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-ballot2 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
Page standards status: Informative |
<Citation xmlns="http://hl7.org/fhir">
<id value="385938"/>
<meta>
<versionId value="7"/>
<lastUpdated value="2025-07-31T12:10:23.706Z"/>
<profile
value="http://hl7.org/fhir/uv/ebm/StructureDefinition/database-entry-citation"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Citation 385938</b></p><a name="385938"> </a><a name="hc385938"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">version: 7; Last updated: 2025-07-31 12:10:23+0000</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-database-entry-citation.html">DatabaseEntryCitation</a></p></div><p><b>ArtifactPublicationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-status-type active}">Active</span></p><p><b>url</b>: <a href="Citation-385938.html">Citation Citation for EBMonFHIR Implementation Guide</a></p><p><b>identifier</b>: FEvIR Object Identifier/385938, <a href="http://terminology.hl7.org/6.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt
This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid:
Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.
This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:oid:2.16.840.1.113883.4.642.40.44.15.59</p><p><b>version</b>: 1.0.0-ballot2</p><p><b>title</b>: Citation for EBMonFHIR Implementation Guide</p><p><b>status</b>: Active</p><p><b>date</b>: 2025-09-04 23:28:30+0000</p><p><b>author</b>: Brian S. Alper, MD, MSPH: </p><p><b>publisher</b>: HL7 International / Clinical Decision Support</p><p><b>contact</b>: HL7 International / Clinical Decision Support: <a href="http://www.hl7.org/Special/committees/dss">http://www.hl7.org/Special/committees/dss</a></p><p><b>description</b>: </p><div><p>This Citation Resource is referenced in an example for the EBMonFHIR Implementation Guide.</p>
</div><p><b>jurisdiction</b>: <span title="Codes:{http://unstats.un.org/unsd/methods/m49/m49.htm 001}">World</span></p><p><b>copyright</b>: </p><div><p>https://creativecommons.org/licenses/by-nc-sa/4.0/</p>
</div><blockquote><p><b>summary</b></p><p><b>style</b>: <span title="Codes:{http://hl7.org/fhir/citation-summary-style comppub}">Computable Publishing</span></p><p><b>text</b>: </p><div><p>Evidence Based Medicine on FHIR Implementation Guide [Database Entry]. Contributors: HL7 International [Publisher]. Identifier {from urn:ietf:rfc:3986} OID:2.16.840.1.113883.4.642.40.44. Published March 28, 2025. Accessed July 22, 2025. Available at: http://hl7.org/fhir/uv/ebm/2025May/.</p>
</div></blockquote><blockquote><p><b>summary</b></p><p><b>style</b>: <span title="Codes:">NLM</span></p><p><b>text</b>: </p><div><p>Evidence Based Medicine on FHIR Implementation Guide [Internet]. Version 1.0.0-ballot2. Ann Arbor (MI): HL7 International. 2025 Mar 28. Available from: http://hl7.org/fhir/uv/ebm/2025May/.</p>
</div></blockquote><blockquote><p><b>citedArtifact</b></p><p><b>identifier</b>: <a href="http://terminology.hl7.org/6.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt
This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid:
Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.
This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/OID:2.16.840.1.113883.4.642.40.44</p><p><b>dateAccessed</b>: 2025-07-22</p><blockquote><p><b>title</b></p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/title-type primary}">Primary title</span></p><p><b>text</b>: </p><div><p>Evidence Based Medicine on FHIR Implementation Guide</p>
</div></blockquote><blockquote><p><b>title</b></p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/title-type acronym}">Acronym</span></p><p><b>text</b>: </p><div><p>EBMonFHIR IG</p>
</div></blockquote><blockquote><p><b>title</b></p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/title-type short-title}">Short title</span></p><p><b>text</b>: </p><div><p>EBMonFHIR Implementation Guide</p>
</div></blockquote><blockquote><p><b>title</b></p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/title-type machine-use}">Machine use</span></p><p><b>text</b>: </p><div><p>EBMIG</p>
</div></blockquote><h3>Abstracts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Text</b></td><td><b>Copyright</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://hl7.org/fhir/cited-artifact-abstract-type primary-human-use}">Primary human use</span></td><td><div><p>The FHIR Resources for Evidence Based Medicine Knowledge Assets ('EBMonFHIR') Implementation Guide defines profiles and value sets for the representation of scientific knowledge. This implementation guide is intended for developers of systems using FHIR for data exchange of scientific knowledge and for authors of more specialized implementation guides in this domain.</p>
<p>This implementation guide covers the broad scope of representation of scientific knowledge, including (1) citations to represent identification, location, classification, and attribution for knowledge artifacts; (2) components of research study design including study eligibility criteria (cohort definitions) and endpoint analysis plans; (3) research results including the statistic findings, definition of variables for which those findings apply, and the certainty of these findings; (4) assessments of research results; (5) aggregation and synthesis of research results; (6) judgments regarding evidence syntheses and contextual factors related to recommendations; (7) recommendations; and (8) compositions of combinations of these types of knowledge. The types of interoperability covered include syntactic (Resource StructureDefinitions) and semantic (value sets).</p>
</div></td><td><div><p>© 2024+ HL7 International / Clinical Decision Support.</p>
</div></td></tr></table><blockquote><p><b>publicationForm</b></p><h3>PublishedIns</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Publisher</b></td><td><b>PublisherLocation</b></td></tr><tr><td style="display: none">*</td><td>HL7 International</td><td>Ann Arbor (MI)</td></tr></table><p><b>citedMedium</b>: <span title="Codes:{http://hl7.org/fhir/cited-medium internet-without-issue}">Internet without issue</span></p><p><b>articleDate</b>: 2025-03-28</p><p><b>copyright</b>: </p><div><p>© 2024+ HL7 International / Clinical Decision Support.</p>
</div></blockquote><blockquote><p><b>webLocation</b></p><p><b>classifier</b>: <span title="Codes:{http://hl7.org/fhir/artifact-url-classifier full-text}">Full-Text</span>, <span title="Codes:{http://hl7.org/fhir/artifact-url-classifier version-specific}">Version Specific</span>, <span title="Codes:{http://hl7.org/fhir/artifact-url-classifier webpage}">Webpage</span></p><p><b>url</b>: <a href="http://hl7.org/fhir/uv/ebm/2025May/">http://hl7.org/fhir/uv/ebm/2025May/</a></p></blockquote><h3>Classifications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://hl7.org/fhir/cited-artifact-classification-type knowledge-artifact-type}">Knowledge Artifact Type</span></td><td><span title="Codes:{https://fevir.net/resources/CodeSystem/179423 classified-as-database-entry}">Database Entry</span></td></tr></table><blockquote><p><b>contributorship</b></p><h3>Entries</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Contributor</b></td><td><b>Role</b></td></tr><tr><td style="display: none">*</td><td><a href="#hc385938/contributor0">Organization HL7 International</a></td><td><span title="Codes:{http://hl7.org/fhir/contributor-role publisher}">Publisher</span></td></tr></table><h3>Summaries</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Source</b></td><td><b>Value</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://hl7.org/fhir/contributor-summary-type contributorship-statement}">Contributorship statement</span></td><td><span title="Codes:{http://hl7.org/fhir/contributor-summary-source article-copy}">Copied from article</span></td><td><div><p>This Implementation Guide was made possible by the thoughtful contributions of many, including but not limited to the following people and organizations:
Brian S. Alper, MD, MSPH, FAAFP, FAMIA, FGIN, Computable Publishing LLC (US) - Editor
Khalid Shahin, Computable Publishing LLC (US) - Committer
Joanne Dehnbostel, MS, MPH, Computable Publishing LLC (US)
Health Evidence Knowledge Accelerator (HEvKA)
Scientific Knowledge Accelerator Foundation
Clinical Decision Support (CDS) Work Group
Clinical Quality Information (CQI) Work Group
Biomedical Research and Regulation (BRR) Work Group
Structured Documents (SD) Work Group
Guidelines International Network Technology Working Group (GINTech)
Muhammad Afzal, PhD, FHEA, Birmingham City University (England)
Rachel Couban, McMaster University (Canada)
Christopher M. Enright, Computable Publishing LLC (US)
Sophie Klopfenstein, MD, Berlin Institute of Health at Charité – Universitätsmedizin Berlin (Germany)
Bhagvan Kommadi, MS, Capri Global Capital Ltd. (India)
Ilkka Kunnamo, MD, PhD, Duodecim Publishing Company (Finland)
Harold Lehmann, MD, PhD, Johns Hopkins University (US)
Gregor Lichtner, PhD, Universitätsmedizin Greifswald (Germany)
Matthias Löbe, IMISE, Universität Leipzig (Germany)
Bryn Rhodes, Smile Digital Health (US)
Karen A. Robinson, PhD, Johns Hopkins University (US)
Mario Tristan, IHCAI Institute (Costa Rica)
Janice Tufte, Hassanah Consulting (US)
Yunwei Wang, MITRE (US)
Kenneth J. Wilkins, PhD, National Institutes of Health, National Institute of Diabetes & Digestive & Kidney Diseases (NIH/NIDDK) (US)</p>
</div></td></tr></table></blockquote></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Organization #contributor0</b></p><a name="385938/contributor0"> </a><a name="hc385938/contributor0"> </a><p><b>name</b>: HL7 International</p></blockquote></div>
</text>
<contained>
<Organization>
<id value="contributor0"/>
<name value="HL7 International"/>
</Organization>
</contained>
<extension
url="http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/cited-artifact-status-type"/>
<code value="active"/>
<display value="Active"/>
</coding>
</valueCodeableConcept>
</extension>
<url value="https://fevir.net/resources/Citation/385938"/>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="ACSN"/>
<display value="Accession ID"/>
</coding>
<text value="FEvIR Object Identifier"/>
</type>
<system value="https://fevir.net/FOI"/>
<value value="385938"/>
<assigner>
<display value="Computable Publishing LLC"/>
</assigner>
</identifier>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.4.642.40.44.15.59"/>
</identifier>
<version value="1.0.0-ballot2"/>
<title value="Citation for EBMonFHIR Implementation Guide"/>
<status value="active"/>
<date value="2025-09-04T23:28:30+00:00"/>
<author>
<name value="Brian S. Alper, MD, MSPH"/>
</author>
<publisher value="HL7 International / Clinical Decision Support"/>
<contact>
<name value="HL7 International / Clinical Decision Support"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/dss"/>
</telecom>
</contact>
<description
value="This Citation Resource is referenced in an example for the EBMonFHIR Implementation Guide."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<copyright value="https://creativecommons.org/licenses/by-nc-sa/4.0/"/>
<summary>
<style>
<coding>
<system value="http://hl7.org/fhir/citation-summary-style"/>
<code value="comppub"/>
<display value="Computable Publishing"/>
</coding>
</style>
<text
value="Evidence Based Medicine on FHIR Implementation Guide [Database Entry]. Contributors: HL7 International [Publisher]. Identifier {from urn:ietf:rfc:3986} OID:2.16.840.1.113883.4.642.40.44. Published March 28, 2025. Accessed July 22, 2025. Available at: http://hl7.org/fhir/uv/ebm/2025May/."/>
</summary>
<summary>
<style>
<text value="NLM"/>
</style>
<text
value="Evidence Based Medicine on FHIR Implementation Guide [Internet]. Version 1.0.0-ballot2. Ann Arbor (MI): HL7 International. 2025 Mar 28. Available from: http://hl7.org/fhir/uv/ebm/2025May/."/>
</summary>
<citedArtifact>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="OID:2.16.840.1.113883.4.642.40.44"/>
</identifier>
<dateAccessed value="2025-07-22"/>
<title>
<type>
<coding>
<system value="http://hl7.org/fhir/title-type"/>
<code value="primary"/>
<display value="Primary title"/>
</coding>
</type>
<text value="Evidence Based Medicine on FHIR Implementation Guide"/>
</title>
<title>
<type>
<coding>
<system value="http://hl7.org/fhir/title-type"/>
<code value="acronym"/>
<display value="Acronym"/>
</coding>
</type>
<text value="EBMonFHIR IG"/>
</title>
<title>
<type>
<coding>
<system value="http://hl7.org/fhir/title-type"/>
<code value="short-title"/>
<display value="Short title"/>
</coding>
</type>
<text value="EBMonFHIR Implementation Guide"/>
</title>
<title>
<type>
<coding>
<system value="http://hl7.org/fhir/title-type"/>
<code value="machine-use"/>
<display value="Machine use"/>
</coding>
</type>
<text value="EBMIG"/>
</title>
<abstract>
<type>
<coding>
<system value="http://hl7.org/fhir/cited-artifact-abstract-type"/>
<code value="primary-human-use"/>
<display value="Primary human use"/>
</coding>
</type>
<text
value="The FHIR Resources for Evidence Based Medicine Knowledge Assets ('EBMonFHIR') Implementation Guide defines profiles and value sets for the representation of scientific knowledge. This implementation guide is intended for developers of systems using FHIR for data exchange of scientific knowledge and for authors of more specialized implementation guides in this domain.
This implementation guide covers the broad scope of representation of scientific knowledge, including (1) citations to represent identification, location, classification, and attribution for knowledge artifacts; (2) components of research study design including study eligibility criteria (cohort definitions) and endpoint analysis plans; (3) research results including the statistic findings, definition of variables for which those findings apply, and the certainty of these findings; (4) assessments of research results; (5) aggregation and synthesis of research results; (6) judgments regarding evidence syntheses and contextual factors related to recommendations; (7) recommendations; and (8) compositions of combinations of these types of knowledge. The types of interoperability covered include syntactic (Resource StructureDefinitions) and semantic (value sets)."/>
<copyright
value="© 2024+ HL7 International / Clinical Decision Support."/>
</abstract>
<publicationForm>
<publishedIn>
<publisher>
<display value="HL7 International"/>
</publisher>
<publisherLocation value="Ann Arbor (MI)"/>
</publishedIn>
<citedMedium>
<coding>
<system value="http://hl7.org/fhir/cited-medium"/>
<code value="internet-without-issue"/>
<display value="Internet without issue"/>
</coding>
</citedMedium>
<articleDate value="2025-03-28"/>
<copyright
value="© 2024+ HL7 International / Clinical Decision Support."/>
</publicationForm>
<webLocation>
<classifier>
<coding>
<system value="http://hl7.org/fhir/artifact-url-classifier"/>
<code value="full-text"/>
<display value="Full-Text"/>
</coding>
</classifier>
<classifier>
<coding>
<system value="http://hl7.org/fhir/artifact-url-classifier"/>
<code value="version-specific"/>
<display value="Version Specific"/>
</coding>
</classifier>
<classifier>
<coding>
<system value="http://hl7.org/fhir/artifact-url-classifier"/>
<code value="webpage"/>
<display value="Webpage"/>
</coding>
</classifier>
<url value="http://hl7.org/fhir/uv/ebm/2025May/"/>
</webLocation>
<classification>
<type>
<coding>
<system
value="http://hl7.org/fhir/cited-artifact-classification-type"/>
<code value="knowledge-artifact-type"/>
<display value="Knowledge Artifact Type"/>
</coding>
</type>
<classifier>
<coding>
<system value="https://fevir.net/resources/CodeSystem/179423"/>
<code value="classified-as-database-entry"/>
<display value="Database Entry"/>
</coding>
</classifier>
</classification>
<contributorship>
<entry>
<contributor>
<reference value="#contributor0"/>
<type value="Organization"/>
</contributor>
<role>
<coding>
<system value="http://hl7.org/fhir/contributor-role"/>
<code value="publisher"/>
<display value="Publisher"/>
</coding>
</role>
</entry>
<summary>
<type>
<coding>
<system value="http://hl7.org/fhir/contributor-summary-type"/>
<code value="contributorship-statement"/>
<display value="Contributorship statement"/>
</coding>
</type>
<source>
<coding>
<system value="http://hl7.org/fhir/contributor-summary-source"/>
<code value="article-copy"/>
<display value="Copied from article"/>
</coding>
</source>
<value
value="This Implementation Guide was made possible by the thoughtful contributions of many, including but not limited to the following people and organizations:
Brian S. Alper, MD, MSPH, FAAFP, FAMIA, FGIN, Computable Publishing LLC (US) - Editor
Khalid Shahin, Computable Publishing LLC (US) - Committer
Joanne Dehnbostel, MS, MPH, Computable Publishing LLC (US)
Health Evidence Knowledge Accelerator (HEvKA)
Scientific Knowledge Accelerator Foundation
Clinical Decision Support (CDS) Work Group
Clinical Quality Information (CQI) Work Group
Biomedical Research and Regulation (BRR) Work Group
Structured Documents (SD) Work Group
Guidelines International Network Technology Working Group (GINTech)
Muhammad Afzal, PhD, FHEA, Birmingham City University (England)
Rachel Couban, McMaster University (Canada)
Christopher M. Enright, Computable Publishing LLC (US)
Sophie Klopfenstein, MD, Berlin Institute of Health at Charité – Universitätsmedizin Berlin (Germany)
Bhagvan Kommadi, MS, Capri Global Capital Ltd. (India)
Ilkka Kunnamo, MD, PhD, Duodecim Publishing Company (Finland)
Harold Lehmann, MD, PhD, Johns Hopkins University (US)
Gregor Lichtner, PhD, Universitätsmedizin Greifswald (Germany)
Matthias Löbe, IMISE, Universität Leipzig (Germany)
Bryn Rhodes, Smile Digital Health (US)
Karen A. Robinson, PhD, Johns Hopkins University (US)
Mario Tristan, IHCAI Institute (Costa Rica)
Janice Tufte, Hassanah Consulting (US)
Yunwei Wang, MITRE (US)
Kenneth J. Wilkins, PhD, National Institutes of Health, National Institute of Diabetes & Digestive & Kidney Diseases (NIH/NIDDK) (US)"/>
</summary>
</contributorship>
</citedArtifact>
</Citation>