Release 4B 5 Ballot

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-ballot: R5 Ballot - STU see ballot notes ). 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 R3

Biomedical Research and Regulation icon Work Group Maturity Level : 1 0   Trial Use Security Category : Business Compartments : Practitioner Not linked to any defined compartments

Detailed Descriptions for the elements in the ResearchStudy resource.

Alternate Names Alternate Names Reference
ResearchStudy
Element Id ResearchStudy
Definition

A process where a researcher or organization plans and then executes a series of steps intended to increase the field scientific study of healthcare-related knowledge. This nature that sometimes includes studies of safety, efficacy, comparative effectiveness processes involved in health and other information about medications, devices, therapies disease. For example, clinical trials are research studies that involve people. These studies may be related to new ways to screen, prevent, diagnose, and other interventional treat disease. They may also study certain outcomes and investigative techniques. A ResearchStudy involves the gathering certain groups of information about human people by looking at data collected in the past or animal subjects. future.

Short Display Investigation to increase healthcare-related patient-independent knowledge
Cardinality 0..*
Type DomainResource
Alternate Names Clinical Trial; Study
Summary false
Comments

Need to make sure we encompass public health studies.

ResearchStudy.url
Element Id ResearchStudy.url
Definition

Canonical identifier for this study resource, represented as a globally unique URI.

Short Display Canonical identifier for this study resource
Cardinality 0..1
Type uri
Summary false
ResearchStudy.identifier
Element Id ResearchStudy.identifier
Definition

Identifiers assigned to this research study by the sponsor or other systems.

Short Display Business Identifier for study
Note This is a business identifier, not a resource identifier (see discussion )
Cardinality 0..*
Type Identifier
Requirements

Allows identification of the research study as it is known by various participating systems and in a way that remains consistent across servers.

Summary true
ResearchStudy.version
Element Id ResearchStudy.version
Definition

The business version for the study record.

Short Display The business version for the study record
Note This is a business versionId, not a resource version id (see discussion )
Cardinality 0..1
Type string
Summary false
ResearchStudy.name
Element Id ResearchStudy.name
Definition

Name for this study (computer friendly).

Short Display Name for this study (computer friendly)
Cardinality 0..1
Type string
Summary false
ResearchStudy.title
Element Id ResearchStudy.title
Definition

A short, descriptive user-friendly label for The human readable name of the research study.

Short Display Human readable name of the study
Cardinality 0..1
Type string
Summary true
ResearchStudy.label
Element Id ResearchStudy.label
Definition

Additional names for the study.

Short Display Additional names for the study
Cardinality 0..*
Summary false
ResearchStudy.label.type
Element Id ResearchStudy.label.type
Definition

Kind of name.

Short Display primary | official | scientific | plain-language | subtitle | short-title | acronym | earlier-title | language | auto-translated | human-use | machine-use | duplicate-uid
Cardinality 0..1
Terminology Binding TitleType ( Extensible )
Type CodeableConcept
Summary false
ResearchStudy.label.value
Element Id ResearchStudy.label.value
Definition

The name.

Short Display The name
Cardinality 0..1
Type string
Summary false
ResearchStudy.protocol
Element Id ResearchStudy.protocol
Definition

The set of steps expected to be performed as part of the execution of the study.

Short Display Steps followed in executing study
Cardinality 0..*
Type Reference ( PlanDefinition )
Summary true
ResearchStudy.partOf
Element Id ResearchStudy.partOf
Definition

A larger research study of which this particular study is a component or step.

Short Display Part of larger study
Cardinality 0..*
Type Reference ( ResearchStudy )
Requirements

Allows breaking a study into components (e.g. by study site) each with their own PI, status, enrollment, etc.

Alternate Names container
Summary true
ResearchStudy.relatedArtifact
Element Id ResearchStudy.relatedArtifact
Definition

Citations, references and other related documents.

Short Display References and dependencies
Cardinality 0..*
Type RelatedArtifact
Summary false
ResearchStudy.date
Element Id ResearchStudy.date
Definition

The date (and optionally time) when the ResearchStudy Resource 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 ResearchStudy Resource changes.

Short Display Date the resource last changed
Cardinality 0..1
Type dateTime
Summary false
ResearchStudy.status
Element Id ResearchStudy.status
Definition

The current publication state of the study. resource (not of the study).

Short Display draft | active | retired | unknown
Cardinality 1..1
Terminology Binding ResearchStudyStatus PublicationStatus ( Required )
Type code
Is Modifier true (Reason: This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid)
Summary true
ResearchStudy.primaryPurposeType
Element Id ResearchStudy.primaryPurposeType
Definition

The type of study based upon the intent of the study's study activities. A classification of the intent of the study.

Short Display treatment | prevention | diagnostic | supportive-care | screening | health-services-research | basic-science | device-feasibility
Cardinality 0..1
Terminology Binding ResearchStudyPrimaryPurposeType ( Extensible )
Type CodeableConcept
Summary true
ResearchStudy.phase
Element Id ResearchStudy.phase
Definition

The stage in the progression of a therapy from initial experimental use in humans in clinical trials to post-market evaluation.

Short Display n-a | early-phase-1 | phase-1 | phase-1-phase-2 | phase-2 | phase-2-phase-3 | phase-3 | phase-4
Cardinality 0..1
Terminology Binding ResearchStudyPhase ( Example )
Type CodeableConcept
Summary true
ResearchStudy.category ResearchStudy.studyDesign
Element Id ResearchStudy.category ResearchStudy.studyDesign
Definition

Codes categorizing the type of study such as investigational vs. observational, type of blinding, type of randomization, safety vs. efficacy, etc.

Short Display Classifications of the study design characteristics
Cardinality 0..*
Terminology Binding ResearchStudyCategory : Study Design ( Preferred )
Type CodeableConcept
Summary true
ResearchStudy.focus
Element Id ResearchStudy.focus
Definition

The medication(s), food(s), therapy(ies), device(s) or other concerns or interventions that the study is seeking to gain more information about.

Short Display Drugs, devices, etc. under study
Cardinality 0..*
Summary false
ResearchStudy.focus.productCode
Element Id ResearchStudy.focus.productCode
Definition

Identification of product under study. This may be any combination of code and/or name.

Short Display Identification of product under study
Cardinality 0..1
Terminology Binding ResearchStudyFocus :
Type CodeableConcept
Summary true
ResearchStudy.condition ResearchStudy.focus.focusType
Element Id ResearchStudy.condition ResearchStudy.focus.focusType
Definition

The condition that is Indicates whether the focus of the study. For example, In is a study to examine risk factors for Lupus, might have as an inclusion criterion "healthy volunteer", but the target condition code would be medication, a Lupus SNOMED code. device, a procedure, a specific factor or some other intervention or characteristic.

Short Display medication | device | intervention | factor
Cardinality 0..*
Terminology Binding Condition/Problem/Diagnosis Codes ResearchStudyFocusType ( Example Extensible )
Type CodeableConcept
Summary true false
ResearchStudy.contact ResearchStudy.focus.factor
Element Id ResearchStudy.contact ResearchStudy.focus.factor
Definition

Contact details A factor corresponds to assist a user in learning more about or engaging an independent variable manipulated by the experimentalist with the study. intention to affect biological systems in a way that can be measured by an assay.

Short Display An independent variable manipulated by the experimentalist
Cardinality 0..* 0..1
Type ContactDetail markdown
Summary true false
ResearchStudy.relatedArtifact ResearchStudy.condition
Element Id ResearchStudy.relatedArtifact ResearchStudy.condition
Definition

Citations, references and other related documents. The condition that is the focus of the study. For example, In a study to examine risk factors for Lupus, might have as an inclusion criterion "healthy volunteer", but the target condition code would be a Lupus SNOMED code.

Short Display Condition being studied
Cardinality 0..*
Terminology Binding Condition/Problem/Diagnosis Codes ( Example )
Type RelatedArtifact CodeableConcept
Summary false true
ResearchStudy.keyword
Element Id ResearchStudy.keyword
Definition

Key terms to aid in searching for or filtering the study.

Short Display Used to search for the study
Cardinality 0..*
Terminology Binding ResearchStudyKeyword :
Type CodeableConcept
Summary true
ResearchStudy.location ResearchStudy.region
Element Id ResearchStudy.location ResearchStudy.region
Definition

Indicates a A country, state or other region area where the study is taking place. place rather than its precise geographic location or address.

Short Display Geographic area for the study
Cardinality 0..*
Terminology Binding Jurisdiction ( Extensible )
Type CodeableConcept
Summary true
ResearchStudy.descriptionSummary
Element Id ResearchStudy.descriptionSummary
Definition

A brief text for explaining the study.

Short Display Brief text explaining the study
Cardinality 0..1
Type markdown
Summary false
ResearchStudy.description
Element Id ResearchStudy.description
Definition

A full description detailed and human-readable narrative of how the study. E.g., study is being conducted. abstract.

Short Display Detailed narrative of the study
Cardinality 0..1
Type markdown
Summary false
ResearchStudy.enrollment ResearchStudy.period
Element Id ResearchStudy.enrollment ResearchStudy.period
Definition

Reference to a Group that defines Identifies the criteria for start date and quantity of subjects participating in the expected (or actual, depending on status) end date for the study. E.g. " 200 female Europeans between

Short Display When the ages of 20 study began and 45 with early onset diabetes". ended
Cardinality 0..1
Type Period
Alternate Names timing
Summary true
ResearchStudy.site
Element Id ResearchStudy.site
Definition

A facility in which study activities are conducted.

Short Display Facility where study activities are conducted
Cardinality 0..*
Type Reference ( Group Location | ResearchStudy | Organization )
Summary patient true
ResearchStudy.note
Element Id ResearchStudy.note
Definition

Comments made about the study by the performer, subject or other participants.

Short Display Comments made about the study
Cardinality 0..*
Type Annotation
Summary true false
ResearchStudy.classifier
Comments Element Id ResearchStudy.classifier
Definition

The Group referenced should Additional grouping mechanism or categorization of a research study. Example: FDA regulated device, FDA regulated drug, MPG Paragraph 23b (a German legal requirement), IRB-exempt, etc. Implementation Note: do not generally enumerate specific subjects. Subjects will be linked to use the study using classifier element to support existing semantics that are already supported thru explicit elements in the ResearchSubject resource.

Short Display Classification for the study
Cardinality 0..*
Terminology Binding Research Study Classifiers ( Example )
Type CodeableConcept
Summary false
ResearchStudy.period ResearchStudy.associatedParty
Element Id ResearchStudy.period ResearchStudy.associatedParty
Definition

Identifies the start date Sponsors, collaborators, and the expected (or actual, depending on status) end date other parties.

Short Display Sponsors, collaborators, and other parties
Cardinality 0..*
Requirements

While there are explicit attributes for a Sponsor and a PrincipalInvestigator many trial record a range of other organizations and individuals in key roles.

Summary false
Comments

For a Sponsor or a PrincipalInvestigator use the study. dedicated attributes provided.

ResearchStudy.associatedParty.name
Element Id ResearchStudy.associatedParty.name
Definition

Name of associated party.

Short Display Name of associated party
Cardinality 0..1
Type Period string
Summary timing false
ResearchStudy.associatedParty.role
Element Id ResearchStudy.associatedParty.role
Definition

Type of association.

Short Display sponsor | lead-sponsor | sponsor-investigator | primary-investigator | collaborator | funding-source | general-contact | recruitment-contact | sub-investigator | study-director | study-chair
Cardinality 1..1
Terminology Binding Research Study Party Role ( Extensible )
Type CodeableConcept
Summary true false
ResearchStudy.sponsor ResearchStudy.associatedParty.period
Element Id ResearchStudy.sponsor ResearchStudy.associatedParty.period
Definition

An organization that initiates Identifies the investigation start date and is legally responsible for the study. end date of the associated party in the role.

Short Display When active in the role
Cardinality 0..1 0..*
Type Reference Period (
Summary false
Comments

The cardinality is 0..* due to the fact that an associated party may be intermittently active in a given role over multiple time periods.

ResearchStudy.associatedParty.classifier
Element Id ResearchStudy.associatedParty.classifier
Definition

A categorization other than role for the associated party.

Short Display nih | fda | government | nonprofit | academic | industry
Cardinality 0..*
Terminology Binding Research Study Party Organization Type ( Example )
Type CodeableConcept
Summary true false
ResearchStudy.principalInvestigator ResearchStudy.associatedParty.party
Element Id ResearchStudy.principalInvestigator ResearchStudy.associatedParty.party
Definition

A researcher in a Individual or organization associated with study who oversees multiple aspects of the study, such as concept development, protocol writing, protocol submission for IRB approval, participant recruitment, informed consent, data collection, analysis, interpretation and presentation. (use practitionerRole to specify their organisation).

Short Display Individual or organization associated with study (use practitionerRole to specify their organisation)
Cardinality 0..1
Type Reference ( Practitioner | PractitionerRole | Organization )
Summary true false
Comments

Suggestions of a better attribute name are appreciated

ResearchStudy.site ResearchStudy.progressStatus
Element Id ResearchStudy.site ResearchStudy.progressStatus
Definition

A facility in which Status of study activities are conducted. with time for that status.

Short Display Status of study with time for that status
Cardinality 0..*
Type Summary false
ResearchStudy.progressStatus.state
Element Id ResearchStudy.progressStatus.state
Definition

Label for status or state (e.g. recruitment status).

Short Display Label for status or state (e.g. recruitment status)
Cardinality 1..1
Terminology Binding ResearchStudyStatus ( Location Extensible )
Type CodeableConcept
Summary false
ResearchStudy.progressStatus.actual
Element Id ResearchStudy.progressStatus.actual
Definition

An indication of whether or not the date is a known date when the state changed or will change. A value of true indicates a known date. A value of false indicates an estimated date.

Short Display Actual if true else anticipated
Cardinality 0..1
Type boolean
Summary false
ResearchStudy.reasonStopped ResearchStudy.progressStatus.period
Element Id ResearchStudy.reasonStopped ResearchStudy.progressStatus.period
Definition

Date range.

Short Display Date range
Cardinality 0..1
Type Period
Summary false
ResearchStudy.whyStopped
Element Id ResearchStudy.whyStopped
Definition

A description and/or code explaining the premature termination of the study.

Short Display accrual-goal-met | closed-due-to-toxicity | closed-due-to-lack-of-study-progress | temporarily-closed-per-study-design
Cardinality 0..1
Terminology Binding ResearchStudyReasonStopped ( Example )
Type CodeableConcept
Summary true
ResearchStudy.note ResearchStudy.recruitment
Element Id ResearchStudy.note ResearchStudy.recruitment
Definition

Comments made about the study by the performer, subject Target or other participants. actual group of participants enrolled in study.

Short Display Target or actual group of participants enrolled in study
Cardinality 0..* 0..1
Summary true
ResearchStudy.recruitment.targetNumber
Element Id ResearchStudy.recruitment.targetNumber
Definition

Estimated total number of participants to be enrolled.

Short Display Estimated total number of participants to be enrolled
Cardinality 0..1
Type Annotation unsignedInt
Summary false
ResearchStudy.arm ResearchStudy.recruitment.actualNumber
Element Id ResearchStudy.arm ResearchStudy.recruitment.actualNumber
Definition

Actual total number of participants enrolled in study.

Short Display Actual total number of participants enrolled in study
Cardinality 0..1
Type unsignedInt
Summary false
ResearchStudy.recruitment.eligibility
Element Id ResearchStudy.recruitment.eligibility
Definition

Inclusion and exclusion criteria.

Short Display Inclusion and exclusion criteria
Cardinality 0..1
Type Reference ( Group | EvidenceVariable )
Summary false
ResearchStudy.recruitment.actualGroup
Element Id ResearchStudy.recruitment.actualGroup
Definition

Group of participants who were enrolled in study.

Short Display Group of participants who were enrolled in study
Cardinality 0..1
Type Reference ( Group )
Summary true
ResearchStudy.comparisonGroup
Element Id ResearchStudy.comparisonGroup
Definition

Describes an expected sequence of events for one of the participants of a study. E.g. Exposure to drug A, wash-out, exposure to drug B, wash-out, follow-up.

Short Display Defined path through the study for a subject
Cardinality 0..*
Alternate Names arm
Summary false
Comments

In many clinical trials this is refered to as the ARM of the study, but such a term is not used in other sorts of trials even when there is a comparison between two or more groups.

ResearchStudy.arm.name ResearchStudy.comparisonGroup.identifier[x]
Element Id ResearchStudy.arm.name ResearchStudy.comparisonGroup.identifier[x]
Definition

Allows the comparisonGroup for the study and the comparisonGroup for the subject to be linked easily.

Short Display Allows the comparisonGroup for the study and the comparisonGroup for the subject to be linked easily
Cardinality 0..1
Type uri | Identifier
[x] Note See Choice of Datatypes for further information about how to use [x]
Summary false
ResearchStudy.comparisonGroup.name
Element Id ResearchStudy.comparisonGroup.name
Definition

Unique, human-readable label for this arm comparisonGroup of the study.

Short Display Label for study comparisonGroup
Cardinality 1..1
Type string
Summary false
ResearchStudy.arm.type ResearchStudy.comparisonGroup.type
Element Id ResearchStudy.arm.type ResearchStudy.comparisonGroup.type
Definition

Categorization of study arm, comparisonGroup, e.g. experimental, active comparator, placebo comparater.

Short Display Categorization of study comparisonGroup
Cardinality 0..1
Terminology Binding ResearchStudyArmType ( Extensible )
Type CodeableConcept
Summary false
ResearchStudy.arm.description ResearchStudy.comparisonGroup.description
Element Id ResearchStudy.arm.description ResearchStudy.comparisonGroup.description
Definition

A succinct description of the path through the study that would be followed by a subject adhering to this arm. comparisonGroup.

Short Display Short explanation of study path
Cardinality 0..1
Type string markdown
Summary false
ResearchStudy.comparisonGroup.intendedExposure
Element Id ResearchStudy.comparisonGroup.intendedExposure
Definition

Interventions or exposures in this comparisonGroup or cohort.

Short Display Interventions or exposures in this comparisonGroup or cohort
Cardinality 0..*
Type Reference ( EvidenceVariable )
Requirements

this is necessary for ClinicalTrials.gov use which relates 1 to many interventions to comparisonGroups (aka arms)

Summary false
ResearchStudy.comparisonGroup.observedGroup
Element Id ResearchStudy.comparisonGroup.observedGroup
Definition

Group of participants who were enrolled in study comparisonGroup.

Short Display Group of participants who were enrolled in study comparisonGroup
Cardinality 0..1
Type Reference ( Group )
Requirements

This is necessary to relate comparisonGroups to actual groups

Summary false
ResearchStudy.objective
Element Id ResearchStudy.objective
Definition

A goal that the study is aiming to achieve in terms of a scientific question to be answered by the analysis of data collected during the study.

Short Display A goal for the study
Cardinality 0..*
Summary false
ResearchStudy.objective.name
Element Id ResearchStudy.objective.name
Definition

Unique, human-readable label for this objective of the study.

Short Display Label for the objective
Cardinality 0..1
Type string
Summary false
ResearchStudy.objective.type
Element Id ResearchStudy.objective.type
Definition

The kind of study objective.

Short Display primary | secondary | exploratory
Cardinality 0..1
Terminology Binding ResearchStudyObjectiveType ( Preferred )
Type CodeableConcept
Summary false
ResearchStudy.objective.description
Element Id ResearchStudy.objective.description
Definition

Free text description of the objective of the study. This is what the study is trying to achieve rather than how it is going to achieve it (see ResearchStudy.description).

Short Display Description of the objective
Cardinality 0..1
Type markdown
Summary false
ResearchStudy.outcomeMeasure
Element Id ResearchStudy.outcomeMeasure
Definition

An outcome or planned variable to measure during the study.

Short Display An outcome or planned variable to measure during the study
Cardinality 0..*
Summary false
ResearchStudy.outcomeMeasure.name
Element Id ResearchStudy.outcomeMeasure.name
Definition

Label for the outcome.

Short Display Label for the outcome
Cardinality 0..1
Type string
Summary false
ResearchStudy.outcomeMeasure.type
Element Id ResearchStudy.outcomeMeasure.type
Definition

The parameter or characteristic being assessed as one of the values by which the study is assessed.

Short Display primary | secondary | exploratory
Cardinality 0..*
Terminology Binding ResearchStudyObjectiveType ( Preferred )
Type CodeableConcept
Summary false
ResearchStudy.outcomeMeasure.description
Element Id ResearchStudy.outcomeMeasure.description
Definition

Description of the outcome.

Short Display Description of the outcome
Cardinality 0..1
Type markdown
Summary false
ResearchStudy.outcomeMeasure.reference
Element Id ResearchStudy.outcomeMeasure.reference
Definition

Structured outcome definition.

Short Display Structured outcome definition
Cardinality 0..1
Type Reference ( EvidenceVariable )
Summary false
ResearchStudy.result
Element Id ResearchStudy.result
Definition

Link to one or more sets of results generated by the study. Could also link to a research registry holding the results such as ClinicalTrials.gov.

Short Display Link to results generated during the study
Cardinality 0..*
Type Reference ( EvidenceReport | Citation | DiagnosticReport )
Summary true
ResearchStudy.webLocation
Element Id ResearchStudy.webLocation
Definition

A general storage or archive location for the study. This may contain an assortment of content which is not specified in advance.

Short Display Archive location for the study
Cardinality 0..*
Summary false
ResearchStudy.webLocation.classifier
Element Id ResearchStudy.webLocation.classifier
Definition

Describes the nature of the location being specified.

Short Display registry-page|recruitment-page|contact-page
Cardinality 0..1
Terminology Binding ArtifactUrlClassifier ( Example )
Type CodeableConcept
Summary false
ResearchStudy.webLocation.url
Element Id ResearchStudy.webLocation.url
Definition

The location address.

Short Display The location address
Cardinality 1..1
Type uri
Summary false