CDS Hooks
3.0.0 - R3 Normative/Trial-Use International flag

CDS Hooks, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 3.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cds-hooks/ and changes regularly. See the Directory of published versions

Logical Model: CDSHooks Feedback (Logical Definition) - JSON Profile

Page standards status: Informative Maturity Level: 1

JSON representation of the CDSHooksFeedback logical model.

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{
  "resourceType" : "StructureDefinition",
  "id" : "CDSHooksFeedback",
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition CDSHooksFeedback</b></p><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" class=\"xhtTableBorder0\"><tr class=\"xhtRowBorder1\"><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th scope=\"col\" style=\"; width: 100px\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck1.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-CDSHooksFeedback-definitions.html#CDSHooksFeedback\" title=\"Feedback that a CDS Client POSTs to a CDS Service's feedback endpoint. The request body is an object containing an array of one or more Feedback entries reporting end-user interaction with cards previously returned by the CDS Service.\">CDSHooksFeedback</a><a name=\"CDSHooksFeedback\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">*</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"StructureDefinition-CDSHooksElement.html\">CDSHooksElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">The request body for the CDS Hooks feedback endpoint<br/><br/>Elements defined in Ancestors:<a href=\"StructureDefinition-CDSHooksElement.html\" title=\"A JSON object that has properties where the names are defined by the extension definitions\">extension</a></td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck01.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">CDSHooksFeedback.</span><a href=\"StructureDefinition-CDSHooksFeedback-definitions.html#CDSHooksFeedback.feedback\" title=\"An array of Feedback entries reporting end-user interaction with cards previously returned by the CDS Service.\">feedback</a><a name=\"CDSHooksFeedback.feedback\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( cds-fb-1, cds-fb-2 )\" class=\"xhtConstraintStyle\">C</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span title=\"This element is present as a JSON Array even when there are no items in the instance\">0</span><span title=\"This element is present as a JSON Array even when there are no items in the instance\">..</span><span title=\"This element is present as a JSON Array even when there are no items in the instance\">*</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"StructureDefinition-CDSHooksElement.html\">CDSHooksElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Array of Feedback entries<br/>JSON: The type of this element is inferred from the JSON type in the instance<br class=\"constraint\"/><span class=\"constraint\">Constraints: </span><span title=\"outcome must be 'accepted' or 'overridden'\" class=\"xhtPieceBold constraint\">cds-fb-1</span><span class=\"constraint\">, </span><span title=\"If outcome is 'accepted', acceptedSuggestions SHALL be provided\" class=\"xhtPieceBold constraint\">cds-fb-2</span><br/></td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck010.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">CDSHooksFeedback.feedback.</span><a href=\"StructureDefinition-CDSHooksFeedback-definitions.html#CDSHooksFeedback.feedback.card\" title=\"The card.uuid from the CDS Hooks response. Uniquely identifies the card.\">card</a><a name=\"CDSHooksFeedback.feedback.card\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uuid\">uuid</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Identifier of the card the user acted on<br/>When this element is read <code>urn:uuid:</code> is prefixed to the value before validation</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck010.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">CDSHooksFeedback.feedback.</span><a href=\"StructureDefinition-CDSHooksFeedback-definitions.html#CDSHooksFeedback.feedback.outcome\" title=\"A value of accepted or overridden.\">outcome</a><a name=\"CDSHooksFeedback.feedback.outcome\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">accepted | overridden</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck011.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">CDSHooksFeedback.feedback.</span><a href=\"StructureDefinition-CDSHooksFeedback-definitions.html#CDSHooksFeedback.feedback.acceptedSuggestions\" title=\"An array of objects identifying one or more of the user's AcceptedSuggestions. Required for 'accepted' outcomes.\">acceptedSuggestions</a><a name=\"CDSHooksFeedback.feedback.acceptedSuggestions\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"StructureDefinition-CDSHooksElement.html\">CDSHooksElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Suggestions accepted by the user<br/></td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck0100.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">CDSHooksFeedback.feedback.acceptedSuggestions.</span><a href=\"StructureDefinition-CDSHooksFeedback-definitions.html#CDSHooksFeedback.feedback.acceptedSuggestions.id\" title=\"The card.suggestion.uuid from the CDS Hooks response. Uniquely identifies the suggestion that was accepted.\">id</a><a name=\"CDSHooksFeedback.feedback.acceptedSuggestions.id\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uuid\">uuid</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Identifier of the accepted suggestion<br/>When this element is read <code>urn:uuid:</code> is prefixed to the value before validation</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck011.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">CDSHooksFeedback.feedback.</span><a href=\"StructureDefinition-CDSHooksFeedback-definitions.html#CDSHooksFeedback.feedback.overrideReason\" title=\"Captures the override reason as a Coding as well as any free-text comment entered by the user.\">overrideReason</a><a name=\"CDSHooksFeedback.feedback.overrideReason\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( cds-fb-3 )\" class=\"xhtConstraintStyle\">C</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"StructureDefinition-CDSHooksElement.html\">CDSHooksElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Reason the user overrode the card<br class=\"constraint\"/><span class=\"constraint\">Constraints: </span><span title=\"An overrideReason must contain a reason, a userComment, or both\" class=\"xhtPieceBold constraint\">cds-fb-3</span></td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck0110.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">CDSHooksFeedback.feedback.overrideReason.</span><a href=\"StructureDefinition-CDSHooksFeedback-definitions.html#CDSHooksFeedback.feedback.overrideReason.reason\" title=\"The Coding object representing the override reason selected by the end user. Required if the user selected an override reason from the list of reasons provided in the Card (instead of only leaving a userComment).\">reason</a><a name=\"CDSHooksFeedback.feedback.overrideReason.reason\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">The override reason selected by the end user</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck0100.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">CDSHooksFeedback.feedback.overrideReason.</span><a href=\"StructureDefinition-CDSHooksFeedback-definitions.html#CDSHooksFeedback.feedback.overrideReason.userComment\" title=\"Free text the clinician provided to further explain why the card was rejected.\">userComment</a><a name=\"CDSHooksFeedback.feedback.overrideReason.userComment\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Free text user comment</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck000.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">CDSHooksFeedback.feedback.</span><a href=\"StructureDefinition-CDSHooksFeedback-definitions.html#CDSHooksFeedback.feedback.outcomeTimestamp\" title=\"ISO8601 representation of the date and time in Coordinated Universal Time (UTC) when action was taken on the card, as profiled in section 5.6 of RFC3339 (e.g. 1985-04-12T23:20:50.52Z).\">outcomeTimestamp</a><a name=\"CDSHooksFeedback.feedback.outcomeTimestamp\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#instant\">instant</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">When the user took action on the card</td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 1
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "cds"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "informative"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/json-suppress-resourcetype",
      "valueBoolean" : true
    }
  ],
  "url" : "http://cds-hooks.hl7.org/StructureDefinition/CDSHooksFeedback",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.40.93.42.4"
    }
  ],
  "version" : "3.0.0",
  "name" : "CDSHooksFeedback",
  "title" : "CDSHooks Feedback (Logical Definition)",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-10-22T15:56:14+00:00",
  "publisher" : "HL7 International / Clinical Decision Support",
  "contact" : [
    {
      "name" : "HL7 International / Clinical Decision Support",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/dss/index.cfm"
        },
        {
          "system" : "email",
          "value" : "cds@lists.HL7.org"
        }
      ]
    }
  ],
  "description" : "This structure is defined to allow the FHIR Validator to validate a CDSHooks Feedback request body.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "fhirVersion" : "4.0.1",
  "kind" : "logical",
  "abstract" : false,
  "type" : "http://cds-hooks.hl7.org/StructureDefinition/CDSHooksFeedback",
  "baseDefinition" : "http://cds-hooks.hl7.org/StructureDefinition/CDSHooksElement",
  "derivation" : "specialization",
  "snapshot" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
        "valueString" : "3.0.0"
      }
    ],
    "element" : [
      {
        "id" : "CDSHooksFeedback",
        "path" : "CDSHooksFeedback",
        "short" : "The request body for the CDS Hooks feedback endpoint",
        "definition" : "Feedback that a CDS Client POSTs to a CDS Service's feedback endpoint. The request body is an object containing an array of one or more Feedback entries reporting end-user interaction with cards previously returned by the CDS Service.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Base",
          "min" : 0,
          "max" : "*"
        },
        "isModifier" : false
      },
      {
        "id" : "CDSHooksFeedback.extension",
        "path" : "CDSHooksFeedback.extension",
        "short" : "Object that has Named Extension Properties",
        "definition" : "A JSON object that has properties where the names are defined by the extension definitions",
        "comment" : "Extension structures SHOULD use a strategy for naming that ensures global uniqueness, such as reverse-domain-name notation, e.g. com.cds-hooks.sandbox.myextension-practitionerspecialty. How to handle complex extensions (objects) is not defined",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CDSHooksElement.extension",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://cds-hooks.hl7.org/StructureDefinition/CDSHooksExtensions"
          }
        ]
      },
      {
        "id" : "CDSHooksFeedback.feedback",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/json-empty-behavior",
            "valueCode" : "present"
          }
        ],
        "path" : "CDSHooksFeedback.feedback",
        "short" : "Array of Feedback entries",
        "definition" : "An array of Feedback entries reporting end-user interaction with cards previously returned by the CDS Service.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "CDSHooksFeedback.feedback",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://cds-hooks.hl7.org/StructureDefinition/CDSHooksElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cds-fb-1",
            "severity" : "error",
            "human" : "outcome must be 'accepted' or 'overridden'",
            "expression" : "outcome = 'accepted' or outcome = 'overridden'",
            "source" : "http://cds-hooks.hl7.org/StructureDefinition/CDSHooksFeedback"
          },
          {
            "key" : "cds-fb-2",
            "severity" : "error",
            "human" : "If outcome is 'accepted', acceptedSuggestions SHALL be provided",
            "expression" : "(outcome = 'accepted') implies acceptedSuggestions.exists()",
            "source" : "http://cds-hooks.hl7.org/StructureDefinition/CDSHooksFeedback"
          }
        ]
      },
      {
        "id" : "CDSHooksFeedback.feedback.extension",
        "path" : "CDSHooksFeedback.feedback.extension",
        "short" : "Object that has Named Extension Properties",
        "definition" : "A JSON object that has properties where the names are defined by the extension definitions",
        "comment" : "Extension structures SHOULD use a strategy for naming that ensures global uniqueness, such as reverse-domain-name notation, e.g. com.cds-hooks.sandbox.myextension-practitionerspecialty. How to handle complex extensions (objects) is not defined",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CDSHooksElement.extension",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://cds-hooks.hl7.org/StructureDefinition/CDSHooksExtensions"
          }
        ]
      },
      {
        "id" : "CDSHooksFeedback.feedback.card",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/implied-string-prefix",
            "valueString" : "urn:uuid:"
          }
        ],
        "path" : "CDSHooksFeedback.feedback.card",
        "short" : "Identifier of the card the user acted on",
        "definition" : "The card.uuid from the CDS Hooks response. Uniquely identifies the card.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "CDSHooksFeedback.feedback.card",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uuid"
          }
        ]
      },
      {
        "id" : "CDSHooksFeedback.feedback.outcome",
        "path" : "CDSHooksFeedback.feedback.outcome",
        "short" : "accepted | overridden",
        "definition" : "A value of accepted or overridden.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "CDSHooksFeedback.feedback.outcome",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ]
      },
      {
        "id" : "CDSHooksFeedback.feedback.acceptedSuggestions",
        "path" : "CDSHooksFeedback.feedback.acceptedSuggestions",
        "short" : "Suggestions accepted by the user",
        "definition" : "An array of objects identifying one or more of the user's AcceptedSuggestions. Required for 'accepted' outcomes.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "CDSHooksFeedback.feedback.acceptedSuggestions",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://cds-hooks.hl7.org/StructureDefinition/CDSHooksElement"
          }
        ]
      },
      {
        "id" : "CDSHooksFeedback.feedback.acceptedSuggestions.extension",
        "path" : "CDSHooksFeedback.feedback.acceptedSuggestions.extension",
        "short" : "Object that has Named Extension Properties",
        "definition" : "A JSON object that has properties where the names are defined by the extension definitions",
        "comment" : "Extension structures SHOULD use a strategy for naming that ensures global uniqueness, such as reverse-domain-name notation, e.g. com.cds-hooks.sandbox.myextension-practitionerspecialty. How to handle complex extensions (objects) is not defined",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CDSHooksElement.extension",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://cds-hooks.hl7.org/StructureDefinition/CDSHooksExtensions"
          }
        ]
      },
      {
        "id" : "CDSHooksFeedback.feedback.acceptedSuggestions.id",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/implied-string-prefix",
            "valueString" : "urn:uuid:"
          }
        ],
        "path" : "CDSHooksFeedback.feedback.acceptedSuggestions.id",
        "short" : "Identifier of the accepted suggestion",
        "definition" : "The card.suggestion.uuid from the CDS Hooks response. Uniquely identifies the suggestion that was accepted.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "CDSHooksFeedback.feedback.acceptedSuggestions.id",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uuid"
          }
        ]
      },
      {
        "id" : "CDSHooksFeedback.feedback.overrideReason",
        "path" : "CDSHooksFeedback.feedback.overrideReason",
        "short" : "Reason the user overrode the card",
        "definition" : "Captures the override reason as a Coding as well as any free-text comment entered by the user.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CDSHooksFeedback.feedback.overrideReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://cds-hooks.hl7.org/StructureDefinition/CDSHooksElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cds-fb-3",
            "severity" : "error",
            "human" : "An overrideReason must contain a reason, a userComment, or both",
            "expression" : "reason.exists() or userComment.exists()",
            "source" : "http://cds-hooks.hl7.org/StructureDefinition/CDSHooksFeedback"
          }
        ]
      },
      {
        "id" : "CDSHooksFeedback.feedback.overrideReason.extension",
        "path" : "CDSHooksFeedback.feedback.overrideReason.extension",
        "short" : "Object that has Named Extension Properties",
        "definition" : "A JSON object that has properties where the names are defined by the extension definitions",
        "comment" : "Extension structures SHOULD use a strategy for naming that ensures global uniqueness, such as reverse-domain-name notation, e.g. com.cds-hooks.sandbox.myextension-practitionerspecialty. How to handle complex extensions (objects) is not defined",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CDSHooksElement.extension",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://cds-hooks.hl7.org/StructureDefinition/CDSHooksExtensions"
          }
        ]
      },
      {
        "id" : "CDSHooksFeedback.feedback.overrideReason.reason",
        "path" : "CDSHooksFeedback.feedback.overrideReason.reason",
        "short" : "The override reason selected by the end user",
        "definition" : "The Coding object representing the override reason selected by the end user. Required if the user selected an override reason from the list of reasons provided in the Card (instead of only leaving a userComment).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CDSHooksFeedback.feedback.overrideReason.reason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ]
      },
      {
        "id" : "CDSHooksFeedback.feedback.overrideReason.userComment",
        "path" : "CDSHooksFeedback.feedback.overrideReason.userComment",
        "short" : "Free text user comment",
        "definition" : "Free text the clinician provided to further explain why the card was rejected.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CDSHooksFeedback.feedback.overrideReason.userComment",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "CDSHooksFeedback.feedback.outcomeTimestamp",
        "path" : "CDSHooksFeedback.feedback.outcomeTimestamp",
        "short" : "When the user took action on the card",
        "definition" : "ISO8601 representation of the date and time in Coordinated Universal Time (UTC) when action was taken on the card, as profiled in section 5.6 of RFC3339 (e.g. 1985-04-12T23:20:50.52Z).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "CDSHooksFeedback.feedback.outcomeTimestamp",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "instant"
          }
        ]
      }
    ]
  },
  "differential" : {
    "element" : [
      {
        "id" : "CDSHooksFeedback",
        "path" : "CDSHooksFeedback",
        "short" : "The request body for the CDS Hooks feedback endpoint",
        "definition" : "Feedback that a CDS Client POSTs to a CDS Service's feedback endpoint. The request body is an object containing an array of one or more Feedback entries reporting end-user interaction with cards previously returned by the CDS Service."
      },
      {
        "id" : "CDSHooksFeedback.feedback",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/json-empty-behavior",
            "valueCode" : "present"
          }
        ],
        "path" : "CDSHooksFeedback.feedback",
        "short" : "Array of Feedback entries",
        "definition" : "An array of Feedback entries reporting end-user interaction with cards previously returned by the CDS Service.",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "http://cds-hooks.hl7.org/StructureDefinition/CDSHooksElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cds-fb-1",
            "severity" : "error",
            "human" : "outcome must be 'accepted' or 'overridden'",
            "expression" : "outcome = 'accepted' or outcome = 'overridden'",
            "source" : "http://cds-hooks.hl7.org/StructureDefinition/CDSHooksFeedback"
          },
          {
            "key" : "cds-fb-2",
            "severity" : "error",
            "human" : "If outcome is 'accepted', acceptedSuggestions SHALL be provided",
            "expression" : "(outcome = 'accepted') implies acceptedSuggestions.exists()",
            "source" : "http://cds-hooks.hl7.org/StructureDefinition/CDSHooksFeedback"
          }
        ]
      },
      {
        "id" : "CDSHooksFeedback.feedback.card",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/implied-string-prefix",
            "valueString" : "urn:uuid:"
          }
        ],
        "path" : "CDSHooksFeedback.feedback.card",
        "short" : "Identifier of the card the user acted on",
        "definition" : "The card.uuid from the CDS Hooks response. Uniquely identifies the card.",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "uuid"
          }
        ]
      },
      {
        "id" : "CDSHooksFeedback.feedback.outcome",
        "path" : "CDSHooksFeedback.feedback.outcome",
        "short" : "accepted | overridden",
        "definition" : "A value of accepted or overridden.",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "code"
          }
        ]
      },
      {
        "id" : "CDSHooksFeedback.feedback.acceptedSuggestions",
        "path" : "CDSHooksFeedback.feedback.acceptedSuggestions",
        "short" : "Suggestions accepted by the user",
        "definition" : "An array of objects identifying one or more of the user's AcceptedSuggestions. Required for 'accepted' outcomes.",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "http://cds-hooks.hl7.org/StructureDefinition/CDSHooksElement"
          }
        ]
      },
      {
        "id" : "CDSHooksFeedback.feedback.acceptedSuggestions.id",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/implied-string-prefix",
            "valueString" : "urn:uuid:"
          }
        ],
        "path" : "CDSHooksFeedback.feedback.acceptedSuggestions.id",
        "short" : "Identifier of the accepted suggestion",
        "definition" : "The card.suggestion.uuid from the CDS Hooks response. Uniquely identifies the suggestion that was accepted.",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "uuid"
          }
        ]
      },
      {
        "id" : "CDSHooksFeedback.feedback.overrideReason",
        "path" : "CDSHooksFeedback.feedback.overrideReason",
        "short" : "Reason the user overrode the card",
        "definition" : "Captures the override reason as a Coding as well as any free-text comment entered by the user.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://cds-hooks.hl7.org/StructureDefinition/CDSHooksElement"
          }
        ],
        "constraint" : [
          {
            "key" : "cds-fb-3",
            "severity" : "error",
            "human" : "An overrideReason must contain a reason, a userComment, or both",
            "expression" : "reason.exists() or userComment.exists()",
            "source" : "http://cds-hooks.hl7.org/StructureDefinition/CDSHooksFeedback"
          }
        ]
      },
      {
        "id" : "CDSHooksFeedback.feedback.overrideReason.reason",
        "path" : "CDSHooksFeedback.feedback.overrideReason.reason",
        "short" : "The override reason selected by the end user",
        "definition" : "The Coding object representing the override reason selected by the end user. Required if the user selected an override reason from the list of reasons provided in the Card (instead of only leaving a userComment).",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Coding"
          }
        ]
      },
      {
        "id" : "CDSHooksFeedback.feedback.overrideReason.userComment",
        "path" : "CDSHooksFeedback.feedback.overrideReason.userComment",
        "short" : "Free text user comment",
        "definition" : "Free text the clinician provided to further explain why the card was rejected.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "CDSHooksFeedback.feedback.outcomeTimestamp",
        "path" : "CDSHooksFeedback.feedback.outcomeTimestamp",
        "short" : "When the user took action on the card",
        "definition" : "ISO8601 representation of the date and time in Coordinated Universal Time (UTC) when action was taken on the card, as profiled in section 5.6 of RFC3339 (e.g. 1985-04-12T23:20:50.52Z).",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "instant"
          }
        ]
      }
    ]
  }
}