Evidence Based Medicine on FHIR Implementation Guide
1.0.0-ballot2 - STU 1 ballot International flag

Evidence Based Medicine on FHIR Implementation Guide, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 1.0.0-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

Resource Profile: EvidenceAssessment - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 1

Definitions for the evidence-assessment resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. ArtifactAssessment
Definition

This Resource provides one or more comments, classifiers or ratings about a Resource and supports attribution and rights management metadata for the added content.

ShortAdds metadata-supported comments, classifiers or ratings related to a Resource
Control0..*
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. ArtifactAssessment.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. ArtifactAssessment.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

ShortContained, inline Resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. Contained resources may be a resource type defined in the FHIR specification, or an additional resource.

Control0..*
This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
TypeResource
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
6. ArtifactAssessment.extension
Definition

An Extension


May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortExtensionAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on ArtifactAssessment.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 8. ArtifactAssessment.extension:url
    Slice Nameurl
    Definition

    An absolute URI that is used to identify this artifact 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 artifact is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the artifact is stored on different servers.

    ShortCanonical identifier for this artifact, represented as a URI (globally unique)
    Comments

    Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.

    The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions.

    In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found.

    Control0..1
    TypeExtension(Artifact URL) (Extension Type: uri)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. ArtifactAssessment.extension:description
    Slice Namedescription
    Definition

    A free text natural language description of the artifact from a consumer's perspective.

    ShortNatural language description of the artifact
    Comments

    This description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the artifact as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the artifact is presumed to be the predominant language in the place the artifact was created).

    Control0..1
    TypeExtension(Artifact Description) (Extension Type: markdown)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    12. ArtifactAssessment.extension:author
    Slice Nameauthor
    Definition

    An individual or organization primarily involved in the creation and maintenance of the artifact.

    ShortWho authored the artifact
    Control0..*
    TypeExtension(Artifact Author) (Extension Type: ContactDetail)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    14. ArtifactAssessment.extension:useContext
    Slice NameuseContext
    Definition

    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 artifact instances.

    ShortThe context that the content is intended to support
    Comments

    When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

    Control0..*
    TypeExtension(Artifact use context) (Extension Type: UsageContext)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    16. ArtifactAssessment.extension:RelatesToWithQuotation
    Slice NameRelatesToWithQuotation
    Definition

    Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

    ShortRelated artifact with quoted portion
    Control0..*
    TypeExtension(RelatesToWithQuotation) (Complex Extension)
    Is Modifierfalse
    Must Supportfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    18. ArtifactAssessment.extension:publicationStatus
    Slice NamepublicationStatus
    Definition

    The status of the processing for making the artifact publicly available, not necessarily the same as artifact status (Resource.status).

    ShortPublication status
    Control0..1
    TypeExtension(ArtifactPublicationStatus) (Extension Type: CodeableConcept)
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    20. ArtifactAssessment.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Must Supportfalse
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. ArtifactAssessment.identifier
    Definition

    A formal identifier that is used to identify this EvidenceAssessment when it is represented in other formats, or referenced in a specification, model, design or an instance.


    A formal identifier that is used to identify this artifact assessment when it is represented in other formats, or referenced in a specification, model, design or an instance.

    ShortAdditional identifier for the EvidenceAssessmentAdditional identifier for the artifact assessment
    Comments

    Typically, this is used for identifiers that can be used in systems outside of FHIR, where it is not sufficient to use the logical URI.


    This may be used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this artifact assessment outside of FHIR, where it is not possible to use the logical URI.

    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..*
    TypeIdentifier
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    Allows externally provided and/or usable business identifiers to be easily associated with the EvidenceAssessment.


    Allows externally provided and/or usable business identifiers to be easily associated with the artifact assessment.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. ArtifactAssessment.citeAs
    Definition

    Display of or reference to the bibliographic citation of the EvidenceAssessment.


    Display of the bibliographic citation of the comment, classifier, or rating.

    ShortHow to cite the EvidenceAssessmentHow to cite the comment or rating
    Control0..1
    Typemarkdown
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. ArtifactAssessment.artifact[x]
    Definition

    A reference to a resource, canonical resource, or non-FHIR resource which the EvidenceAssessment is about.


    A reference to a resource, canonical resource, or non-FHIR resource which the comment or assessment is about.

    ShortThe artifact that is ratedThe artifact assessed, commented upon or rated
    Control1..1
    TypeChoice of: Reference(Resource), canonical, uri
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. ArtifactAssessment.date
    Definition

    The date (and optionally time) when the EvidenceAssessment was published. The date should change when the substantive content of the EvidenceAssessment changes.


    The date (and optionally time) when the artifact assessment was published. The date must change when the disposition changes and it must change if the workflow status code changes. In addition, it should change when the substantive content of the artifact assessment changes.

    ShortDate last changed
    Comments

    The date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the artifact assessment. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

    Control0..1
    TypedateTime
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Alternate NamesRevision Date
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. ArtifactAssessment.copyright
    Definition

    A copyright statement relating to the EvidenceAssessment and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the EvidenceAssessment.


    A copyright statement relating to the artifact assessment and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the artifact assessment.

    ShortUse and/or publishing restrictions
    Control0..1
    Typemarkdown
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summaryfalse
    Requirements

    Consumers must be able to determine any legal restrictions on the use of the EvidenceAssessment and/or its content.


    Consumers must be able to determine any legal restrictions on the use of the artifact assessment and/or its content.

    Alternate NamesLicense, Restrictions
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. ArtifactAssessment.approvalDate
    Definition

    The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.

    ShortWhen the EvidenceAssessment was approved by publisherWhen the artifact assessment was approved by publisher
    Comments

    The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.

    Control0..1
    Typedate
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    34. ArtifactAssessment.lastReviewDate
    Definition

    The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.

    ShortWhen the EvidenceAssessment was last reviewedWhen the artifact assessment was last reviewed by the publisher
    Comments

    If specified, this date follows the original approval date.

    Control0..1
    Typedate
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Requirements

    Gives a sense of how "current" the content is. Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    36. ArtifactAssessment.content
    Definition

    A component comment, classifier, or rating of the artifact.

    ShortComment, classifier, or rating content
    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on ArtifactAssessment.content. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ type
    • 38. ArtifactAssessment.content.extension
      Definition

      An Extension


      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortExtensionAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on ArtifactAssessment.content.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 40. ArtifactAssessment.content.extension:RelatesToWithQuotation
        Slice NameRelatesToWithQuotation
        Definition

        Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

        ShortRelated artifact with quoted portion
        Control0..*
        TypeExtension(RelatesToWithQuotation) (Complex Extension)
        Is Modifierfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        42. ArtifactAssessment.content.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        44. ArtifactAssessment.content.freeToShare
        Definition

        Acceptable to publicly share the EvidenceAssessment content, specific to the associated content instance


        Acceptable to publicly share the comment, classifier or rating.

        ShortAcceptable to publicly share the EvidenceAssessment contentAcceptable to publicly share the content
        Comments

        Absence of a value should be interpreted as inheriting any freeToShare value present in a containing structure, else inheriting data from the ArtifactAssessment.copyright element, else value unknown.

        Control0..1
        Typeboolean
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        46. ArtifactAssessment.content.component
        Definition

        A component comment, classifier, or rating of the artifact.

        ShortComment, classifier, or rating content
        Control0..*
        TypeBackboneElement
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        48. ArtifactAssessment.content.component.extension
        Definition

        An Extension


        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortExtensionAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on ArtifactAssessment.content.component.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 50. ArtifactAssessment.content.component.extension:RelatesToWithQuotation
          Slice NameRelatesToWithQuotation
          Definition

          Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

          ShortRelated artifact with quoted portion
          Control0..*
          TypeExtension(RelatesToWithQuotation) (Complex Extension)
          Is Modifierfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          52. ArtifactAssessment.content.component.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          54. ArtifactAssessment.content:ratingSystem
          Slice NameratingSystem
          Definition

          A component comment, classifier, or rating of the artifact.

          ShortComment, classifier, or rating content
          Control0..1*
          TypeBackboneElement
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
          56. ArtifactAssessment.content:ratingSystem.extension:RelatesToWithQuotation
          Slice NameRelatesToWithQuotation
          Definition

          Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

          ShortRelated artifact with quoted portion
          Control0..*
          TypeExtension(RelatesToWithQuotation) (Complex Extension)
          Is Modifierfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          58. ArtifactAssessment.content:ratingSystem.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          60. ArtifactAssessment.content:ratingSystem.type
          Definition

          Indicates what type of content this component represents.

          ShortWhat type of content
          Control10..1
          BindingFor example codes, see EvidenceCertaintyTypehttp://hl7.org/fhir/ValueSet/certainty-type
          (example to http://hl7.org/fhir/ValueSet/certainty-type)
          TypeCodeableConcept
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Pattern Value{
            "coding" : [{
              "system" : "https://fevir.net/resources/CodeSystem/179423",
              "code" : "rating-system",
              "display" : "Rating System"
            }]
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          62. ArtifactAssessment.content:ratingSystem.classifier
          Definition

          Represents a rating, classifier, or assessment of the artifact.

          ShortRating, classifier, or assessment
          Control0..*
          BindingUnless not suitable, these codes SHALL be taken from For example codes, see Evidence Rating System Classifier Codes Value Sethttp://hl7.org/fhir/ValueSet/certainty-rating
          (extensible to http://hl7.org/fhir/uv/ebm/ValueSet/evidence-rating-system-classifier)
          TypeCodeableConcept
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          64. ArtifactAssessment.content:overall
          Slice Nameoverall
          Definition

          A component comment, classifier, or rating of the artifact.

          ShortComment, classifier, or rating content
          Control0..1*
          TypeBackboneElement
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
          66. ArtifactAssessment.content:overall.extension:RelatesToWithQuotation
          Slice NameRelatesToWithQuotation
          Definition

          Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

          ShortRelated artifact with quoted portion
          Control0..*
          TypeExtension(RelatesToWithQuotation) (Complex Extension)
          Is Modifierfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          68. ArtifactAssessment.content:overall.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          70. ArtifactAssessment.content:overall.type
          Definition

          Indicates what type of content this component represents.

          ShortWhat type of content
          Control10..1
          BindingFor example codes, see EvidenceCertaintyTypehttp://hl7.org/fhir/ValueSet/certainty-type
          (example to http://hl7.org/fhir/ValueSet/certainty-type)
          TypeCodeableConcept
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Pattern Value{
            "coding" : [{
              "system" : "http://hl7.org/fhir/certainty-type",
              "code" : "Overall",
              "display" : "Overall certainty"
            }]
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

          Guidance on how to interpret the contents of this table can be foundhere

          0. ArtifactAssessment
          2. ArtifactAssessment.extension
          SlicingThis element introduces a set of slices on ArtifactAssessment.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 4. ArtifactAssessment.extension:url
            Slice Nameurl
            Control0..1
            TypeExtension(Artifact URL) (Extension Type: uri)
            6. ArtifactAssessment.extension:description
            Slice Namedescription
            Control0..1
            TypeExtension(Artifact Description) (Extension Type: markdown)
            8. ArtifactAssessment.extension:author
            Slice Nameauthor
            Control0..*
            TypeExtension(Artifact Author) (Extension Type: ContactDetail)
            10. ArtifactAssessment.extension:useContext
            Slice NameuseContext
            Control0..*
            TypeExtension(Artifact use context) (Extension Type: UsageContext)
            12. ArtifactAssessment.extension:RelatesToWithQuotation
            Slice NameRelatesToWithQuotation
            Control0..*
            TypeExtension(RelatesToWithQuotation) (Complex Extension)
            14. ArtifactAssessment.extension:publicationStatus
            Slice NamepublicationStatus
            Control0..1
            TypeExtension(ArtifactPublicationStatus) (Extension Type: CodeableConcept)
            16. ArtifactAssessment.identifier
            Definition

            A formal identifier that is used to identify this EvidenceAssessment when it is represented in other formats, or referenced in a specification, model, design or an instance.

            ShortAdditional identifier for the EvidenceAssessment
            Comments

            Typically, this is used for identifiers that can be used in systems outside of FHIR, where it is not sufficient to use the logical URI.

            NoteThis is a business identifier, not a resource identifier (see discussion)
            Requirements

            Allows externally provided and/or usable business identifiers to be easily associated with the EvidenceAssessment.

            18. ArtifactAssessment.citeAs
            Definition

            Display of or reference to the bibliographic citation of the EvidenceAssessment.

            ShortHow to cite the EvidenceAssessment
            20. ArtifactAssessment.artifact[x]
            Definition

            A reference to a resource, canonical resource, or non-FHIR resource which the EvidenceAssessment is about.

            ShortThe artifact that is rated
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            22. ArtifactAssessment.date
            Definition

            The date (and optionally time) when the EvidenceAssessment was published. The date should change when the substantive content of the EvidenceAssessment changes.

            24. ArtifactAssessment.copyright
            Definition

            A copyright statement relating to the EvidenceAssessment and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the EvidenceAssessment.

            Requirements

            Consumers must be able to determine any legal restrictions on the use of the EvidenceAssessment and/or its content.

            26. ArtifactAssessment.approvalDate
            ShortWhen the EvidenceAssessment was approved by publisher
            28. ArtifactAssessment.lastReviewDate
            ShortWhen the EvidenceAssessment was last reviewed
            30. ArtifactAssessment.content
            SlicingThis element introduces a set of slices on ArtifactAssessment.content. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ type
            • 32. ArtifactAssessment.content.extension
              SlicingThis element introduces a set of slices on ArtifactAssessment.content.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 34. ArtifactAssessment.content.extension:RelatesToWithQuotation
                Slice NameRelatesToWithQuotation
                Control0..*
                TypeExtension(RelatesToWithQuotation) (Complex Extension)
                36. ArtifactAssessment.content.freeToShare
                Definition

                Acceptable to publicly share the EvidenceAssessment content, specific to the associated content instance

                ShortAcceptable to publicly share the EvidenceAssessment content
                38. ArtifactAssessment.content.component
                TypeBackboneElement
                40. ArtifactAssessment.content.component.extension
                SlicingThis element introduces a set of slices on ArtifactAssessment.content.component.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 42. ArtifactAssessment.content.component.extension:RelatesToWithQuotation
                  Slice NameRelatesToWithQuotation
                  Control0..*
                  TypeExtension(RelatesToWithQuotation) (Complex Extension)
                  44. ArtifactAssessment.content:ratingSystem
                  Slice NameratingSystem
                  Control0..1
                  Must Supporttrue
                  46. ArtifactAssessment.content:ratingSystem.extension:RelatesToWithQuotation
                  Slice NameRelatesToWithQuotation
                  Control0..*
                  TypeExtension(RelatesToWithQuotation) (Complex Extension)
                  48. ArtifactAssessment.content:ratingSystem.type
                  Control1..?
                  Pattern Value{
                    "coding" : [{
                      "system" : "https://fevir.net/resources/CodeSystem/179423",
                      "code" : "rating-system",
                      "display" : "Rating System"
                    }]
                  }
                  50. ArtifactAssessment.content:ratingSystem.classifier
                  BindingUnless not suitable, these codes SHALL be taken from Evidence Rating System Classifier Codes Value Set
                  (extensible to http://hl7.org/fhir/uv/ebm/ValueSet/evidence-rating-system-classifier)
                  52. ArtifactAssessment.content:ratingSystem.component
                  54. ArtifactAssessment.content:ratingSystem.component.extension:RelatesToWithQuotation
                  Slice NameRelatesToWithQuotation
                  Control0..*
                  TypeExtension(RelatesToWithQuotation) (Complex Extension)
                  56. ArtifactAssessment.content:overall
                  Slice Nameoverall
                  Control0..1
                  Must Supporttrue
                  58. ArtifactAssessment.content:overall.extension:RelatesToWithQuotation
                  Slice NameRelatesToWithQuotation
                  Control0..*
                  TypeExtension(RelatesToWithQuotation) (Complex Extension)
                  60. ArtifactAssessment.content:overall.type
                  Control1..?
                  Pattern Value{
                    "coding" : [{
                      "system" : "http://hl7.org/fhir/certainty-type",
                      "code" : "Overall",
                      "display" : "Overall certainty"
                    }]
                  }
                  62. ArtifactAssessment.content:overall.component
                  64. ArtifactAssessment.content:overall.component.extension:RelatesToWithQuotation
                  Slice NameRelatesToWithQuotation
                  Control0..*
                  TypeExtension(RelatesToWithQuotation) (Complex Extension)

                  Guidance on how to interpret the contents of this table can be foundhere

                  0. ArtifactAssessment
                  Definition

                  This Resource provides one or more comments, classifiers or ratings about a Resource and supports attribution and rights management metadata for the added content.

                  ShortAdds metadata-supported comments, classifiers or ratings related to a Resource
                  Control0..*
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                  dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty())
                  dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
                  dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                  dom-6: A resource should have narrative for robust management (text.`div`.exists())
                  2. ArtifactAssessment.id
                  Definition

                  The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                  ShortLogical id of this artifact
                  Comments

                  Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

                  Control0..1
                  Typeid
                  Is Modifierfalse
                  Must Supportfalse
                  Summarytrue
                  4. ArtifactAssessment.meta
                  Definition

                  The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                  ShortMetadata about the resource
                  Control0..1
                  TypeMeta
                  Is Modifierfalse
                  Must Supportfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  6. ArtifactAssessment.implicitRules
                  Definition

                  A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                  ShortA set of rules under which this content was created
                  Comments

                  Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

                  Control0..1
                  Typeuri
                  Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supportfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  8. ArtifactAssessment.language
                  Definition

                  The base language in which the resource is written.

                  ShortLanguage of the resource content
                  Comments

                  Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                  Control0..1
                  BindingThe codes SHALL be taken from AllLanguages
                  (required to http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3)

                  IETF language tag for a human language

                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  10. ArtifactAssessment.text
                  Definition

                  A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                  ShortText summary of the resource, for human interpretation
                  Comments

                  Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                  Control0..1
                  This element is affected by the following invariants: dom-6
                  TypeNarrative
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Alternate Namesnarrative, html, xhtml, display
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  12. ArtifactAssessment.contained
                  Definition

                  These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

                  ShortContained, inline Resources
                  Comments

                  This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. Contained resources may be a resource type defined in the FHIR specification, or an additional resource.

                  Control0..*
                  This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
                  TypeResource
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Alternate Namesinline resources, anonymous resources, contained resources
                  14. ArtifactAssessment.extension
                  Definition

                  An Extension

                  ShortExtension
                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  SlicingThis element introduces a set of slices on ArtifactAssessment.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 16. ArtifactAssessment.extension:url
                    Slice Nameurl
                    Definition

                    An absolute URI that is used to identify this artifact 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 artifact is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the artifact is stored on different servers.

                    ShortCanonical identifier for this artifact, represented as a URI (globally unique)
                    Comments

                    Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.

                    The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions.

                    In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found.

                    Control0..1
                    TypeExtension(Artifact URL) (Extension Type: uri)
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    18. ArtifactAssessment.extension:description
                    Slice Namedescription
                    Definition

                    A free text natural language description of the artifact from a consumer's perspective.

                    ShortNatural language description of the artifact
                    Comments

                    This description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the artifact as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the artifact is presumed to be the predominant language in the place the artifact was created).

                    Control0..1
                    TypeExtension(Artifact Description) (Extension Type: markdown)
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    20. ArtifactAssessment.extension:author
                    Slice Nameauthor
                    Definition

                    An individual or organization primarily involved in the creation and maintenance of the artifact.

                    ShortWho authored the artifact
                    Control0..*
                    TypeExtension(Artifact Author) (Extension Type: ContactDetail)
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    22. ArtifactAssessment.extension:useContext
                    Slice NameuseContext
                    Definition

                    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 artifact instances.

                    ShortThe context that the content is intended to support
                    Comments

                    When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

                    Control0..*
                    TypeExtension(Artifact use context) (Extension Type: UsageContext)
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    24. ArtifactAssessment.extension:RelatesToWithQuotation
                    Slice NameRelatesToWithQuotation
                    Definition

                    Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

                    ShortRelated artifact with quoted portion
                    Control0..*
                    TypeExtension(RelatesToWithQuotation) (Complex Extension)
                    Is Modifierfalse
                    Must Supportfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    26. ArtifactAssessment.extension:publicationStatus
                    Slice NamepublicationStatus
                    Definition

                    The status of the processing for making the artifact publicly available, not necessarily the same as artifact status (Resource.status).

                    ShortPublication status
                    Control0..1
                    TypeExtension(ArtifactPublicationStatus) (Extension Type: CodeableConcept)
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    28. ArtifactAssessment.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                    Must Supportfalse
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    30. ArtifactAssessment.identifier
                    Definition

                    A formal identifier that is used to identify this EvidenceAssessment when it is represented in other formats, or referenced in a specification, model, design or an instance.

                    ShortAdditional identifier for the EvidenceAssessment
                    Comments

                    Typically, this is used for identifiers that can be used in systems outside of FHIR, where it is not sufficient to use the logical URI.

                    NoteThis is a business identifier, not a resource identifier (see discussion)
                    Control0..*
                    TypeIdentifier
                    Is Modifierfalse
                    Must Supportfalse
                    Summarytrue
                    Requirements

                    Allows externally provided and/or usable business identifiers to be easily associated with the EvidenceAssessment.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    32. ArtifactAssessment.title
                    Definition

                    A label for use in displaying and selecting the artifact assessment.

                    ShortA label for use in displaying and selecting the artifact assessment
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    34. ArtifactAssessment.citeAs
                    Definition

                    Display of or reference to the bibliographic citation of the EvidenceAssessment.

                    ShortHow to cite the EvidenceAssessment
                    Control0..1
                    Typemarkdown
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    36. ArtifactAssessment.artifact[x]
                    Definition

                    A reference to a resource, canonical resource, or non-FHIR resource which the EvidenceAssessment is about.

                    ShortThe artifact that is rated
                    Control1..1
                    TypeChoice of: Reference(Resource), canonical, uri
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    38. ArtifactAssessment.relatesTo
                    Definition

                    Relationship that this ArtifactAssessment has with other FHIR or non-FHIR resources that already exist.

                    ShortRelationship to other Resources
                    Control0..*
                    TypeBackboneElement
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                    40. ArtifactAssessment.relatesTo.id
                    Definition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    ShortUnique id for inter-element referencing
                    Control0..1
                    This element is affected by the following invariants: ele-1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    42. ArtifactAssessment.relatesTo.extension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    ShortAdditional content defined by implementations
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    44. ArtifactAssessment.relatesTo.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored even if unrecognized
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    46. ArtifactAssessment.relatesTo.type
                    Definition

                    The type of relationship to the related artifact.

                    Shortdocumentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes
                    Control1..1
                    BindingThe codes SHALL be taken from ArtifactRelationshipType
                    (required to http://hl7.org/fhir/ValueSet/artifact-relationship-type|6.0.0-ballot3)

                    The type of relationship to the related artifact.

                    Typecode
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    48. ArtifactAssessment.relatesTo.target[x]
                    Definition

                    The artifact that is related to this ArtifactAssessment Resource.

                    ShortThe artifact that is related to this ArtifactAssessment
                    Control1..1
                    TypeChoice of: uri, Attachment, canonical(Resource), Reference(Resource), markdown
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    50. ArtifactAssessment.date
                    Definition

                    The date (and optionally time) when the EvidenceAssessment was published. The date should change when the substantive content of the EvidenceAssessment changes.

                    ShortDate last changed
                    Comments

                    The date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the artifact assessment. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

                    Control0..1
                    TypedateTime
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summarytrue
                    Alternate NamesRevision Date
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    52. ArtifactAssessment.copyright
                    Definition

                    A copyright statement relating to the EvidenceAssessment and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the EvidenceAssessment.

                    ShortUse and/or publishing restrictions
                    Control0..1
                    Typemarkdown
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Requirements

                    Consumers must be able to determine any legal restrictions on the use of the EvidenceAssessment and/or its content.

                    Alternate NamesLicense, Restrictions
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    54. ArtifactAssessment.approvalDate
                    Definition

                    The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.

                    ShortWhen the EvidenceAssessment was approved by publisher
                    Comments

                    The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.

                    Control0..1
                    Typedate
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    56. ArtifactAssessment.lastReviewDate
                    Definition

                    The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.

                    ShortWhen the EvidenceAssessment was last reviewed
                    Comments

                    If specified, this date follows the original approval date.

                    Control0..1
                    Typedate
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summarytrue
                    Requirements

                    Gives a sense of how "current" the content is. Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    58. ArtifactAssessment.content
                    Definition

                    A component comment, classifier, or rating of the artifact.

                    ShortComment, classifier, or rating content
                    Control0..*
                    TypeBackboneElement
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                    SlicingThis element introduces a set of slices on ArtifactAssessment.content. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ type
                    • 60. ArtifactAssessment.content.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      This element is affected by the following invariants: ele-1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      62. ArtifactAssessment.content.extension
                      Definition

                      An Extension

                      ShortExtension
                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      SlicingThis element introduces a set of slices on ArtifactAssessment.content.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 64. ArtifactAssessment.content.extension:RelatesToWithQuotation
                        Slice NameRelatesToWithQuotation
                        Definition

                        Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

                        ShortRelated artifact with quoted portion
                        Control0..*
                        TypeExtension(RelatesToWithQuotation) (Complex Extension)
                        Is Modifierfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        66. ArtifactAssessment.content.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        68. ArtifactAssessment.content.summary
                        Definition

                        A brief summary of the content of this component.

                        ShortBrief summary of the content
                        Control0..1
                        Typemarkdown
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        70. ArtifactAssessment.content.type
                        Definition

                        Indicates what type of content this component represents.

                        ShortWhat type of content
                        Control0..1
                        BindingFor example codes, see EvidenceCertaintyType
                        (example to http://hl7.org/fhir/ValueSet/certainty-type)
                        TypeCodeableConcept
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        72. ArtifactAssessment.content.classifier
                        Definition

                        Represents a rating, classifier, or assessment of the artifact.

                        ShortRating, classifier, or assessment
                        Control0..*
                        BindingFor example codes, see EvidenceCertaintyRating
                        (example to http://hl7.org/fhir/ValueSet/certainty-rating)
                        TypeCodeableConcept
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        74. ArtifactAssessment.content.quantity
                        Definition

                        A quantitative rating of the artifact.

                        ShortQuantitative rating
                        Control0..1
                        TypeQuantity
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        76. ArtifactAssessment.content.author
                        Definition

                        Indicates who or what authored the content.

                        ShortWho authored the content
                        Control0..*
                        TypeReference(Patient, Practitioner, PractitionerRole, Organization, Device)
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        78. ArtifactAssessment.content.path
                        Definition

                        A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.

                        ShortWhat the comment is directed to
                        Comments

                        The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).

                        Control0..*
                        Typeuri
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        80. ArtifactAssessment.content.relatesTo
                        Definition

                        Relationship that this content component has with other FHIR or non-FHIR resources that already exist.

                        ShortRelationship to other Resources
                        Control0..*
                        TypeSeettp://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.relatesTo
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        82. ArtifactAssessment.content.freeToShare
                        Definition

                        Acceptable to publicly share the EvidenceAssessment content, specific to the associated content instance

                        ShortAcceptable to publicly share the EvidenceAssessment content
                        Comments

                        Absence of a value should be interpreted as inheriting any freeToShare value present in a containing structure, else inheriting data from the ArtifactAssessment.copyright element, else value unknown.

                        Control0..1
                        Typeboolean
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        84. ArtifactAssessment.content.component
                        Definition

                        A component comment, classifier, or rating of the artifact.

                        ShortComment, classifier, or rating content
                        Control0..*
                        TypeBackboneElement
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        86. ArtifactAssessment.content.component.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        This element is affected by the following invariants: ele-1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        88. ArtifactAssessment.content.component.extension
                        Definition

                        An Extension

                        ShortExtension
                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        SlicingThis element introduces a set of slices on ArtifactAssessment.content.component.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 90. ArtifactAssessment.content.component.extension:RelatesToWithQuotation
                          Slice NameRelatesToWithQuotation
                          Definition

                          Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

                          ShortRelated artifact with quoted portion
                          Control0..*
                          TypeExtension(RelatesToWithQuotation) (Complex Extension)
                          Is Modifierfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          92. ArtifactAssessment.content.component.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          94. ArtifactAssessment.content.component.summary
                          Definition

                          A brief summary of the content of this component.

                          ShortBrief summary of the content
                          Control0..1
                          Typemarkdown
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          96. ArtifactAssessment.content.component.type
                          Definition

                          Indicates what type of content this component represents.

                          ShortWhat type of content
                          Control0..1
                          BindingFor example codes, see EvidenceCertaintyType
                          (example to http://hl7.org/fhir/ValueSet/certainty-type)
                          TypeCodeableConcept
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          98. ArtifactAssessment.content.component.classifier
                          Definition

                          Represents a rating, classifier, or assessment of the artifact.

                          ShortRating, classifier, or assessment
                          Control0..*
                          BindingFor example codes, see EvidenceCertaintyRating
                          (example to http://hl7.org/fhir/ValueSet/certainty-rating)
                          TypeCodeableConcept
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          100. ArtifactAssessment.content.component.quantity
                          Definition

                          A quantitative rating of the artifact.

                          ShortQuantitative rating
                          Control0..1
                          TypeQuantity
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          102. ArtifactAssessment.content.component.author
                          Definition

                          Indicates who or what authored the content.

                          ShortWho authored the content
                          Control0..*
                          TypeReference(Patient, Practitioner, PractitionerRole, Organization, Device)
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          104. ArtifactAssessment.content.component.path
                          Definition

                          A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.

                          ShortWhat the comment is directed to
                          Comments

                          The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).

                          Control0..*
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          106. ArtifactAssessment.content.component.relatesTo
                          Definition

                          Relationship that this content component has with other FHIR or non-FHIR resources that already exist.

                          ShortRelationship to other Resources
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.relatesTo
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          108. ArtifactAssessment.content.component.freeToShare
                          Definition

                          Acceptable to publicly share the comment, classifier or rating.

                          ShortAcceptable to publicly share the content
                          Comments

                          Absence of a value should be interpreted as inheriting any freeToShare value present in a containing structure, else inheriting data from the ArtifactAssessment.copyright element, else value unknown.

                          Control0..1
                          Typeboolean
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          110. ArtifactAssessment.content.component.component
                          Definition

                          A component comment, classifier, or rating of the artifact.

                          ShortComment, classifier, or rating content
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.content
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          112. ArtifactAssessment.content:ratingSystem
                          Slice NameratingSystem
                          Definition

                          A component comment, classifier, or rating of the artifact.

                          ShortComment, classifier, or rating content
                          Control0..1
                          TypeBackboneElement
                          Is Modifierfalse
                          Must Supporttrue
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                          114. ArtifactAssessment.content:ratingSystem.id
                          Definition

                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                          ShortUnique id for inter-element referencing
                          Control0..1
                          This element is affected by the following invariants: ele-1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          116. ArtifactAssessment.content:ratingSystem.extension
                          Definition

                          An Extension

                          ShortExtension
                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          SlicingThis element introduces a set of slices on ArtifactAssessment.content.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 118. ArtifactAssessment.content:ratingSystem.extension:RelatesToWithQuotation
                            Slice NameRelatesToWithQuotation
                            Definition

                            Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

                            ShortRelated artifact with quoted portion
                            Control0..*
                            TypeExtension(RelatesToWithQuotation) (Complex Extension)
                            Is Modifierfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            120. ArtifactAssessment.content:ratingSystem.modifierExtension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            Requirements

                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            122. ArtifactAssessment.content:ratingSystem.summary
                            Definition

                            A brief summary of the content of this component.

                            ShortBrief summary of the content
                            Control0..1
                            Typemarkdown
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            124. ArtifactAssessment.content:ratingSystem.type
                            Definition

                            Indicates what type of content this component represents.

                            ShortWhat type of content
                            Control1..1
                            BindingFor example codes, see EvidenceCertaintyType
                            (example to http://hl7.org/fhir/ValueSet/certainty-type)
                            TypeCodeableConcept
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Pattern Value{
                              "coding" : [{
                                "system" : "https://fevir.net/resources/CodeSystem/179423",
                                "code" : "rating-system",
                                "display" : "Rating System"
                              }]
                            }
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            126. ArtifactAssessment.content:ratingSystem.classifier
                            Definition

                            Represents a rating, classifier, or assessment of the artifact.

                            ShortRating, classifier, or assessment
                            Control0..*
                            BindingUnless not suitable, these codes SHALL be taken from Evidence Rating System Classifier Codes Value Set
                            (extensible to http://hl7.org/fhir/uv/ebm/ValueSet/evidence-rating-system-classifier)
                            TypeCodeableConcept
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            128. ArtifactAssessment.content:ratingSystem.quantity
                            Definition

                            A quantitative rating of the artifact.

                            ShortQuantitative rating
                            Control0..1
                            TypeQuantity
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            130. ArtifactAssessment.content:ratingSystem.author
                            Definition

                            Indicates who or what authored the content.

                            ShortWho authored the content
                            Control0..*
                            TypeReference(Patient, Practitioner, PractitionerRole, Organization, Device)
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            132. ArtifactAssessment.content:ratingSystem.path
                            Definition

                            A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.

                            ShortWhat the comment is directed to
                            Comments

                            The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).

                            Control0..*
                            Typeuri
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            134. ArtifactAssessment.content:ratingSystem.relatesTo
                            Definition

                            Relationship that this content component has with other FHIR or non-FHIR resources that already exist.

                            ShortRelationship to other Resources
                            Control0..*
                            TypeSeettp://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.relatesTo
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            136. ArtifactAssessment.content:ratingSystem.freeToShare
                            Definition

                            Acceptable to publicly share the EvidenceAssessment content, specific to the associated content instance

                            ShortAcceptable to publicly share the EvidenceAssessment content
                            Comments

                            Absence of a value should be interpreted as inheriting any freeToShare value present in a containing structure, else inheriting data from the ArtifactAssessment.copyright element, else value unknown.

                            Control0..1
                            Typeboolean
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            138. ArtifactAssessment.content:ratingSystem.component
                            Definition

                            A component comment, classifier, or rating of the artifact.

                            ShortComment, classifier, or rating content
                            Control0..*
                            TypeBackboneElement
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            140. ArtifactAssessment.content:ratingSystem.component.id
                            Definition

                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                            ShortUnique id for inter-element referencing
                            Control0..1
                            This element is affected by the following invariants: ele-1
                            Typestring
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            142. ArtifactAssessment.content:ratingSystem.component.extension
                            Definition

                            An Extension

                            ShortExtension
                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            SlicingThis element introduces a set of slices on ArtifactAssessment.content.component.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 144. ArtifactAssessment.content:ratingSystem.component.extension:RelatesToWithQuotation
                              Slice NameRelatesToWithQuotation
                              Definition

                              Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

                              ShortRelated artifact with quoted portion
                              Control0..*
                              TypeExtension(RelatesToWithQuotation) (Complex Extension)
                              Is Modifierfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              146. ArtifactAssessment.content:ratingSystem.component.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              148. ArtifactAssessment.content:ratingSystem.component.summary
                              Definition

                              A brief summary of the content of this component.

                              ShortBrief summary of the content
                              Control0..1
                              Typemarkdown
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              150. ArtifactAssessment.content:ratingSystem.component.type
                              Definition

                              Indicates what type of content this component represents.

                              ShortWhat type of content
                              Control0..1
                              BindingFor example codes, see EvidenceCertaintyType
                              (example to http://hl7.org/fhir/ValueSet/certainty-type)
                              TypeCodeableConcept
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              152. ArtifactAssessment.content:ratingSystem.component.classifier
                              Definition

                              Represents a rating, classifier, or assessment of the artifact.

                              ShortRating, classifier, or assessment
                              Control0..*
                              BindingFor example codes, see EvidenceCertaintyRating
                              (example to http://hl7.org/fhir/ValueSet/certainty-rating)
                              TypeCodeableConcept
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              154. ArtifactAssessment.content:ratingSystem.component.quantity
                              Definition

                              A quantitative rating of the artifact.

                              ShortQuantitative rating
                              Control0..1
                              TypeQuantity
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              156. ArtifactAssessment.content:ratingSystem.component.author
                              Definition

                              Indicates who or what authored the content.

                              ShortWho authored the content
                              Control0..*
                              TypeReference(Patient, Practitioner, PractitionerRole, Organization, Device)
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              158. ArtifactAssessment.content:ratingSystem.component.path
                              Definition

                              A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.

                              ShortWhat the comment is directed to
                              Comments

                              The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).

                              Control0..*
                              Typeuri
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              160. ArtifactAssessment.content:ratingSystem.component.relatesTo
                              Definition

                              Relationship that this content component has with other FHIR or non-FHIR resources that already exist.

                              ShortRelationship to other Resources
                              Control0..*
                              TypeSeettp://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.relatesTo
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              162. ArtifactAssessment.content:ratingSystem.component.freeToShare
                              Definition

                              Acceptable to publicly share the comment, classifier or rating.

                              ShortAcceptable to publicly share the content
                              Comments

                              Absence of a value should be interpreted as inheriting any freeToShare value present in a containing structure, else inheriting data from the ArtifactAssessment.copyright element, else value unknown.

                              Control0..1
                              Typeboolean
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              164. ArtifactAssessment.content:ratingSystem.component.component
                              Definition

                              A component comment, classifier, or rating of the artifact.

                              ShortComment, classifier, or rating content
                              Control0..*
                              TypeSeettp://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.content
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              166. ArtifactAssessment.content:overall
                              Slice Nameoverall
                              Definition

                              A component comment, classifier, or rating of the artifact.

                              ShortComment, classifier, or rating content
                              Control0..1
                              TypeBackboneElement
                              Is Modifierfalse
                              Must Supporttrue
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                              168. ArtifactAssessment.content:overall.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              This element is affected by the following invariants: ele-1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              170. ArtifactAssessment.content:overall.extension
                              Definition

                              An Extension

                              ShortExtension
                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              SlicingThis element introduces a set of slices on ArtifactAssessment.content.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 172. ArtifactAssessment.content:overall.extension:RelatesToWithQuotation
                                Slice NameRelatesToWithQuotation
                                Definition

                                Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

                                ShortRelated artifact with quoted portion
                                Control0..*
                                TypeExtension(RelatesToWithQuotation) (Complex Extension)
                                Is Modifierfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                174. ArtifactAssessment.content:overall.modifierExtension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                ShortExtensions that cannot be ignored even if unrecognized
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                Summarytrue
                                Requirements

                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                Alternate Namesextensions, user content, modifiers
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                176. ArtifactAssessment.content:overall.summary
                                Definition

                                A brief summary of the content of this component.

                                ShortBrief summary of the content
                                Control0..1
                                Typemarkdown
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                178. ArtifactAssessment.content:overall.type
                                Definition

                                Indicates what type of content this component represents.

                                ShortWhat type of content
                                Control1..1
                                BindingFor example codes, see EvidenceCertaintyType
                                (example to http://hl7.org/fhir/ValueSet/certainty-type)
                                TypeCodeableConcept
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Pattern Value{
                                  "coding" : [{
                                    "system" : "http://hl7.org/fhir/certainty-type",
                                    "code" : "Overall",
                                    "display" : "Overall certainty"
                                  }]
                                }
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                180. ArtifactAssessment.content:overall.classifier
                                Definition

                                Represents a rating, classifier, or assessment of the artifact.

                                ShortRating, classifier, or assessment
                                Control0..*
                                BindingFor example codes, see EvidenceCertaintyRating
                                (example to http://hl7.org/fhir/ValueSet/certainty-rating)
                                TypeCodeableConcept
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                182. ArtifactAssessment.content:overall.quantity
                                Definition

                                A quantitative rating of the artifact.

                                ShortQuantitative rating
                                Control0..1
                                TypeQuantity
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                184. ArtifactAssessment.content:overall.author
                                Definition

                                Indicates who or what authored the content.

                                ShortWho authored the content
                                Control0..*
                                TypeReference(Patient, Practitioner, PractitionerRole, Organization, Device)
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                186. ArtifactAssessment.content:overall.path
                                Definition

                                A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.

                                ShortWhat the comment is directed to
                                Comments

                                The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).

                                Control0..*
                                Typeuri
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                188. ArtifactAssessment.content:overall.relatesTo
                                Definition

                                Relationship that this content component has with other FHIR or non-FHIR resources that already exist.

                                ShortRelationship to other Resources
                                Control0..*
                                TypeSeettp://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.relatesTo
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                190. ArtifactAssessment.content:overall.freeToShare
                                Definition

                                Acceptable to publicly share the EvidenceAssessment content, specific to the associated content instance

                                ShortAcceptable to publicly share the EvidenceAssessment content
                                Comments

                                Absence of a value should be interpreted as inheriting any freeToShare value present in a containing structure, else inheriting data from the ArtifactAssessment.copyright element, else value unknown.

                                Control0..1
                                Typeboolean
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                192. ArtifactAssessment.content:overall.component
                                Definition

                                A component comment, classifier, or rating of the artifact.

                                ShortComment, classifier, or rating content
                                Control0..*
                                TypeBackboneElement
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                194. ArtifactAssessment.content:overall.component.id
                                Definition

                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                ShortUnique id for inter-element referencing
                                Control0..1
                                This element is affected by the following invariants: ele-1
                                Typestring
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                196. ArtifactAssessment.content:overall.component.extension
                                Definition

                                An Extension

                                ShortExtension
                                Control0..*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                SlicingThis element introduces a set of slices on ArtifactAssessment.content.component.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 198. ArtifactAssessment.content:overall.component.extension:RelatesToWithQuotation
                                  Slice NameRelatesToWithQuotation
                                  Definition

                                  Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

                                  ShortRelated artifact with quoted portion
                                  Control0..*
                                  TypeExtension(RelatesToWithQuotation) (Complex Extension)
                                  Is Modifierfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  200. ArtifactAssessment.content:overall.component.modifierExtension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                  ShortExtensions that cannot be ignored even if unrecognized
                                  Comments

                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                  Control0..*
                                  TypeExtension
                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                  Summarytrue
                                  Requirements

                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                  Alternate Namesextensions, user content, modifiers
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  202. ArtifactAssessment.content:overall.component.summary
                                  Definition

                                  A brief summary of the content of this component.

                                  ShortBrief summary of the content
                                  Control0..1
                                  Typemarkdown
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Must Supportfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  204. ArtifactAssessment.content:overall.component.type
                                  Definition

                                  Indicates what type of content this component represents.

                                  ShortWhat type of content
                                  Control0..1
                                  BindingFor example codes, see EvidenceCertaintyType
                                  (example to http://hl7.org/fhir/ValueSet/certainty-type)
                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Must Supportfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  206. ArtifactAssessment.content:overall.component.classifier
                                  Definition

                                  Represents a rating, classifier, or assessment of the artifact.

                                  ShortRating, classifier, or assessment
                                  Control0..*
                                  BindingFor example codes, see EvidenceCertaintyRating
                                  (example to http://hl7.org/fhir/ValueSet/certainty-rating)
                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Must Supportfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  208. ArtifactAssessment.content:overall.component.quantity
                                  Definition

                                  A quantitative rating of the artifact.

                                  ShortQuantitative rating
                                  Control0..1
                                  TypeQuantity
                                  Is Modifierfalse
                                  Must Supportfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  210. ArtifactAssessment.content:overall.component.author
                                  Definition

                                  Indicates who or what authored the content.

                                  ShortWho authored the content
                                  Control0..*
                                  TypeReference(Patient, Practitioner, PractitionerRole, Organization, Device)
                                  Is Modifierfalse
                                  Must Supportfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  212. ArtifactAssessment.content:overall.component.path
                                  Definition

                                  A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.

                                  ShortWhat the comment is directed to
                                  Comments

                                  The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).

                                  Control0..*
                                  Typeuri
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Must Supportfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  214. ArtifactAssessment.content:overall.component.relatesTo
                                  Definition

                                  Relationship that this content component has with other FHIR or non-FHIR resources that already exist.

                                  ShortRelationship to other Resources
                                  Control0..*
                                  TypeSeettp://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.relatesTo
                                  Is Modifierfalse
                                  Must Supportfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  216. ArtifactAssessment.content:overall.component.freeToShare
                                  Definition

                                  Acceptable to publicly share the comment, classifier or rating.

                                  ShortAcceptable to publicly share the content
                                  Comments

                                  Absence of a value should be interpreted as inheriting any freeToShare value present in a containing structure, else inheriting data from the ArtifactAssessment.copyright element, else value unknown.

                                  Control0..1
                                  Typeboolean
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Must Supportfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  218. ArtifactAssessment.content:overall.component.component
                                  Definition

                                  A component comment, classifier, or rating of the artifact.

                                  ShortComment, classifier, or rating content
                                  Control0..*
                                  TypeSeettp://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.content
                                  Is Modifierfalse
                                  Must Supportfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  220. ArtifactAssessment.workflowStatus
                                  Definition

                                  Indicates the workflow status of the comment or change request.

                                  Shortsubmitted | triaged | waiting-for-input | resolved-no-change | resolved-change-required | deferred | duplicate | applied | published | entered-in-error
                                  Control0..1
                                  BindingThe codes SHALL be taken from ArtifactAssessmentWorkflowStatus
                                  (required to http://hl7.org/fhir/ValueSet/artifactassessment-workflow-status|6.0.0-ballot3)
                                  Typecode
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Must Supportfalse
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  222. ArtifactAssessment.disposition
                                  Definition

                                  Indicates the disposition of the responsible party to the comment or change request.

                                  Shortunresolved | not-persuasive | persuasive | persuasive-with-modification | not-persuasive-with-modification
                                  Control0..1
                                  BindingThe codes SHALL be taken from ArtifactAssessmentDisposition
                                  (required to http://hl7.org/fhir/ValueSet/artifactassessment-disposition|6.0.0-ballot3)
                                  Typecode
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Must Supportfalse
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))