This
page
is
part
of
the
FHIR
Specification
(v4.3.0:
R4B
-
STU
(v5.0.0-snapshot3:
R5
Snapshot
#3,
to
support
Connectathon
32
).
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 |
The
Evidence
Resource
provides
a
machine-interpretable
expression
of
an
evidence
concept
including
the
evidence
variables
(eg
(e.g.,
population,
exposures/interventions,
comparators,
outcomes,
measured
variables,
confounding
variables),
the
statistics,
and
the
certainty
of
this
evidence.
The Evidence Resource enables the expression of the most granular form of evidence, such as the actual quantitative results of a study or scientific analysis.
Human-readable summaries of the Evidence Resource may be expressed in description, assertion, and note elements. The description element is typically used for the primary expression. The assertion element is less commonly used and is typically used for interpretive expression. The note element may be used for any number of explanatory, variant, or related comments.
The variableDefinition element is used to describe what the evidence is about. Each variable defined must be assigned a variable role which signals how that variable is used in the statistics within 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 EvidenceVariable Resources are used to define exposures and measured variables. The variableDefinition elements allows expression of the observed variable and the intended variable. In many forms of expression the Evidence is interpreted for a specific context and recognition of both observed and intended variables is important for understanding the applicability and certainty of the evidence.
The heart of the evidence is the statistic. The statistic BackboneElement provides a machine-interpretable expression of a statistic, including the quantity; unit of 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.
Because a statistic can rarely be interpreted without knowing how it was obtained, the Evidence Resource enables expression of the studyType . For evidence derived from synthesis of evidence, the Evidence Resource enables expression of the synthesisType .
The certainty Element provides a machine-interpretable expression of certainty, confidence or quality of the resource in 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 certainty of evidence.
The Evidence Resource is the central atomic component for the Evidence-related Resources. The Evidence Resource may reference multiple Group and EvidenceVariable Resources; in these cases, the Group and EvidenceVariable Resources to which an Evidence Resource points does not refer back to the Evidence. In the context of evidence synthesis, an EvidenceVariable Resource may reference Evidence Resources where the EvidenceVariable Resource is used to define the set of evidence being synthesized.
Structure
Name
|
Flags
|
Card.
|
Type
|
Description
&
Constraints
|
|---|---|---|---|---|
|
TU | DomainResource |
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 Interfaces Implemented: MetadataResource |
|
|
Σ C | 0..1 | uri |
Canonical
identifier
for
this
evidence,
represented
as
a
globally
unique
URI
+ Warning: URL should not contain | or # - these characters make processing canonical references problematic |
|
Σ | 0..* | Identifier |
Additional
identifier
for
the
summary
|
|
Σ | 0..1 | string |
Business
version
of
this
summary
|
|
|
0..1 | string |
Name
for
this
summary
|
|
Σ T | 0..1 | string |
Name
for
this
summary
(human
friendly)
|
![]() ![]() | 0..1 |
Citation
for
this
evidence
|
||
|
Reference ( Citation ) | |||
|
markdown | |||
|
?! Σ | 1..1 | code |
draft
|
active
|
retired
|
unknown
PublicationStatus ( Required ) |
| 0..1 | boolean |
For
testing
purposes,
not
real
usage
| |
|
Σ | 0..1 | dateTime |
Date
last
changed
|
|
Σ | 0..* | UsageContext |
The
context
that
the
content
is
intended
to
support
|
|
0..1 | date |
When
the
summary
was
approved
by
publisher
|
|
|
0..1 | date |
When
the
summary
was
last
reviewed
|
|
|
Σ T | 0..1 | string |
Name
of
the
|
|
Σ | 0..* | ContactDetail |
Contact
details
for
the
publisher
|
|
Σ | 0..* | ContactDetail |
Who
authored
the
content
|
|
0..* | ContactDetail |
Who
edited
the
content
|
|
|
0..* | ContactDetail |
Who
reviewed
the
content
|
|
|
Σ | 0..* | ContactDetail |
Who
endorsed
the
content
|
|
0..* | RelatedArtifact |
Link
or
citation
to
artifact
associated
with
the
summary
|
|
|
T | 0..1 | markdown |
Description
of
the
particular
summary
|
|
T | 0..1 | markdown |
Declarative
description
of
the
Evidence
|
|
0..* | Annotation |
Footnotes
and/or
explanatory
notes
|
|
|
1..* | BackboneElement |
Evidence
variable
such
as
population,
exposure,
or
outcome
|
|
|
0..1 | markdown |
A
text
description
or
summary
of
the
variable
|
|
|
0..* | Annotation |
Footnotes
and/or
explanatory
notes
|
|
|
Σ | 1..1 | CodeableConcept |
population
|
subpopulation
|
exposure
|
referenceExposure
|
measuredVariable
|
confounder
EvidenceVariableRole ( Extensible ) |
|
Σ | 0..1 | Reference ( Group | EvidenceVariable ) |
Definition
of
the
actual
variable
related
to
the
statistic(s)
|
|
0..1 | Reference ( Group | EvidenceVariable ) |
Definition
of
the
intended
variable
related
to
the
Evidence
|
|
|
0..1 | CodeableConcept |
low
|
moderate
|
high
|
exact
EvidenceDirectness ( Extensible ) |
|
|
0..1 | CodeableConcept |
The
method
to
combine
studies
SynthesisType ( Extensible ) |
|
|
|
CodeableConcept |
The
|
|
|
0..* | BackboneElement |
Values
and
parameters
for
a
single
statistic
|
|
|
0..1 | string |
Description
of
content
|
|
|
0..* | Annotation |
Footnotes
and/or
explanatory
notes
|
|
|
0..1 | CodeableConcept |
Type
of
statistic,
StatisticType ( Extensible ) |
|
|
0..1 | CodeableConcept |
Associated
category
for
categorical
variable
|
|
|
0..1 | Quantity |
Statistic
value
|
|
|
0..1 | unsignedInt |
The
number
of
events
associated
with
the
statistic
|
|
|
0..1 | unsignedInt |
The
number
of
participants
affected
|
|
|
0..1 | BackboneElement |
Number
of
samples
in
the
statistic
|
|
|
0..1 | string |
Textual
description
of
sample
size
for
statistic
|
|
|
0..* | Annotation |
Footnote
or
explanatory
note
about
the
sample
size
|
|
|
0..1 | unsignedInt |
Number
of
contributing
studies
|
|
|
0..1 | unsignedInt |
Cumulative
number
of
participants
|
|
|
0..1 | unsignedInt |
Number
of
participants
with
known
results
for
measured
variables
|
|
|
0..* | BackboneElement |
An
attribute
of
the
Statistic
|
|
|
0..1 | string |
Textual
description
of
the
attribute
estimate
|
|
|
0..* | Annotation |
Footnote
or
explanatory
note
about
the
estimate
|
|
|
0..1 | CodeableConcept |
The
type
of
attribute
estimate,
AttributeEstimateType ( Extensible ) |
|
|
0..1 | Quantity |
The
singular
quantity
of
the
attribute
estimate,
for
attribute
estimates
represented
as
single
values;
also
used
to
report
unit
of
measure
|
|
|
0..1 | decimal |
Level
of
confidence
interval,
|
|
|
0..1 | Range |
Lower
and
upper
bound
values
of
the
attribute
estimate
|
|
|
0..* | see attributeEstimate |
A
nested
attribute
estimate;
which
is
the
attribute
estimate
of
an
attribute
estimate
|
|
|
0..* | BackboneElement |
An
aspect
of
the
statistical
model
|
|
|
1..1 | CodeableConcept |
Model
specification
StatisticModelCode ( Extensible ) |
|
|
0..1 | SimpleQuantity |
Numerical
value
to
complete
model
specification
|
|
|
0..* | BackboneElement |
A
variable
adjusted
for
in
the
adjusted
analysis
|
|
|
1..1 | Reference ( Group | EvidenceVariable ) |
Description
of
the
variable
|
|
|
0..1 | code |
continuous
|
dichotomous
|
ordinal
|
polychotomous
EvidenceVariableHandling ( Required ) |
|
|
0..* | CodeableConcept |
Description
for
grouping
of
ordinal
or
polychotomous
variables
|
|
|
0..* | Quantity |
Discrete
value
for
grouping
of
ordinal
or
polychotomous
variables
|
|
|
0..* | Range |
Range
of
values
for
grouping
of
ordinal
or
polychotomous
variables
|
|
|
0..* | see attributeEstimate |
An
attribute
of
the
statistic
used
as
a
model
characteristic
|
|
|
0..* | BackboneElement |
Certainty
or
quality
of
the
evidence
|
|
|
0..1 | string |
Textual
description
of
certainty
|
|
|
0..* | Annotation |
Footnotes
and/or
explanatory
notes
|
|
|
0..1 | CodeableConcept |
Aspect
of
certainty
being
rated
EvidenceCertaintyType ( Extensible ) |
|
|
0..1 | CodeableConcept |
Assessment
or
judgement
of
the
aspect
EvidenceCertaintyRating ( Extensible ) |
|
|
0..1 | string |
Individual
or
group
who
did
the
rating
|
|
|
0..* | see certainty |
A
domain
or
subdomain
of
certainty
|
|
Documentation
for
this
format
|
||||
See the Extensions for this resource
UML Diagram ( Legend )
XML Template
<<Evidence xmlns="http://hl7.org/fhir"><!-- from Resource: id, meta, implicitRules, and language --> <!-- from DomainResource: text, contained, extension, and modifierExtension -->
<<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 --> <name value="[string]"/><!-- I 0..1 Name for this summary (machine friendly) --> <title value="[string]"/><!-- 0..1 Name for this summary (human friendly) --> <citeAs[x]><!-- 0..1 Reference(Citation)|markdown Citation for this evidence --></citeAs[x]> <status value="[code]"/><!-- 1..1 draft | active | retired | unknown --><<experimental value="[boolean]"/><!-- 0..1 For testing purposes, not real usage --> <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/steward (organization or individual) --> <contact><!-- 0..* ContactDetail Contact details for the publisher --></contact> <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><studyDesign><!-- 0..* CodeableConcept The design of the study that produced this evidence --></studyDesign> <statistic> <!-- 0..* Values and parameters for a single statistic --> <description value="[string]"/><!-- 0..1 Description of content --> <note><!-- 0..* Annotation Footnotes and/or explanatory notes --></note><</statisticType><statisticType><!-- 0..1 CodeableConcept Type of statistic, e.g., relative risk --></statisticType> <category><!-- 0..1 CodeableConcept Associated category for categorical variable --></category> <quantity><!-- 0..1 Quantity Statistic value --></quantity> <numberOfEvents value="[unsignedInt]"/><!-- 0..1 The number of events associated with the statistic --> <numberAffected value="[unsignedInt]"/><!-- 0..1 The number of participants affected --> <sampleSize> <!-- 0..1 Number of samples in the statistic --> <description value="[string]"/><!-- 0..1 Textual description of sample size for statistic --> <note><!-- 0..* Annotation Footnote or explanatory note about the sample size --></note> <numberOfStudies value="[unsignedInt]"/><!-- 0..1 Number of contributing studies --> <numberOfParticipants value="[unsignedInt]"/><!-- 0..1 Cumulative number of participants --> <knownDataCount value="[unsignedInt]"/><!-- 0..1 Number of participants with known results for measured variables --> </sampleSize> <attributeEstimate> <!-- 0..* An attribute of the Statistic --> <description value="[string]"/><!-- 0..1 Textual description of the attribute estimate --> <note><!-- 0..* Annotation Footnote or explanatory note about the estimate --></note><</type><type><!-- 0..1 CodeableConcept The type of attribute estimate, e.g., confidence interval or p value --></type> <quantity><!-- 0..1 Quantity The singular quantity of the attribute estimate, for attribute estimates represented as single values; also used to report unit of measure --></quantity><<level value="[decimal]"/><!-- 0..1 Level of confidence interval, e.g., 0.95 for 95% confidence interval --> <range><!-- 0..1 Range Lower and upper bound values of the attribute estimate --></range> <attributeEstimate><!-- 0..* Content as for Evidence.statistic.attributeEstimate A nested attribute estimate; which is the attribute estimate of an attribute estimate --></attributeEstimate> </attributeEstimate> <modelCharacteristic> <!-- 0..* An aspect of the statistical model --> <code><!-- 1..1 CodeableConcept Model specification --></code> <value><!-- 0..1 Quantity(SimpleQuantity) Numerical value to complete model specification --></value> <variable> <!-- 0..* A variable adjusted for in the adjusted analysis --> <variableDefinition><!-- 1..1 Reference(EvidenceVariable|Group) Description of the variable --></variableDefinition> <handling value="[code]"/><!-- 0..1 continuous | dichotomous | ordinal | polychotomous --> <valueCategory><!-- 0..* CodeableConcept Description for grouping of ordinal or polychotomous variables --></valueCategory> <valueQuantity><!-- 0..* Quantity Discrete value for grouping of ordinal or polychotomous variables --></valueQuantity> <valueRange><!-- 0..* Range Range of values for grouping of ordinal or polychotomous variables --></valueRange> </variable> <attributeEstimate><!-- 0..* Content as for Evidence.statistic.attributeEstimate An attribute of the statistic used as a model characteristic --></attributeEstimate> </modelCharacteristic> </statistic> <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
{
"resourceType" : "",
"resourceType" : "Evidence",
// from Resource: id, meta, implicitRules, and language
// from DomainResource: text, contained, extension, and modifierExtension
"
"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
"name" : "<string>", // I Name for this summary (machine friendly)
"title" : "<string>", // Name for this summary (human friendly)
// citeAs[x]: Citation for this evidence. One of these 2:
"citeAsReference" : { Reference(Citation) },
"citeAsMarkdown" : "<markdown>",
"status" : "<code>", // R! draft | active | retired | unknown
"
"experimental" : <boolean>, // For testing purposes, not real usage
"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/steward (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
"
"studyDesign" : [{ CodeableConcept }], // The design of the study that produced this evidence
"statistic" : [{ // Values and parameters for a single statistic
"description" : "<string>", // Description of content
"note" : [{ Annotation }], // Footnotes and/or explanatory notes
"
"statisticType" : { CodeableConcept }, // Type of statistic, e.g., relative risk
"category" : { CodeableConcept }, // Associated category for categorical variable
"quantity" : { Quantity }, // Statistic value
"numberOfEvents" : "<unsignedInt>", // The number of events associated with the statistic
"numberAffected" : "<unsignedInt>", // The number of participants affected
"sampleSize" : { // Number of samples in the statistic
"description" : "<string>", // Textual description of sample size for statistic
"note" : [{ Annotation }], // Footnote or explanatory note about the sample size
"numberOfStudies" : "<unsignedInt>", // Number of contributing studies
"numberOfParticipants" : "<unsignedInt>", // Cumulative number of participants
"knownDataCount" : "<unsignedInt>" // Number of participants with known results for measured variables
},
"attributeEstimate" : [{ // An attribute of the Statistic
"description" : "<string>", // Textual description of the attribute estimate
"note" : [{ Annotation }], // Footnote or explanatory note about the estimate
"
"type" : { CodeableConcept }, // The type of attribute estimate, e.g., confidence interval or p value
"quantity" : { Quantity }, // The singular quantity of the attribute estimate, for attribute estimates represented as single values; also used to report unit of measure
"
"level" : <decimal>, // Level of confidence interval, e.g., 0.95 for 95% confidence interval
"range" : { Range }, // Lower and upper bound values of the attribute estimate
"attributeEstimate" : [{ Content as for Evidence.statistic.attributeEstimate }] // A nested attribute estimate; which is the attribute estimate of an attribute estimate
}],
"modelCharacteristic" : [{ // An aspect of the statistical model
"code" : { CodeableConcept }, // R! Model specification
"value" : { Quantity(SimpleQuantity) }, // Numerical value to complete model specification
"variable" : [{ // A variable adjusted for in the adjusted analysis
"variableDefinition" : { Reference(EvidenceVariable|Group) }, // R! Description of the variable
"handling" : "<code>", // continuous | dichotomous | ordinal | polychotomous
"valueCategory" : [{ CodeableConcept }], // Description for grouping of ordinal or polychotomous variables
"valueQuantity" : [{ Quantity }], // Discrete value for grouping of ordinal or polychotomous variables
"valueRange" : [{ Range }] // Range of values for grouping of ordinal or polychotomous variables
}],
"attributeEstimate" : [{ Content as for Evidence.statistic.attributeEstimate }] // An attribute of the statistic used as a model characteristic
}]
}],
"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/> .![]()
[ a fhir:;[ a fhir:Evidence; fhir:nodeRole fhir:treeRoot; # if this is the parser root # from Resource: .id, .meta, .implicitRules, and .language # from DomainResource: .text, .contained, .extension, and .modifierExtensionfhir: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.name [ string ]; # 0..1 I Name for this summary (machine friendly) fhir:Evidence.title [ string ]; # 0..1 Name for this summary (human friendly) # Evidence.citeAs[x] : 0..1 Citation for this evidence. One of these 2 fhir:Evidence.citeAsReference [ Reference(Citation) ] fhir:Evidence.citeAsMarkdown [ markdown ] fhir:Evidence.status [ code ]; # 1..1 draft | active | retired | unknownfhir:fhir:Evidence.experimental [ boolean ]; # 0..1 For testing purposes, not real usage 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 reviewedfhir:fhir:Evidence.publisher [ string ]; # 0..1 Name of the publisher/steward (organization or individual) fhir:Evidence.contact [ ContactDetail ], ... ; # 0..* Contact details for the publisher 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 studiesfhir:fhir:Evidence.studyDesign [ CodeableConcept ], ... ; # 0..* The design of the study that produced this evidence fhir:Evidence.statistic [ # 0..* Values and parameters for a single statistic fhir:Evidence.statistic.description [ string ]; # 0..1 Description of content fhir:Evidence.statistic.note [ Annotation ], ... ; # 0..* Footnotes and/or explanatory notesfhir:fhir:Evidence.statistic.statisticType [ CodeableConcept ]; # 0..1 Type of statistic, e.g., relative risk fhir:Evidence.statistic.category [ CodeableConcept ]; # 0..1 Associated category for categorical variable fhir:Evidence.statistic.quantity [ Quantity ]; # 0..1 Statistic value fhir:Evidence.statistic.numberOfEvents [ unsignedInt ]; # 0..1 The number of events associated with the statistic fhir:Evidence.statistic.numberAffected [ unsignedInt ]; # 0..1 The number of participants affected fhir:Evidence.statistic.sampleSize [ # 0..1 Number of samples in the statistic fhir:Evidence.statistic.sampleSize.description [ string ]; # 0..1 Textual description of sample size for statistic fhir:Evidence.statistic.sampleSize.note [ Annotation ], ... ; # 0..* Footnote or explanatory note about the sample size fhir:Evidence.statistic.sampleSize.numberOfStudies [ unsignedInt ]; # 0..1 Number of contributing studies fhir:Evidence.statistic.sampleSize.numberOfParticipants [ unsignedInt ]; # 0..1 Cumulative number of participants fhir:Evidence.statistic.sampleSize.knownDataCount [ unsignedInt ]; # 0..1 Number of participants with known results for measured variables ]; fhir:Evidence.statistic.attributeEstimate [ # 0..* An attribute of the Statistic fhir:Evidence.statistic.attributeEstimate.description [ string ]; # 0..1 Textual description of the attribute estimate fhir:Evidence.statistic.attributeEstimate.note [ Annotation ], ... ; # 0..* Footnote or explanatory note about the estimatefhir:fhir:Evidence.statistic.attributeEstimate.type [ CodeableConcept ]; # 0..1 The type of attribute estimate, e.g., confidence interval or p value fhir:Evidence.statistic.attributeEstimate.quantity [ Quantity ]; # 0..1 The singular quantity of the attribute estimate, for attribute estimates represented as single values; also used to report unit of measurefhir:fhir:Evidence.statistic.attributeEstimate.level [ decimal ]; # 0..1 Level of confidence interval, e.g., 0.95 for 95% confidence interval fhir:Evidence.statistic.attributeEstimate.range [ Range ]; # 0..1 Lower and upper bound values of the attribute estimate fhir:Evidence.statistic.attributeEstimate.attributeEstimate [ See Evidence.statistic.attributeEstimate ], ... ; # 0..* A nested attribute estimate; which is the attribute estimate of an attribute estimate ], ...; fhir:Evidence.statistic.modelCharacteristic [ # 0..* An aspect of the statistical model fhir:Evidence.statistic.modelCharacteristic.code [ CodeableConcept ]; # 1..1 Model specification fhir:Evidence.statistic.modelCharacteristic.value [ Quantity(SimpleQuantity) ]; # 0..1 Numerical value to complete model specification fhir:Evidence.statistic.modelCharacteristic.variable [ # 0..* A variable adjusted for in the adjusted analysis fhir:Evidence.statistic.modelCharacteristic.variable.variableDefinition [ Reference(EvidenceVariable|Group) ]; # 1..1 Description of the variable fhir:Evidence.statistic.modelCharacteristic.variable.handling [ code ]; # 0..1 continuous | dichotomous | ordinal | polychotomous fhir:Evidence.statistic.modelCharacteristic.variable.valueCategory [ CodeableConcept ], ... ; # 0..* Description for grouping of ordinal or polychotomous variables fhir:Evidence.statistic.modelCharacteristic.variable.valueQuantity [ Quantity ], ... ; # 0..* Discrete value for grouping of ordinal or polychotomous variables fhir:Evidence.statistic.modelCharacteristic.variable.valueRange [ Range ], ... ; # 0..* Range of values for grouping of ordinal or polychotomous variables ], ...; fhir:Evidence.statistic.modelCharacteristic.attributeEstimate [ See Evidence.statistic.attributeEstimate ], ... ; # 0..* An attribute of the statistic used as a model characteristic ], ...; ], ...; 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 R4
| Evidence | |
| Evidence.citeAs[x] |
|
|
|
|
| Evidence.assertion |
|
| Evidence.variableDefinition |
|
| Evidence.variableDefinition.description |
|
| Evidence.variableDefinition.note |
|
| Evidence.variableDefinition.variableRole |
|
| Evidence.variableDefinition.observed |
|
| Evidence.variableDefinition.intended |
|
| Evidence.variableDefinition.directnessMatch |
|
| Evidence.synthesisType |
|
|
|
|
| Evidence.statistic |
|
| Evidence.statistic.description |
|
| Evidence.statistic.note |
|
| Evidence.statistic.statisticType |
|
| Evidence.statistic.category |
|
| Evidence.statistic.quantity |
|
| Evidence.statistic.numberOfEvents |
|
| Evidence.statistic.numberAffected |
|
| Evidence.statistic.sampleSize |
|
| Evidence.statistic.sampleSize.description |
|
| Evidence.statistic.sampleSize.note |
|
| Evidence.statistic.sampleSize.numberOfStudies |
|
| Evidence.statistic.sampleSize.numberOfParticipants |
|
| Evidence.statistic.sampleSize.knownDataCount |
|
| Evidence.statistic.attributeEstimate |
|
| Evidence.statistic.attributeEstimate.description |
|
| Evidence.statistic.attributeEstimate.note |
|
| Evidence.statistic.attributeEstimate.type |
|
| Evidence.statistic.attributeEstimate.quantity |
|
| Evidence.statistic.attributeEstimate.level |
|
| Evidence.statistic.attributeEstimate.range |
|
| Evidence.statistic.attributeEstimate.attributeEstimate |
|
| Evidence.statistic.modelCharacteristic |
|
| Evidence.statistic.modelCharacteristic.code |
|
| Evidence.statistic.modelCharacteristic.value |
|
| Evidence.statistic.modelCharacteristic.variable |
|
| Evidence.statistic.modelCharacteristic.variable.variableDefinition |
|
| Evidence.statistic.modelCharacteristic.variable.handling |
|
| Evidence.statistic.modelCharacteristic.variable.valueCategory |
|
| Evidence.statistic.modelCharacteristic.variable.valueQuantity |
|
| Evidence.statistic.modelCharacteristic.variable.valueRange |
|
| Evidence.statistic.modelCharacteristic.attributeEstimate |
|
| Evidence.certainty |
|
| Evidence.certainty.description |
|
| Evidence.certainty.note |
|
| Evidence.certainty.type |
|
| Evidence.certainty.rating |
|
| Evidence.certainty.rater |
|
| Evidence.certainty.subcomponent |
|
|
|
|
| Evidence.subtitle |
|
| Evidence.jurisdiction |
|
| Evidence.copyright |
|
| Evidence.effectivePeriod |
|
| Evidence.topic |
|
| Evidence.exposureBackground |
|
| Evidence.exposureVariant |
|
| Evidence.outcome |
|
See the Full Difference for further information
This analysis is available as XML or JSON .
Structure
Name
|
Flags
|
Card.
|
Type
|
Description
&
Constraints
|
|---|---|---|---|---|
|
TU | DomainResource |
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 Interfaces Implemented: MetadataResource |
|
|
Σ C | 0..1 | uri |
Canonical
identifier
for
this
evidence,
represented
as
a
globally
unique
URI
+ Warning: URL should not contain | or # - these characters make processing canonical references problematic |
|
Σ | 0..* | Identifier |
Additional
identifier
for
the
summary
|
|
Σ | 0..1 | string |
Business
version
of
this
summary
|
|
|
0..1 | string |
Name
for
this
summary
|
|
Σ T | 0..1 | string |
Name
for
this
summary
(human
friendly)
|
![]() ![]() | 0..1 |
Citation
for
this
evidence
|
||
|
Reference ( Citation ) | |||
|
markdown | |||
|
?! Σ | 1..1 | code |
draft
|
active
|
retired
|
unknown
PublicationStatus ( Required ) |
| 0..1 | boolean |
For
testing
purposes,
not
real
usage
| |
|
Σ | 0..1 | dateTime |
Date
last
changed
|
|
Σ | 0..* | UsageContext |
The
context
that
the
content
is
intended
to
support
|
|
0..1 | date |
When
the
summary
was
approved
by
publisher
|
|
|
0..1 | date |
When
the
summary
was
last
reviewed
|
|
|
Σ T | 0..1 | string |
Name
of
the
|
|
Σ | 0..* | ContactDetail |
Contact
details
for
the
publisher
|
|
Σ | 0..* | ContactDetail |
Who
authored
the
content
|
|
0..* | ContactDetail |
Who
edited
the
content
|
|
|
0..* | ContactDetail |
Who
reviewed
the
content
|
|
|
Σ | 0..* | ContactDetail |
Who
endorsed
the
content
|
|
0..* | RelatedArtifact |
Link
or
citation
to
artifact
associated
with
the
summary
|
|
|
T | 0..1 | markdown |
Description
of
the
particular
summary
|
|
T | 0..1 | markdown |
Declarative
description
of
the
Evidence
|
|
0..* | Annotation |
Footnotes
and/or
explanatory
notes
|
|
|
1..* | BackboneElement |
Evidence
variable
such
as
population,
exposure,
or
outcome
|
|
|
0..1 | markdown |
A
text
description
or
summary
of
the
variable
|
|
|
0..* | Annotation |
Footnotes
and/or
explanatory
notes
|
|
|
Σ | 1..1 | CodeableConcept |
population
|
subpopulation
|
exposure
|
referenceExposure
|
measuredVariable
|
confounder
EvidenceVariableRole ( Extensible ) |
|
Σ | 0..1 | Reference ( Group | EvidenceVariable ) |
Definition
of
the
actual
variable
related
to
the
statistic(s)
|
|
0..1 | Reference ( Group | EvidenceVariable ) |
Definition
of
the
intended
variable
related
to
the
Evidence
|
|
|
0..1 | CodeableConcept |
low
|
moderate
|
high
|
exact
EvidenceDirectness ( Extensible ) |
|
|
0..1 | CodeableConcept |
The
method
to
combine
studies
SynthesisType ( Extensible ) |
|
|
|
CodeableConcept |
The
|
|
|
0..* | BackboneElement |
Values
and
parameters
for
a
single
statistic
|
|
|
0..1 | string |
Description
of
content
|
|
|
0..* | Annotation |
Footnotes
and/or
explanatory
notes
|
|
|
0..1 | CodeableConcept |
Type
of
statistic,
StatisticType ( Extensible ) |
|
|
0..1 | CodeableConcept |
Associated
category
for
categorical
variable
|
|
|
0..1 | Quantity |
Statistic
value
|
|
|
0..1 | unsignedInt |
The
number
of
events
associated
with
the
statistic
|
|
|
0..1 | unsignedInt |
The
number
of
participants
affected
|
|
|
0..1 | BackboneElement |
Number
of
samples
in
the
statistic
|
|
|
0..1 | string |
Textual
description
of
sample
size
for
statistic
|
|
|
0..* | Annotation |
Footnote
or
explanatory
note
about
the
sample
size
|
|
|
0..1 | unsignedInt |
Number
of
contributing
studies
|
|
|
0..1 | unsignedInt |
Cumulative
number
of
participants
|
|
|
0..1 | unsignedInt |
Number
of
participants
with
known
results
for
measured
variables
|
|
|
0..* | BackboneElement |
An
attribute
of
the
Statistic
|
|
|
0..1 | string |
Textual
description
of
the
attribute
estimate
|
|
|
0..* | Annotation |
Footnote
or
explanatory
note
about
the
estimate
|
|
|
0..1 | CodeableConcept |
The
type
of
attribute
estimate,
AttributeEstimateType ( Extensible ) |
|
|
0..1 | Quantity |
The
singular
quantity
of
the
attribute
estimate,
for
attribute
estimates
represented
as
single
values;
also
used
to
report
unit
of
measure
|
|
|
0..1 | decimal |
Level
of
confidence
interval,
|
|
|
0..1 | Range |
Lower
and
upper
bound
values
of
the
attribute
estimate
|
|
|
0..* | see attributeEstimate |
A
nested
attribute
estimate;
which
is
the
attribute
estimate
of
an
attribute
estimate
|
|
|
0..* | BackboneElement |
An
aspect
of
the
statistical
model
|
|
|
1..1 | CodeableConcept |
Model
specification
StatisticModelCode ( Extensible ) |
|
|
0..1 | SimpleQuantity |
Numerical
value
to
complete
model
specification
|
|
|
0..* | BackboneElement |
A
variable
adjusted
for
in
the
adjusted
analysis
|
|
|
1..1 | Reference ( Group | EvidenceVariable ) |
Description
of
the
variable
|
|
|
0..1 | code |
continuous
|
dichotomous
|
ordinal
|
polychotomous
EvidenceVariableHandling ( Required ) |
|
|
0..* | CodeableConcept |
Description
for
grouping
of
ordinal
or
polychotomous
variables
|
|
|
0..* | Quantity |
Discrete
value
for
grouping
of
ordinal
or
polychotomous
variables
|
|
|
0..* | Range |
Range
of
values
for
grouping
of
ordinal
or
polychotomous
variables
|
|
|
0..* | see attributeEstimate |
An
attribute
of
the
statistic
used
as
a
model
characteristic
|
|
|
0..* | BackboneElement |
Certainty
or
quality
of
the
evidence
|
|
|
0..1 | string |
Textual
description
of
certainty
|
|
|
0..* | Annotation |
Footnotes
and/or
explanatory
notes
|
|
|
0..1 | CodeableConcept |
Aspect
of
certainty
being
rated
EvidenceCertaintyType ( Extensible ) |
|
|
0..1 | CodeableConcept |
Assessment
or
judgement
of
the
aspect
EvidenceCertaintyRating ( Extensible ) |
|
|
0..1 | string |
Individual
or
group
who
did
the
rating
|
|
|
0..* | see certainty |
A
domain
or
subdomain
of
certainty
|
|
Documentation
for
this
format
|
||||
See the Extensions for this resource
XML Template
<<Evidence xmlns="http://hl7.org/fhir"><!-- from Resource: id, meta, implicitRules, and language --> <!-- from DomainResource: text, contained, extension, and modifierExtension -->
<<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 --> <name value="[string]"/><!-- I 0..1 Name for this summary (machine friendly) --> <title value="[string]"/><!-- 0..1 Name for this summary (human friendly) --> <citeAs[x]><!-- 0..1 Reference(Citation)|markdown Citation for this evidence --></citeAs[x]> <status value="[code]"/><!-- 1..1 draft | active | retired | unknown --><<experimental value="[boolean]"/><!-- 0..1 For testing purposes, not real usage --> <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/steward (organization or individual) --> <contact><!-- 0..* ContactDetail Contact details for the publisher --></contact> <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><studyDesign><!-- 0..* CodeableConcept The design of the study that produced this evidence --></studyDesign> <statistic> <!-- 0..* Values and parameters for a single statistic --> <description value="[string]"/><!-- 0..1 Description of content --> <note><!-- 0..* Annotation Footnotes and/or explanatory notes --></note><</statisticType><statisticType><!-- 0..1 CodeableConcept Type of statistic, e.g., relative risk --></statisticType> <category><!-- 0..1 CodeableConcept Associated category for categorical variable --></category> <quantity><!-- 0..1 Quantity Statistic value --></quantity> <numberOfEvents value="[unsignedInt]"/><!-- 0..1 The number of events associated with the statistic --> <numberAffected value="[unsignedInt]"/><!-- 0..1 The number of participants affected --> <sampleSize> <!-- 0..1 Number of samples in the statistic --> <description value="[string]"/><!-- 0..1 Textual description of sample size for statistic --> <note><!-- 0..* Annotation Footnote or explanatory note about the sample size --></note> <numberOfStudies value="[unsignedInt]"/><!-- 0..1 Number of contributing studies --> <numberOfParticipants value="[unsignedInt]"/><!-- 0..1 Cumulative number of participants --> <knownDataCount value="[unsignedInt]"/><!-- 0..1 Number of participants with known results for measured variables --> </sampleSize> <attributeEstimate> <!-- 0..* An attribute of the Statistic --> <description value="[string]"/><!-- 0..1 Textual description of the attribute estimate --> <note><!-- 0..* Annotation Footnote or explanatory note about the estimate --></note><</type><type><!-- 0..1 CodeableConcept The type of attribute estimate, e.g., confidence interval or p value --></type> <quantity><!-- 0..1 Quantity The singular quantity of the attribute estimate, for attribute estimates represented as single values; also used to report unit of measure --></quantity><<level value="[decimal]"/><!-- 0..1 Level of confidence interval, e.g., 0.95 for 95% confidence interval --> <range><!-- 0..1 Range Lower and upper bound values of the attribute estimate --></range> <attributeEstimate><!-- 0..* Content as for Evidence.statistic.attributeEstimate A nested attribute estimate; which is the attribute estimate of an attribute estimate --></attributeEstimate> </attributeEstimate> <modelCharacteristic> <!-- 0..* An aspect of the statistical model --> <code><!-- 1..1 CodeableConcept Model specification --></code> <value><!-- 0..1 Quantity(SimpleQuantity) Numerical value to complete model specification --></value> <variable> <!-- 0..* A variable adjusted for in the adjusted analysis --> <variableDefinition><!-- 1..1 Reference(EvidenceVariable|Group) Description of the variable --></variableDefinition> <handling value="[code]"/><!-- 0..1 continuous | dichotomous | ordinal | polychotomous --> <valueCategory><!-- 0..* CodeableConcept Description for grouping of ordinal or polychotomous variables --></valueCategory> <valueQuantity><!-- 0..* Quantity Discrete value for grouping of ordinal or polychotomous variables --></valueQuantity> <valueRange><!-- 0..* Range Range of values for grouping of ordinal or polychotomous variables --></valueRange> </variable> <attributeEstimate><!-- 0..* Content as for Evidence.statistic.attributeEstimate An attribute of the statistic used as a model characteristic --></attributeEstimate> </modelCharacteristic> </statistic> <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
{
"resourceType" : "",
"resourceType" : "Evidence",
// from Resource: id, meta, implicitRules, and language
// from DomainResource: text, contained, extension, and modifierExtension
"
"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
"name" : "<string>", // I Name for this summary (machine friendly)
"title" : "<string>", // Name for this summary (human friendly)
// citeAs[x]: Citation for this evidence. One of these 2:
"citeAsReference" : { Reference(Citation) },
"citeAsMarkdown" : "<markdown>",
"status" : "<code>", // R! draft | active | retired | unknown
"
"experimental" : <boolean>, // For testing purposes, not real usage
"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/steward (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
"
"studyDesign" : [{ CodeableConcept }], // The design of the study that produced this evidence
"statistic" : [{ // Values and parameters for a single statistic
"description" : "<string>", // Description of content
"note" : [{ Annotation }], // Footnotes and/or explanatory notes
"
"statisticType" : { CodeableConcept }, // Type of statistic, e.g., relative risk
"category" : { CodeableConcept }, // Associated category for categorical variable
"quantity" : { Quantity }, // Statistic value
"numberOfEvents" : "<unsignedInt>", // The number of events associated with the statistic
"numberAffected" : "<unsignedInt>", // The number of participants affected
"sampleSize" : { // Number of samples in the statistic
"description" : "<string>", // Textual description of sample size for statistic
"note" : [{ Annotation }], // Footnote or explanatory note about the sample size
"numberOfStudies" : "<unsignedInt>", // Number of contributing studies
"numberOfParticipants" : "<unsignedInt>", // Cumulative number of participants
"knownDataCount" : "<unsignedInt>" // Number of participants with known results for measured variables
},
"attributeEstimate" : [{ // An attribute of the Statistic
"description" : "<string>", // Textual description of the attribute estimate
"note" : [{ Annotation }], // Footnote or explanatory note about the estimate
"
"type" : { CodeableConcept }, // The type of attribute estimate, e.g., confidence interval or p value
"quantity" : { Quantity }, // The singular quantity of the attribute estimate, for attribute estimates represented as single values; also used to report unit of measure
"
"level" : <decimal>, // Level of confidence interval, e.g., 0.95 for 95% confidence interval
"range" : { Range }, // Lower and upper bound values of the attribute estimate
"attributeEstimate" : [{ Content as for Evidence.statistic.attributeEstimate }] // A nested attribute estimate; which is the attribute estimate of an attribute estimate
}],
"modelCharacteristic" : [{ // An aspect of the statistical model
"code" : { CodeableConcept }, // R! Model specification
"value" : { Quantity(SimpleQuantity) }, // Numerical value to complete model specification
"variable" : [{ // A variable adjusted for in the adjusted analysis
"variableDefinition" : { Reference(EvidenceVariable|Group) }, // R! Description of the variable
"handling" : "<code>", // continuous | dichotomous | ordinal | polychotomous
"valueCategory" : [{ CodeableConcept }], // Description for grouping of ordinal or polychotomous variables
"valueQuantity" : [{ Quantity }], // Discrete value for grouping of ordinal or polychotomous variables
"valueRange" : [{ Range }] // Range of values for grouping of ordinal or polychotomous variables
}],
"attributeEstimate" : [{ Content as for Evidence.statistic.attributeEstimate }] // An attribute of the statistic used as a model characteristic
}]
}],
"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/> .![]()
[ a fhir:;[ a fhir:Evidence; fhir:nodeRole fhir:treeRoot; # if this is the parser root # from Resource: .id, .meta, .implicitRules, and .language # from DomainResource: .text, .contained, .extension, and .modifierExtensionfhir: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.name [ string ]; # 0..1 I Name for this summary (machine friendly) fhir:Evidence.title [ string ]; # 0..1 Name for this summary (human friendly) # Evidence.citeAs[x] : 0..1 Citation for this evidence. One of these 2 fhir:Evidence.citeAsReference [ Reference(Citation) ] fhir:Evidence.citeAsMarkdown [ markdown ] fhir:Evidence.status [ code ]; # 1..1 draft | active | retired | unknownfhir:fhir:Evidence.experimental [ boolean ]; # 0..1 For testing purposes, not real usage 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 reviewedfhir:fhir:Evidence.publisher [ string ]; # 0..1 Name of the publisher/steward (organization or individual) fhir:Evidence.contact [ ContactDetail ], ... ; # 0..* Contact details for the publisher 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 studiesfhir:fhir:Evidence.studyDesign [ CodeableConcept ], ... ; # 0..* The design of the study that produced this evidence fhir:Evidence.statistic [ # 0..* Values and parameters for a single statistic fhir:Evidence.statistic.description [ string ]; # 0..1 Description of content fhir:Evidence.statistic.note [ Annotation ], ... ; # 0..* Footnotes and/or explanatory notesfhir:fhir:Evidence.statistic.statisticType [ CodeableConcept ]; # 0..1 Type of statistic, e.g., relative risk fhir:Evidence.statistic.category [ CodeableConcept ]; # 0..1 Associated category for categorical variable fhir:Evidence.statistic.quantity [ Quantity ]; # 0..1 Statistic value fhir:Evidence.statistic.numberOfEvents [ unsignedInt ]; # 0..1 The number of events associated with the statistic fhir:Evidence.statistic.numberAffected [ unsignedInt ]; # 0..1 The number of participants affected fhir:Evidence.statistic.sampleSize [ # 0..1 Number of samples in the statistic fhir:Evidence.statistic.sampleSize.description [ string ]; # 0..1 Textual description of sample size for statistic fhir:Evidence.statistic.sampleSize.note [ Annotation ], ... ; # 0..* Footnote or explanatory note about the sample size fhir:Evidence.statistic.sampleSize.numberOfStudies [ unsignedInt ]; # 0..1 Number of contributing studies fhir:Evidence.statistic.sampleSize.numberOfParticipants [ unsignedInt ]; # 0..1 Cumulative number of participants fhir:Evidence.statistic.sampleSize.knownDataCount [ unsignedInt ]; # 0..1 Number of participants with known results for measured variables ]; fhir:Evidence.statistic.attributeEstimate [ # 0..* An attribute of the Statistic fhir:Evidence.statistic.attributeEstimate.description [ string ]; # 0..1 Textual description of the attribute estimate fhir:Evidence.statistic.attributeEstimate.note [ Annotation ], ... ; # 0..* Footnote or explanatory note about the estimatefhir:fhir:Evidence.statistic.attributeEstimate.type [ CodeableConcept ]; # 0..1 The type of attribute estimate, e.g., confidence interval or p value fhir:Evidence.statistic.attributeEstimate.quantity [ Quantity ]; # 0..1 The singular quantity of the attribute estimate, for attribute estimates represented as single values; also used to report unit of measurefhir:fhir:Evidence.statistic.attributeEstimate.level [ decimal ]; # 0..1 Level of confidence interval, e.g., 0.95 for 95% confidence interval fhir:Evidence.statistic.attributeEstimate.range [ Range ]; # 0..1 Lower and upper bound values of the attribute estimate fhir:Evidence.statistic.attributeEstimate.attributeEstimate [ See Evidence.statistic.attributeEstimate ], ... ; # 0..* A nested attribute estimate; which is the attribute estimate of an attribute estimate ], ...; fhir:Evidence.statistic.modelCharacteristic [ # 0..* An aspect of the statistical model fhir:Evidence.statistic.modelCharacteristic.code [ CodeableConcept ]; # 1..1 Model specification fhir:Evidence.statistic.modelCharacteristic.value [ Quantity(SimpleQuantity) ]; # 0..1 Numerical value to complete model specification fhir:Evidence.statistic.modelCharacteristic.variable [ # 0..* A variable adjusted for in the adjusted analysis fhir:Evidence.statistic.modelCharacteristic.variable.variableDefinition [ Reference(EvidenceVariable|Group) ]; # 1..1 Description of the variable fhir:Evidence.statistic.modelCharacteristic.variable.handling [ code ]; # 0..1 continuous | dichotomous | ordinal | polychotomous fhir:Evidence.statistic.modelCharacteristic.variable.valueCategory [ CodeableConcept ], ... ; # 0..* Description for grouping of ordinal or polychotomous variables fhir:Evidence.statistic.modelCharacteristic.variable.valueQuantity [ Quantity ], ... ; # 0..* Discrete value for grouping of ordinal or polychotomous variables fhir:Evidence.statistic.modelCharacteristic.variable.valueRange [ Range ], ... ; # 0..* Range of values for grouping of ordinal or polychotomous variables ], ...; fhir:Evidence.statistic.modelCharacteristic.attributeEstimate [ See Evidence.statistic.attributeEstimate ], ... ; # 0..* An attribute of the statistic used as a model characteristic ], ...; ], ...; 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 4
| Evidence | |
| Evidence.citeAs[x] |
|
|
|
|
| Evidence.assertion |
|
| Evidence.variableDefinition |
|
| Evidence.variableDefinition.description |
|
| Evidence.variableDefinition.note |
|
| Evidence.variableDefinition.variableRole |
|
| Evidence.variableDefinition.observed |
|
| Evidence.variableDefinition.intended |
|
| Evidence.variableDefinition.directnessMatch |
|
| Evidence.synthesisType |
|
|
|
|
| Evidence.statistic |
|
| Evidence.statistic.description |
|
| Evidence.statistic.note |
|
| Evidence.statistic.statisticType |
|
| Evidence.statistic.category |
|
| Evidence.statistic.quantity |
|
| Evidence.statistic.numberOfEvents |
|
| Evidence.statistic.numberAffected |
|
| Evidence.statistic.sampleSize |
|
| Evidence.statistic.sampleSize.description |
|
| Evidence.statistic.sampleSize.note |
|
| Evidence.statistic.sampleSize.numberOfStudies |
|
| Evidence.statistic.sampleSize.numberOfParticipants |
|
| Evidence.statistic.sampleSize.knownDataCount |
|
| Evidence.statistic.attributeEstimate |
|
| Evidence.statistic.attributeEstimate.description |
|
| Evidence.statistic.attributeEstimate.note |
|
| Evidence.statistic.attributeEstimate.type |
|
| Evidence.statistic.attributeEstimate.quantity |
|
| Evidence.statistic.attributeEstimate.level |
|
| Evidence.statistic.attributeEstimate.range |
|
| Evidence.statistic.attributeEstimate.attributeEstimate |
|
| Evidence.statistic.modelCharacteristic |
|
| Evidence.statistic.modelCharacteristic.code |
|
| Evidence.statistic.modelCharacteristic.value |
|
| Evidence.statistic.modelCharacteristic.variable |
|
| Evidence.statistic.modelCharacteristic.variable.variableDefinition |
|
| Evidence.statistic.modelCharacteristic.variable.handling |
|
| Evidence.statistic.modelCharacteristic.variable.valueCategory |
|
| Evidence.statistic.modelCharacteristic.variable.valueQuantity |
|
| Evidence.statistic.modelCharacteristic.variable.valueRange |
|
| Evidence.statistic.modelCharacteristic.attributeEstimate |
|
| Evidence.certainty |
|
| Evidence.certainty.description |
|
| Evidence.certainty.note |
|
| Evidence.certainty.type |
|
| Evidence.certainty.rating |
|
| Evidence.certainty.rater |
|
| Evidence.certainty.subcomponent |
|
|
|
|
| Evidence.subtitle |
|
| Evidence.jurisdiction |
|
| Evidence.copyright |
|
| Evidence.effectivePeriod |
|
| Evidence.topic |
|
| Evidence.exposureBackground |
|
| Evidence.exposureVariant |
|
| Evidence.outcome |
|
See the Full Difference for further information
This analysis is available as XML or JSON .
See
the
Profiles
&
Extensions
and
the
alternate
Additional
definitions:
Master
Definition
XML
+
JSON
,
XML
Schema
/
Schematron
+
JSON
Schema
,
ShEx
(for
Turtle
)
+
see
,
the
extensions
spreadsheet
version
&
the
dependency
analysis
| Path | Definition | Type | Reference |
|---|---|---|---|
| Evidence.status |
The lifecycle status of an artifact. |
Required | PublicationStatus |
| Evidence.variableDefinition.variableRole |
The role that the assertion variable plays. |
Extensible | EvidenceVariableRole |
| Evidence.variableDefinition.directnessMatch |
The quality of how direct the match is. |
Extensible | EvidenceDirectness |
| Evidence.synthesisType |
Types of combining results from a body of evidence (eg. summary data meta-analysis). |
Extensible | SynthesisType |
| Evidence.studyDesign |
This is a set of terms for study design characteristics. |
Extensible |
|
| Evidence.statistic.statisticType |
The type of a statistic, e.g. relative risk or mean |
Extensible |
StatisticType
(a
valid
code
from
StatisticStatisticType
)
|
| Evidence.statistic.attributeEstimate.type |
A statistic about a statistic, e.g. Confidence interval or p-value |
Extensible |
AttributeEstimateType
(a
valid
code
from
StatisticAttribute
Estimate
Type
)
|
| Evidence.statistic.modelCharacteristic.code |
The handling of the variable in statistical analysis for exposures or outcomes. |
Extensible | StatisticModelCode |
| Evidence.statistic.modelCharacteristic.variable.handling |
The handling of the variable in statistical analysis for exposures or outcomes (E.g. Dichotomous, Continuous, Descriptive). |
Required | EvidenceVariableHandling |
| Evidence.certainty.type |
The aspect of quality, confidence, or certainty. |
Extensible | EvidenceCertaintyType |
| Evidence.certainty.rating |
The assessment of quality, confidence, or certainty. |
Extensible | EvidenceCertaintyRating |
|
|
Level | Location | Description | Expression |
cnl-0
|
Warning | (base) | Name should be usable as an identifier for the module by machine processing applications such as code generation |
name.exists()
implies
|
cnl-1
| Warning | Evidence.url | URL should not contain | or # - these characters make processing canonical references problematic | url.matches('([^|#])*') |
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 |
| context | token | A use context assigned to the evidence | (Evidence.useContext.value as CodeableConcept) | 30 Resources |
| context-quantity | quantity | A quantity- or range-valued use context assigned to the evidence | (Evidence.useContext.value as Quantity) | (Evidence.useContext.value as Range) | 30 Resources |
| context-type | token | A type of use context assigned to the evidence | Evidence.useContext.code | 30 Resources |
| 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: |
30 Resources |
| context-type-value | composite | A use context type and value assigned to the evidence |
On
Evidence.useContext:
context-type: code context: |
30 Resources |
|
date
|
date | The evidence publication date | Evidence.date | 30 Resources |
|
description
|
string | The description of the evidence | Evidence.description | 28 Resources |
| identifier | token | External identifier for the evidence | Evidence.identifier | 28 Resources |
|
publisher
|
string | Name of the publisher of the evidence | Evidence.publisher | 30 Resources |
|
status
|
token | The current status of the evidence | Evidence.status | 34 Resources |
|
title
|
string | The human-friendly name of the evidence | Evidence.title | 27 Resources |
|
url
|
uri | The uri that identifies the evidence | Evidence.url | 33 Resources |
|
version
|
token | The business version of the evidence | Evidence.version | 30 Resources |