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14.11 Resource EvidenceReport - Content

Clinical Decision Support icon Work GroupMaturity Level: 0 Trial UseSecurity Category: Business Compartments: No defined compartments

The EvidenceReport Resource is a specialized container for a collection of resources and codeable concepts, adapted to support compositions of Evidence, EvidenceVariable, and Citation resources and related concepts.



14.11.1 Scope and Usage

Note to Implementers: We will deprecate the EvidenceReport resource and create an EvidenceReport profile of Composition icon instead.

An evidence report is a structured presentation of any combination of evidence and related concepts. Evidence reports may bundle knowledge related to a single study or citation, and may bundle knowledge spanning multiple related studies or citations. Publishing such reports are extensively used by researchers, scholars, and evaluators to advance scientific knowledge, to decide whether more research is needed, to inform policy, to determine whether the literature has reached consensus, to inform clinical decision support, to substantiate the decisions being recommended, and for many other uses.

The subject of the report defines its scope and can be expressed with one or more subject.characteristic elements (for structured definitions) or one or more subject.note elements (for human-readable expressions). Specifying a research question by the population, intervention/exposure, comparator, and outcome (PICO) could be expressed with four characteristics.

Evidence reports may be dynamic, changing as new evidence accrues. The relatesTo element supports coding the relationships between EvidenceReport Resources.

The content of the EvidenceReport Resource is contained in any number of sections that can each contain any number of sections. Each section can have its focus defined using a codeable concept or reference to another resource. Each section can have designated authors that can be distinct from authors for the EvidenceReport Resource.

The content in a section can be of different forms and can include text (which itself can be uniquely represented human-expressed content and/or machine-generated from other content), entryClassifier (to express codeable concepts), entryReference (to express other FHIR Resources), entryReason (to represent empty sections as content), and section elements.

14.11.2 Boundaries and Relationships

The EvidenceReport Resource is used for structured bundles and is not expected to replace simple lists or bundles where List and Bundle Resources can be used.

The EvidenceReport Resource is similar to a Composition Resource but the EvidenceReport is better suited for communicating reports about research and data analysis not specific to individual persons while the Composition Resource is better suited for healthcare related reports specific to individual persons as the subject.

The EvidenceReport Resource is used for data exchange for concepts beyond identification, location and contributor attribution. Where data exchange is limited to such things a Citation Resource may be used. An EvidenceReport Resource may reference a Citation Resource to itself in the citeAs element.

14.11.3 References to this Resource

No references for this Resource.

14.11.4 Resource Content

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. EvidenceReport TU DomainResource A EvidenceReport

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
Interfaces Implemented: MetadataResource
... url ΣC 0..1 uri Canonical identifier for this EvidenceReport, represented as a globally unique URI
+ Warning: URL should not contain | or # - these characters make processing canonical references problematic
... status ?!Σ 1..1 code draft | active | retired | unknown
Binding: PublicationStatus (Required)
... useContext Σ 0..* UsageContext The context that the content is intended to support

... relatedIdentifier Σ 0..* Identifier Identifiers for articles that may relate to more than one evidence report

... citeAs[x] 0..1 Citation for this report
.... citeAsReference Reference(Citation)
.... citeAsMarkdown markdown
... type 0..1 CodeableConcept Kind of report
Binding: Evidence Report Type (Example)
... note 0..* Annotation Used for footnotes and annotations

... relatedArtifact 0..* RelatedArtifact Link, description or reference to artifact associated with the report

... subject Σ 1..1 BackboneElement Focus of the report
.... characteristic 0..* BackboneElement Characteristic

..... code 1..1 CodeableConcept Characteristic code
Binding: Focus Characteristic Code (Extensible)
..... value[x] 1..1 Characteristic value
...... valueReference Reference(Any)
...... valueCodeableConcept CodeableConcept
...... valueBoolean boolean
...... valueQuantity Quantity
...... valueRange Range
..... exclude 0..1 boolean Is used to express not the characteristic
..... period 0..1 Period Timeframe for the characteristic
.... note 0..* Annotation Footnotes and/or explanatory notes

... publisher ΣT 0..1 string Name of the publisher/steward (organization or individual)
... contact Σ 0..* ContactDetail Contact details for the publisher

... author Σ 0..* ContactDetail Who authored the content

... editor 0..* ContactDetail Who edited the content

... reviewer 0..* ContactDetail Who reviewed the content

... endorser Σ 0..* ContactDetail Who endorsed the content

... relatesTo 0..* BackboneElement Relationships to other compositions/documents

.... code 1..1 code replaces | amends | appends | transforms | replacedWith | amendedWith | appendedWith | transformedWith
Binding: Report Relationship Type (Required)
.... target 1..1 BackboneElement Target of the relationship
..... url 0..1 uri Target of the relationship URL
..... identifier 0..1 Identifier Target of the relationship Identifier
..... display 0..1 markdown Target of the relationship Display
..... resource 0..1 Reference(Any) Target of the relationship Resource reference
... section 0..* BackboneElement Composition is broken into sections

.... title T 0..1 string Label for section (e.g. for ToC)
.... focus 0..1 CodeableConcept Classification of section (recommended)
Binding: Report Section Type (Extensible)
.... focusReference 0..1 Reference(Any) Classification of section by Resource
.... author 0..* Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device | Group | Organization) Who and/or what authored the section

.... text 0..1 Narrative Text summary of the section, for human interpretation
.... mode 0..1 code working | snapshot | changes
Binding: List Mode (Required)
.... orderedBy 0..1 CodeableConcept Order of section entries
Binding: List Order Codes (Preferred)
.... entryClassifier 0..* CodeableConcept Extensible classifiers as content
Binding: Evidence Classifier (Extensible)

.... entryReference 0..* Reference(Any) Reference to resources as content

.... entryQuantity 0..* Quantity Quantity as content

.... emptyReason 0..1 CodeableConcept Why the section is empty
Binding: List Empty Reasons (Preferred)
.... section 0..* see section Nested Section


doco Documentation for this format icon

See the Extensions for this resource

UML Diagram (Legend)

EvidenceReport (DomainResource) +MetadataResourceAn absolute URI that is used to identify this EvidenceReport 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 summary is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the summary is stored on different serversurl : uri [0..1]The status of this summary. Enables tracking the life-cycle of the content (this element modifies the meaning of other elements)status : code [1..1] « null (Strength=Required)PublicationStatus! »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 report instancesuseContext : UsageContext [0..*]A formal identifier that is used to identify this EvidenceReport when it is represented in other formats, or referenced in a specification, model, design or an instanceidentifier : Identifier [0..*]A formal identifier that is used to identify things closely related to this EvidenceReportrelatedIdentifier : Identifier [0..*]Citation Resource or display of suggested citation for this reportciteAs[x] : DataType [0..1] « Reference(Citation)|markdown »Specifies the kind of report, such as grouping of classifiers, search results, or human-compiled expressiontype : CodeableConcept [0..1] « null (Strength=Example)EvidenceReportType?? »Used for footnotes and annotationsnote : Annotation [0..*]Link, description or reference to artifact associated with the reportrelatedArtifact : RelatedArtifact [0..*]The name of the organization or individual responsible for the release and ongoing maintenance of the evidence reportpublisher : string [0..1]Contact details to assist a user in finding and communicating with the publishercontact : ContactDetail [0..*]An individiual, organization, or device primarily involved in the creation and maintenance of the contentauthor : ContactDetail [0..*]An individiual, organization, or device primarily responsible for internal coherence of the contenteditor : ContactDetail [0..*]An individiual, organization, or device primarily responsible for review of some aspect of the contentreviewer : ContactDetail [0..*]An individiual, organization, or device responsible for officially endorsing the content for use in some settingendorser : ContactDetail [0..*]SubjectUsed for general notes and annotations not coded elsewherenote : Annotation [0..*]CharacteristicCharacteristic codecode : CodeableConcept [1..1] « null (Strength=Extensible)FocusCharacteristicCode+ »Characteristic valuevalue[x] : DataType [1..1] « Reference(Any)|CodeableConcept|boolean| Quantity|Range »Is used to express not the characteristicexclude : boolean [0..1]Timeframe for the characteristicperiod : Period [0..1]RelatesToThe type of relationship that this composition has with anther composition or documentcode : code [1..1] « null (Strength=Required)ReportRelationshipType! »TargetTarget of the relationship URLurl : uri [0..1]Target of the relationship Identifieridentifier : Identifier [0..1]Target of the relationship Displaydisplay : markdown [0..1]Target of the relationship Resource referenceresource : Reference [0..1] « Any »SectionThe label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contentstitle : string [0..1]A code identifying the kind of content contained within the section. This should be consistent with the section titlefocus : CodeableConcept [0..1] « null (Strength=Extensible)ReportSectionType+ »A definitional Resource identifying the kind of content contained within the section. This should be consistent with the section titlefocusReference : Reference [0..1] « Any »Identifies who is responsible for the information in this section, not necessarily who typed it inauthor : Reference [0..*] « Patient|Practitioner|PractitionerRole| RelatedPerson|Device|Group|Organization »A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is peferred to contain sufficient detail to make it acceptable for a human to just read the narrativetext : Narrative [0..1]How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deletedmode : code [0..1] « null (Strength=Required)ListMode! »Specifies the order applied to the items in the section entriesorderedBy : CodeableConcept [0..1] « null (Strength=Preferred)ListOrderCodes? »Specifies any type of classification of the evidence reportentryClassifier : CodeableConcept [0..*] « null (Strength=Extensible)EvidenceClassifier+ »A reference to the actual resource from which the narrative in the section is derivedentryReference : Reference [0..*] « Any »Quantity as contententryQuantity : Quantity [0..*]If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reasonemptyReason : CodeableConcept [0..1] « null (Strength=Preferred)ListEmptyReasons? »Characteristiccharacteristic[0..*]Specifies the subject or focus of the report. Answers "What is this report about?"subject[1..1]The target composition/document of this relationshiptarget[1..1]Relationships that this composition has with other compositions or documents that already existrelatesTo[0..*]A nested sub-section within this sectionsection[0..*]The root of the sections that make up the compositionsection[0..*]

XML Template

<EvidenceReport xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <url value="[uri]"/><!-- 0..1 Canonical identifier for this EvidenceReport, represented as a globally unique URI -->
 <status value="[code]"/><!-- 1..1 draft | active | retired | unknown -->
 <useContext><!-- 0..* UsageContext The context that the content is intended to support --></useContext>
 <identifier><!-- 0..* Identifier Unique identifier for the evidence report --></identifier>
 <relatedIdentifier><!-- 0..* Identifier Identifiers for articles that may relate to more than one evidence report --></relatedIdentifier>
 <citeAs[x]><!-- 0..1 Reference(Citation)|markdown Citation for this report --></citeAs[x]>
 <type><!-- 0..1 CodeableConcept Kind of report --></type>
 <note><!-- 0..* Annotation Used for footnotes and annotations --></note>
 <relatedArtifact><!-- 0..* RelatedArtifact Link, description or reference to artifact associated with the report --></relatedArtifact>
 <subject>  <!-- 1..1 Focus of the report -->
  <characteristic>  <!-- 0..* Characteristic -->
   <code><!-- 1..1 CodeableConcept Characteristic code --></code>
   <value[x]><!-- 1..1 Reference(Any)|CodeableConcept|boolean|Quantity|Range Characteristic value --></value[x]>
   <exclude value="[boolean]"/><!-- 0..1 Is used to express not the characteristic -->
   <period><!-- 0..1 Period Timeframe for the characteristic --></period>
  </characteristic>
  <note><!-- 0..* Annotation Footnotes and/or explanatory notes --></note>
 </subject>
 <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>
 <relatesTo>  <!-- 0..* Relationships to other compositions/documents -->
  <code value="[code]"/><!-- 1..1 replaces | amends | appends | transforms | replacedWith | amendedWith | appendedWith | transformedWith -->
  <target>  <!-- 1..1 Target of the relationship -->
   <url value="[uri]"/><!-- 0..1 Target of the relationship URL -->
   <identifier><!-- 0..1 Identifier Target of the relationship Identifier --></identifier>
   <display value="[markdown]"/><!-- 0..1 Target of the relationship Display -->
   <resource><!-- 0..1 Reference(Any) Target of the relationship Resource reference --></resource>
  </target>
 </relatesTo>
 <section>  <!-- 0..* Composition is broken into sections -->
  <title value="[string]"/><!-- 0..1 Label for section (e.g. for ToC) -->
  <focus><!-- 0..1 CodeableConcept Classification of section (recommended) --></focus>
  <focusReference><!-- 0..1 Reference(Any) Classification of section by Resource --></focusReference>
  <author><!-- 0..* Reference(Device|Group|Organization|Patient|Practitioner|
    PractitionerRole|RelatedPerson) Who and/or what authored the section --></author>
  <text><!-- 0..1 Narrative Text summary of the section, for human interpretation --></text>
  <mode value="[code]"/><!-- 0..1 working | snapshot | changes -->
  <orderedBy><!-- 0..1 CodeableConcept Order of section entries --></orderedBy>
  <entryClassifier><!-- 0..* CodeableConcept Extensible classifiers as content --></entryClassifier>
  <entryReference><!-- 0..* Reference(Any) Reference to resources as content --></entryReference>
  <entryQuantity><!-- 0..* Quantity Quantity as content --></entryQuantity>
  <emptyReason><!-- 0..1 CodeableConcept Why the section is empty --></emptyReason>
  <section><!-- 0..* Content as for EvidenceReport.section Nested Section --></section>
 </section>
</EvidenceReport>

JSON Template

{doco
  "resourceType" : "EvidenceReport",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "url" : "<uri>", // Canonical identifier for this EvidenceReport, represented as a globally unique URI
  "status" : "<code>", // R!  draft | active | retired | unknown
  "useContext" : [{ UsageContext }], // The context that the content is intended to support
  "identifier" : [{ Identifier }], // Unique identifier for the evidence report
  "relatedIdentifier" : [{ Identifier }], // Identifiers for articles that may relate to more than one evidence report
  // citeAs[x]: Citation for this report. One of these 2:
  "citeAsReference" : { Reference(Citation) },
  "citeAsMarkdown" : "<markdown>",
  "type" : { CodeableConcept }, // Kind of report
  "note" : [{ Annotation }], // Used for footnotes and annotations
  "relatedArtifact" : [{ RelatedArtifact }], // Link, description or reference to artifact associated with the report
  "subject" : { // R!  Focus of the report
    "characteristic" : [{ // Characteristic
      "code" : { CodeableConcept }, // R!  Characteristic code
      // value[x]: Characteristic value. One of these 5:
      "valueReference" : { Reference(Any) },
      "valueCodeableConcept" : { CodeableConcept },
      "valueBoolean" : <boolean>,
      "valueQuantity" : { Quantity },
      "valueRange" : { Range },
      "exclude" : <boolean>, // Is used to express not the characteristic
      "period" : { Period } // Timeframe for the characteristic
    }],
    "note" : [{ Annotation }] // Footnotes and/or explanatory notes
  },
  "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
  "relatesTo" : [{ // Relationships to other compositions/documents
    "code" : "<code>", // R!  replaces | amends | appends | transforms | replacedWith | amendedWith | appendedWith | transformedWith
    "target" : { // R!  Target of the relationship
      "url" : "<uri>", // Target of the relationship URL
      "identifier" : { Identifier }, // Target of the relationship Identifier
      "display" : "<markdown>", // Target of the relationship Display
      "resource" : { Reference(Any) } // Target of the relationship Resource reference
    }
  }],
  "section" : [{ // Composition is broken into sections
    "title" : "<string>", // Label for section (e.g. for ToC)
    "focus" : { CodeableConcept }, // Classification of section (recommended)
    "focusReference" : { Reference(Any) }, // Classification of section by Resource
    "author" : [{ Reference(Device|Group|Organization|Patient|Practitioner|
    PractitionerRole|RelatedPerson) }], // Who and/or what authored the section
    "text" : { Narrative }, // Text summary of the section, for human interpretation
    "mode" : "<code>", // working | snapshot | changes
    "orderedBy" : { CodeableConcept }, // Order of section entries
    "entryClassifier" : [{ CodeableConcept }], // Extensible classifiers as content
    "entryReference" : [{ Reference(Any) }], // Reference to resources as content
    "entryQuantity" : [{ Quantity }], // Quantity as content
    "emptyReason" : { CodeableConcept }, // Why the section is empty
    "section" : [{ Content as for EvidenceReport.section }] // Nested Section
  }]
}

Turtle Template

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


[ a fhir:EvidenceReport;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:url [ uri ] ; # 0..1 Canonical identifier for this EvidenceReport, represented as a globally unique URI
  fhir:status [ code ] ; # 1..1 draft | active | retired | unknown
  fhir:useContext  ( [ UsageContext ] ... ) ; # 0..* The context that the content is intended to support
  fhir:identifier  ( [ Identifier ] ... ) ; # 0..* Unique identifier for the evidence report
  fhir:relatedIdentifier  ( [ Identifier ] ... ) ; # 0..* Identifiers for articles that may relate to more than one evidence report
  # citeAs[x] : 0..1 Citation for this report. One of these 2
    fhir:citeAs [  a fhir:Reference ; Reference(Citation) ]
    fhir:citeAs [  a fhir:markdown ; markdown ]
  fhir:type [ CodeableConcept ] ; # 0..1 Kind of report
  fhir:note  ( [ Annotation ] ... ) ; # 0..* Used for footnotes and annotations
  fhir:relatedArtifact  ( [ RelatedArtifact ] ... ) ; # 0..* Link, description or reference to artifact associated with the report
  fhir:subject [ # 1..1 Focus of the report
    fhir:characteristic ( [ # 0..* Characteristic
      fhir:code [ CodeableConcept ] ; # 1..1 Characteristic code
      # value[x] : 1..1 Characteristic value. One of these 5
        fhir:value [  a fhir:Reference ; Reference(Any) ]
        fhir:value [  a fhir:CodeableConcept ; CodeableConcept ]
        fhir:value [  a fhir:boolean ; boolean ]
        fhir:value [  a fhir:Quantity ; Quantity ]
        fhir:value [  a fhir:Range ; Range ]
      fhir:exclude [ boolean ] ; # 0..1 Is used to express not the characteristic
      fhir:period [ Period ] ; # 0..1 Timeframe for the characteristic
    ] ... ) ;
    fhir:note  ( [ Annotation ] ... ) ; # 0..* Footnotes and/or explanatory notes
  ] ;
  fhir:publisher [ string ] ; # 0..1 Name of the publisher/steward (organization or individual)
  fhir:contact  ( [ ContactDetail ] ... ) ; # 0..* Contact details for the publisher
  fhir:author  ( [ ContactDetail ] ... ) ; # 0..* Who authored the content
  fhir:editor  ( [ ContactDetail ] ... ) ; # 0..* Who edited the content
  fhir:reviewer  ( [ ContactDetail ] ... ) ; # 0..* Who reviewed the content
  fhir:endorser  ( [ ContactDetail ] ... ) ; # 0..* Who endorsed the content
  fhir:relatesTo ( [ # 0..* Relationships to other compositions/documents
    fhir:code [ code ] ; # 1..1 replaces | amends | appends | transforms | replacedWith | amendedWith | appendedWith | transformedWith
    fhir:target [ # 1..1 Target of the relationship
      fhir:url [ uri ] ; # 0..1 Target of the relationship URL
      fhir:identifier [ Identifier ] ; # 0..1 Target of the relationship Identifier
      fhir:display [ markdown ] ; # 0..1 Target of the relationship Display
      fhir:resource [ Reference(Any) ] ; # 0..1 Target of the relationship Resource reference
    ] ;
  ] ... ) ;
  fhir:section ( [ # 0..* Composition is broken into sections
    fhir:title [ string ] ; # 0..1 Label for section (e.g. for ToC)
    fhir:focus [ CodeableConcept ] ; # 0..1 Classification of section (recommended)
    fhir:focusReference [ Reference(Any) ] ; # 0..1 Classification of section by Resource
    fhir:author  ( [ Reference(Device|Group|Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) ] ... ) ; # 0..* Who and/or what authored the section
    fhir:text [ Narrative ] ; # 0..1 Text summary of the section, for human interpretation
    fhir:mode [ code ] ; # 0..1 working | snapshot | changes
    fhir:orderedBy [ CodeableConcept ] ; # 0..1 Order of section entries
    fhir:entryClassifier  ( [ CodeableConcept ] ... ) ; # 0..* Extensible classifiers as content
    fhir:entryReference  ( [ Reference(Any) ] ... ) ; # 0..* Reference to resources as content
    fhir:entryQuantity  ( [ Quantity ] ... ) ; # 0..* Quantity as content
    fhir:emptyReason [ CodeableConcept ] ; # 0..1 Why the section is empty
    fhir:section  ( [ See EvidenceReport.section ] ... ) ; # 0..* Nested Section
  ] ... ) ;
]

Changes from both R4 and R4B

This resource did not exist in Release R4

See the Full Difference for further information

This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. EvidenceReport TU DomainResource A EvidenceReport

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
Interfaces Implemented: MetadataResource
... url ΣC 0..1 uri Canonical identifier for this EvidenceReport, represented as a globally unique URI
+ Warning: URL should not contain | or # - these characters make processing canonical references problematic
... status ?!Σ 1..1 code draft | active | retired | unknown
Binding: PublicationStatus (Required)
... useContext Σ 0..* UsageContext The context that the content is intended to support

... relatedIdentifier Σ 0..* Identifier Identifiers for articles that may relate to more than one evidence report

... citeAs[x] 0..1 Citation for this report
.... citeAsReference Reference(Citation)
.... citeAsMarkdown markdown
... type 0..1 CodeableConcept Kind of report
Binding: Evidence Report Type (Example)
... note 0..* Annotation Used for footnotes and annotations

... relatedArtifact 0..* RelatedArtifact Link, description or reference to artifact associated with the report

... subject Σ 1..1 BackboneElement Focus of the report
.... characteristic 0..* BackboneElement Characteristic

..... code 1..1 CodeableConcept Characteristic code
Binding: Focus Characteristic Code (Extensible)
..... value[x] 1..1 Characteristic value
...... valueReference Reference(Any)
...... valueCodeableConcept CodeableConcept
...... valueBoolean boolean
...... valueQuantity Quantity
...... valueRange Range
..... exclude 0..1 boolean Is used to express not the characteristic
..... period 0..1 Period Timeframe for the characteristic
.... note 0..* Annotation Footnotes and/or explanatory notes

... publisher ΣT 0..1 string Name of the publisher/steward (organization or individual)
... contact Σ 0..* ContactDetail Contact details for the publisher

... author Σ 0..* ContactDetail Who authored the content

... editor 0..* ContactDetail Who edited the content

... reviewer 0..* ContactDetail Who reviewed the content

... endorser Σ 0..* ContactDetail Who endorsed the content

... relatesTo 0..* BackboneElement Relationships to other compositions/documents

.... code 1..1 code replaces | amends | appends | transforms | replacedWith | amendedWith | appendedWith | transformedWith
Binding: Report Relationship Type (Required)
.... target 1..1 BackboneElement Target of the relationship
..... url 0..1 uri Target of the relationship URL
..... identifier 0..1 Identifier Target of the relationship Identifier
..... display 0..1 markdown Target of the relationship Display
..... resource 0..1 Reference(Any) Target of the relationship Resource reference
... section 0..* BackboneElement Composition is broken into sections

.... title T 0..1 string Label for section (e.g. for ToC)
.... focus 0..1 CodeableConcept Classification of section (recommended)
Binding: Report Section Type (Extensible)
.... focusReference 0..1 Reference(Any) Classification of section by Resource
.... author 0..* Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device | Group | Organization) Who and/or what authored the section

.... text 0..1 Narrative Text summary of the section, for human interpretation
.... mode 0..1 code working | snapshot | changes
Binding: List Mode (Required)
.... orderedBy 0..1 CodeableConcept Order of section entries
Binding: List Order Codes (Preferred)
.... entryClassifier 0..* CodeableConcept Extensible classifiers as content
Binding: Evidence Classifier (Extensible)

.... entryReference 0..* Reference(Any) Reference to resources as content

.... entryQuantity 0..* Quantity Quantity as content

.... emptyReason 0..1 CodeableConcept Why the section is empty
Binding: List Empty Reasons (Preferred)
.... section 0..* see section Nested Section


doco Documentation for this format icon

See the Extensions for this resource

UML Diagram (Legend)

EvidenceReport (DomainResource) +MetadataResourceAn absolute URI that is used to identify this EvidenceReport 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 summary is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the summary is stored on different serversurl : uri [0..1]The status of this summary. Enables tracking the life-cycle of the content (this element modifies the meaning of other elements)status : code [1..1] « null (Strength=Required)PublicationStatus! »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 report instancesuseContext : UsageContext [0..*]A formal identifier that is used to identify this EvidenceReport when it is represented in other formats, or referenced in a specification, model, design or an instanceidentifier : Identifier [0..*]A formal identifier that is used to identify things closely related to this EvidenceReportrelatedIdentifier : Identifier [0..*]Citation Resource or display of suggested citation for this reportciteAs[x] : DataType [0..1] « Reference(Citation)|markdown »Specifies the kind of report, such as grouping of classifiers, search results, or human-compiled expressiontype : CodeableConcept [0..1] « null (Strength=Example)EvidenceReportType?? »Used for footnotes and annotationsnote : Annotation [0..*]Link, description or reference to artifact associated with the reportrelatedArtifact : RelatedArtifact [0..*]The name of the organization or individual responsible for the release and ongoing maintenance of the evidence reportpublisher : string [0..1]Contact details to assist a user in finding and communicating with the publishercontact : ContactDetail [0..*]An individiual, organization, or device primarily involved in the creation and maintenance of the contentauthor : ContactDetail [0..*]An individiual, organization, or device primarily responsible for internal coherence of the contenteditor : ContactDetail [0..*]An individiual, organization, or device primarily responsible for review of some aspect of the contentreviewer : ContactDetail [0..*]An individiual, organization, or device responsible for officially endorsing the content for use in some settingendorser : ContactDetail [0..*]SubjectUsed for general notes and annotations not coded elsewherenote : Annotation [0..*]CharacteristicCharacteristic codecode : CodeableConcept [1..1] « null (Strength=Extensible)FocusCharacteristicCode+ »Characteristic valuevalue[x] : DataType [1..1] « Reference(Any)|CodeableConcept|boolean| Quantity|Range »Is used to express not the characteristicexclude : boolean [0..1]Timeframe for the characteristicperiod : Period [0..1]RelatesToThe type of relationship that this composition has with anther composition or documentcode : code [1..1] « null (Strength=Required)ReportRelationshipType! »TargetTarget of the relationship URLurl : uri [0..1]Target of the relationship Identifieridentifier : Identifier [0..1]Target of the relationship Displaydisplay : markdown [0..1]Target of the relationship Resource referenceresource : Reference [0..1] « Any »SectionThe label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contentstitle : string [0..1]A code identifying the kind of content contained within the section. This should be consistent with the section titlefocus : CodeableConcept [0..1] « null (Strength=Extensible)ReportSectionType+ »A definitional Resource identifying the kind of content contained within the section. This should be consistent with the section titlefocusReference : Reference [0..1] « Any »Identifies who is responsible for the information in this section, not necessarily who typed it inauthor : Reference [0..*] « Patient|Practitioner|PractitionerRole| RelatedPerson|Device|Group|Organization »A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is peferred to contain sufficient detail to make it acceptable for a human to just read the narrativetext : Narrative [0..1]How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deletedmode : code [0..1] « null (Strength=Required)ListMode! »Specifies the order applied to the items in the section entriesorderedBy : CodeableConcept [0..1] « null (Strength=Preferred)ListOrderCodes? »Specifies any type of classification of the evidence reportentryClassifier : CodeableConcept [0..*] « null (Strength=Extensible)EvidenceClassifier+ »A reference to the actual resource from which the narrative in the section is derivedentryReference : Reference [0..*] « Any »Quantity as contententryQuantity : Quantity [0..*]If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reasonemptyReason : CodeableConcept [0..1] « null (Strength=Preferred)ListEmptyReasons? »Characteristiccharacteristic[0..*]Specifies the subject or focus of the report. Answers "What is this report about?"subject[1..1]The target composition/document of this relationshiptarget[1..1]Relationships that this composition has with other compositions or documents that already existrelatesTo[0..*]A nested sub-section within this sectionsection[0..*]The root of the sections that make up the compositionsection[0..*]

XML Template

<EvidenceReport xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <url value="[uri]"/><!-- 0..1 Canonical identifier for this EvidenceReport, represented as a globally unique URI -->
 <status value="[code]"/><!-- 1..1 draft | active | retired | unknown -->
 <useContext><!-- 0..* UsageContext The context that the content is intended to support --></useContext>
 <identifier><!-- 0..* Identifier Unique identifier for the evidence report --></identifier>
 <relatedIdentifier><!-- 0..* Identifier Identifiers for articles that may relate to more than one evidence report --></relatedIdentifier>
 <citeAs[x]><!-- 0..1 Reference(Citation)|markdown Citation for this report --></citeAs[x]>
 <type><!-- 0..1 CodeableConcept Kind of report --></type>
 <note><!-- 0..* Annotation Used for footnotes and annotations --></note>
 <relatedArtifact><!-- 0..* RelatedArtifact Link, description or reference to artifact associated with the report --></relatedArtifact>
 <subject>  <!-- 1..1 Focus of the report -->
  <characteristic>  <!-- 0..* Characteristic -->
   <code><!-- 1..1 CodeableConcept Characteristic code --></code>
   <value[x]><!-- 1..1 Reference(Any)|CodeableConcept|boolean|Quantity|Range Characteristic value --></value[x]>
   <exclude value="[boolean]"/><!-- 0..1 Is used to express not the characteristic -->
   <period><!-- 0..1 Period Timeframe for the characteristic --></period>
  </characteristic>
  <note><!-- 0..* Annotation Footnotes and/or explanatory notes --></note>
 </subject>
 <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>
 <relatesTo>  <!-- 0..* Relationships to other compositions/documents -->
  <code value="[code]"/><!-- 1..1 replaces | amends | appends | transforms | replacedWith | amendedWith | appendedWith | transformedWith -->
  <target>  <!-- 1..1 Target of the relationship -->
   <url value="[uri]"/><!-- 0..1 Target of the relationship URL -->
   <identifier><!-- 0..1 Identifier Target of the relationship Identifier --></identifier>
   <display value="[markdown]"/><!-- 0..1 Target of the relationship Display -->
   <resource><!-- 0..1 Reference(Any) Target of the relationship Resource reference --></resource>
  </target>
 </relatesTo>
 <section>  <!-- 0..* Composition is broken into sections -->
  <title value="[string]"/><!-- 0..1 Label for section (e.g. for ToC) -->
  <focus><!-- 0..1 CodeableConcept Classification of section (recommended) --></focus>
  <focusReference><!-- 0..1 Reference(Any) Classification of section by Resource --></focusReference>
  <author><!-- 0..* Reference(Device|Group|Organization|Patient|Practitioner|
    PractitionerRole|RelatedPerson) Who and/or what authored the section --></author>
  <text><!-- 0..1 Narrative Text summary of the section, for human interpretation --></text>
  <mode value="[code]"/><!-- 0..1 working | snapshot | changes -->
  <orderedBy><!-- 0..1 CodeableConcept Order of section entries --></orderedBy>
  <entryClassifier><!-- 0..* CodeableConcept Extensible classifiers as content --></entryClassifier>
  <entryReference><!-- 0..* Reference(Any) Reference to resources as content --></entryReference>
  <entryQuantity><!-- 0..* Quantity Quantity as content --></entryQuantity>
  <emptyReason><!-- 0..1 CodeableConcept Why the section is empty --></emptyReason>
  <section><!-- 0..* Content as for EvidenceReport.section Nested Section --></section>
 </section>
</EvidenceReport>

JSON Template

{doco
  "resourceType" : "EvidenceReport",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "url" : "<uri>", // Canonical identifier for this EvidenceReport, represented as a globally unique URI
  "status" : "<code>", // R!  draft | active | retired | unknown
  "useContext" : [{ UsageContext }], // The context that the content is intended to support
  "identifier" : [{ Identifier }], // Unique identifier for the evidence report
  "relatedIdentifier" : [{ Identifier }], // Identifiers for articles that may relate to more than one evidence report
  // citeAs[x]: Citation for this report. One of these 2:
  "citeAsReference" : { Reference(Citation) },
  "citeAsMarkdown" : "<markdown>",
  "type" : { CodeableConcept }, // Kind of report
  "note" : [{ Annotation }], // Used for footnotes and annotations
  "relatedArtifact" : [{ RelatedArtifact }], // Link, description or reference to artifact associated with the report
  "subject" : { // R!  Focus of the report
    "characteristic" : [{ // Characteristic
      "code" : { CodeableConcept }, // R!  Characteristic code
      // value[x]: Characteristic value. One of these 5:
      "valueReference" : { Reference(Any) },
      "valueCodeableConcept" : { CodeableConcept },
      "valueBoolean" : <boolean>,
      "valueQuantity" : { Quantity },
      "valueRange" : { Range },
      "exclude" : <boolean>, // Is used to express not the characteristic
      "period" : { Period } // Timeframe for the characteristic
    }],
    "note" : [{ Annotation }] // Footnotes and/or explanatory notes
  },
  "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
  "relatesTo" : [{ // Relationships to other compositions/documents
    "code" : "<code>", // R!  replaces | amends | appends | transforms | replacedWith | amendedWith | appendedWith | transformedWith
    "target" : { // R!  Target of the relationship
      "url" : "<uri>", // Target of the relationship URL
      "identifier" : { Identifier }, // Target of the relationship Identifier
      "display" : "<markdown>", // Target of the relationship Display
      "resource" : { Reference(Any) } // Target of the relationship Resource reference
    }
  }],
  "section" : [{ // Composition is broken into sections
    "title" : "<string>", // Label for section (e.g. for ToC)
    "focus" : { CodeableConcept }, // Classification of section (recommended)
    "focusReference" : { Reference(Any) }, // Classification of section by Resource
    "author" : [{ Reference(Device|Group|Organization|Patient|Practitioner|
    PractitionerRole|RelatedPerson) }], // Who and/or what authored the section
    "text" : { Narrative }, // Text summary of the section, for human interpretation
    "mode" : "<code>", // working | snapshot | changes
    "orderedBy" : { CodeableConcept }, // Order of section entries
    "entryClassifier" : [{ CodeableConcept }], // Extensible classifiers as content
    "entryReference" : [{ Reference(Any) }], // Reference to resources as content
    "entryQuantity" : [{ Quantity }], // Quantity as content
    "emptyReason" : { CodeableConcept }, // Why the section is empty
    "section" : [{ Content as for EvidenceReport.section }] // Nested Section
  }]
}

Turtle Template

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


[ a fhir:EvidenceReport;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:url [ uri ] ; # 0..1 Canonical identifier for this EvidenceReport, represented as a globally unique URI
  fhir:status [ code ] ; # 1..1 draft | active | retired | unknown
  fhir:useContext  ( [ UsageContext ] ... ) ; # 0..* The context that the content is intended to support
  fhir:identifier  ( [ Identifier ] ... ) ; # 0..* Unique identifier for the evidence report
  fhir:relatedIdentifier  ( [ Identifier ] ... ) ; # 0..* Identifiers for articles that may relate to more than one evidence report
  # citeAs[x] : 0..1 Citation for this report. One of these 2
    fhir:citeAs [  a fhir:Reference ; Reference(Citation) ]
    fhir:citeAs [  a fhir:markdown ; markdown ]
  fhir:type [ CodeableConcept ] ; # 0..1 Kind of report
  fhir:note  ( [ Annotation ] ... ) ; # 0..* Used for footnotes and annotations
  fhir:relatedArtifact  ( [ RelatedArtifact ] ... ) ; # 0..* Link, description or reference to artifact associated with the report
  fhir:subject [ # 1..1 Focus of the report
    fhir:characteristic ( [ # 0..* Characteristic
      fhir:code [ CodeableConcept ] ; # 1..1 Characteristic code
      # value[x] : 1..1 Characteristic value. One of these 5
        fhir:value [  a fhir:Reference ; Reference(Any) ]
        fhir:value [  a fhir:CodeableConcept ; CodeableConcept ]
        fhir:value [  a fhir:boolean ; boolean ]
        fhir:value [  a fhir:Quantity ; Quantity ]
        fhir:value [  a fhir:Range ; Range ]
      fhir:exclude [ boolean ] ; # 0..1 Is used to express not the characteristic
      fhir:period [ Period ] ; # 0..1 Timeframe for the characteristic
    ] ... ) ;
    fhir:note  ( [ Annotation ] ... ) ; # 0..* Footnotes and/or explanatory notes
  ] ;
  fhir:publisher [ string ] ; # 0..1 Name of the publisher/steward (organization or individual)
  fhir:contact  ( [ ContactDetail ] ... ) ; # 0..* Contact details for the publisher
  fhir:author  ( [ ContactDetail ] ... ) ; # 0..* Who authored the content
  fhir:editor  ( [ ContactDetail ] ... ) ; # 0..* Who edited the content
  fhir:reviewer  ( [ ContactDetail ] ... ) ; # 0..* Who reviewed the content
  fhir:endorser  ( [ ContactDetail ] ... ) ; # 0..* Who endorsed the content
  fhir:relatesTo ( [ # 0..* Relationships to other compositions/documents
    fhir:code [ code ] ; # 1..1 replaces | amends | appends | transforms | replacedWith | amendedWith | appendedWith | transformedWith
    fhir:target [ # 1..1 Target of the relationship
      fhir:url [ uri ] ; # 0..1 Target of the relationship URL
      fhir:identifier [ Identifier ] ; # 0..1 Target of the relationship Identifier
      fhir:display [ markdown ] ; # 0..1 Target of the relationship Display
      fhir:resource [ Reference(Any) ] ; # 0..1 Target of the relationship Resource reference
    ] ;
  ] ... ) ;
  fhir:section ( [ # 0..* Composition is broken into sections
    fhir:title [ string ] ; # 0..1 Label for section (e.g. for ToC)
    fhir:focus [ CodeableConcept ] ; # 0..1 Classification of section (recommended)
    fhir:focusReference [ Reference(Any) ] ; # 0..1 Classification of section by Resource
    fhir:author  ( [ Reference(Device|Group|Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) ] ... ) ; # 0..* Who and/or what authored the section
    fhir:text [ Narrative ] ; # 0..1 Text summary of the section, for human interpretation
    fhir:mode [ code ] ; # 0..1 working | snapshot | changes
    fhir:orderedBy [ CodeableConcept ] ; # 0..1 Order of section entries
    fhir:entryClassifier  ( [ CodeableConcept ] ... ) ; # 0..* Extensible classifiers as content
    fhir:entryReference  ( [ Reference(Any) ] ... ) ; # 0..* Reference to resources as content
    fhir:entryQuantity  ( [ Quantity ] ... ) ; # 0..* Quantity as content
    fhir:emptyReason [ CodeableConcept ] ; # 0..1 Why the section is empty
    fhir:section  ( [ See EvidenceReport.section ] ... ) ; # 0..* Nested Section
  ] ... ) ;
]

Changes from both R4 and R4B

This resource did not exist in Release R4

See the Full Difference for further information

This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.

 

Additional definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) , the spreadsheet version & the dependency analysis

14.11.4.1 Terminology Bindings

Path ValueSet Type Documentation
EvidenceReport.status PublicationStatus Required

The lifecycle status of an artifact.
EvidenceReport.type EvidenceReportType Example

The kind of report, such as grouping of classifiers, search results, or human-compiled expression.
EvidenceReport.subject.characteristic.code FocusCharacteristicCode Extensible

Evidence focus characteristic code.
EvidenceReport.relatesTo.code ReportRelationshipType Required

The type of relationship between reports.
EvidenceReport.section.focus ReportSectionType Extensible

Evidence Report Section Type.
EvidenceReport.section.mode ListMode Required

The processing mode that applies to this list.
EvidenceReport.section.orderedBy ListOrderCodes Preferred

Base values for the order of the items in a list resource.
EvidenceReport.section.entryClassifier EvidenceClassifier Extensible

Commonly used classifiers for evidence sets.
EvidenceReport.section.emptyReason ListEmptyReasons Preferred

General reasons for a list to be empty. Reasons are either related to a summary list (i.e. problem or medication list) or to a workflow related list (i.e. consultation list).

14.11.4.2 Constraints

UniqueKeyLevelLocationDescriptionExpression
img cnl-1Warning EvidenceReport.urlURL should not contain | or # - these characters make processing canonical references problematicexists() implies matches('^[^|# ]+$')



14.11.5 Search Parameters

Search parameters for this resource. See also the full list of search parameters for this resource, and check the Extensions registry for search parameters on extensions related to 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 report (EvidenceReport.useContext.value.ofType(CodeableConcept)) 30 Resources
context-quantity quantity A quantity- or range-valued use context assigned to the evidence report (EvidenceReport.useContext.value.ofType(Quantity)) | (EvidenceReport.useContext.value.ofType(Range)) 30 Resources
context-type token A type of use context assigned to the evidence report EvidenceReport.useContext.code 30 Resources
context-type-quantity composite A use context type and quantity- or range-based value assigned to the evidence report On EvidenceReport.useContext:
  context-type: code
  context-quantity: value.ofType(Quantity) | value.ofType(Range)		 30 Resources
context-type-value composite A use context type and value assigned to the evidence report On EvidenceReport.useContext:
  context-type: code
  context: value.ofType(CodeableConcept)		 30 Resources
identifier token External identifier for the evidence report EvidenceReport.identifier 36 Resources
publisher string Name of the publisher of the evidence report EvidenceReport.publisher 30 Resources
status token The current status of the evidence report EvidenceReport.status 36 Resources
url uri The uri that identifies the evidence report EvidenceReport.url 35 Resources