Evidence Based Medicine on FHIR Implementation Guide
1.0.0-ballot - ballot International flag

Evidence Based Medicine on FHIR Implementation Guide, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ebm/ and changes regularly. See the Directory of published versions

Resource Profile: CertaintyOfEvidence

Official URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/certainty-of-evidence Version: 1.0.0-ballot
Standards status: Draft Maturity Level: 1 Computable Name: CertaintyOfEvidence

Profile of ArtifactAssessment for Evidence Based Medicine IG. The CertaintyOfEvidence Profile is used for expression of the certainty (also called quality or confidence in the estimates) of an Evidence artifact.

See Understanding the ArtifactAssessment Resource for additional information.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from ArtifactAssessment

NameFlagsCard.TypeDescription & Constraintsdoco
.. ArtifactAssessment 0..*ArtifactAssessmentAdds metadata-supported comments, classifiers or ratings related to a Resource
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... url 0..1uriCanonical identifier for this {{title}}, represented as a URI (globally unique)
URL: http://hl7.org/fhir/StructureDefinition/artifact-url
... description 0..1markdownNatural language description of the {{title}}
URL: http://hl7.org/fhir/StructureDefinition/artifact-description
... identifier 0..*IdentifierAdditional identifier for the CertaintyOfEvidence
... citeAs[x] 0..1Reference(Citation), markdownHow to cite the CertaintyOfEvidence
... date 0..1dateTimeDate last changed
... copyright 0..1markdownUse and/or publishing restrictions
... approvalDate 0..1dateWhen the CertaintyOfEvidence was approved by publisher
... lastReviewDate 0..1dateWhen the CertaintyOfEvidence was last reviewed
... artifact[x] 1..1Reference(Resource), canonical(), uriThe artifact that is rated
... content 0..*BackboneElementA rating
.... informationType 0..1codecomment | classifier | rating | container | response | change-request
.... type 0..1CodeableConceptWhat type of content
Binding: EvidenceCertaintyType (extensible)
.... classifier 0..*CodeableConceptRating, classifier, or assessment
Binding: EvidenceCertaintyRating (extensible)
.... freeToShare 0..1booleanAcceptable to publicly share the CertaintyOfEvidence content

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ArtifactAssessment.content.typeextensibleEvidenceCertaintyType
http://hl7.org/fhir/ValueSet/certainty-type
from the FHIR Standard
ArtifactAssessment.content.classifierextensibleEvidenceCertaintyRating
http://hl7.org/fhir/ValueSet/certainty-rating
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. ArtifactAssessment 0..*ArtifactAssessmentAdds metadata-supported comments, classifiers or ratings related to a Resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... description 0..1markdownNatural language description of the {{title}}
URL: http://hl7.org/fhir/StructureDefinition/artifact-description
... author 0..*ContactDetailWho authored the {{title}}
URL: http://hl7.org/fhir/StructureDefinition/artifact-author
... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierAdditional identifier for the CertaintyOfEvidence
... citeAs[x] 0..1How to cite the CertaintyOfEvidence
.... citeAsReferenceReference(Citation)
.... citeAsMarkdownmarkdown
... date Σ0..1dateTimeDate last changed
... copyright 0..1markdownUse and/or publishing restrictions
... approvalDate 0..1dateWhen the CertaintyOfEvidence was approved by publisher
... lastReviewDate Σ0..1dateWhen the CertaintyOfEvidence was last reviewed
... artifact[x] Σ1..1The artifact that is rated
.... artifactReferenceReference(Resource)
.... artifactCanonicalcanonical(Any)
.... artifactUriuri
... content 0..*BackboneElementA rating
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... informationType 0..1codecomment | classifier | rating | container | response | change-request
Binding: ArtifactAssessmentInformationType (required)
.... type 0..1CodeableConceptWhat type of content
Binding: EvidenceCertaintyType (extensible)
.... classifier 0..*CodeableConceptRating, classifier, or assessment
Binding: EvidenceCertaintyRating (extensible)
.... freeToShare 0..1booleanAcceptable to publicly share the CertaintyOfEvidence content

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ArtifactAssessment.content.informationTyperequiredArtifactAssessmentInformationType
http://hl7.org/fhir/ValueSet/artifactassessment-information-type|5.0.0
from the FHIR Standard
ArtifactAssessment.content.typeextensibleEvidenceCertaintyType
http://hl7.org/fhir/ValueSet/certainty-type
from the FHIR Standard
ArtifactAssessment.content.classifierextensibleEvidenceCertaintyRating
http://hl7.org/fhir/ValueSet/certainty-rating
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorArtifactAssessmentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorArtifactAssessmentIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorArtifactAssessmentIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorArtifactAssessmentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceArtifactAssessmentA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. ArtifactAssessment 0..*ArtifactAssessmentAdds metadata-supported comments, classifiers or ratings related to a Resource
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... url 0..1uriCanonical identifier for this {{title}}, represented as a URI (globally unique)
URL: http://hl7.org/fhir/StructureDefinition/artifact-url
... description 0..1markdownNatural language description of the {{title}}
URL: http://hl7.org/fhir/StructureDefinition/artifact-description
... author 0..*ContactDetailWho authored the {{title}}
URL: http://hl7.org/fhir/StructureDefinition/artifact-author
... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierAdditional identifier for the CertaintyOfEvidence
... title Σ0..1stringA short title for the assessment for use in displaying and selecting
... citeAs[x] 0..1How to cite the CertaintyOfEvidence
.... citeAsReferenceReference(Citation)
.... citeAsMarkdownmarkdown
... date Σ0..1dateTimeDate last changed
... copyright 0..1markdownUse and/or publishing restrictions
... approvalDate 0..1dateWhen the CertaintyOfEvidence was approved by publisher
... lastReviewDate Σ0..1dateWhen the CertaintyOfEvidence was last reviewed
... artifact[x] Σ1..1The artifact that is rated
.... artifactReferenceReference(Resource)
.... artifactCanonicalcanonical(Any)
.... artifactUriuri
... content 0..*BackboneElementA rating
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... informationType 0..1codecomment | classifier | rating | container | response | change-request
Binding: ArtifactAssessmentInformationType (required)
.... summary 0..1markdownBrief summary of the content
.... type 0..1CodeableConceptWhat type of content
Binding: EvidenceCertaintyType (extensible)
.... classifier 0..*CodeableConceptRating, classifier, or assessment
Binding: EvidenceCertaintyRating (extensible)
.... quantity 0..1QuantityQuantitative rating
.... author 0..1Reference(Patient | Practitioner | PractitionerRole | Organization | Device)Who authored the content
.... path 0..*uriWhat the comment is directed to
.... relatedArtifact 0..*RelatedArtifactAdditional information
.... freeToShare 0..1booleanAcceptable to publicly share the CertaintyOfEvidence content
.... component 0..*See content (ArtifactAssessment)Contained content
... workflowStatus Σ0..1codesubmitted | triaged | waiting-for-input | resolved-no-change | resolved-change-required | deferred | duplicate | applied | published | entered-in-error
Binding: ArtifactAssessmentWorkflowStatus (required)
... disposition Σ0..1codeunresolved | not-persuasive | persuasive | persuasive-with-modification | not-persuasive-with-modification
Binding: ArtifactAssessmentDisposition (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ArtifactAssessment.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
ArtifactAssessment.content.informationTyperequiredArtifactAssessmentInformationType
http://hl7.org/fhir/ValueSet/artifactassessment-information-type|5.0.0
from the FHIR Standard
ArtifactAssessment.content.typeextensibleEvidenceCertaintyType
http://hl7.org/fhir/ValueSet/certainty-type
from the FHIR Standard
ArtifactAssessment.content.classifierextensibleEvidenceCertaintyRating
http://hl7.org/fhir/ValueSet/certainty-rating
from the FHIR Standard
ArtifactAssessment.workflowStatusrequiredArtifactAssessmentWorkflowStatus
http://hl7.org/fhir/ValueSet/artifactassessment-workflow-status|5.0.0
from the FHIR Standard
ArtifactAssessment.dispositionrequiredArtifactAssessmentDisposition
http://hl7.org/fhir/ValueSet/artifactassessment-disposition|5.0.0
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorArtifactAssessmentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorArtifactAssessmentIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorArtifactAssessmentIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorArtifactAssessmentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceArtifactAssessmentA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from ArtifactAssessment

NameFlagsCard.TypeDescription & Constraintsdoco
.. ArtifactAssessment 0..*ArtifactAssessmentAdds metadata-supported comments, classifiers or ratings related to a Resource
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... url 0..1uriCanonical identifier for this {{title}}, represented as a URI (globally unique)
URL: http://hl7.org/fhir/StructureDefinition/artifact-url
... description 0..1markdownNatural language description of the {{title}}
URL: http://hl7.org/fhir/StructureDefinition/artifact-description
... identifier 0..*IdentifierAdditional identifier for the CertaintyOfEvidence
... citeAs[x] 0..1Reference(Citation), markdownHow to cite the CertaintyOfEvidence
... date 0..1dateTimeDate last changed
... copyright 0..1markdownUse and/or publishing restrictions
... approvalDate 0..1dateWhen the CertaintyOfEvidence was approved by publisher
... lastReviewDate 0..1dateWhen the CertaintyOfEvidence was last reviewed
... artifact[x] 1..1Reference(Resource), canonical(), uriThe artifact that is rated
... content 0..*BackboneElementA rating
.... informationType 0..1codecomment | classifier | rating | container | response | change-request
.... type 0..1CodeableConceptWhat type of content
Binding: EvidenceCertaintyType (extensible)
.... classifier 0..*CodeableConceptRating, classifier, or assessment
Binding: EvidenceCertaintyRating (extensible)
.... freeToShare 0..1booleanAcceptable to publicly share the CertaintyOfEvidence content

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ArtifactAssessment.content.typeextensibleEvidenceCertaintyType
http://hl7.org/fhir/ValueSet/certainty-type
from the FHIR Standard
ArtifactAssessment.content.classifierextensibleEvidenceCertaintyRating
http://hl7.org/fhir/ValueSet/certainty-rating
from the FHIR Standard

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ArtifactAssessment 0..*ArtifactAssessmentAdds metadata-supported comments, classifiers or ratings related to a Resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... description 0..1markdownNatural language description of the {{title}}
URL: http://hl7.org/fhir/StructureDefinition/artifact-description
... author 0..*ContactDetailWho authored the {{title}}
URL: http://hl7.org/fhir/StructureDefinition/artifact-author
... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierAdditional identifier for the CertaintyOfEvidence
... citeAs[x] 0..1How to cite the CertaintyOfEvidence
.... citeAsReferenceReference(Citation)
.... citeAsMarkdownmarkdown
... date Σ0..1dateTimeDate last changed
... copyright 0..1markdownUse and/or publishing restrictions
... approvalDate 0..1dateWhen the CertaintyOfEvidence was approved by publisher
... lastReviewDate Σ0..1dateWhen the CertaintyOfEvidence was last reviewed
... artifact[x] Σ1..1The artifact that is rated
.... artifactReferenceReference(Resource)
.... artifactCanonicalcanonical(Any)
.... artifactUriuri
... content 0..*BackboneElementA rating
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... informationType 0..1codecomment | classifier | rating | container | response | change-request
Binding: ArtifactAssessmentInformationType (required)
.... type 0..1CodeableConceptWhat type of content
Binding: EvidenceCertaintyType (extensible)
.... classifier 0..*CodeableConceptRating, classifier, or assessment
Binding: EvidenceCertaintyRating (extensible)
.... freeToShare 0..1booleanAcceptable to publicly share the CertaintyOfEvidence content

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ArtifactAssessment.content.informationTyperequiredArtifactAssessmentInformationType
http://hl7.org/fhir/ValueSet/artifactassessment-information-type|5.0.0
from the FHIR Standard
ArtifactAssessment.content.typeextensibleEvidenceCertaintyType
http://hl7.org/fhir/ValueSet/certainty-type
from the FHIR Standard
ArtifactAssessment.content.classifierextensibleEvidenceCertaintyRating
http://hl7.org/fhir/ValueSet/certainty-rating
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorArtifactAssessmentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorArtifactAssessmentIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorArtifactAssessmentIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorArtifactAssessmentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceArtifactAssessmentA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ArtifactAssessment 0..*ArtifactAssessmentAdds metadata-supported comments, classifiers or ratings related to a Resource
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... url 0..1uriCanonical identifier for this {{title}}, represented as a URI (globally unique)
URL: http://hl7.org/fhir/StructureDefinition/artifact-url
... description 0..1markdownNatural language description of the {{title}}
URL: http://hl7.org/fhir/StructureDefinition/artifact-description
... author 0..*ContactDetailWho authored the {{title}}
URL: http://hl7.org/fhir/StructureDefinition/artifact-author
... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierAdditional identifier for the CertaintyOfEvidence
... title Σ0..1stringA short title for the assessment for use in displaying and selecting
... citeAs[x] 0..1How to cite the CertaintyOfEvidence
.... citeAsReferenceReference(Citation)
.... citeAsMarkdownmarkdown
... date Σ0..1dateTimeDate last changed
... copyright 0..1markdownUse and/or publishing restrictions
... approvalDate 0..1dateWhen the CertaintyOfEvidence was approved by publisher
... lastReviewDate Σ0..1dateWhen the CertaintyOfEvidence was last reviewed
... artifact[x] Σ1..1The artifact that is rated
.... artifactReferenceReference(Resource)
.... artifactCanonicalcanonical(Any)
.... artifactUriuri
... content 0..*BackboneElementA rating
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... informationType 0..1codecomment | classifier | rating | container | response | change-request
Binding: ArtifactAssessmentInformationType (required)
.... summary 0..1markdownBrief summary of the content
.... type 0..1CodeableConceptWhat type of content
Binding: EvidenceCertaintyType (extensible)
.... classifier 0..*CodeableConceptRating, classifier, or assessment
Binding: EvidenceCertaintyRating (extensible)
.... quantity 0..1QuantityQuantitative rating
.... author 0..1Reference(Patient | Practitioner | PractitionerRole | Organization | Device)Who authored the content
.... path 0..*uriWhat the comment is directed to
.... relatedArtifact 0..*RelatedArtifactAdditional information
.... freeToShare 0..1booleanAcceptable to publicly share the CertaintyOfEvidence content
.... component 0..*See content (ArtifactAssessment)Contained content
... workflowStatus Σ0..1codesubmitted | triaged | waiting-for-input | resolved-no-change | resolved-change-required | deferred | duplicate | applied | published | entered-in-error
Binding: ArtifactAssessmentWorkflowStatus (required)
... disposition Σ0..1codeunresolved | not-persuasive | persuasive | persuasive-with-modification | not-persuasive-with-modification
Binding: ArtifactAssessmentDisposition (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ArtifactAssessment.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
ArtifactAssessment.content.informationTyperequiredArtifactAssessmentInformationType
http://hl7.org/fhir/ValueSet/artifactassessment-information-type|5.0.0
from the FHIR Standard
ArtifactAssessment.content.typeextensibleEvidenceCertaintyType
http://hl7.org/fhir/ValueSet/certainty-type
from the FHIR Standard
ArtifactAssessment.content.classifierextensibleEvidenceCertaintyRating
http://hl7.org/fhir/ValueSet/certainty-rating
from the FHIR Standard
ArtifactAssessment.workflowStatusrequiredArtifactAssessmentWorkflowStatus
http://hl7.org/fhir/ValueSet/artifactassessment-workflow-status|5.0.0
from the FHIR Standard
ArtifactAssessment.dispositionrequiredArtifactAssessmentDisposition
http://hl7.org/fhir/ValueSet/artifactassessment-disposition|5.0.0
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorArtifactAssessmentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorArtifactAssessmentIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorArtifactAssessmentIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorArtifactAssessmentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceArtifactAssessmentA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron