This
page
is
part
of
the
FHIR
Specification
(v5.0.0:
R5
-
STU
v6.0.0-ballot3:
Release
6
Ballot
(3rd
Draft)
(see
Ballot
Notes
).
This
is
the
The
current
published
version
in
it's
permanent
home
(it
will
always
be
available
at
this
URL).
is
5.0.0
.
For
a
full
list
of
available
versions,
see
the
Directory
of
published
versions
.
Page
versions:
R5
R4B
R4
The
EvidenceVariable
may
be
an
exposure
variable
(intervention,
condition,
or
state),
a
measured
variable
(outcome
or
observed
parameter),
or
other
variable
(such
as
confounding
factor).
An
absolute
URI
that
is
used
to
identify
this
evidence
variable
when
it
is
referenced
in
a
specification,
model,
design
or
an
instance;
also
called
its
canonical
identifier.
This
SHOULD
be
globally
unique
and
SHOULD
be
a
literal
address
at
which
an
authoritative
instance
of
this
evidence
variable
is
(or
will
be)
published.
This
URL
can
be
the
target
of
a
canonical
reference.
It
SHALL
remain
the
same
when
the
evidence
variable
is
stored
on
different
servers.
Short
Display
Canonical
identifier
for
this
evidence
variable,
represented
as
a
URI
(globally
unique)
In
some
cases,
the
resource
can
no
longer
be
found
at
the
stated
url,
but
the
url
itself
cannot
change.
Implementations
can
use
the
meta.source
element
to
indicate
where
the
current
master
source
of
the
resource
can
be
found.
URL
should
not
contain
|
or
#
-
these
characters
make
processing
canonical
references
problematic
exists()
implies
matches('^[^|#
]+$')
EvidenceVariable.identifier
Element
Id
EvidenceVariable.identifier
Definition
A
formal
identifier
that
is
used
to
identify
this
evidence
variable
when
it
is
represented
in
other
formats,
or
referenced
in
a
specification,
model,
design
or
an
instance.
Short
Display
Additional
identifier
for
the
evidence
variable
Note
This
is
a
business
identifier,
not
a
resource
identifier
(see
discussion
)
Comments
Typically,
this
is
used
for
identifiers
that
can
go
in
an
HL7
V3
II
(instance
identifier)
data
type,
and
can
then
identify
this
evidence
variable
outside
of
FHIR,
where
it
is
not
possible
to
use
the
logical
URI.
EvidenceVariable.version
Element
Id
EvidenceVariable.version
Definition
The
identifier
that
is
used
to
identify
this
version
of
the
evidence
variable
when
it
is
referenced
in
a
specification,
model,
design
or
instance.
This
is
an
arbitrary
value
managed
by
the
evidence
variable
author
and
is
not
expected
to
be
globally
unique.
For
example,
it
might
be
a
timestamp
(e.g.
yyyymmdd)
if
a
managed
version
is
not
available.
There
is
also
no
expectation
that
versions
can
be
placed
in
a
lexicographical
sequence.
To
provide
a
version
consistent
with
the
Decision
Support
Service
specification,
use
the
format
Major.Minor.Revision
(e.g.
1.0.0).
For
more
information
on
versioning
knowledge
assets,
refer
to
the
Decision
Support
Service
specification.
Note
that
a
version
is
required
for
non-experimental
active
artifacts.
Short
Display
Business
version
of
the
evidence
variable
Note
This
is
a
business
versionId,
not
a
resource
version
id
(see
discussion
)
There
may
be
different
evidence
variable
instances
that
have
the
same
identifier
but
different
versions.
The
version
can
be
appended
to
the
url
in
a
reference
to
allow
a
reference
to
a
particular
business
version
of
the
evidence
variable
with
the
format
[url]|[version].
The
version
SHOULD
NOT
contain
a
'#'
-
see
Business
Version
.
EvidenceVariable.versionAlgorithm[x]
Element
Id
EvidenceVariable.versionAlgorithm[x]
Definition
Indicates
the
mechanism
used
to
compare
versions
to
determine
which
is
more
current.
If
set
as
a
string,
this
is
a
FHIRPath
expression
that
has
two
additional
context
variables
passed
in
-
%version1
and
%version2
and
will
return
a
negative
number
if
version1
is
newer,
a
positive
number
if
version2
is
newer,
and
a
0
if
the
version
ordering
can't
successfully
be
determined.
EvidenceVariable.name
Element
Id
EvidenceVariable.name
Definition
A
natural
language
name
identifying
the
evidence
variable.
This
name
should
be
usable
as
an
identifier
for
the
module
by
machine
processing
applications
such
as
code
generation.
Short
Display
Name
for
this
evidence
variable
(computer
friendly)
Allows
filtering
of
evidence
variables
that
are
appropriate
for
use
versus
not.
See
guidance
around
(not)
making
local
changes
to
elements
here
.
EvidenceVariable.experimental
Element
Id
EvidenceVariable.experimental
Definition
A
Boolean
value
to
indicate
that
this
resource
is
authored
for
testing
purposes
(or
education/evaluation/marketing)
and
is
not
intended
to
no
version
of
this
resource
will
ever
be
used
intended
for
genuine
usage.
Short
Display
For
testing
purposes,
not
only
-
never
for
real
usage
Allows
filtering
of
artifacts
that
are
appropriate
for
use
versus
not.
Experimental
resources
might
include
example
instances
in
implementation
guides,
instances
created
solely
for
testing
purposes,
etc.
If
experimental
is
'true'
for
any
version
of
a
resource,
it
should
be
true
for
all
versions
of
the
resource.
(If
experimental
changes,
then
it
is
being
misused
or
a
resource
that
was
never
intended
for
real-world
use
has
unexpectedly
changed
its
purpose.).
Experimental
resources
are
not
expected
to
be
stable
and
may
well
have
breaking
changes
without
a
corresponding
change
to
the
'version'
element.
EvidenceVariable.date
Element
Id
EvidenceVariable.date
Definition
The
date
(and
optionally
time)
when
the
evidence
variable
was
last
significantly
changed.
The
date
must
change
when
the
business
version
changes
and
it
must
change
if
the
status
code
changes.
In
addition,
it
should
change
when
the
substantive
content
of
the
evidence
variable
changes.
The
date
is
often
not
tracked
until
the
resource
is
published,
but
may
be
present
on
draft
content.
Note
that
this
is
not
the
same
as
the
resource
last-modified-date,
since
the
resource
may
be
a
secondary
representation
of
the
evidence
variable.
Additional
specific
dates
may
be
added
as
extensions
or
be
found
by
consulting
Provenances
associated
with
past
versions
of
the
resource.
See
guidance
around
(not)
making
local
changes
to
elements
here
.
EvidenceVariable.author
Element
Id
EvidenceVariable.author
Definition
An
individiual
or
organization
primarily
involved
in
the
creation
and
maintenance
of
the
content.
Usually
an
organization
but
may
be
an
individual.
The
publisher
(or
steward)
of
the
evidence
variable
is
the
organization
or
individual
primarily
responsible
for
the
maintenance
and
upkeep
of
the
evidence
variable.
This
is
not
necessarily
the
same
individual
or
organization
that
developed
and
initially
authored
the
content.
The
publisher
is
the
primary
point
of
contact
for
questions
or
issues
with
the
evidence
variable.
This
item
SHOULD
be
populated
unless
the
information
is
available
from
context.
EvidenceVariable.contact
Element
Id
EvidenceVariable.contact
Definition
Contact
details
to
assist
a
user
in
finding
and
communicating
with
the
publisher.
Extensions
to
ContactDetail
include:
contactReference,
contactAddress,
and
contributionTime
(see
Clinical
Reasoning
Module
).
See
guidance
around
(not)
making
local
changes
to
elements
here
.
EvidenceVariable.recorder
Element
Id
EvidenceVariable.recorder
Definition
The
person
or
entity
that
entered
the
data
into
the
EvidenceVariable
Resource
instance,
if
different
than
the
author
or
creator
of
the
intellectual
property
contained
within
the
EvidenceVariable
Resource
instance.
The
EvidenceVariable.recorder
element
is
structured
to
support
a
name
(with
a
string
datatype)
and
contact
point
information
for
the
recorder,
and
is
not
structured
to
support
unique
identifiers
for
the
recorder.
If
detailed
contributorship
data
is
needed,
then
one
can
create
a
Citation
Resource
for
the
EvidenceVariable
Resource.
EvidenceVariable.editor
Element
Id
EvidenceVariable.editor
Definition
An
individual
or
organization
primarily
responsible
for
internal
coherence
of
the
content.
This
description
can
be
used
to
capture
details
such
as
comments
about
misuse,
instructions
for
clinical
use
and
interpretation,
literature
references,
examples
from
the
paper
world,
etc.
It
is
not
a
rendering
of
the
evidence
variable
as
conveyed
in
the
'text'
field
of
the
resource
itself.
This
item
SHOULD
be
populated
unless
the
information
is
available
from
context
(e.g.
the
language
of
the
evidence
variable
is
presumed
to
be
the
predominant
language
in
the
place
the
evidence
variable
was
created).
EvidenceVariable.note
Element
Id
EvidenceVariable.note
Definition
A
human-readable
string
to
clarify
or
explain
concepts
about
the
resource.
The
content
was
developed
with
a
focus
and
intent
of
supporting
the
contexts
that
are
listed.
These
contexts
may
be
general
categories
(gender,
age,
...)
or
may
be
references
to
specific
programs
(insurance
plans,
studies,
...)
and
may
be
used
to
assist
with
indexing
and
searching
for
appropriate
evidence
variable
instances.
Short
Display
The
context
that
the
content
is
intended
to
support
This
element
does
not
describe
the
usage
of
the
EvidenceVariable.
Instead,
it
provides
traceability
of
''why''
the
resource
is
either
needed
or
''why''
it
is
defined
as
it
is.
This
may
be
used
to
point
to
source
materials
or
specifications
that
drove
the
structure
of
this
EvidenceVariable.
EvidenceVariable.copyright
Element
Id
EvidenceVariable.copyright
Definition
A
copyright
statement
relating
to
the
resource
EvidenceVariable
and/or
its
contents.
Copyright
statements
are
generally
legal
notices
of
intellectual
property
ownership
and
may
include
restrictions
on
the
use
and
publishing
of
the
resource.
EvidenceVariable.
Short
Display
Use
and/or
publishing
Intellectual
property
ownership,
may
include
restrictions
on
use
A
short
string
(<50
characters),
suitable
for
inclusion
in
a
page
footer
that
identifies
the
copyright
holder,
effective
period,
and
optionally
whether
rights
are
resctricted.
restricted
.
(e.g.
'All
rights
reserved',
'Some
rights
reserved').
The
(c)
symbol
should
NOT
be
included
in
this
string.
It
will
be
added
by
software
when
rendering
the
notation.
Full
details
about
licensing,
restrictions,
warrantees,
etc.
goes
in
the
more
general
'copyright'
element.
EvidenceVariable.approvalDate
Element
Id
EvidenceVariable.approvalDate
Definition
The
date
on
which
the
resource
content
was
approved
by
the
publisher.
Approval
happens
once
when
the
content
is
officially
approved
for
usage.
See
guidance
around
(not)
making
local
changes
to
elements
here
.
The
effective
period
for
an
EvidenceVariable
determines
when
the
content
is
applicable
for
usage
and
is
independent
of
publication
and
review
dates.
For
example,
a
variable
intended
to
be
used
for
the
year
2016
might
be
published
in
2015.
See
guidance
around
(not)
making
local
changes
to
elements
here
.
An
individiual
Relationships
that
this
EvidenceVariable
has
with
other
FHIR
or
organization
primarily
involved
in
the
creation
and
maintenance
of
the
content.
non-FHIR
resources
that
already
exist.
Short
Display
Who
authored
the
content
Relationships
to
other
Resources
Extensions
to
ContactDetail
include:
contactReference,
contactAddress,
and
contributionTime
(see
Clinical
Reasoning
Module
).
Artifact
Relationship
Type
EvidenceVariable.reviewer
Element
Id
EvidenceVariable.reviewer
Definition
An
individual
or
organization
asserted
by
the
publisher
to
be
primarily
responsible
for
review
of
some
aspect
of
the
content.
Short
Display
Who
reviewed
the
content
Cardinality
(
Required
0..*
)
Extensions
to
ContactDetail
include:
contactReference,
contactAddress,
and
contributionTime
(see
Clinical
Reasoning
Module
).
See
guidance
around
(not)
making
local
changes
to
elements
here
.
EvidenceVariable.relatesTo.target[x]
An
individual
or
organization
asserted
by
the
publisher
The
artifact
that
is
related
to
be
responsible
for
officially
endorsing
the
content
for
use
in
some
setting.
this
EvidenceVariable
Resource.
Short
Display
Who
endorsed
the
content
The
artifact
that
is
related
to
this
EvidenceVariable
Comments
Extensions
to
ContactDetail
include:
contactReference,
contactAddress,
and
contributionTime
(see
Clinical
Reasoning
Module
Summary
).
See
guidance
around
(not)
making
local
changes
to
elements
here
.
Related
artifacts
such
as
additional
documentation,
justification,
or
bibliographic
references.
True
if
the
actual
variable
measured,
false
if
a
conceptual
representation
of
the
intended
variable.
Short
Display
Additional
documentation,
citations,
etc
Actual
or
conceptual
EvidenceVariables
must
be
able
to
provide
enough
information
for
consumers
of
the
content
(and/or
interventions
or
results
produced
by
the
content)
to
be
able
to
determine
and
understand
the
justification
for
and
evidence
in
support
of
the
content.
Value
is
unknown.
Characteristics
can
be
defined
flexibly
to
accommodate
different
use
cases
for
membership
criteria,
ranging
from
simple
codes,
all
the
way
to
using
an
expression
language
to
express
the
criteria.
false
Invariants
Defined
on
this
element
evv-1
EvidenceVariable.definitionModifier.code
Rule
In
a
characteristic,
at
most
one
of
these
six
elements
shall
be
used:
definitionReference
or
definitionCanonical
or
definitionCodeableConcept
or
definitionId
or
definitionByTypeAndValue
or
definitionByCombination
(definitionReference.count()
+
definitionCanonical.count()
+
definitionCodeableConcept.count()
+
definitionId.count()
+
definitionByTypeAndValue.count()
+
definitionByCombination.count())
<
2
EvidenceVariable.characteristic.linkId
A
short,
natural
language
description
Specification
of
the
characteristic
that
could
be
used
to
communicate
the
criteria
to
an
end-user.
definition
attribute.
Short
Display
Natural
language
description
Specification
of
the
characteristic
definition
attribute
Need
to
be
able
See
Choice
of
Datatypes
for
further
information
about
how
to
describe
characteristics
in
natural
language
so
that
end
users
can
understand
the
criteria.
use
[x]
When
true,
this
characteristic
is
an
exclusion
criterion.
In
other
words,
not
matching
this
characteristic
definition
is
equivalent
to
meeting
this
criterion.
A
grouping
for
dichotomous,
ordinal,
or
polychotomouos
variables.
Short
Display
Whether
the
characteristic
is
an
inclusion
criterion
A
grouping
for
dichotomous,
ordinal,
or
exclusion
criterion
polychotomouos
variables
Affect
this
element
evv-1
EvidenceVariable.category.value[x]
Rule
In
a
characteristic,
at
most
one
of
these
six
elements
shall
be
used:
definitionReference
or
definitionCanonical
or
definitionCodeableConcept
or
definitionId
or
definitionByTypeAndValue
or
definitionByCombination
(definitionReference.count()
+
definitionCanonical.count()
+
definitionCodeableConcept.count()
+
definitionId.count()
+
definitionByTypeAndValue.count()
+
definitionByCombination.count())
<
2
EvidenceVariable.characteristic.definitionCanonical
Rule
In
a
characteristic,
at
most
one
of
these
six
elements
shall
be
used:
definitionReference
or
definitionCanonical
or
definitionCodeableConcept
or
definitionId
or
definitionByTypeAndValue
or
definitionByCombination
(definitionReference.count()
+
definitionCanonical.count()
+
definitionCodeableConcept.count()
+
definitionId.count()
+
definitionByTypeAndValue.count()
+
definitionByCombination.count())
<
2
EvidenceVariable.conditional
EvidenceVariable.characteristic.definitionCodeableConcept
Defines
The
context,
situation,
or
parameters
that
determine
whether
the
characteristic
using
CodeableConcept.
data
is
obtained
to
determine
the
value
of
the
variable.
Short
Display
Defines
Condition
determining
whether
the
characteristic
(without
using
type
and
value)
by
a
CodeableConcept
data
will
be
collected
Affect
this
element
evv-1
EvidenceVariable.classifier
Rule
In
a
characteristic,
at
most
one
of
these
six
elements
shall
be
used:
definitionReference
or
definitionCanonical
or
definitionCodeableConcept
or
definitionId
or
definitionByTypeAndValue
or
definitionByCombination
(definitionReference.count()
+
definitionCanonical.count()
+
definitionCodeableConcept.count()
+
definitionId.count()
+
definitionByTypeAndValue.count()
+
definitionByCombination.count())
<
2
EvidenceVariable.characteristic.definitionExpression
Comments
Summary
When
another
element
provides
a
definition
of
the
characteristic,
the
definitionExpression
content
SHALL
match
the
definition
(only
adding
technical
concepts
necessary
for
implementation)
without
changing
the
meaning.
Defines
How
the
characteristic
using
id.
data
element
is
organized
and
where
the
data
element
(expressing
the
value
of
the
variable)
is
found
in
the
dataset.
Short
Display
Defines
How
the
characteristic
(without
using
type
and
value)
by
an
id
data
element
(value
of
the
variable)
is
found
Affect
this
element
evv-1
EvidenceVariable.dataStorage.datatype
Rule
In
a
characteristic,
at
most
one
of
these
six
elements
shall
be
used:
definitionReference
or
definitionCanonical
or
definitionCodeableConcept
or
definitionId
or
definitionByTypeAndValue
or
definitionByCombination
(definitionReference.count()
+
definitionCanonical.count()
+
definitionCodeableConcept.count()
+
definitionId.count()
+
definitionByTypeAndValue.count()
+
definitionByCombination.count())
<
2
EvidenceVariable.characteristic.definitionByTypeAndValue
Rule
Summary
In
a
characteristic,
at
most
one
of
these
six
elements
shall
be
used:
definitionReference
or
definitionCanonical
or
definitionCodeableConcept
or
definitionId
or
definitionByTypeAndValue
or
definitionByCombination
Method
for
how
A
character
or
series
of
characters
that
is
used
within
a
string
to
signal
the
characteristic
value
was
determined.
separation
of
discrete
values.
Short
Display
Method
for
how
the
characteristic
value
was
determined
Character(s)
separating
values
in
a
string-based
list
The
delimiter
element
SHOULD
only
be
used
when
the
datatype
element
is
a
string-
or
text-based
datatype.
The
delimiter
element
is
used
when
the
data
is
stored
in
a
string
which
contains
a
list
or
array
of
values.
Defines
When
the
characteristic
when
paired
with
characteristic.type.
variable
is
observed
in
relation
to
a
reference
point
in
time
defined
by
context
or
event.
Short
Display
Defines
When
the
characteristic
when
coupled
with
characteristic.type
variable
is
observed
Defines
When
the
reference
point
for
comparison
when
valueQuantity
or
valueRange
variable
is
not
compared
observed
in
relation
to
zero.
calendar
dates
and
times.
Short
Display
Reference
point
for
valueQuantity
or
valueRange
Calendar-based
timing
when
the
variable
is
observed
Affect
this
element
evv-1
EvidenceVariable.constraint.conditional
Rule
In
a
characteristic,
at
most
one
of
these
six
elements
shall
be
used:
definitionReference
or
definitionCanonical
or
definitionCodeableConcept
or
definitionId
or
definitionByTypeAndValue
or
definitionByCombination
(definitionReference.count()
+
definitionCanonical.count()
+
definitionCodeableConcept.count()
+
definitionId.count()
+
definitionByTypeAndValue.count()
+
definitionByCombination.count())
<
2
EvidenceVariable.characteristic.definitionByCombination.code
Used
to
specify
if
two
or
more
characteristics
are
combined
with
OR
The
context,
situation,
or
AND.
parameters
that
determine
whether
this
constraint
applies.
Requirements
If
code
is
"at-least"
or
"at-most"
then
threshold
SHALL
be
used.
If
code
is
neither
"at-least"
nor
"at-most"
then
threshold
SHALL
NOT
be
used.
Summary
Provides
the
The
lowest
permissible
value
of
"n"
when
"at-least"
the
variable,
used
with
variables
that
have
a
number-based
datatype
(with
or
"at-most"
codes
are
used.
without
units).
Short
Display
Provides
the
The
lowest
permissible
value
of
"n"
when
"at-least"
or
"at-most"
codes
are
used
the
variable
A
defining
factor
The
highest
permissible
value
of
the
characteristic.
variable,
used
with
variables
that
have
a
number-based
datatype
(with
or
without
units).
Short
Display
A
defining
factor
The
highest
permissible
value
of
the
characteristic
variable
Number
The
earliest
permissible
value
of
occurrences
meeting
the
characteristic.
variable,
used
with
variables
that
have
a
date-based
or
dateTime-based
datatype.
Short
Display
Number
The
earliest
permissible
value
of
occurrences
meeting
the
characteristic
variable
Length
The
latest
permissible
value
of
time
in
which
the
characteristic
is
met.
variable,
used
with
variables
that
have
a
date-based
or
dateTime-based
datatype.
Short
Display
Length
The
latest
permissible
value
of
time
in
which
the
characteristic
is
met
variable
[x]
Note
See
Choice
of
Datatypes
for
further
information
about
how
to
use
[x]
Summary
false
EvidenceVariable.characteristic.timeFromEvent
EvidenceVariable.constraint.minimumStringLength
Element
Id
EvidenceVariable.characteristic.timeFromEvent
Definition
Timing
in
which
the
characteristic
is
determined.
Short
Display
Timing
in
which
the
characteristic
is
determined
Cardinality
0..*
Summary
EvidenceVariable.characteristic.timeFromEvent.description
Human
readable
description.
The
lowest
number
of
characters
allowed
for
a
value
of
the
variable,
used
with
variables
that
have
a
string-based
datatype.
Short
Display
Human
readable
description
The
lowest
number
of
characters
allowed
for
a
value
of
the
variable
A
human-readable
string
to
clarify
or
explain
concepts
about
The
highest
number
of
characters
allowed
for
a
value
of
the
timeFromEvent.
variable,
used
with
variables
that
have
a
string-based
datatype.
Short
Display
Used
The
highest
number
of
characters
allowed
for
footnotes
or
explanatory
notes
a
value
of
the
variable
Used
to
express
the
observation
at
A
rule,
such
as
a
defined
amount
of
time
before
format
or
after
other
expectation,
for
the
event.
data
values,
expressed
as
an
Expression.
Short
Display
Used
to
express
the
observation
at
a
defined
amount
of
time
before
or
after
the
event
Rule
for
acceptable
data
values,
as
an
Expression
Used
List
of
anticipated
values
used
to
express
value
of
the
observation
within
variable,
used
with
variables
that
have
a
period
before
and/or
after
the
event.
codeable
concept-based
datatype.
Short
Display
Used
List
of
anticipated
values
used
to
express
value
of
the
observation
within
a
period
before
and/or
after
the
event
variable
The
method
List
of
handling
in
statistical
analysis.
anticipated
values
used
to
express
units
for
the
value
of
the
variable,
used
with
variables
that
have
a
Quantity-based
datatype.
Short
Display
continuous
|
dichotomous
|
ordinal
|
polychotomous
List
of
anticipated
values
used
to
express
units
for
the
value
of
the
variable