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: RecommendationJustification - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 1

Definitions for the recommendation-justification 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: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())
8. 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())
10. 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())
12. 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())
14. 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())
16. 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())
18. 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()))
20. ArtifactAssessment.identifier
Definition

A formal identifier that is used to identify this Recommendation Justification 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 Recommendation JustificationAdditional 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 Recommendation Justification.


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()))
22. ArtifactAssessment.citeAs
Definition

Display of or reference to the bibliographic citation of the Recommendation Justification.


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

ShortHow to cite the Recommendation JustificationHow 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()))
24. ArtifactAssessment.artifact[x]
Definition

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


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

ShortThe recommendation that is justifiedThe 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()))
26. ArtifactAssessment.date
Definition

The date (and optionally time) when the Recommendation Justification was published. The date should change when the substantive content of the Rating 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()))
28. ArtifactAssessment.copyright
Definition

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


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 Recommendation Justification 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()))
30. 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 Recommendation Justification 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()))
32. 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 Recommendation Justification 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()))
34. ArtifactAssessment.content
Definition

A comment, rating, or classification of the recommendation.


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

ShortA comment, rating, or classificationComment, classifier, or rating content
Control10..*
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
  • 36. 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())
    38. 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()))
    40. ArtifactAssessment.content.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 Recommendation Justification Classifier Codes Value Sethttp://hl7.org/fhir/ValueSet/certainty-rating
    (extensible to http://hl7.org/fhir/uv/ebm/ValueSet/recommendation-justification-classifier)
    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    42. 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()))
    44. 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())
    46. 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()))
    48. 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()))
    50. 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()))
    52. 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())
    54. 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()))
    56. 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()))
    58. ArtifactAssessment.content:strengthOfRecommendation
    Slice NamestrengthOfRecommendation
    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()))
    60. ArtifactAssessment.content:strengthOfRecommendation.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())
    62. ArtifactAssessment.content:strengthOfRecommendation.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()))
    64. ArtifactAssessment.content:strengthOfRecommendation.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" : "strength-of-recommendation",
        "display" : "Strength of Recommendation"
      }]
    }
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    66. ArtifactAssessment.content:directionOfRecommendation
    Slice NamedirectionOfRecommendation
    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()))
    68. ArtifactAssessment.content:directionOfRecommendation.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())
    70. ArtifactAssessment.content:directionOfRecommendation.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()))
    72. ArtifactAssessment.content:directionOfRecommendation.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" : "direction-of-recommendation",
        "display" : "Direction of Recommendation"
      }]
    }
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    74. ArtifactAssessment.content:certaintyOfEvidence
    Slice NamecertaintyOfEvidence
    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()))
    76. ArtifactAssessment.content:certaintyOfEvidence.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())
    78. ArtifactAssessment.content:certaintyOfEvidence.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()))
    80. ArtifactAssessment.content:certaintyOfEvidence.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" : "certainty-of-evidence",
        "display" : "Certainty of Evidence"
      }]
    }
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    82. ArtifactAssessment.content:ratings
    Slice Nameratings
    Definition

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

    ShortComment, classifier, or rating content
    Control0..1*
    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()))
    84. ArtifactAssessment.content:ratings.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())
    86. ArtifactAssessment.content:ratings.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()))
    88. ArtifactAssessment.content:ratings.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" : "ratings",
        "display" : "Ratings"
      }]
    }
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    90. ArtifactAssessment.content:evidence
    Slice Nameevidence
    Definition

    A comment, rating, or classification of the recommendation.


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

    ShortA comment, rating, or classificationComment, 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()))
    92. ArtifactAssessment.content:evidence.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())
    94. ArtifactAssessment.content:evidence.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()))
    96. ArtifactAssessment.content:evidence.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" : "evidence",
        "display" : "Evidence"
      }]
    }
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    98. ArtifactAssessment.content:evidence.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 Recommendation Justification Classifier Codes Value Sethttp://hl7.org/fhir/ValueSet/certainty-rating
    (extensible to http://hl7.org/fhir/uv/ebm/ValueSet/recommendation-justification-classifier)
    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:evidence.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()))
    SlicingThis element introduces a set of slices on ArtifactAssessment.content.component. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ type
    • 102. ArtifactAssessment.content:evidence.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())
      104. ArtifactAssessment.content:evidence.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()))
      106. ArtifactAssessment.content:evidence.component:summaryOfFindings
      Slice NamesummaryOfFindings
      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 (hasValue() or (children().count() > id.count()))
      108. ArtifactAssessment.content:evidence.component:summaryOfFindings.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())
      110. ArtifactAssessment.content:evidence.component:summaryOfFindings.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()))
      112. ArtifactAssessment.content:evidence.component:summaryOfFindings.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" : "summary-of-findings",
          "display" : "Summary of Findings"
        }]
      }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      114. ArtifactAssessment.content:evidence.component:desirableEffects
      Slice NamedesirableEffects
      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 (hasValue() or (children().count() > id.count()))
      116. ArtifactAssessment.content:evidence.component:desirableEffects.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())
      118. ArtifactAssessment.content:evidence.component:desirableEffects.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()))
      120. ArtifactAssessment.content:evidence.component:desirableEffects.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" : "desirable-effects",
          "display" : "Desirable Effects"
        }]
      }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      122. ArtifactAssessment.content:evidence.component:undesirableEffects
      Slice NameundesirableEffects
      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 (hasValue() or (children().count() > id.count()))
      124. ArtifactAssessment.content:evidence.component:undesirableEffects.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())
      126. ArtifactAssessment.content:evidence.component:undesirableEffects.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()))
      128. ArtifactAssessment.content:evidence.component:undesirableEffects.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" : "undesirable-effects",
          "display" : "Undesirable Effects"
        }]
      }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      130. ArtifactAssessment.content:evidence.component:discussion
      Slice Namediscussion
      Definition

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

      ShortComment, classifier, or rating content
      Control0..1*
      TypeBackboneElement
      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:evidence.component:discussion.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())
      134. ArtifactAssessment.content:evidence.component:discussion.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()))
      136. ArtifactAssessment.content:evidence.component:discussion.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" : "discussion",
          "display" : "Discussion"
        }]
      }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      138. ArtifactAssessment.content:netEffect
      Slice NamenetEffect
      Definition

      A comment, rating, or classification of the recommendation.


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

      ShortA comment, rating, or classificationComment, 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()))
      140. ArtifactAssessment.content:netEffect.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())
      142. ArtifactAssessment.content:netEffect.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()))
      144. ArtifactAssessment.content:netEffect.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" : "net-effect",
          "display" : "Net Effect"
        }]
      }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      146. ArtifactAssessment.content:netEffect.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 Recommendation Justification Classifier Codes Value Sethttp://hl7.org/fhir/ValueSet/certainty-rating
      (extensible to http://hl7.org/fhir/uv/ebm/ValueSet/recommendation-justification-classifier)
      TypeCodeableConcept
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      148. ArtifactAssessment.content:netEffect.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()))
      SlicingThis element introduces a set of slices on ArtifactAssessment.content.component. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ type
      • 150. ArtifactAssessment.content:netEffect.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())
        152. ArtifactAssessment.content:netEffect.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()))
        154. ArtifactAssessment.content:netEffect.component:preferences
        Slice Namepreferences
        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 (hasValue() or (children().count() > id.count()))
        156. ArtifactAssessment.content:netEffect.component:preferences.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())
        158. ArtifactAssessment.content:netEffect.component:preferences.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()))
        160. ArtifactAssessment.content:netEffect.component:preferences.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" : "preferences",
            "display" : "Preferences"
          }]
        }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        162. ArtifactAssessment.content:netEffect.component:discussion
        Slice Namediscussion
        Definition

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

        ShortComment, classifier, or rating content
        Control0..1*
        TypeBackboneElement
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        164. ArtifactAssessment.content:netEffect.component:discussion.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())
        166. ArtifactAssessment.content:netEffect.component:discussion.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()))
        168. ArtifactAssessment.content:netEffect.component:discussion.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" : "discussion",
            "display" : "Discussion"
          }]
        }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        170. ArtifactAssessment.content:judgments
        Slice Namejudgments
        Definition

        A comment, rating, or classification of the recommendation.


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

        ShortA comment, rating, or classificationComment, 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()))
        172. ArtifactAssessment.content:judgments.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:judgments.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:judgments.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" : "judgments",
            "display" : "Judgments"
          }]
        }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        178. ArtifactAssessment.content:judgments.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 Recommendation Justification Classifier Codes Value Sethttp://hl7.org/fhir/ValueSet/certainty-rating
        (extensible to http://hl7.org/fhir/uv/ebm/ValueSet/recommendation-justification-classifier)
        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        180. ArtifactAssessment.content:judgments.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()))
        SlicingThis element introduces a set of slices on ArtifactAssessment.content.component. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ type
        • 182. ArtifactAssessment.content:judgments.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())
          184. ArtifactAssessment.content:judgments.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()))
          186. ArtifactAssessment.content:judgments.component:justification
          Slice Namejustification
          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 (hasValue() or (children().count() > id.count()))
          188. ArtifactAssessment.content:judgments.component:justification.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())
          190. ArtifactAssessment.content:judgments.component:justification.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()))
          192. ArtifactAssessment.content:judgments.component:justification.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" : "justification",
              "display" : "Justification"
            }]
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          194. ArtifactAssessment.content:judgments.component:problemImportance
          Slice NameproblemImportance
          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 (hasValue() or (children().count() > id.count()))
          196. ArtifactAssessment.content:judgments.component:problemImportance.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())
          198. ArtifactAssessment.content:judgments.component:problemImportance.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()))
          200. ArtifactAssessment.content:judgments.component:problemImportance.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" : "problem-importance",
              "display" : "Problem Importance"
            }]
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          202. ArtifactAssessment.content:judgments.component:costs
          Slice Namecosts
          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 (hasValue() or (children().count() > id.count()))
          204. ArtifactAssessment.content:judgments.component:costs.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())
          206. ArtifactAssessment.content:judgments.component:costs.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()))
          208. ArtifactAssessment.content:judgments.component:costs.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" : "costs",
              "display" : "Costs"
            }]
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          210. ArtifactAssessment.content:judgments.component:costeffectiveness
          Slice Namecosteffectiveness
          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 (hasValue() or (children().count() > id.count()))
          212. ArtifactAssessment.content:judgments.component:costeffectiveness.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())
          214. ArtifactAssessment.content:judgments.component:costeffectiveness.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()))
          216. ArtifactAssessment.content:judgments.component:costeffectiveness.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" : "cost-effectiveness",
              "display" : "Cost-effectiveness"
            }]
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          218. ArtifactAssessment.content:judgments.component:equity
          Slice Nameequity
          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 (hasValue() or (children().count() > id.count()))
          220. ArtifactAssessment.content:judgments.component:equity.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())
          222. ArtifactAssessment.content:judgments.component:equity.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()))
          224. ArtifactAssessment.content:judgments.component:equity.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" : "equity",
              "display" : "Equity"
            }]
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          226. ArtifactAssessment.content:judgments.component:acceptability
          Slice Nameacceptability
          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 (hasValue() or (children().count() > id.count()))
          228. ArtifactAssessment.content:judgments.component:acceptability.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())
          230. ArtifactAssessment.content:judgments.component:acceptability.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()))
          232. ArtifactAssessment.content:judgments.component:acceptability.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" : "acceptability",
              "display" : "Acceptability"
            }]
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          234. ArtifactAssessment.content:judgments.component:feasibility
          Slice Namefeasibility
          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 (hasValue() or (children().count() > id.count()))
          236. ArtifactAssessment.content:judgments.component:feasibility.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())
          238. ArtifactAssessment.content:judgments.component:feasibility.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()))
          240. ArtifactAssessment.content:judgments.component:feasibility.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" : "feasibility",
              "display" : "Feasibility"
            }]
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          242. ArtifactAssessment.content:competingInterests
          Slice NamecompetingInterests
          Definition

          A comment, rating, or classification of the recommendation.


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

          ShortA comment, rating, or classificationComment, 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()))
          244. ArtifactAssessment.content:competingInterests.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())
          246. ArtifactAssessment.content:competingInterests.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()))
          248. ArtifactAssessment.content:competingInterests.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" : "competing-interests",
              "display" : "Competing Interests"
            }]
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          250. ArtifactAssessment.content:competingInterests.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 Recommendation Justification Classifier Codes Value Sethttp://hl7.org/fhir/ValueSet/certainty-rating
          (extensible to http://hl7.org/fhir/uv/ebm/ValueSet/recommendation-justification-classifier)
          TypeCodeableConcept
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          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.identifier
          Definition

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

          ShortAdditional identifier for the Recommendation Justification
          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 Recommendation Justification.

          4. ArtifactAssessment.citeAs
          Definition

          Display of or reference to the bibliographic citation of the Recommendation Justification.

          ShortHow to cite the Recommendation Justification
          6. ArtifactAssessment.artifact[x]
          Definition

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

          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          8. ArtifactAssessment.date
          Definition

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

          10. ArtifactAssessment.copyright
          Definition

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

          Requirements

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

          12. ArtifactAssessment.approvalDate
          ShortWhen the Recommendation Justification was approved by publisher
          14. ArtifactAssessment.lastReviewDate
          ShortWhen the Recommendation Justification was last reviewed
          16. ArtifactAssessment.content
          18. ArtifactAssessment.content.classifier
          BindingUnless not suitable, these codes SHALL be taken from Recommendation Justification Classifier Codes Value Set
          (extensible to http://hl7.org/fhir/uv/ebm/ValueSet/recommendation-justification-classifier)
          20. ArtifactAssessment.content:evidence
          Slice Nameevidence
          Control0..1
          Must Supporttrue
          22. ArtifactAssessment.content:evidence.extension:RelatesToWithQuotation
          Slice NameRelatesToWithQuotation
          24. ArtifactAssessment.content:evidence.type
          Control1..?
          Pattern Value{
            "coding" : [{
              "system" : "https://fevir.net/resources/CodeSystem/179423",
              "code" : "evidence",
              "display" : "Evidence"
            }]
          }
          26. ArtifactAssessment.content:evidence.classifier
          BindingUnless not suitable, these codes SHALL be taken from Recommendation Justification Classifier Codes Value Set
          (extensible to http://hl7.org/fhir/uv/ebm/ValueSet/recommendation-justification-classifier)
          28. ArtifactAssessment.content:evidence.component
          SlicingThis element introduces a set of slices on ArtifactAssessment.content.component. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ type
          • 30. ArtifactAssessment.content:evidence.component.extension:RelatesToWithQuotation
            Slice NameRelatesToWithQuotation
            32. ArtifactAssessment.content:evidence.component:summaryOfFindings
            Slice NamesummaryOfFindings
            Control0..1
            Must Supporttrue
            34. ArtifactAssessment.content:evidence.component:summaryOfFindings.extension:RelatesToWithQuotation
            Slice NameRelatesToWithQuotation
            36. ArtifactAssessment.content:evidence.component:summaryOfFindings.type
            Control1..?
            Pattern Value{
              "coding" : [{
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "summary-of-findings",
                "display" : "Summary of Findings"
              }]
            }
            38. ArtifactAssessment.content:evidence.component:desirableEffects
            Slice NamedesirableEffects
            Control0..1
            Must Supporttrue
            40. ArtifactAssessment.content:evidence.component:desirableEffects.extension:RelatesToWithQuotation
            Slice NameRelatesToWithQuotation
            42. ArtifactAssessment.content:evidence.component:desirableEffects.type
            Control1..?
            Pattern Value{
              "coding" : [{
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "desirable-effects",
                "display" : "Desirable Effects"
              }]
            }
            44. ArtifactAssessment.content:evidence.component:undesirableEffects
            Slice NameundesirableEffects
            Control0..1
            Must Supporttrue
            46. ArtifactAssessment.content:evidence.component:undesirableEffects.extension:RelatesToWithQuotation
            Slice NameRelatesToWithQuotation
            48. ArtifactAssessment.content:evidence.component:undesirableEffects.type
            Control1..?
            Pattern Value{
              "coding" : [{
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "undesirable-effects",
                "display" : "Undesirable Effects"
              }]
            }
            50. ArtifactAssessment.content:evidence.component:discussion
            Slice Namediscussion
            Control0..1
            52. ArtifactAssessment.content:evidence.component:discussion.extension:RelatesToWithQuotation
            Slice NameRelatesToWithQuotation
            54. ArtifactAssessment.content:evidence.component:discussion.type
            Control1..?
            Pattern Value{
              "coding" : [{
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "discussion",
                "display" : "Discussion"
              }]
            }
            56. ArtifactAssessment.content:netEffect
            Slice NamenetEffect
            Control0..1
            Must Supporttrue
            58. ArtifactAssessment.content:netEffect.extension:RelatesToWithQuotation
            Slice NameRelatesToWithQuotation
            60. ArtifactAssessment.content:netEffect.type
            Control1..?
            Pattern Value{
              "coding" : [{
                "system" : "https://fevir.net/resources/CodeSystem/179423",
                "code" : "net-effect",
                "display" : "Net Effect"
              }]
            }
            62. ArtifactAssessment.content:netEffect.classifier
            BindingUnless not suitable, these codes SHALL be taken from Recommendation Justification Classifier Codes Value Set
            (extensible to http://hl7.org/fhir/uv/ebm/ValueSet/recommendation-justification-classifier)
            64. ArtifactAssessment.content:netEffect.component
            SlicingThis element introduces a set of slices on ArtifactAssessment.content.component. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ type
            • 66. ArtifactAssessment.content:netEffect.component.extension:RelatesToWithQuotation
              Slice NameRelatesToWithQuotation
              68. ArtifactAssessment.content:netEffect.component:preferences
              Slice Namepreferences
              Control0..1
              Must Supporttrue
              70. ArtifactAssessment.content:netEffect.component:preferences.extension:RelatesToWithQuotation
              Slice NameRelatesToWithQuotation
              72. ArtifactAssessment.content:netEffect.component:preferences.type
              Control1..?
              Pattern Value{
                "coding" : [{
                  "system" : "https://fevir.net/resources/CodeSystem/179423",
                  "code" : "preferences",
                  "display" : "Preferences"
                }]
              }
              74. ArtifactAssessment.content:netEffect.component:discussion
              Slice Namediscussion
              Control0..1
              76. ArtifactAssessment.content:netEffect.component:discussion.extension:RelatesToWithQuotation
              Slice NameRelatesToWithQuotation
              78. ArtifactAssessment.content:netEffect.component:discussion.type
              Control1..?
              Pattern Value{
                "coding" : [{
                  "system" : "https://fevir.net/resources/CodeSystem/179423",
                  "code" : "discussion",
                  "display" : "Discussion"
                }]
              }
              80. ArtifactAssessment.content:judgments
              Slice Namejudgments
              Control0..1
              Must Supporttrue
              82. ArtifactAssessment.content:judgments.extension:RelatesToWithQuotation
              Slice NameRelatesToWithQuotation
              84. ArtifactAssessment.content:judgments.type
              Control1..?
              Pattern Value{
                "coding" : [{
                  "system" : "https://fevir.net/resources/CodeSystem/179423",
                  "code" : "judgments",
                  "display" : "Judgments"
                }]
              }
              86. ArtifactAssessment.content:judgments.classifier
              BindingUnless not suitable, these codes SHALL be taken from Recommendation Justification Classifier Codes Value Set
              (extensible to http://hl7.org/fhir/uv/ebm/ValueSet/recommendation-justification-classifier)
              88. ArtifactAssessment.content:judgments.component
              SlicingThis element introduces a set of slices on ArtifactAssessment.content.component. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ type
              • 90. ArtifactAssessment.content:judgments.component.extension:RelatesToWithQuotation
                Slice NameRelatesToWithQuotation
                92. ArtifactAssessment.content:judgments.component:justification
                Slice Namejustification
                Control0..1
                Must Supporttrue
                94. ArtifactAssessment.content:judgments.component:justification.extension:RelatesToWithQuotation
                Slice NameRelatesToWithQuotation
                96. ArtifactAssessment.content:judgments.component:justification.type
                Control1..?
                Pattern Value{
                  "coding" : [{
                    "system" : "https://fevir.net/resources/CodeSystem/179423",
                    "code" : "justification",
                    "display" : "Justification"
                  }]
                }
                98. ArtifactAssessment.content:judgments.component:problemImportance
                Slice NameproblemImportance
                Control0..1
                Must Supporttrue
                100. ArtifactAssessment.content:judgments.component:problemImportance.extension:RelatesToWithQuotation
                Slice NameRelatesToWithQuotation
                102. ArtifactAssessment.content:judgments.component:problemImportance.type
                Control1..?
                Pattern Value{
                  "coding" : [{
                    "system" : "https://fevir.net/resources/CodeSystem/179423",
                    "code" : "problem-importance",
                    "display" : "Problem Importance"
                  }]
                }
                104. ArtifactAssessment.content:judgments.component:costs
                Slice Namecosts
                Control0..1
                Must Supporttrue
                106. ArtifactAssessment.content:judgments.component:costs.extension:RelatesToWithQuotation
                Slice NameRelatesToWithQuotation
                108. ArtifactAssessment.content:judgments.component:costs.type
                Control1..?
                Pattern Value{
                  "coding" : [{
                    "system" : "https://fevir.net/resources/CodeSystem/179423",
                    "code" : "costs",
                    "display" : "Costs"
                  }]
                }
                110. ArtifactAssessment.content:judgments.component:costeffectiveness
                Slice Namecosteffectiveness
                Control0..1
                Must Supporttrue
                112. ArtifactAssessment.content:judgments.component:costeffectiveness.extension:RelatesToWithQuotation
                Slice NameRelatesToWithQuotation
                114. ArtifactAssessment.content:judgments.component:costeffectiveness.type
                Control1..?
                Pattern Value{
                  "coding" : [{
                    "system" : "https://fevir.net/resources/CodeSystem/179423",
                    "code" : "cost-effectiveness",
                    "display" : "Cost-effectiveness"
                  }]
                }
                116. ArtifactAssessment.content:judgments.component:equity
                Slice Nameequity
                Control0..1
                Must Supporttrue
                118. ArtifactAssessment.content:judgments.component:equity.extension:RelatesToWithQuotation
                Slice NameRelatesToWithQuotation
                120. ArtifactAssessment.content:judgments.component:equity.type
                Control1..?
                Pattern Value{
                  "coding" : [{
                    "system" : "https://fevir.net/resources/CodeSystem/179423",
                    "code" : "equity",
                    "display" : "Equity"
                  }]
                }
                122. ArtifactAssessment.content:judgments.component:acceptability
                Slice Nameacceptability
                Control0..1
                Must Supporttrue
                124. ArtifactAssessment.content:judgments.component:acceptability.extension:RelatesToWithQuotation
                Slice NameRelatesToWithQuotation
                126. ArtifactAssessment.content:judgments.component:acceptability.type
                Control1..?
                Pattern Value{
                  "coding" : [{
                    "system" : "https://fevir.net/resources/CodeSystem/179423",
                    "code" : "acceptability",
                    "display" : "Acceptability"
                  }]
                }
                128. ArtifactAssessment.content:judgments.component:feasibility
                Slice Namefeasibility
                Control0..1
                Must Supporttrue
                130. ArtifactAssessment.content:judgments.component:feasibility.extension:RelatesToWithQuotation
                Slice NameRelatesToWithQuotation
                132. ArtifactAssessment.content:judgments.component:feasibility.type
                Control1..?
                Pattern Value{
                  "coding" : [{
                    "system" : "https://fevir.net/resources/CodeSystem/179423",
                    "code" : "feasibility",
                    "display" : "Feasibility"
                  }]
                }
                134. ArtifactAssessment.content:competingInterests
                Slice NamecompetingInterests
                Control0..1
                Must Supporttrue
                136. ArtifactAssessment.content:competingInterests.extension:RelatesToWithQuotation
                Slice NameRelatesToWithQuotation
                138. ArtifactAssessment.content:competingInterests.type
                Control1..?
                Pattern Value{
                  "coding" : [{
                    "system" : "https://fevir.net/resources/CodeSystem/179423",
                    "code" : "competing-interests",
                    "display" : "Competing Interests"
                  }]
                }
                140. ArtifactAssessment.content:competingInterests.classifier
                BindingUnless not suitable, these codes SHALL be taken from Recommendation Justification Classifier Codes Value Set
                (extensible to http://hl7.org/fhir/uv/ebm/ValueSet/recommendation-justification-classifier)
                142. ArtifactAssessment.content:competingInterests.component
                144. ArtifactAssessment.content:competingInterests.component.extension:RelatesToWithQuotation
                Slice NameRelatesToWithQuotation

                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 Recommendation Justification when it is represented in other formats, or referenced in a specification, model, design or an instance.

                  ShortAdditional identifier for the Recommendation Justification
                  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 Recommendation Justification.

                  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 Recommendation Justification.

                  ShortHow to cite the Recommendation Justification
                  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 Recommendation Justification is about.

                  ShortThe recommendation that is justified
                  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 Recommendation Justification was published. The date should change when the substantive content of the Rating 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 Recommendation Justification and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the Recommendation Justification.

                  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 Recommendation Justification 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 Recommendation Justification 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 Recommendation Justification 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 comment, rating, or classification of the recommendation.

                  ShortA comment, rating, or classification
                  Control1..*
                  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..*
                      BindingUnless not suitable, these codes SHALL be taken from Recommendation Justification Classifier Codes Value Set
                      (extensible to http://hl7.org/fhir/uv/ebm/ValueSet/recommendation-justification-classifier)
                      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 content, specific to the associated content instance

                      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()))
                      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.content:strengthOfRecommendation
                                Slice NamestrengthOfRecommendation
                                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()))
                                222. ArtifactAssessment.content:strengthOfRecommendation.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
                                224. ArtifactAssessment.content:strengthOfRecommendation.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
                                • 226. ArtifactAssessment.content:strengthOfRecommendation.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())
                                  228. ArtifactAssessment.content:strengthOfRecommendation.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()))
                                  230. ArtifactAssessment.content:strengthOfRecommendation.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()))
                                  232. ArtifactAssessment.content:strengthOfRecommendation.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" : "strength-of-recommendation",
                                      "display" : "Strength of Recommendation"
                                    }]
                                  }
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  234. ArtifactAssessment.content:strengthOfRecommendation.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()))
                                  236. ArtifactAssessment.content:strengthOfRecommendation.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()))
                                  238. ArtifactAssessment.content:strengthOfRecommendation.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()))
                                  240. ArtifactAssessment.content:strengthOfRecommendation.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()))
                                  242. ArtifactAssessment.content:strengthOfRecommendation.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()))
                                  244. ArtifactAssessment.content:strengthOfRecommendation.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()))
                                  246. ArtifactAssessment.content:strengthOfRecommendation.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()))
                                  248. ArtifactAssessment.content:strengthOfRecommendation.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
                                  250. ArtifactAssessment.content:strengthOfRecommendation.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
                                  • 252. ArtifactAssessment.content:strengthOfRecommendation.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())
                                    254. ArtifactAssessment.content:strengthOfRecommendation.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()))
                                    256. ArtifactAssessment.content:strengthOfRecommendation.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()))
                                    258. ArtifactAssessment.content:strengthOfRecommendation.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()))
                                    260. ArtifactAssessment.content:strengthOfRecommendation.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()))
                                    262. ArtifactAssessment.content:strengthOfRecommendation.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()))
                                    264. ArtifactAssessment.content:strengthOfRecommendation.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()))
                                    266. ArtifactAssessment.content:strengthOfRecommendation.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()))
                                    268. ArtifactAssessment.content:strengthOfRecommendation.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()))
                                    270. ArtifactAssessment.content:strengthOfRecommendation.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()))
                                    272. ArtifactAssessment.content:strengthOfRecommendation.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()))
                                    274. ArtifactAssessment.content:directionOfRecommendation
                                    Slice NamedirectionOfRecommendation
                                    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()))
                                    276. ArtifactAssessment.content:directionOfRecommendation.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
                                    278. ArtifactAssessment.content:directionOfRecommendation.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
                                    • 280. ArtifactAssessment.content:directionOfRecommendation.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())
                                      282. ArtifactAssessment.content:directionOfRecommendation.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()))
                                      284. ArtifactAssessment.content:directionOfRecommendation.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()))
                                      286. ArtifactAssessment.content:directionOfRecommendation.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" : "direction-of-recommendation",
                                          "display" : "Direction of Recommendation"
                                        }]
                                      }
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      288. ArtifactAssessment.content:directionOfRecommendation.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()))
                                      290. ArtifactAssessment.content:directionOfRecommendation.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()))
                                      292. ArtifactAssessment.content:directionOfRecommendation.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()))
                                      294. ArtifactAssessment.content:directionOfRecommendation.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()))
                                      296. ArtifactAssessment.content:directionOfRecommendation.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()))
                                      298. ArtifactAssessment.content:directionOfRecommendation.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()))
                                      300. ArtifactAssessment.content:directionOfRecommendation.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()))
                                      302. ArtifactAssessment.content:directionOfRecommendation.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
                                      304. ArtifactAssessment.content:directionOfRecommendation.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
                                      • 306. ArtifactAssessment.content:directionOfRecommendation.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())
                                        308. ArtifactAssessment.content:directionOfRecommendation.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()))
                                        310. ArtifactAssessment.content:directionOfRecommendation.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()))
                                        312. ArtifactAssessment.content:directionOfRecommendation.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()))
                                        314. ArtifactAssessment.content:directionOfRecommendation.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()))
                                        316. ArtifactAssessment.content:directionOfRecommendation.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()))
                                        318. ArtifactAssessment.content:directionOfRecommendation.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()))
                                        320. ArtifactAssessment.content:directionOfRecommendation.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()))
                                        322. ArtifactAssessment.content:directionOfRecommendation.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()))
                                        324. ArtifactAssessment.content:directionOfRecommendation.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()))
                                        326. ArtifactAssessment.content:directionOfRecommendation.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()))
                                        328. ArtifactAssessment.content:certaintyOfEvidence
                                        Slice NamecertaintyOfEvidence
                                        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()))
                                        330. ArtifactAssessment.content:certaintyOfEvidence.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
                                        332. ArtifactAssessment.content:certaintyOfEvidence.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
                                        • 334. ArtifactAssessment.content:certaintyOfEvidence.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())
                                          336. ArtifactAssessment.content:certaintyOfEvidence.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()))
                                          338. ArtifactAssessment.content:certaintyOfEvidence.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()))
                                          340. ArtifactAssessment.content:certaintyOfEvidence.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" : "certainty-of-evidence",
                                              "display" : "Certainty of Evidence"
                                            }]
                                          }
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          342. ArtifactAssessment.content:certaintyOfEvidence.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()))
                                          344. ArtifactAssessment.content:certaintyOfEvidence.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()))
                                          346. ArtifactAssessment.content:certaintyOfEvidence.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()))
                                          348. ArtifactAssessment.content:certaintyOfEvidence.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()))
                                          350. ArtifactAssessment.content:certaintyOfEvidence.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()))
                                          352. ArtifactAssessment.content:certaintyOfEvidence.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()))
                                          354. ArtifactAssessment.content:certaintyOfEvidence.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()))
                                          356. ArtifactAssessment.content:certaintyOfEvidence.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
                                          358. ArtifactAssessment.content:certaintyOfEvidence.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
                                          • 360. ArtifactAssessment.content:certaintyOfEvidence.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())
                                            362. ArtifactAssessment.content:certaintyOfEvidence.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()))
                                            364. ArtifactAssessment.content:certaintyOfEvidence.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()))
                                            366. ArtifactAssessment.content:certaintyOfEvidence.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()))
                                            368. ArtifactAssessment.content:certaintyOfEvidence.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()))
                                            370. ArtifactAssessment.content:certaintyOfEvidence.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()))
                                            372. ArtifactAssessment.content:certaintyOfEvidence.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()))
                                            374. ArtifactAssessment.content:certaintyOfEvidence.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()))
                                            376. ArtifactAssessment.content:certaintyOfEvidence.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()))
                                            378. ArtifactAssessment.content:certaintyOfEvidence.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()))
                                            380. ArtifactAssessment.content:certaintyOfEvidence.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()))
                                            382. ArtifactAssessment.content:ratings
                                            Slice Nameratings
                                            Definition

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

                                            ShortComment, classifier, or rating content
                                            Control0..1
                                            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()))
                                            384. ArtifactAssessment.content:ratings.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
                                            386. ArtifactAssessment.content:ratings.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
                                            • 388. ArtifactAssessment.content:ratings.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())
                                              390. ArtifactAssessment.content:ratings.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()))
                                              392. ArtifactAssessment.content:ratings.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()))
                                              394. ArtifactAssessment.content:ratings.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" : "ratings",
                                                  "display" : "Ratings"
                                                }]
                                              }
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              396. ArtifactAssessment.content:ratings.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()))
                                              398. ArtifactAssessment.content:ratings.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()))
                                              400. ArtifactAssessment.content:ratings.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()))
                                              402. ArtifactAssessment.content:ratings.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()))
                                              404. ArtifactAssessment.content:ratings.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()))
                                              406. ArtifactAssessment.content:ratings.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()))
                                              408. ArtifactAssessment.content:ratings.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()))
                                              410. ArtifactAssessment.content:ratings.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
                                              412. ArtifactAssessment.content:ratings.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
                                              • 414. ArtifactAssessment.content:ratings.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())
                                                416. ArtifactAssessment.content:ratings.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()))
                                                418. ArtifactAssessment.content:ratings.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()))
                                                420. ArtifactAssessment.content:ratings.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()))
                                                422. ArtifactAssessment.content:ratings.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()))
                                                424. ArtifactAssessment.content:ratings.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()))
                                                426. ArtifactAssessment.content:ratings.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()))
                                                428. ArtifactAssessment.content:ratings.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()))
                                                430. ArtifactAssessment.content:ratings.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()))
                                                432. ArtifactAssessment.content:ratings.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()))
                                                434. ArtifactAssessment.content:ratings.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()))
                                                436. ArtifactAssessment.content:evidence
                                                Slice Nameevidence
                                                Definition

                                                A comment, rating, or classification of the recommendation.

                                                ShortA comment, rating, or classification
                                                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()))
                                                438. ArtifactAssessment.content:evidence.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
                                                440. ArtifactAssessment.content:evidence.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
                                                • 442. ArtifactAssessment.content:evidence.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())
                                                  444. ArtifactAssessment.content:evidence.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()))
                                                  446. ArtifactAssessment.content:evidence.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()))
                                                  448. ArtifactAssessment.content:evidence.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" : "evidence",
                                                      "display" : "Evidence"
                                                    }]
                                                  }
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  450. ArtifactAssessment.content:evidence.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 Recommendation Justification Classifier Codes Value Set
                                                  (extensible to http://hl7.org/fhir/uv/ebm/ValueSet/recommendation-justification-classifier)
                                                  TypeCodeableConcept
                                                  Is Modifierfalse
                                                  Must Supportfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  452. ArtifactAssessment.content:evidence.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()))
                                                  454. ArtifactAssessment.content:evidence.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()))
                                                  456. ArtifactAssessment.content:evidence.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()))
                                                  458. ArtifactAssessment.content:evidence.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()))
                                                  460. ArtifactAssessment.content:evidence.freeToShare
                                                  Definition

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

                                                  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()))
                                                  462. ArtifactAssessment.content:evidence.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()))
                                                  SlicingThis element introduces a set of slices on ArtifactAssessment.content.component. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                  • value @ type
                                                  • 464. ArtifactAssessment.content:evidence.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
                                                    466. ArtifactAssessment.content:evidence.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
                                                    • 468. ArtifactAssessment.content:evidence.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())
                                                      470. ArtifactAssessment.content:evidence.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()))
                                                      472. ArtifactAssessment.content:evidence.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()))
                                                      474. ArtifactAssessment.content:evidence.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()))
                                                      476. ArtifactAssessment.content:evidence.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()))
                                                      478. ArtifactAssessment.content:evidence.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()))
                                                      480. ArtifactAssessment.content:evidence.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()))
                                                      482. ArtifactAssessment.content:evidence.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()))
                                                      484. ArtifactAssessment.content:evidence.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()))
                                                      486. ArtifactAssessment.content:evidence.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()))
                                                      488. ArtifactAssessment.content:evidence.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()))
                                                      490. ArtifactAssessment.content:evidence.component:summaryOfFindings
                                                      Slice NamesummaryOfFindings
                                                      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 (hasValue() or (children().count() > id.count()))
                                                      492. ArtifactAssessment.content:evidence.component:summaryOfFindings.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
                                                      494. ArtifactAssessment.content:evidence.component:summaryOfFindings.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
                                                      • 496. ArtifactAssessment.content:evidence.component:summaryOfFindings.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())
                                                        498. ArtifactAssessment.content:evidence.component:summaryOfFindings.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()))
                                                        500. ArtifactAssessment.content:evidence.component:summaryOfFindings.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()))
                                                        502. ArtifactAssessment.content:evidence.component:summaryOfFindings.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" : "summary-of-findings",
                                                            "display" : "Summary of Findings"
                                                          }]
                                                        }
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        504. ArtifactAssessment.content:evidence.component:summaryOfFindings.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()))
                                                        506. ArtifactAssessment.content:evidence.component:summaryOfFindings.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()))
                                                        508. ArtifactAssessment.content:evidence.component:summaryOfFindings.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()))
                                                        510. ArtifactAssessment.content:evidence.component:summaryOfFindings.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()))
                                                        512. ArtifactAssessment.content:evidence.component:summaryOfFindings.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()))
                                                        514. ArtifactAssessment.content:evidence.component:summaryOfFindings.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()))
                                                        516. ArtifactAssessment.content:evidence.component:summaryOfFindings.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()))
                                                        518. ArtifactAssessment.content:evidence.component:desirableEffects
                                                        Slice NamedesirableEffects
                                                        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 (hasValue() or (children().count() > id.count()))
                                                        520. ArtifactAssessment.content:evidence.component:desirableEffects.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
                                                        522. ArtifactAssessment.content:evidence.component:desirableEffects.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
                                                        • 524. ArtifactAssessment.content:evidence.component:desirableEffects.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())
                                                          526. ArtifactAssessment.content:evidence.component:desirableEffects.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()))
                                                          528. ArtifactAssessment.content:evidence.component:desirableEffects.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()))
                                                          530. ArtifactAssessment.content:evidence.component:desirableEffects.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" : "desirable-effects",
                                                              "display" : "Desirable Effects"
                                                            }]
                                                          }
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          532. ArtifactAssessment.content:evidence.component:desirableEffects.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()))
                                                          534. ArtifactAssessment.content:evidence.component:desirableEffects.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()))
                                                          536. ArtifactAssessment.content:evidence.component:desirableEffects.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()))
                                                          538. ArtifactAssessment.content:evidence.component:desirableEffects.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()))
                                                          540. ArtifactAssessment.content:evidence.component:desirableEffects.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()))
                                                          542. ArtifactAssessment.content:evidence.component:desirableEffects.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()))
                                                          544. ArtifactAssessment.content:evidence.component:desirableEffects.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()))
                                                          546. ArtifactAssessment.content:evidence.component:undesirableEffects
                                                          Slice NameundesirableEffects
                                                          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 (hasValue() or (children().count() > id.count()))
                                                          548. ArtifactAssessment.content:evidence.component:undesirableEffects.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
                                                          550. ArtifactAssessment.content:evidence.component:undesirableEffects.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
                                                          • 552. ArtifactAssessment.content:evidence.component:undesirableEffects.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())
                                                            554. ArtifactAssessment.content:evidence.component:undesirableEffects.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()))
                                                            556. ArtifactAssessment.content:evidence.component:undesirableEffects.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()))
                                                            558. ArtifactAssessment.content:evidence.component:undesirableEffects.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" : "undesirable-effects",
                                                                "display" : "Undesirable Effects"
                                                              }]
                                                            }
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            560. ArtifactAssessment.content:evidence.component:undesirableEffects.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()))
                                                            562. ArtifactAssessment.content:evidence.component:undesirableEffects.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()))
                                                            564. ArtifactAssessment.content:evidence.component:undesirableEffects.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()))
                                                            566. ArtifactAssessment.content:evidence.component:undesirableEffects.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()))
                                                            568. ArtifactAssessment.content:evidence.component:undesirableEffects.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()))
                                                            570. ArtifactAssessment.content:evidence.component:undesirableEffects.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()))
                                                            572. ArtifactAssessment.content:evidence.component:undesirableEffects.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()))
                                                            574. ArtifactAssessment.content:evidence.component:discussion
                                                            Slice Namediscussion
                                                            Definition

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

                                                            ShortComment, classifier, or rating content
                                                            Control0..1
                                                            TypeBackboneElement
                                                            Is Modifierfalse
                                                            Must Supportfalse
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            576. ArtifactAssessment.content:evidence.component:discussion.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
                                                            578. ArtifactAssessment.content:evidence.component:discussion.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
                                                            • 580. ArtifactAssessment.content:evidence.component:discussion.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())
                                                              582. ArtifactAssessment.content:evidence.component:discussion.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()))
                                                              584. ArtifactAssessment.content:evidence.component:discussion.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()))
                                                              586. ArtifactAssessment.content:evidence.component:discussion.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" : "discussion",
                                                                  "display" : "Discussion"
                                                                }]
                                                              }
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              588. ArtifactAssessment.content:evidence.component:discussion.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()))
                                                              590. ArtifactAssessment.content:evidence.component:discussion.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()))
                                                              592. ArtifactAssessment.content:evidence.component:discussion.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()))
                                                              594. ArtifactAssessment.content:evidence.component:discussion.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()))
                                                              596. ArtifactAssessment.content:evidence.component:discussion.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()))
                                                              598. ArtifactAssessment.content:evidence.component:discussion.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()))
                                                              600. ArtifactAssessment.content:evidence.component:discussion.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()))
                                                              602. ArtifactAssessment.content:netEffect
                                                              Slice NamenetEffect
                                                              Definition

                                                              A comment, rating, or classification of the recommendation.

                                                              ShortA comment, rating, or classification
                                                              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()))
                                                              604. ArtifactAssessment.content:netEffect.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
                                                              606. ArtifactAssessment.content:netEffect.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
                                                              • 608. ArtifactAssessment.content:netEffect.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())
                                                                610. ArtifactAssessment.content:netEffect.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()))
                                                                612. ArtifactAssessment.content:netEffect.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()))
                                                                614. ArtifactAssessment.content:netEffect.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" : "net-effect",
                                                                    "display" : "Net Effect"
                                                                  }]
                                                                }
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                616. ArtifactAssessment.content:netEffect.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 Recommendation Justification Classifier Codes Value Set
                                                                (extensible to http://hl7.org/fhir/uv/ebm/ValueSet/recommendation-justification-classifier)
                                                                TypeCodeableConcept
                                                                Is Modifierfalse
                                                                Must Supportfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                618. ArtifactAssessment.content:netEffect.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()))
                                                                620. ArtifactAssessment.content:netEffect.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()))
                                                                622. ArtifactAssessment.content:netEffect.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()))
                                                                624. ArtifactAssessment.content:netEffect.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()))
                                                                626. ArtifactAssessment.content:netEffect.freeToShare
                                                                Definition

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

                                                                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()))
                                                                628. ArtifactAssessment.content:netEffect.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()))
                                                                SlicingThis element introduces a set of slices on ArtifactAssessment.content.component. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                • value @ type
                                                                • 630. ArtifactAssessment.content:netEffect.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
                                                                  632. ArtifactAssessment.content:netEffect.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
                                                                  • 634. ArtifactAssessment.content:netEffect.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())
                                                                    636. ArtifactAssessment.content:netEffect.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()))
                                                                    638. ArtifactAssessment.content:netEffect.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()))
                                                                    640. ArtifactAssessment.content:netEffect.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()))
                                                                    642. ArtifactAssessment.content:netEffect.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()))
                                                                    644. ArtifactAssessment.content:netEffect.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()))
                                                                    646. ArtifactAssessment.content:netEffect.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()))
                                                                    648. ArtifactAssessment.content:netEffect.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()))
                                                                    650. ArtifactAssessment.content:netEffect.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()))
                                                                    652. ArtifactAssessment.content:netEffect.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()))
                                                                    654. ArtifactAssessment.content:netEffect.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()))
                                                                    656. ArtifactAssessment.content:netEffect.component:preferences
                                                                    Slice Namepreferences
                                                                    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 (hasValue() or (children().count() > id.count()))
                                                                    658. ArtifactAssessment.content:netEffect.component:preferences.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
                                                                    660. ArtifactAssessment.content:netEffect.component:preferences.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
                                                                    • 662. ArtifactAssessment.content:netEffect.component:preferences.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())
                                                                      664. ArtifactAssessment.content:netEffect.component:preferences.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()))
                                                                      666. ArtifactAssessment.content:netEffect.component:preferences.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()))
                                                                      668. ArtifactAssessment.content:netEffect.component:preferences.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" : "preferences",
                                                                          "display" : "Preferences"
                                                                        }]
                                                                      }
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      670. ArtifactAssessment.content:netEffect.component:preferences.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()))
                                                                      672. ArtifactAssessment.content:netEffect.component:preferences.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()))
                                                                      674. ArtifactAssessment.content:netEffect.component:preferences.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()))
                                                                      676. ArtifactAssessment.content:netEffect.component:preferences.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()))
                                                                      678. ArtifactAssessment.content:netEffect.component:preferences.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()))
                                                                      680. ArtifactAssessment.content:netEffect.component:preferences.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()))
                                                                      682. ArtifactAssessment.content:netEffect.component:preferences.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()))
                                                                      684. ArtifactAssessment.content:netEffect.component:discussion
                                                                      Slice Namediscussion
                                                                      Definition

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

                                                                      ShortComment, classifier, or rating content
                                                                      Control0..1
                                                                      TypeBackboneElement
                                                                      Is Modifierfalse
                                                                      Must Supportfalse
                                                                      Summaryfalse
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      686. ArtifactAssessment.content:netEffect.component:discussion.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
                                                                      688. ArtifactAssessment.content:netEffect.component:discussion.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
                                                                      • 690. ArtifactAssessment.content:netEffect.component:discussion.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())
                                                                        692. ArtifactAssessment.content:netEffect.component:discussion.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()))
                                                                        694. ArtifactAssessment.content:netEffect.component:discussion.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()))
                                                                        696. ArtifactAssessment.content:netEffect.component:discussion.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" : "discussion",
                                                                            "display" : "Discussion"
                                                                          }]
                                                                        }
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        698. ArtifactAssessment.content:netEffect.component:discussion.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()))
                                                                        700. ArtifactAssessment.content:netEffect.component:discussion.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()))
                                                                        702. ArtifactAssessment.content:netEffect.component:discussion.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()))
                                                                        704. ArtifactAssessment.content:netEffect.component:discussion.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()))
                                                                        706. ArtifactAssessment.content:netEffect.component:discussion.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()))
                                                                        708. ArtifactAssessment.content:netEffect.component:discussion.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()))
                                                                        710. ArtifactAssessment.content:netEffect.component:discussion.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()))
                                                                        712. ArtifactAssessment.content:judgments
                                                                        Slice Namejudgments
                                                                        Definition

                                                                        A comment, rating, or classification of the recommendation.

                                                                        ShortA comment, rating, or classification
                                                                        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()))
                                                                        714. ArtifactAssessment.content:judgments.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
                                                                        716. ArtifactAssessment.content:judgments.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
                                                                        • 718. ArtifactAssessment.content:judgments.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())
                                                                          720. ArtifactAssessment.content:judgments.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()))
                                                                          722. ArtifactAssessment.content:judgments.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()))
                                                                          724. ArtifactAssessment.content:judgments.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" : "judgments",
                                                                              "display" : "Judgments"
                                                                            }]
                                                                          }
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          726. ArtifactAssessment.content:judgments.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 Recommendation Justification Classifier Codes Value Set
                                                                          (extensible to http://hl7.org/fhir/uv/ebm/ValueSet/recommendation-justification-classifier)
                                                                          TypeCodeableConcept
                                                                          Is Modifierfalse
                                                                          Must Supportfalse
                                                                          Summaryfalse
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          728. ArtifactAssessment.content:judgments.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()))
                                                                          730. ArtifactAssessment.content:judgments.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()))
                                                                          732. ArtifactAssessment.content:judgments.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()))
                                                                          734. ArtifactAssessment.content:judgments.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()))
                                                                          736. ArtifactAssessment.content:judgments.freeToShare
                                                                          Definition

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

                                                                          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()))
                                                                          738. ArtifactAssessment.content:judgments.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()))
                                                                          SlicingThis element introduces a set of slices on ArtifactAssessment.content.component. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                          • value @ type
                                                                          • 740. ArtifactAssessment.content:judgments.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
                                                                            742. ArtifactAssessment.content:judgments.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
                                                                            • 744. ArtifactAssessment.content:judgments.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())
                                                                              746. ArtifactAssessment.content:judgments.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()))
                                                                              748. ArtifactAssessment.content:judgments.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()))
                                                                              750. ArtifactAssessment.content:judgments.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()))
                                                                              752. ArtifactAssessment.content:judgments.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()))
                                                                              754. ArtifactAssessment.content:judgments.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()))
                                                                              756. ArtifactAssessment.content:judgments.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()))
                                                                              758. ArtifactAssessment.content:judgments.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()))
                                                                              760. ArtifactAssessment.content:judgments.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()))
                                                                              762. ArtifactAssessment.content:judgments.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()))
                                                                              764. ArtifactAssessment.content:judgments.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()))
                                                                              766. ArtifactAssessment.content:judgments.component:justification
                                                                              Slice Namejustification
                                                                              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 (hasValue() or (children().count() > id.count()))
                                                                              768. ArtifactAssessment.content:judgments.component:justification.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
                                                                              770. ArtifactAssessment.content:judgments.component:justification.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
                                                                              • 772. ArtifactAssessment.content:judgments.component:justification.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())
                                                                                774. ArtifactAssessment.content:judgments.component:justification.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()))
                                                                                776. ArtifactAssessment.content:judgments.component:justification.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()))
                                                                                778. ArtifactAssessment.content:judgments.component:justification.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" : "justification",
                                                                                    "display" : "Justification"
                                                                                  }]
                                                                                }
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                780. ArtifactAssessment.content:judgments.component:justification.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()))
                                                                                782. ArtifactAssessment.content:judgments.component:justification.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()))
                                                                                784. ArtifactAssessment.content:judgments.component:justification.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()))
                                                                                786. ArtifactAssessment.content:judgments.component:justification.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()))
                                                                                788. ArtifactAssessment.content:judgments.component:justification.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()))
                                                                                790. ArtifactAssessment.content:judgments.component:justification.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()))
                                                                                792. ArtifactAssessment.content:judgments.component:justification.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()))
                                                                                794. ArtifactAssessment.content:judgments.component:problemImportance
                                                                                Slice NameproblemImportance
                                                                                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 (hasValue() or (children().count() > id.count()))
                                                                                796. ArtifactAssessment.content:judgments.component:problemImportance.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
                                                                                798. ArtifactAssessment.content:judgments.component:problemImportance.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
                                                                                • 800. ArtifactAssessment.content:judgments.component:problemImportance.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())
                                                                                  802. ArtifactAssessment.content:judgments.component:problemImportance.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()))
                                                                                  804. ArtifactAssessment.content:judgments.component:problemImportance.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()))
                                                                                  806. ArtifactAssessment.content:judgments.component:problemImportance.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" : "problem-importance",
                                                                                      "display" : "Problem Importance"
                                                                                    }]
                                                                                  }
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  808. ArtifactAssessment.content:judgments.component:problemImportance.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()))
                                                                                  810. ArtifactAssessment.content:judgments.component:problemImportance.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()))
                                                                                  812. ArtifactAssessment.content:judgments.component:problemImportance.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()))
                                                                                  814. ArtifactAssessment.content:judgments.component:problemImportance.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()))
                                                                                  816. ArtifactAssessment.content:judgments.component:problemImportance.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()))
                                                                                  818. ArtifactAssessment.content:judgments.component:problemImportance.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()))
                                                                                  820. ArtifactAssessment.content:judgments.component:problemImportance.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()))
                                                                                  822. ArtifactAssessment.content:judgments.component:costs
                                                                                  Slice Namecosts
                                                                                  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 (hasValue() or (children().count() > id.count()))
                                                                                  824. ArtifactAssessment.content:judgments.component:costs.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
                                                                                  826. ArtifactAssessment.content:judgments.component:costs.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
                                                                                  • 828. ArtifactAssessment.content:judgments.component:costs.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())
                                                                                    830. ArtifactAssessment.content:judgments.component:costs.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()))
                                                                                    832. ArtifactAssessment.content:judgments.component:costs.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()))
                                                                                    834. ArtifactAssessment.content:judgments.component:costs.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" : "costs",
                                                                                        "display" : "Costs"
                                                                                      }]
                                                                                    }
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    836. ArtifactAssessment.content:judgments.component:costs.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()))
                                                                                    838. ArtifactAssessment.content:judgments.component:costs.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()))
                                                                                    840. ArtifactAssessment.content:judgments.component:costs.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()))
                                                                                    842. ArtifactAssessment.content:judgments.component:costs.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()))
                                                                                    844. ArtifactAssessment.content:judgments.component:costs.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()))
                                                                                    846. ArtifactAssessment.content:judgments.component:costs.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()))
                                                                                    848. ArtifactAssessment.content:judgments.component:costs.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()))
                                                                                    850. ArtifactAssessment.content:judgments.component:costeffectiveness
                                                                                    Slice Namecosteffectiveness
                                                                                    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 (hasValue() or (children().count() > id.count()))
                                                                                    852. ArtifactAssessment.content:judgments.component:costeffectiveness.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
                                                                                    854. ArtifactAssessment.content:judgments.component:costeffectiveness.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
                                                                                    • 856. ArtifactAssessment.content:judgments.component:costeffectiveness.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())
                                                                                      858. ArtifactAssessment.content:judgments.component:costeffectiveness.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()))
                                                                                      860. ArtifactAssessment.content:judgments.component:costeffectiveness.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()))
                                                                                      862. ArtifactAssessment.content:judgments.component:costeffectiveness.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" : "cost-effectiveness",
                                                                                          "display" : "Cost-effectiveness"
                                                                                        }]
                                                                                      }
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      864. ArtifactAssessment.content:judgments.component:costeffectiveness.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()))
                                                                                      866. ArtifactAssessment.content:judgments.component:costeffectiveness.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()))
                                                                                      868. ArtifactAssessment.content:judgments.component:costeffectiveness.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()))
                                                                                      870. ArtifactAssessment.content:judgments.component:costeffectiveness.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()))
                                                                                      872. ArtifactAssessment.content:judgments.component:costeffectiveness.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()))
                                                                                      874. ArtifactAssessment.content:judgments.component:costeffectiveness.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()))
                                                                                      876. ArtifactAssessment.content:judgments.component:costeffectiveness.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()))
                                                                                      878. ArtifactAssessment.content:judgments.component:equity
                                                                                      Slice Nameequity
                                                                                      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 (hasValue() or (children().count() > id.count()))
                                                                                      880. ArtifactAssessment.content:judgments.component:equity.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
                                                                                      882. ArtifactAssessment.content:judgments.component:equity.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
                                                                                      • 884. ArtifactAssessment.content:judgments.component:equity.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())
                                                                                        886. ArtifactAssessment.content:judgments.component:equity.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()))
                                                                                        888. ArtifactAssessment.content:judgments.component:equity.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()))
                                                                                        890. ArtifactAssessment.content:judgments.component:equity.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" : "equity",
                                                                                            "display" : "Equity"
                                                                                          }]
                                                                                        }
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        892. ArtifactAssessment.content:judgments.component:equity.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()))
                                                                                        894. ArtifactAssessment.content:judgments.component:equity.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()))
                                                                                        896. ArtifactAssessment.content:judgments.component:equity.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()))
                                                                                        898. ArtifactAssessment.content:judgments.component:equity.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()))
                                                                                        900. ArtifactAssessment.content:judgments.component:equity.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()))
                                                                                        902. ArtifactAssessment.content:judgments.component:equity.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()))
                                                                                        904. ArtifactAssessment.content:judgments.component:equity.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()))
                                                                                        906. ArtifactAssessment.content:judgments.component:acceptability
                                                                                        Slice Nameacceptability
                                                                                        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 (hasValue() or (children().count() > id.count()))
                                                                                        908. ArtifactAssessment.content:judgments.component:acceptability.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
                                                                                        910. ArtifactAssessment.content:judgments.component:acceptability.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
                                                                                        • 912. ArtifactAssessment.content:judgments.component:acceptability.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())
                                                                                          914. ArtifactAssessment.content:judgments.component:acceptability.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()))
                                                                                          916. ArtifactAssessment.content:judgments.component:acceptability.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()))
                                                                                          918. ArtifactAssessment.content:judgments.component:acceptability.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" : "acceptability",
                                                                                              "display" : "Acceptability"
                                                                                            }]
                                                                                          }
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          920. ArtifactAssessment.content:judgments.component:acceptability.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()))
                                                                                          922. ArtifactAssessment.content:judgments.component:acceptability.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()))
                                                                                          924. ArtifactAssessment.content:judgments.component:acceptability.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()))
                                                                                          926. ArtifactAssessment.content:judgments.component:acceptability.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()))
                                                                                          928. ArtifactAssessment.content:judgments.component:acceptability.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()))
                                                                                          930. ArtifactAssessment.content:judgments.component:acceptability.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()))
                                                                                          932. ArtifactAssessment.content:judgments.component:acceptability.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()))
                                                                                          934. ArtifactAssessment.content:judgments.component:feasibility
                                                                                          Slice Namefeasibility
                                                                                          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 (hasValue() or (children().count() > id.count()))
                                                                                          936. ArtifactAssessment.content:judgments.component:feasibility.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
                                                                                          938. ArtifactAssessment.content:judgments.component:feasibility.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
                                                                                          • 940. ArtifactAssessment.content:judgments.component:feasibility.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())
                                                                                            942. ArtifactAssessment.content:judgments.component:feasibility.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()))
                                                                                            944. ArtifactAssessment.content:judgments.component:feasibility.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()))
                                                                                            946. ArtifactAssessment.content:judgments.component:feasibility.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" : "feasibility",
                                                                                                "display" : "Feasibility"
                                                                                              }]
                                                                                            }
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            948. ArtifactAssessment.content:judgments.component:feasibility.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()))
                                                                                            950. ArtifactAssessment.content:judgments.component:feasibility.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()))
                                                                                            952. ArtifactAssessment.content:judgments.component:feasibility.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()))
                                                                                            954. ArtifactAssessment.content:judgments.component:feasibility.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()))
                                                                                            956. ArtifactAssessment.content:judgments.component:feasibility.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()))
                                                                                            958. ArtifactAssessment.content:judgments.component:feasibility.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()))
                                                                                            960. ArtifactAssessment.content:judgments.component:feasibility.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()))
                                                                                            962. ArtifactAssessment.content:competingInterests
                                                                                            Slice NamecompetingInterests
                                                                                            Definition

                                                                                            A comment, rating, or classification of the recommendation.

                                                                                            ShortA comment, rating, or classification
                                                                                            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()))
                                                                                            964. ArtifactAssessment.content:competingInterests.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
                                                                                            966. ArtifactAssessment.content:competingInterests.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
                                                                                            • 968. ArtifactAssessment.content:competingInterests.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())
                                                                                              970. ArtifactAssessment.content:competingInterests.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()))
                                                                                              972. ArtifactAssessment.content:competingInterests.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()))
                                                                                              974. ArtifactAssessment.content:competingInterests.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" : "competing-interests",
                                                                                                  "display" : "Competing Interests"
                                                                                                }]
                                                                                              }
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              976. ArtifactAssessment.content:competingInterests.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 Recommendation Justification Classifier Codes Value Set
                                                                                              (extensible to http://hl7.org/fhir/uv/ebm/ValueSet/recommendation-justification-classifier)
                                                                                              TypeCodeableConcept
                                                                                              Is Modifierfalse
                                                                                              Must Supportfalse
                                                                                              Summaryfalse
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              978. ArtifactAssessment.content:competingInterests.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()))
                                                                                              980. ArtifactAssessment.content:competingInterests.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()))
                                                                                              982. ArtifactAssessment.content:competingInterests.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()))
                                                                                              984. ArtifactAssessment.content:competingInterests.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()))
                                                                                              986. ArtifactAssessment.content:competingInterests.freeToShare
                                                                                              Definition

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

                                                                                              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()))
                                                                                              988. ArtifactAssessment.content:competingInterests.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()))
                                                                                              990. ArtifactAssessment.content:competingInterests.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
                                                                                              992. ArtifactAssessment.content:competingInterests.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
                                                                                              • 994. ArtifactAssessment.content:competingInterests.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())
                                                                                                996. ArtifactAssessment.content:competingInterests.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()))
                                                                                                998. ArtifactAssessment.content:competingInterests.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()))
                                                                                                1000. ArtifactAssessment.content:competingInterests.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()))
                                                                                                1002. ArtifactAssessment.content:competingInterests.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()))
                                                                                                1004. ArtifactAssessment.content:competingInterests.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()))
                                                                                                1006. ArtifactAssessment.content:competingInterests.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()))
                                                                                                1008. ArtifactAssessment.content:competingInterests.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()))
                                                                                                1010. ArtifactAssessment.content:competingInterests.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()))
                                                                                                1012. ArtifactAssessment.content:competingInterests.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()))
                                                                                                1014. ArtifactAssessment.content:competingInterests.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()))
                                                                                                1016. 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()))
                                                                                                1018. 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()))