Evidence Based Medicine on FHIR Implementation Guide
1.0.0-ballot3 - 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-ballot3 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

: 6907780 Career guide: to change what needs changing...doesn't take Wonder Woman.

Page standards status: Informative

Raw json | Download

{
  "resourceType" : "Citation",
  "id" : "179604",
  "meta" : {
    "versionId" : "18",
    "lastUpdated" : "2025-10-13T12:34:35.118Z",
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/ebm/StructureDefinition/journal-article-citation"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: Citation 179604</b></p><a name=\"179604\"> </a><a name=\"hc179604\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 18; Last updated: 2025-10-13 12:34:35+0000; Language: en</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-journal-article-citation.html\">JournalArticleCitation</a></p></div><p><b>ArtifactPublicationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-status-type active}\">Active</span></p><p><b>url</b>: <a href=\"https://fevir.net/resources/Citation/179604\">https://fevir.net/resources/Citation/179604</a></p><p><b>identifier</b>: FEvIR Object Identifier/179604, <code>https://pubmed.ncbi.nlm.nih.gov</code>/6907780</p><p><b>title</b>: 6907780 Career guide: to change what needs changing...doesn't take Wonder Woman.</p><p><b>status</b>: Active</p><p><b>author</b>: Computable Publishing®: MEDLINE-to-FEvIR Converter: </p><p><b>publisher</b>: Computable Publishing LLC</p><p><b>contact</b>: <a href=\"mailto:support@computablepublishing.com\">support@computablepublishing.com</a></p><p><b>description</b>: </p><div><p>This Citation Resource is referenced in an example for the EBMonFHIR Implementation Guide.</p>\n</div><h3>UseContexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-citation-classification-type.html#citation-classification-type-fevir-platform-use\">Citation Classification Type: fevir-platform-use</a> (FEvIR Platform Use)</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/citation-artifact-classifier medline-base}\">Medline Base</span></td></tr></table><p><b>copyright</b>: </p><div><p>https://creativecommons.org/licenses/by-nc-sa/4.0/</p>\n</div><p><b>approvalDate</b>: 1981-05-26</p><p><b>lastReviewDate</b>: 2019-08-18</p><blockquote><p><b>classification</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/citation-classification-type citation-source}\">Citation Source</span></p><p><b>classifier</b>: <span title=\"Codes:\">MEDLINE</span></p></blockquote><blockquote><p><b>classification</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/citation-classification-type medline-owner}\">MEDLINE Citation Owner</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/bsd/licensee/elements_descriptions.html#owner_value NLM}\">National Library of Medicine, Index Section</span></p></blockquote><p><b>currentState</b>: <span title=\"Codes:{http://hl7.org/fhir/citation-status-type medline-medline}\">Medline Citation Status of Medline</span>, <span title=\"Codes:{http://hl7.org/fhir/citation-status-type pubmed-publication-status-ppublish}\">PubMed PublicationStatus of ppublish</span></p><blockquote><p><b>statusDate</b></p><p><b>activity</b>: <span title=\"Codes:{http://hl7.org/fhir/citation-status-type pubmed-pubstatus-pubmed}\">PubMed Pubstatus of Pubmed</span></p><p><b>period</b>: ?? --&gt; 1981-03-01</p></blockquote><blockquote><p><b>statusDate</b></p><p><b>activity</b>: <span title=\"Codes:{http://hl7.org/fhir/citation-status-type pubmed-pubstatus-medline}\">PubMed Pubstatus of Medline</span></p><p><b>period</b>: ?? --&gt; 1981-03-01 00:01:00+0000</p></blockquote><blockquote><p><b>statusDate</b></p><p><b>activity</b>: <span title=\"Codes:{http://hl7.org/fhir/citation-status-type pubmed-pubstatus-entrez}\">PubMed Pubstatus of Entrez</span></p><p><b>period</b>: ?? --&gt; 1981-03-01 00:00:00+0000</p></blockquote><blockquote><p><b>citedArtifact</b></p><p><b>identifier</b>: <code>https://pubmed.ncbi.nlm.nih.gov</code>/6907780, <code>https://doi.org</code>/10.1097/00152193-198103000-00012</p><h3>Titles</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/title-type primary}\">Primary title</span></td><td><div><p>Career guide: to change what needs changing...doesn't take Wonder Woman.</p>\n</div></td></tr></table><blockquote><p><b>publicationForm</b></p><blockquote><p><b>publishedIn</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/published-in-type D020492}\">Periodical</span></p><p><b>identifier</b>: Print ISSN Type/0360-4039, ISOAbbreviation/Nursing, ISSN Linking/0360-4039, Medline Title Abbreviation/Nursing, NLM Unique ID/7600137</p><p><b>title</b>: Nursing</p><p><b>publisherLocation</b>: United States</p></blockquote><p><b>citedMedium</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-medium print}\">Print</span></p><p><b>volume</b>: 11</p><p><b>issue</b>: 3</p><p><b>articleDate</b>: 1981-03</p><p><b>pageString</b>: 81-87</p></blockquote><h3>WebLocations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Classifier</b></td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/artifact-url-classifier abstract}\">Abstract</span></td><td><a href=\"https://pubmed.ncbi.nlm.nih.gov/6907780/\">https://pubmed.ncbi.nlm.nih.gov/6907780/</a></td></tr></table><blockquote><p><b>classification</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type publishing-model}\">Publishing Model</span></p><p><b>classifier</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/citation-artifact-classifier Print}\">Print</span></p></blockquote><blockquote><p><b>classification</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type mesh-heading}\">MeSH heading</span></p><p><b>artifactAssessment</b>: <a href=\"#hc179604/meshHeading0\">ArtifactAssessment: artifact[x] = this resource</a></p></blockquote><blockquote><p><b>classification</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type publication-type}\">Publication type</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D016428}\">Journal Article</span></p></blockquote><blockquote><p><b>classification</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type knowledge-artifact-type}\">Knowledge Artifact Type</span></p><p><b>classifier</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/citation-artifact-classifier D016428}\">Journal Article</span></p><p><b>artifactAssessment</b>: Classifier added by Computable Publishing LLC</p></blockquote><blockquote><p><b>contributorship</b></p><p><b>complete</b>: true</p><blockquote><p><b>entry</b></p><p><b>contributor</b>: <a href=\"#hc179604/contributor0\">Brooten D</a></p><p><b>forenameInitials</b>: D</p></blockquote><blockquote><p><b>entry</b></p><p><b>contributor</b>: <a href=\"#hc179604/contributor1\">Naylor M</a></p><p><b>forenameInitials</b>: M</p></blockquote><blockquote><p><b>entry</b></p><p><b>contributor</b>: <a href=\"#hc179604/contributor2\">Hayman LL</a></p><p><b>forenameInitials</b>: LL</p></blockquote></blockquote></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Practitioner #contributor0</b></p><a name=\"179604/contributor0\"> </a><a name=\"hc179604/contributor0\"> </a><p><b>name</b>: D Brooten </p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Practitioner #contributor1</b></p><a name=\"179604/contributor1\"> </a><a name=\"hc179604/contributor1\"> </a><p><b>name</b>: M Naylor </p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Practitioner #contributor2</b></p><a name=\"179604/contributor2\"> </a><a name=\"hc179604/contributor2\"> </a><p><b>name</b>: L L Hayman </p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: ArtifactAssessment #meshHeading0</b></p><a name=\"179604/meshHeading0\"> </a><a name=\"hc179604/meshHeading0\"> </a><p><b>artifact</b>: <a href=\"#hc179604\">Citation 6907780 Career guide: to change what needs changing...doesn't take Wonder Woman.</a></p><blockquote><p><b>content</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D006801}\">Humans</span></p><p><b>freeToShare</b>: true</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">qualifier</span></td><td><span title=\"Codes:\">is not a major topic</span></td></tr></table></blockquote><blockquote><p><b>content</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D009738}\">Nursing Service, Hospital</span></p><p><b>freeToShare</b>: true</p><blockquote><p><b>component</b></p><p><b>type</b>: <span title=\"Codes:\">qualifier</span></p><p><b>classifier</b>: <span title=\"Codes:\">is not a major topic</span></p></blockquote><blockquote><p><b>component</b></p><p><b>type</b>: <span title=\"Codes:\">qualifier</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh Q000458}\">organization &amp; administration</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">is Major topic</span></td><td><span title=\"Codes:{http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl C49488}\">Yes</span></td></tr></table></blockquote></blockquote><blockquote><p><b>content</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D009741}\">Nursing Staff, Hospital</span></p><p><b>freeToShare</b>: true</p><blockquote><p><b>component</b></p><p><b>type</b>: <span title=\"Codes:\">qualifier</span></p><p><b>classifier</b>: <span title=\"Codes:\">is not a major topic</span></p></blockquote><blockquote><p><b>component</b></p><p><b>type</b>: <span title=\"Codes:\">qualifier</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh Q000523}\">psychology</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">is Major topic</span></td><td><span title=\"Codes:{http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl C49487}\">No</span></td></tr></table></blockquote></blockquote><blockquote><p><b>content</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D010559}\">Personnel Management</span></p><p><b>freeToShare</b>: true</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">qualifier</span></td><td><span title=\"Codes:\">is Major topic</span></td></tr></table></blockquote><blockquote><p><b>content</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D010561}\">Personnel Staffing and Scheduling</span></p><p><b>freeToShare</b>: true</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">qualifier</span></td><td><span title=\"Codes:\">is Major topic</span></td></tr></table></blockquote><blockquote><p><b>content</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/mesh D013315}\">Stress, Psychological</span></p><p><b>freeToShare</b>: true</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">qualifier</span></td><td><span title=\"Codes:\">is not a major topic</span></td></tr></table></blockquote></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "Practitioner",
      "id" : "contributor0",
      "name" : [
        {
          "family" : "Brooten",
          "given" : [
            "D"
          ]
        }
      ]
    },
    {
      "resourceType" : "Practitioner",
      "id" : "contributor1",
      "name" : [
        {
          "family" : "Naylor",
          "given" : [
            "M"
          ]
        }
      ]
    },
    {
      "resourceType" : "Practitioner",
      "id" : "contributor2",
      "name" : [
        {
          "family" : "Hayman",
          "given" : [
            "L L"
          ]
        }
      ]
    },
    {
      "resourceType" : "ArtifactAssessment",
      "id" : "meshHeading0",
      "artifactReference" : {
        "reference" : "#",
        "type" : "Citation"
      },
      "content" : [
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
                "code" : "mesh-heading",
                "display" : "MeSH heading"
              }
            ],
            "text" : "components (if present) include qualifier codings"
          },
          "classifier" : [
            {
              "coding" : [
                {
                  "system" : "https://www.nlm.nih.gov/mesh",
                  "code" : "D006801",
                  "display" : "Humans",
                  "userSelected" : false
                }
              ]
            }
          ],
          "freeToShare" : true,
          "component" : [
            {
              "type" : {
                "text" : "qualifier"
              },
              "classifier" : [
                {
                  "text" : "is not a major topic"
                }
              ]
            }
          ]
        },
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
                "code" : "mesh-heading",
                "display" : "MeSH heading"
              }
            ],
            "text" : "components (if present) include qualifier codings"
          },
          "classifier" : [
            {
              "coding" : [
                {
                  "system" : "https://www.nlm.nih.gov/mesh",
                  "code" : "D009738",
                  "display" : "Nursing Service, Hospital",
                  "userSelected" : false
                }
              ]
            }
          ],
          "freeToShare" : true,
          "component" : [
            {
              "type" : {
                "text" : "qualifier"
              },
              "classifier" : [
                {
                  "text" : "is not a major topic"
                }
              ]
            },
            {
              "type" : {
                "text" : "qualifier"
              },
              "classifier" : [
                {
                  "coding" : [
                    {
                      "system" : "https://www.nlm.nih.gov/mesh",
                      "code" : "Q000458",
                      "display" : "organization & administration"
                    }
                  ]
                }
              ],
              "component" : [
                {
                  "type" : {
                    "text" : "is Major topic"
                  },
                  "classifier" : [
                    {
                      "coding" : [
                        {
                          "system" : "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
                          "code" : "C49488",
                          "display" : "Yes"
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
                "code" : "mesh-heading",
                "display" : "MeSH heading"
              }
            ],
            "text" : "components (if present) include qualifier codings"
          },
          "classifier" : [
            {
              "coding" : [
                {
                  "system" : "https://www.nlm.nih.gov/mesh",
                  "code" : "D009741",
                  "display" : "Nursing Staff, Hospital",
                  "userSelected" : false
                }
              ]
            }
          ],
          "freeToShare" : true,
          "component" : [
            {
              "type" : {
                "text" : "qualifier"
              },
              "classifier" : [
                {
                  "text" : "is not a major topic"
                }
              ]
            },
            {
              "type" : {
                "text" : "qualifier"
              },
              "classifier" : [
                {
                  "coding" : [
                    {
                      "system" : "https://www.nlm.nih.gov/mesh",
                      "code" : "Q000523",
                      "display" : "psychology"
                    }
                  ]
                }
              ],
              "component" : [
                {
                  "type" : {
                    "text" : "is Major topic"
                  },
                  "classifier" : [
                    {
                      "coding" : [
                        {
                          "system" : "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
                          "code" : "C49487",
                          "display" : "No"
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
                "code" : "mesh-heading",
                "display" : "MeSH heading"
              }
            ],
            "text" : "components (if present) include qualifier codings"
          },
          "classifier" : [
            {
              "coding" : [
                {
                  "system" : "https://www.nlm.nih.gov/mesh",
                  "code" : "D010559",
                  "display" : "Personnel Management",
                  "userSelected" : false
                }
              ]
            }
          ],
          "freeToShare" : true,
          "component" : [
            {
              "type" : {
                "text" : "qualifier"
              },
              "classifier" : [
                {
                  "text" : "is Major topic"
                }
              ]
            }
          ]
        },
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
                "code" : "mesh-heading",
                "display" : "MeSH heading"
              }
            ],
            "text" : "components (if present) include qualifier codings"
          },
          "classifier" : [
            {
              "coding" : [
                {
                  "system" : "https://www.nlm.nih.gov/mesh",
                  "code" : "D010561",
                  "display" : "Personnel Staffing and Scheduling",
                  "userSelected" : false
                }
              ]
            }
          ],
          "freeToShare" : true,
          "component" : [
            {
              "type" : {
                "text" : "qualifier"
              },
              "classifier" : [
                {
                  "text" : "is Major topic"
                }
              ]
            }
          ]
        },
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
                "code" : "mesh-heading",
                "display" : "MeSH heading"
              }
            ],
            "text" : "components (if present) include qualifier codings"
          },
          "classifier" : [
            {
              "coding" : [
                {
                  "system" : "https://www.nlm.nih.gov/mesh",
                  "code" : "D013315",
                  "display" : "Stress, Psychological",
                  "userSelected" : false
                }
              ]
            }
          ],
          "freeToShare" : true,
          "component" : [
            {
              "type" : {
                "text" : "qualifier"
              },
              "classifier" : [
                {
                  "text" : "is not a major topic"
                }
              ]
            }
          ]
        }
      ]
    }
  ],
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/cited-artifact-status-type",
            "code" : "active",
            "display" : "Active"
          }
        ]
      }
    }
  ],
  "url" : "https://fevir.net/resources/Citation/179604",
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "ACSN",
            "display" : "Accession ID"
          }
        ],
        "text" : "FEvIR Object Identifier"
      },
      "system" : "https://fevir.net/FOI",
      "value" : "179604",
      "assigner" : {
        "display" : "Computable Publishing LLC"
      }
    },
    {
      "system" : "https://pubmed.ncbi.nlm.nih.gov",
      "value" : "6907780"
    }
  ],
  "title" : "6907780 Career guide: to change what needs changing...doesn't take Wonder Woman.",
  "status" : "active",
  "author" : [
    {
      "name" : "Computable Publishing®: MEDLINE-to-FEvIR Converter"
    }
  ],
  "publisher" : "Computable Publishing LLC",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "email",
          "value" : "support@computablepublishing.com"
        }
      ]
    }
  ],
  "description" : "This Citation Resource is referenced in an example for the EBMonFHIR Implementation Guide.",
  "useContext" : [
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/citation-classification-type",
        "code" : "fevir-platform-use",
        "display" : "FEvIR Platform Use"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/citation-artifact-classifier",
            "code" : "medline-base",
            "display" : "Medline Base",
            "userSelected" : false
          }
        ]
      }
    }
  ],
  "copyright" : "https://creativecommons.org/licenses/by-nc-sa/4.0/",
  "approvalDate" : "1981-05-26",
  "lastReviewDate" : "2019-08-18",
  "classification" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/citation-classification-type",
            "code" : "citation-source",
            "display" : "Citation Source"
          }
        ]
      },
      "classifier" : [
        {
          "text" : "MEDLINE"
        }
      ]
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/citation-classification-type",
            "code" : "medline-owner",
            "display" : "MEDLINE Citation Owner"
          }
        ]
      },
      "classifier" : [
        {
          "coding" : [
            {
              "system" : "https://www.nlm.nih.gov/bsd/licensee/elements_descriptions.html#owner_value",
              "code" : "NLM",
              "display" : "National Library of Medicine, Index Section",
              "userSelected" : false
            }
          ]
        }
      ]
    }
  ],
  "currentState" : [
    {
      "coding" : [
        {
          "system" : "http://hl7.org/fhir/citation-status-type",
          "code" : "medline-medline",
          "display" : "Medline Citation Status of Medline"
        }
      ]
    },
    {
      "coding" : [
        {
          "system" : "http://hl7.org/fhir/citation-status-type",
          "code" : "pubmed-publication-status-ppublish",
          "display" : "PubMed PublicationStatus of ppublish"
        }
      ]
    }
  ],
  "statusDate" : [
    {
      "activity" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/citation-status-type",
            "code" : "pubmed-pubstatus-pubmed",
            "display" : "PubMed Pubstatus of Pubmed"
          }
        ]
      },
      "period" : {
        "end" : "1981-03-01"
      }
    },
    {
      "activity" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/citation-status-type",
            "code" : "pubmed-pubstatus-medline",
            "display" : "PubMed Pubstatus of Medline"
          }
        ]
      },
      "period" : {
        "end" : "1981-03-01T00:01:00.000Z"
      }
    },
    {
      "activity" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/citation-status-type",
            "code" : "pubmed-pubstatus-entrez",
            "display" : "PubMed Pubstatus of Entrez"
          }
        ]
      },
      "period" : {
        "end" : "1981-03-01T00:00:00.000Z"
      }
    }
  ],
  "citedArtifact" : {
    "identifier" : [
      {
        "system" : "https://pubmed.ncbi.nlm.nih.gov",
        "value" : "6907780"
      },
      {
        "system" : "https://doi.org",
        "value" : "10.1097/00152193-198103000-00012"
      }
    ],
    "title" : [
      {
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/title-type",
                "code" : "primary",
                "display" : "Primary title"
              }
            ]
          }
        ],
        "text" : "Career guide: to change what needs changing...doesn't take Wonder Woman."
      }
    ],
    "publicationForm" : [
      {
        "publishedIn" : {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/published-in-type",
                "code" : "D020492",
                "display" : "Periodical"
              }
            ]
          },
          "identifier" : [
            {
              "type" : {
                "coding" : [
                  {
                    "system" : "https://www.nlm.nih.gov/bsd/licensee/elements_descriptions.html#issn",
                    "code" : "Print",
                    "display" : "Print"
                  }
                ],
                "text" : "Print ISSN Type"
              },
              "system" : "https://portal.issn.org",
              "value" : "0360-4039"
            },
            {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "XX",
                    "display" : "Organization identifier"
                  }
                ],
                "text" : "ISOAbbreviation"
              },
              "system" : "https://www.issn.org/services/online-services/access-to-the-ltwa/",
              "value" : "Nursing"
            },
            {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "XX",
                    "display" : "Organization identifier"
                  }
                ],
                "text" : "ISSN Linking"
              },
              "system" : "https://www.issn.org/understanding-the-issn/assignment-rules/the-issn-l-for-publications-on-multiple-media/",
              "value" : "0360-4039"
            },
            {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "XX",
                    "display" : "Organization identifier"
                  }
                ],
                "text" : "Medline Title Abbreviation"
              },
              "system" : "https://www.nlm.nih.gov/tsd/cataloging/contructitleabbre.html",
              "value" : "Nursing"
            },
            {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "XX",
                    "display" : "Organization identifier"
                  }
                ],
                "text" : "NLM Unique ID"
              },
              "system" : "https://locatorplus.gov/cgi-bin/Pwebrecon.cgi?DB=local",
              "value" : "7600137"
            }
          ],
          "title" : "Nursing",
          "publisherLocation" : "United States"
        },
        "citedMedium" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/cited-medium",
              "code" : "print",
              "display" : "Print"
            }
          ]
        },
        "volume" : "11",
        "issue" : "3",
        "articleDate" : "1981-03",
        "pageString" : "81-87"
      }
    ],
    "webLocation" : [
      {
        "classifier" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/artifact-url-classifier",
                "code" : "abstract",
                "display" : "Abstract"
              }
            ]
          }
        ],
        "url" : "https://pubmed.ncbi.nlm.nih.gov/6907780/"
      }
    ],
    "classification" : [
      {
        "type" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
              "code" : "publishing-model",
              "display" : "Publishing Model",
              "userSelected" : false
            }
          ]
        },
        "classifier" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/citation-artifact-classifier",
                "code" : "Print",
                "display" : "Print",
                "userSelected" : false
              }
            ]
          }
        ]
      },
      {
        "type" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
              "code" : "mesh-heading",
              "display" : "MeSH heading"
            }
          ]
        },
        "artifactAssessment" : [
          {
            "reference" : "#meshHeading0",
            "type" : "ArtifactAssessment"
          }
        ]
      },
      {
        "type" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
              "code" : "publication-type",
              "display" : "Publication type"
            }
          ]
        },
        "classifier" : [
          {
            "coding" : [
              {
                "system" : "https://www.nlm.nih.gov/mesh",
                "code" : "D016428",
                "display" : "Journal Article",
                "userSelected" : false
              }
            ]
          }
        ]
      },
      {
        "type" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type",
              "code" : "knowledge-artifact-type",
              "display" : "Knowledge Artifact Type",
              "userSelected" : false
            }
          ]
        },
        "classifier" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/citation-artifact-classifier",
                "code" : "D016428",
                "display" : "Journal Article",
                "userSelected" : false
              }
            ]
          }
        ],
        "artifactAssessment" : [
          {
            "display" : "Classifier added by Computable Publishing LLC"
          }
        ]
      }
    ],
    "contributorship" : {
      "complete" : true,
      "entry" : [
        {
          "contributor" : {
            "reference" : "#contributor0",
            "type" : "Practitioner",
            "display" : "Brooten D"
          },
          "forenameInitials" : "D"
        },
        {
          "contributor" : {
            "reference" : "#contributor1",
            "type" : "Practitioner",
            "display" : "Naylor M"
          },
          "forenameInitials" : "M"
        },
        {
          "contributor" : {
            "reference" : "#contributor2",
            "type" : "Practitioner",
            "display" : "Hayman LL"
          },
          "forenameInitials" : "LL"
        }
      ]
    }
  }
}