the particular summary
  fhir:Evidence.assertion [ markdown ]; # 0..1 Declarative description of the Evidence
  fhir:Evidence.note [ Annotation ], ... ; # 0..* Footnotes and/or explanatory notes
  fhir:Evidence.variableDefinition [ # 1..* Evidence variable such as population, exposure, or outcome
    fhir:Evidence.variableDefinition.description [ markdown ]; # 0..1 A text description or summary of the variable
    fhir:Evidence.variableDefinition.note [ Annotation ], ... ; # 0..* Footnotes and/or explanatory notes
    fhir:Evidence.variableDefinition.variableRole [ CodeableConcept ]; # 1..1 population | subpopulation | exposure | referenceExposure | measuredVariable | confounder
    fhir:Evidence.variableDefinition.observed [ Reference(EvidenceVariable|Group) ]; # 0..1 Definition of the actual variable related to the statistic(s)
    fhir:Evidence.variableDefinition.intended [ Reference(EvidenceVariable|Group) ]; # 0..1 Definition of the intended variable related to the Evidence
    fhir:Evidence.variableDefinition.directnessMatch [ CodeableConcept ]; # 0..1 low | moderate | high | exact
  ], ...;
  fhir:Evidence.synthesisType [ CodeableConcept ]; # 0..1 The method to combine studies
  fhir:Evidence.studyType [ CodeableConcept ]; # 0..1 The type of study that produced this evidence
  fhir:Evidence.statistic [ Statistic ], ... ; # 0..* Values and parameters for a single statistic
  fhir:Evidence.distribution [ OrderedDistribution ], ... ; # 0..* An ordered group of statistics
  fhir:Evidence.certainty [ # 0..* Certainty or quality of the evidence
    fhir:Evidence.certainty.description [ string ]; # 0..1 Textual description of certainty
    fhir:Evidence.certainty.note [ Annotation ], ... ; # 0..* Footnotes and/or explanatory notes
    fhir:Evidence.certainty.type [ CodeableConcept ]; # 0..1 Aspect of certainty being rated
    fhir:Evidence.certainty.rating [ CodeableConcept ]; # 0..1 Assessment or judgement of the aspect
    fhir:Evidence.certainty.rater [ string ]; # 0..1 Individual or group who did the rating
    fhir:Evidence.certainty.subcomponent [ See Evidence.certainty ], ... ; # 0..* A domain or subdomain of certainty
  ], ...;

]

Changes since R3

Evidence
Evidence.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.5.0
Evidence.assertion
  • Added Element
Evidence.variableDefinition
  • Added Mandatory Element
Evidence.variableDefinition.description
  • Added Element
Evidence.variableDefinition.note
  • Added Element
Evidence.variableDefinition.variableRole
  • Added Mandatory Element
Evidence.variableDefinition.observed
  • Added Element
Evidence.variableDefinition.intended
  • Added Element
Evidence.variableDefinition.directnessMatch
  • Added Element
Evidence.synthesisType
  • Added Element
Evidence.studyType
  • Added Element
Evidence.statistic
  • Added Element
Evidence.distribution
  • Added Element
Evidence.certainty
  • Added Element
Evidence.certainty.description
  • Added Element
Evidence.certainty.note
  • Added Element
Evidence.certainty.type
  • Added Element
Evidence.certainty.rating
  • Added Element
Evidence.certainty.rater
  • Added Element
Evidence.certainty.subcomponent
  • Added Element
Evidence.name
  • deleted
Evidence.shortTitle
  • deleted
Evidence.subtitle
  • deleted
Evidence.jurisdiction
  • deleted
Evidence.copyright
  • deleted
Evidence.effectivePeriod
  • deleted
Evidence.topic
  • deleted
Evidence.exposureBackground
  • deleted
Evidence.exposureVariant
  • deleted
Evidence.outcome
  • deleted

This resource did not exist in Release 2 See the Full Difference for further information

This analysis is available as XML or JSON .

Structure

Reference
Name Flags Card. Type Description & Constraints doco
. . Evidence I TU DomainResource MetadataResource A research context or question Single evidence bit
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id , meta , implicitRules , language , text , contained , extension , modifierExtension , url , identifier , version , name , title , status , experimental , date , publisher , contact , description , useContext , jurisdiction , purpose , copyright , approvalDate , lastReviewDate , effectivePeriod
. . . url Σ 0..1 uri Canonical identifier for this evidence, represented as a globally unique URI (globally unique)
. . . identifier Σ 0..* Identifier Additional identifier for the evidence summary
. . . version Σ 0..1 string Business version of the evidence this summary
. . . title status ?! Σ 0..1 1..1 string code Name for this evidence (human friendly) draft | active | retired | unknown
PublicationStatus ( Required )
. . . shortTitle date Σ 0..1 string dateTime Title for use in informal contexts Date last changed
. . subtitle . useContext Σ 0..1 0..* string UsageContext Subordinate title of The context that the Evidence content is intended to support
. . . status approvalDate ?! Σ 1..1 0..1 code date draft | active | retired | unknown PublicationStatus ( Required ) When the summary was approved by publisher
. . . date lastReviewDate Σ 0..1 dateTime date Date When the summary was last changed reviewed
. . . publisher Σ 0..1 string Name of the publisher (organization or individual)
. . . contact Σ 0..* ContactDetail Contact details for the publisher
. . description . author Σ 0..1 0..* markdown ContactDetail Natural language description of Who authored the evidence content
. . . note editor 0..* Annotation ContactDetail Used for footnotes or explanatory notes Who edited the content
. . . useContext reviewer Σ 0..* UsageContext ContactDetail The context that Who reviewed the content is intended to support
. . . jurisdiction endorser Σ 0..* CodeableConcept ContactDetail Intended jurisdiction for evidence (if applicable) Who endorsed the content
Jurisdiction
. . . relatedArtifact ( Extensible ) 0..* RelatedArtifact Link or citation to artifact associated with the summary
. . . description 0..1 markdown Description of the particular summary
. . . copyright assertion 0..1 markdown Use and/or publishing restrictions Declarative description of the Evidence
. . . note 0..* Annotation Footnotes and/or explanatory notes
... variableDefinition 1..* BackboneElement Evidence variable such as population, exposure, or outcome
... . approvalDate description 0..1 date markdown When A text description or summary of the evidence was approved by publisher variable
. . . lastReviewDate . note 0..1 0..* date Annotation When the evidence was last reviewed Footnotes and/or explanatory notes
. . . . effectivePeriod variableRole Σ 0..1 1..1 Period CodeableConcept When population | subpopulation | exposure | referenceExposure | measuredVariable | confounder
EvidenceVariableRole ( Extensible )
.... observed Σ 0..1 Reference ( Group | EvidenceVariable ) Definition of the evidence is expected actual variable related to be used the statistic(s)
. . . . intended 0..1 Reference ( Group | EvidenceVariable ) Definition of the intended variable related to the Evidence
... . topic directnessMatch 0..* 0..1 CodeableConcept The category of the Evidence, such as Education, Treatment, Assessment, etc. low | moderate | high | exact
DefinitionTopic EvidenceDirectness ( Example Extensible )
. . . author synthesisType 0..* 0..1 ContactDetail CodeableConcept Who authored the content The method to combine studies
SynthesisType ( Extensible )
. . . editor studyType 0..* 0..1 ContactDetail CodeableConcept Who edited the content The type of study that produced this evidence
StudyType ( Extensible )
. . . reviewer statistic 0..* ContactDetail Statistic Who reviewed the content Values and parameters for a single statistic
. . . endorser distribution 0..* ContactDetail OrderedDistribution Who endorsed An ordered group of statistics
... certainty 0..* BackboneElement Certainty or quality of the content evidence
. . . . description 0..1 string Textual description of certainty
.. . . relatedArtifact note 0..* RelatedArtifact Annotation Additional documentation, citations, etc. Footnotes and/or explanatory notes
. . . exposureBackground . type Σ 0..1 CodeableConcept 1..1 Aspect of certainty being rated
Reference EvidenceCertaintyType ( EvidenceVariable Extensible ) What population?
. . . exposureVariant . rating Σ 0..1 CodeableConcept 0..* Assessment or judgement of the aspect
Reference EvidenceCertaintyRating ( EvidenceVariable Extensible ) What exposure?
. . outcome . . rater Σ 0..1 string 0..* Individual or group who did the rating
. . . . subcomponent ( EvidenceVariable ) What outcome? 0..* see certainty A domain or subdomain of certainty

doco Documentation for this format

UML Diagram ( Legend )

Evidence ( DomainResource MetadataResource ) An absolute URI that is used to identify this evidence when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this evidence summary is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the evidence summary is stored on different servers url : uri [0..1] A formal identifier that is used to identify this evidence summary when it is represented in other formats, or referenced in a specification, model, design or an instance identifier : Identifier [0..*] The identifier that is used to identify this version of the evidence summary when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the evidence 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. 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 sequence version : string [0..1] A natural language name identifying the evidence. This name should be usable as an identifier for the module by machine processing applications such as code generation name : string [0..1] A short, descriptive, user-friendly title for the evidence summary title : string [0..1] The short title provides an alternate title for use in informal descriptive contexts where the full, formal title is not necessary shortTitle : string [0..1] An explanatory or alternate title for the Evidence giving additional information about its content subtitle : string [0..1] The status of this evidence. summary. Enables tracking the life-cycle of the content (this element modifies the meaning of other elements) status : code [1..1] « The lifecycle status of an artifact. (Strength=Required) PublicationStatus ! » The date (and optionally time) when the evidence 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 evidence summary changes date : dateTime [0..1] The name of the organization or individual that published the evidence publisher : string [0..1] Contact details to assist a user in finding and communicating with the publisher contact : ContactDetail [0..*] A free text natural language description of the evidence from a consumer's perspective description : markdown [0..1] A human-readable string to clarify or explain concepts about the resource note : Annotation [0..*] 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 useContext : UsageContext [0..*] A legal or geographic region in which the evidence is intended to be used jurisdiction : CodeableConcept [0..*] « Countries and regions within which this artifact is targeted for use. (Strength=Extensible) Jurisdiction ValueSet + » A copyright statement relating to the evidence and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the evidence copyright : markdown [0..1] The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage approvalDate : date [0..1] The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date lastReviewDate : date [0..1] The period during which name of the evidence content was organization or is planned to be in active use individual that published the evidence effectivePeriod publisher : Period string [0..1] Descriptive topics related Contact details to the content of the Evidence. Topics provide assist a high-level categorization grouping types of Evidences that can be useful for filtering user in finding and searching communicating with the publisher topic contact : CodeableConcept ContactDetail [0..*] « High-level categorization of the definition, used for searching, sorting, and filtering. (Strength=Example) DefinitionTopic ?? » An individiual individiual, organization, or organization device primarily involved in the creation and maintenance of the content author : ContactDetail [0..*] An individual individiual, organization, or organization device primarily responsible for internal coherence of the content editor : ContactDetail [0..*] An individual individiual, organization, or organization device primarily responsible for review of some aspect of the content reviewer : ContactDetail [0..*] An individual individiual, organization, or organization device responsible for officially endorsing the content for use in some setting endorser : ContactDetail [0..*] Related artifacts such as additional documentation, justification, Link or bibliographic references citation to artifact associated with the summary relatedArtifact : RelatedArtifact [0..*] A reference free text natural language description of the evidence from a consumer's perspective description : markdown [0..1] Declarative description of the Evidence assertion : markdown [0..1] Footnotes and/or explanatory notes note : Annotation [0..*] The method to combine studies synthesisType : CodeableConcept [0..1] « Types of combining results from a EvidenceVariable resource body of evidence (eg. summary data meta-analysis). (Strength=Extensible) SynthesisType + » The type of study that defines produced this evidence studyType : CodeableConcept [0..1] « The type of study the population evidence was derived from. (Strength=Extensible) StudyType + » Values and parameters for a single statistic statistic : Statistic [0..*] An ordered group of statistics distribution : OrderedDistribution [0..*] VariableDefinition A text description or summary of the research variable exposureBackground description : Reference markdown [0..1] Footnotes and/or explanatory notes note : Annotation [0..*] population | subpopulation | exposure | referenceExposure | measuredVariable | confounder variableRole : CodeableConcept [1..1] « EvidenceVariable The role that the assertion variable plays. (Strength=Extensible) EvidenceVariableRole + » A reference Definition of the actual variable related to a the statistic(s) observed : Reference [0..1] « Group | EvidenceVariable resource that defines » Definition of the exposure for intended variable related to the research Evidence exposureVariant intended : Reference [0..*] [0..1] « Group | EvidenceVariable » A reference Indication of quality of match between intended variable to a EvidenceVariable resomece that defines the outcome for actual variable directnessMatch : CodeableConcept [0..1] « The quality of how direct the research match is. (Strength=Extensible) outcome EvidenceDirectness + » Certainty Textual description of certainty description : Reference string [0..1] Footnotes and/or explanatory notes note : Annotation [0..*] Aspect of certainty being rated type : CodeableConcept [0..1] « EvidenceVariable The aspect of quality, confidence, or certainty. (Strength=Extensible) EvidenceCertaintyType + » Assessment or judgement of the aspect rating : CodeableConcept [0..1] « The assessment of quality, confidence, or certainty. (Strength=Extensible) EvidenceCertaintyRating + » Individual or group who did the rating rater : string [0..1] Evidence variable such as population, exposure, or outcome variableDefinition [1..*] A domain or subdomain of certainty subcomponent [0..*] Assessment of certainty, confidence in the estimates, or quality of the evidence certainty [0..*]

XML Template 

<Evidence xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from  -->
 <
 <</identifier>
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 <url value="[uri]"/><!-- 0..1 Canonical identifier for this evidence, represented as a globally unique URI -->
 <identifier><!-- 0..* Identifier Additional identifier for the summary --></identifier>
 <version value="[string]"/><!-- 0..1 Business version of this summary -->
 <title value="[string]"/><!-- 0..1 Name for this summary (human friendly) -->
 <status value="[code]"/><!-- 1..1 draft | active | retired | unknown -->
 <date value="[dateTime]"/><!-- 0..1 Date last changed -->
 <useContext><!-- 0..* UsageContext The context that the content is intended to support --></useContext>
 <approvalDate value="[date]"/><!-- 0..1 When the summary was approved by publisher -->
 <lastReviewDate value="[date]"/><!-- 0..1 When the summary was last reviewed -->

 <publisher value="[string]"/><!-- 0..1 Name of the publisher (organization or individual) -->
 <contact><!-- 0..* ContactDetail Contact details for the publisher --></contact>
 <
 <</note>
 <</useContext>
 <</jurisdiction>
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 <</effectivePeriod>
 <</topic>
 <</author>
 <</editor>
 <</reviewer>
 <</endorser>
 <</relatedArtifact>
 <</exposureBackground>
 <</exposureVariant>
 <</outcome>

 <author><!-- 0..* ContactDetail Who authored the content --></author>
 <editor><!-- 0..* ContactDetail Who edited the content --></editor>
 <reviewer><!-- 0..* ContactDetail Who reviewed the content --></reviewer>
 <endorser><!-- 0..* ContactDetail Who endorsed the content --></endorser>
 <relatedArtifact><!-- 0..* RelatedArtifact Link or citation to artifact associated with the summary --></relatedArtifact>
 <description value="[markdown]"/><!-- 0..1 Description of the particular summary -->
 <assertion value="[markdown]"/><!-- 0..1 Declarative description of the Evidence -->
 <note><!-- 0..* Annotation Footnotes and/or explanatory notes --></note>
 <variableDefinition>  <!-- 1..* Evidence variable such as population, exposure, or outcome -->
  <description value="[markdown]"/><!-- 0..1 A text description or summary of the variable -->
  <note><!-- 0..* Annotation Footnotes and/or explanatory notes --></note>
  <variableRole><!-- 1..1 CodeableConcept population | subpopulation | exposure | referenceExposure | measuredVariable | confounder --></variableRole>
  <observed><!-- 0..1 Reference(EvidenceVariable|Group) Definition of the actual variable related to the statistic(s) --></observed>
  <intended><!-- 0..1 Reference(EvidenceVariable|Group) Definition of the intended variable related to the Evidence --></intended>
  <directnessMatch><!-- 0..1 CodeableConcept low | moderate | high | exact --></directnessMatch>
 </variableDefinition>
 <synthesisType><!-- 0..1 CodeableConcept The method to combine studies --></synthesisType>
 <studyType><!-- 0..1 CodeableConcept The type of study that produced this evidence --></studyType>
 <statistic><!-- 0..* Statistic Values and parameters for a single statistic --></statistic>
 <distribution><!-- 0..* OrderedDistribution An ordered group of statistics --></distribution>
 <certainty>  <!-- 0..* Certainty or quality of the evidence -->
  <description value="[string]"/><!-- 0..1 Textual description of certainty -->
  <note><!-- 0..* Annotation Footnotes and/or explanatory notes --></note>
  <type><!-- 0..1 CodeableConcept Aspect of certainty being rated --></type>
  <rating><!-- 0..1 CodeableConcept Assessment or judgement of the aspect --></rating>
  <rater value="[string]"/><!-- 0..1 Individual or group who did the rating -->
  <subcomponent><!-- 0..* Content as for Evidence.certainty A domain or subdomain of certainty --></subcomponent>
 </certainty>

</Evidence>

JSON Template 

{doco
  "resourceType" : "",

  "resourceType" : "Evidence",

  // from Resource: id, meta, implicitRules, and language
  // from 
  "
  "
  "
  "
  "
  "
  "
  "
  "

  "url" : "<uri>", // Canonical identifier for this evidence, represented as a globally unique URI
  "identifier" : [{ Identifier }], // Additional identifier for the summary
  "version" : "<string>", // Business version of this summary
  "title" : "<string>", // Name for this summary (human friendly)
  "status" : "<code>", // R!  draft | active | retired | unknown
  "date" : "<dateTime>", // Date last changed
  "useContext" : [{ UsageContext }], // The context that the content is intended to support
  "approvalDate" : "<date>", // When the summary was approved by publisher
  "lastReviewDate" : "<date>", // When the summary was last reviewed

  "publisher" : "<string>", // Name of the publisher (organization or individual)
  "contact" : [{ ContactDetail }], // Contact details for the publisher
  "
  "
  "
  "
  "
  "
  "
  "
  "
  "
  "
  "
  "
  "
  "
  "
  "

  "author" : [{ ContactDetail }], // Who authored the content
  "editor" : [{ ContactDetail }], // Who edited the content
  "reviewer" : [{ ContactDetail }], // Who reviewed the content
  "endorser" : [{ ContactDetail }], // Who endorsed the content
  "relatedArtifact" : [{ RelatedArtifact }], // Link or citation to artifact associated with the summary
  "description" : "<markdown>", // Description of the particular summary
  "assertion" : "<markdown>", // Declarative description of the Evidence
  "note" : [{ Annotation }], // Footnotes and/or explanatory notes
  "variableDefinition" : [{ // R!  Evidence variable such as population, exposure, or outcome
    "description" : "<markdown>", // A text description or summary of the variable
    "note" : [{ Annotation }], // Footnotes and/or explanatory notes
    "variableRole" : { CodeableConcept }, // R!  population | subpopulation | exposure | referenceExposure | measuredVariable | confounder
    "observed" : { Reference(EvidenceVariable|Group) }, // Definition of the actual variable related to the statistic(s)
    "intended" : { Reference(EvidenceVariable|Group) }, // Definition of the intended variable related to the Evidence
    "directnessMatch" : { CodeableConcept } // low | moderate | high | exact
  }],
  "synthesisType" : { CodeableConcept }, // The method to combine studies
  "studyType" : { CodeableConcept }, // The type of study that produced this evidence
  "statistic" : [{ Statistic }], // Values and parameters for a single statistic
  "distribution" : [{ OrderedDistribution }], // An ordered group of statistics
  "certainty" : [{ // Certainty or quality of the evidence
    "description" : "<string>", // Textual description of certainty
    "note" : [{ Annotation }], // Footnotes and/or explanatory notes
    "type" : { CodeableConcept }, // Aspect of certainty being rated
    "rating" : { CodeableConcept }, // Assessment or judgement of the aspect
    "rater" : "<string>", // Individual or group who did the rating
    "subcomponent" : [{ Content as for Evidence.certainty }] // A domain or subdomain of certainty
  }]

}

Turtle Template 

@prefix fhir: <http://hl7.org/fhir/> .doco
[ a fhir:;

[ a fhir:Evidence;

  fhir:nodeRole fhir:treeRoot; # if this is the parser root
  # from Resource: .id, .meta, .implicitRules, and .language
  # from 
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:

  fhir:Evidence.url [ uri ]; # 0..1 Canonical identifier for this evidence, represented as a globally unique URI
  fhir:Evidence.identifier [ Identifier ], ... ; # 0..* Additional identifier for the summary
  fhir:Evidence.version [ string ]; # 0..1 Business version of this summary
  fhir:Evidence.title [ string ]; # 0..1 Name for this summary (human friendly)
  fhir:Evidence.status [ code ]; # 1..1 draft | active | retired | unknown
  fhir:Evidence.date [ dateTime ]; # 0..1 Date last changed
  fhir:Evidence.useContext [ UsageContext ], ... ; # 0..* The context that the content is intended to support
  fhir:Evidence.approvalDate [ date ]; # 0..1 When the summary was approved by publisher
  fhir:Evidence.lastReviewDate [ date ]; # 0..1 When the summary was last reviewed

  fhir:Evidence.publisher [ string ]; # 0..1 Name of the publisher (organization or individual)
  fhir:Evidence.contact [ ContactDetail ], ... ; # 0..* Contact details for the publisher
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:

  fhir:Evidence.author [ ContactDetail ], ... ; # 0..* Who authored the content
  fhir:Evidence.editor [ ContactDetail ], ... ; # 0..* Who edited the content
  fhir:Evidence.reviewer [ ContactDetail ], ... ; # 0..* Who reviewed the content
  fhir:Evidence.endorser [ ContactDetail ], ... ; # 0..* Who endorsed the content
  fhir:Evidence.relatedArtifact [ RelatedArtifact ], ... ; # 0..* Link or citation to artifact associated with the summary
  fhir:Evidence.description [ markdown ]; # 0..1 Description of the particular summary
  fhir:Evidence.assertion [ markdown ]; # 0..1 Declarative description of the Evidence
  fhir:Evidence.note [ Annotation ], ... ; # 0..* Footnotes and/or explanatory notes
  fhir:Evidence.variableDefinition [ # 1..* Evidence variable such as population, exposure, or outcome
    fhir:Evidence.variableDefinition.description [ markdown ]; # 0..1 A text description or summary of the variable
    fhir:Evidence.variableDefinition.note [ Annotation ], ... ; # 0..* Footnotes and/or explanatory notes
    fhir:Evidence.variableDefinition.variableRole [ CodeableConcept ]; # 1..1 population | subpopulation | exposure | referenceExposure | measuredVariable | confounder
    fhir:Evidence.variableDefinition.observed [ Reference(EvidenceVariable|Group) ]; # 0..1 Definition of the actual variable related to the statistic(s)
    fhir:Evidence.variableDefinition.intended [ Reference(EvidenceVariable|Group) ]; # 0..1 Definition of the intended variable related to the Evidence
    fhir:Evidence.variableDefinition.directnessMatch [ CodeableConcept ]; # 0..1 low | moderate | high | exact
  ], ...;
  fhir:Evidence.synthesisType [ CodeableConcept ]; # 0..1 The method to combine studies
  fhir:Evidence.studyType [ CodeableConcept ]; # 0..1 The type of study that produced this evidence
  fhir:Evidence.statistic [ Statistic ], ... ; # 0..* Values and parameters for a single statistic
  fhir:Evidence.distribution [ OrderedDistribution ], ... ; # 0..* An ordered group of statistics
  fhir:Evidence.certainty [ # 0..* Certainty or quality of the evidence
    fhir:Evidence.certainty.description [ string ]; # 0..1 Textual description of certainty
    fhir:Evidence.certainty.note [ Annotation ], ... ; # 0..* Footnotes and/or explanatory notes
    fhir:Evidence.certainty.type [ CodeableConcept ]; # 0..1 Aspect of certainty being rated
    fhir:Evidence.certainty.rating [ CodeableConcept ]; # 0..1 Assessment or judgement of the aspect
    fhir:Evidence.certainty.rater [ string ]; # 0..1 Individual or group who did the rating
    fhir:Evidence.certainty.subcomponent [ See Evidence.certainty ], ... ; # 0..* A domain or subdomain of certainty
  ], ...;

]

Changes since Release 3

Evidence
Evidence.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.5.0
Evidence.assertion
  • Added Element
Evidence.variableDefinition
  • Added Mandatory Element
Evidence.variableDefinition.description
  • Added Element
Evidence.variableDefinition.note
  • Added Element
Evidence.variableDefinition.variableRole
  • Added Mandatory Element
Evidence.variableDefinition.observed
  • Added Element
Evidence.variableDefinition.intended
  • Added Element
Evidence.variableDefinition.directnessMatch
  • Added Element
Evidence.synthesisType
  • Added Element
Evidence.studyType
  • Added Element
Evidence.statistic
  • Added Element
Evidence.distribution
  • Added Element
Evidence.certainty
  • Added Element
Evidence.certainty.description
  • Added Element
Evidence.certainty.note
  • Added Element
Evidence.certainty.type
  • Added Element
Evidence.certainty.rating
  • Added Element
Evidence.certainty.rater
  • Added Element
Evidence.certainty.subcomponent
  • Added Element
Evidence.name
  • deleted
Evidence.shortTitle
  • deleted
Evidence.subtitle
  • deleted
Evidence.jurisdiction
  • deleted
Evidence.copyright
  • deleted
Evidence.effectivePeriod
  • deleted
Evidence.topic
  • deleted
Evidence.exposureBackground
  • deleted
Evidence.exposureVariant
  • deleted
Evidence.outcome
  • deleted

This resource did not exist in Release 2 See the Full Difference for further information

This analysis is available as XML or JSON .

 

See the Profiles & Extensions and the alternate definitions: Master Definition XML + JSON , XML Schema / Schematron + JSON Schema , ShEx (for Turtle ) + see , the extensions spreadsheet version & the dependency analysis a

14.9.3.1 14.12.4.1 Terminology Bindings

Evidence.jurisdiction Evidence.topic
Path Definition Type Reference
Evidence.status The lifecycle status of an artifact. Required PublicationStatus
Evidence.variableDefinition.variableRole Countries and regions within which this artifact is targeted for use. The role that the assertion variable plays. Extensible Jurisdiction ValueSet EvidenceVariableRole
Evidence.variableDefinition.directnessMatch High-level categorization The quality of how direct the definition, used for searching, sorting, and filtering. match is. Example Extensible DefinitionTopic EvidenceDirectness
Evidence.synthesisType Types of combining results from a body of evidence (eg. summary data meta-analysis). Extensible SynthesisType
Evidence.studyType The type of study the evidence was derived from. Extensible StudyType
Evidence.certainty.type The aspect of quality, confidence, or certainty. Extensible EvidenceCertaintyType
Evidence.certainty.rating The assessment of quality, confidence, or certainty. Extensible EvidenceCertaintyRating

14.9.3.2 14.12.4.2 Constraints

id Level Location Description Expression
evi-0 cnl-0 Warning (base) 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}')

14.9.4 14.12.5 Search Parameters

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

Name Type Description Expression In Common
composed-of reference What resource is being referenced Evidence.relatedArtifact.where(type='composed-of').resource (Any) context token A use context assigned to the evidence (Evidence.useContext.value as CodeableConcept)
context-quantity quantity A quantity- or range-valued use context assigned to the evidence (Evidence.useContext.value as Quantity) | (Evidence.useContext.value as Range)
context-type token A type of use context assigned to the evidence Evidence.useContext.code
context-type-quantity composite A use context type and quantity- or range-based value assigned to the evidence On Evidence.useContext:
  context-type: code
  context-quantity: value.as(Quantity) | value.as(Range)
context-type-value composite A use context type and value assigned to the evidence On Evidence.useContext:
  context-type: code
  context: value.as(CodeableConcept)
date N date The evidence publication date Evidence.date
depends-on reference What resource is being referenced Evidence.relatedArtifact.where(type='depends-on').resource (Any) derived-from reference What resource is being referenced Evidence.relatedArtifact.where(type='derived-from').resource (Any) description N string The description of the evidence Evidence.description
effective date The time during which the evidence is intended to be in use Evidence.effectivePeriod identifier token External identifier for the evidence Evidence.identifier
jurisdiction token Intended jurisdiction for the evidence Evidence.jurisdiction name string Computationally friendly name of the evidence Evidence.name predecessor reference What resource is being referenced Evidence.relatedArtifact.where(type='predecessor').resource (Any) publisher N string Name of the publisher of the evidence Evidence.publisher
status N token The current status of the evidence Evidence.status
successor reference What resource is being referenced Evidence.relatedArtifact.where(type='successor').resource (Any) title N string The human-friendly name of the evidence Evidence.title
topic token Topics associated with the Evidence Evidence.topic url N uri The uri that identifies the evidence Evidence.url
version N token The business version of the evidence Evidence.version