Generated Narrative: StructureDefinition participant-flow-reason-evidence-variable Name Flags Card. Type Description & Constraints EvidenceVariable 0..* VariableDefinition A definition of an exposure, outcome, or other variable Interfaces Implemented: MetadataResource #xD; handling 1..1 code boolean | continuous | dichotomous | ordinal | polychotomous | extension Required Pattern: polychotomous #xD; Documentation for this format
HL7 International / Clinical Decision Support
Profile of EvidenceVariable for Evidence Based Medicine IG. The ParticipantFlowReasonEvidenceVariable Profile is used to describe outcome measures for reasons for non-completion of participation in a research study.
A definition of an exposure, outcome, or other variable
The EvidenceVariable resource describes an element that knowledge (Evidence) is about.
The EvidenceVariable may be an exposure variable (intervention, condition, or state), a measured variable (outcome or observed parameter), or other variable (such as confounding factor).
Name should be usable as an identifier for the module by machine processing applications such as code generation
name.exists() implies name.matches('^[A-Z]([A-Za-z0-9_]){1,254}$')
The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
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.
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.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
A set of rules under which this content was created
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.
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.
This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
The base language in which the resource is written.
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).
Text summary of the resource, for human interpretation
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.
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.
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.
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](http://build.fhir.org/resource.html#additional).
The status of the processing for making the artifact publicly available, not necessarily the same as artifact status (Resource.status).
Must have either extensions or value[x], not both
Handling of the variable that is not boolean, continuous, dichotomous, ordinal, or polychotomous.
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).
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.
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](http://build.fhir.org/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Canonical identifier for this evidence variable, represented as a URI (globally unique)
An absolute URI that is used to identify this evidence variable 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 evidence variable is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the evidence variable is stored on different servers.
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.
Allows the evidence variable to be referenced by a single globally unique identifier.
URL should not contain | or # - these characters make processing canonical references problematic
Additional identifier for the evidence variable
A formal identifier that is used to identify this evidence variable when it is represented in other formats, or referenced in a specification, model, design or an instance.
Allows externally provided and/or usable business identifiers to be easily associated with the module.
Business version of the evidence variable
The identifier that is used to identify this version of the evidence variable when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the evidence variable author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.
There may be different evidence variable instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the evidence variable with the format [url]|[version]. The version SHOULD NOT contain a '#' - see [Business Version](http://build.fhir.org/resource.html#bv-format).
Indicates the mechanism used to compare versions to determine which is more current.
If set as a string, this is a FHIRPath expression that has two additional context variables passed in - %version1 and %version2 and will return a negative number if version1 is newer, a positive number if version2 is newer, and a 0 if the version ordering can't successfully be determined.
Name for this evidence variable (computer friendly)
A natural language name identifying the evidence variable. This name should be usable as an identifier for the module by machine processing applications such as code generation.
The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.
Support human navigation and code generation.
Name for this evidence variable (human friendly)
A short, descriptive, user-friendly title for the evidence variable.
This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.
The short title provides an alternate title for use in informal descriptive contexts where the full, formal title is not necessary.
Need to be able to reference the content by a short description, but still provide a longer, more formal title for the content.
Display of how to cite this EvidenceVariable
Display of the suggested method of how to cite this EvidenceVariable.
The status of this EvidenceVariable. Enables tracking the life-cycle of the content.
Allows filtering of evidence variables that are appropriate for use versus not. See guidance around (not) making local changes to elements [here](http://hl7.org/fhir/R5/canonicalresource.html#localization).
This is labeled as "Is Modifier" because applications should not use a retired EvidenceVariable without due consideration
A Boolean value to indicate that this resource is authored for testing purposes (or education/evaluation/marketing) and no version of this resource will ever be intended for genuine usage.
Allows filtering of artifacts that are appropriate for use versus not. Experimental resources might include example instances in implementation guides, instances created solely for testing purposes, etc. If experimental is 'true' for any version of a resource, it should be true for all versions of the resource. (If experimental changes, then it is being misused or a resource that was never intended for real-world use has unexpectedly changed its purpose.). Experimental resources are not expected to be stable and may well have breaking changes without a corresponding change to the 'version' element.
If absent, this resource is treated as though it is not experimental.
The date (and optionally time) when the evidence variable was last significantly changed. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the evidence variable changes.
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 evidence variable. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource. See guidance around (not) making local changes to elements [here](http://hl7.org/fhir/R5/canonicalresource.html#localization).
An individiual or organization primarily involved in the creation and maintenance of the content.
Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see [Clinical Reasoning Module](http://build.fhir.org/clinicalreasoning-module.html)).
Name of the publisher/steward (organization or individual)
The name of the organization or individual responsible for the release and ongoing maintenance of the evidence variable.
Usually an organization but may be an individual. The publisher (or steward) of the evidence variable is the organization or individual primarily responsible for the maintenance and upkeep of the evidence variable. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the evidence variable. This item SHOULD be populated unless the information is available from context.
Helps establish the "authority/credibility" of the evidence variable. May also allow for contact.
Contact details to assist a user in finding and communicating with the publisher.
Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see [Clinical Reasoning Module](http://build.fhir.org/clinicalreasoning-module.html)). See guidance around (not) making local changes to elements [here](http://hl7.org/fhir/R5/canonicalresource.html#localization).
Who entered the data for the evidence variable
The person or entity that entered the data into the EvidenceVariable Resource instance, if different than the author or creator of the intellectual property contained within the EvidenceVariable Resource instance.
The EvidenceVariable.recorder element is structured to support a name (with a string datatype) and contact point information for the recorder, and is not structured to support unique identifiers for the recorder. If detailed contributorship data is needed, then one can create a Citation Resource for the EvidenceVariable Resource.
An individual or organization primarily responsible for internal coherence of the content.
An individual or organization asserted by the publisher to be primarily responsible for review of some aspect of the content.
.participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}
An individual or organization asserted by the publisher to be responsible for officially endorsing the content for use in some setting.
Natural language description of the evidence variable
A natural language summary of the evidence variable.
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 evidence variable 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 evidence variable is presumed to be the predominant language in the place the evidence variable was created).
A human-readable string to clarify or explain concepts about the resource.
The context that the content is intended to support
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 evidence variable instances.
When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.
Assist in searching for appropriate content.
Explanation of why this EvidenceVariable is needed and why it has been designed as it has.
This element does not describe the usage of the EvidenceVariable. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this EvidenceVariable.
Intellectual property ownership, may include restrictions on use
A copyright statement relating to the EvidenceVariable and/or its contents. Copyright statements are legal notices of intellectual property ownership and may include restrictions on the use and publishing of the EvidenceVariable.
A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted . (e.g. 'All rights reserved', 'Some rights reserved').
The (c) symbol should NOT be included in this string. It will be added by software when rendering the notation. Full details about licensing, restrictions, warrantees, etc. goes in the more general 'copyright' element.
Defines the content expected to be rendered in all representations of the artifact.
When the resource was approved by publisher
The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage. See guidance around (not) making local changes to elements [here](http://hl7.org/fhir/R5/canonicalresource.html#localization).
When the resource was last reviewed by the publisher
The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.
If specified, this date follows the original approval date. See guidance around (not) making local changes to elements [here](http://hl7.org/fhir/R5/canonicalresource.html#localization).
When the resource is expected to be used
The period during which the resource content was or is planned to be in active use.
The effective period for an EvidenceVariable determines when the content is applicable for usage and is independent of publication and review dates. For example, a variable intended to be used for the year 2016 might be published in 2015. See guidance around (not) making local changes to elements [here](http://hl7.org/fhir/R5/canonicalresource.html#localization).
Relationships that this EvidenceVariable has with other FHIR or non-FHIR resources that already exist.
All FHIR elements must have a @value or children or both
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Specification of a portion quoted from the related artifact.
Extensions that cannot be ignored even if unrecognized
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).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
documentation | 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
The type of relationship to the related artifact.
The artifact that is related to this EvidenceVariable
The artifact that is related to this EvidenceVariable Resource.
True if the actual variable measured, false if a conceptual representation of the intended variable.
Further specification of the definition.
Additional content defined by implementations
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.
Specification of the definition attribute
Specification of the definition attribute.
boolean | continuous | dichotomous | ordinal | polychotomous | extension
The method of handling in statistical analysis.
A grouping for dichotomous, ordinal, or polychotomouos variables
A grouping for dichotomous, ordinal, or polychotomouos variables.
Condition determining whether the data will be collected
The context, situation, or parameters that determine whether the data is obtained to determine the value of the variable.
How the data element (value of the variable) is found
How the data element is organized and where the data element (expressing the value of the variable) is found in the dataset.
Type of data used to express value of the variable
The type of data used to express values of the variable.
Either a resource or a data type, including logical model types.
Where to find the data element in the dataset
The mapping (order of elements) to reach the element containing the data element in the dataset.
Character(s) separating values in a string-based list
A character or series of characters that is used within a string to signal the separation of discrete values.
The delimiter element SHOULD only be used when the datatype element is a string- or text-based datatype. The delimiter element is used when the data is stored in a string which contains a list or array of values.
A part of the value for a variable that is stored in 2 or more parts.
When the variable is observed in relation to a reference point in time defined by context or event.
Calendar-based timing when the variable is observed
When the variable is observed in relation to calendar dates and times.
Limit on acceptability of data used to express values of the variable.
Condition determining whether this constraint applies
The context, situation, or parameters that determine whether this constraint applies.
The lowest permissible value of the variable
The lowest permissible value of the variable, used with variables that have a number-based datatype (with or without units).
The highest permissible value of the variable
The highest permissible value of the variable, used with variables that have a number-based datatype (with or without units).
The earliest permissible value of the variable
The earliest permissible value of the variable, used with variables that have a date-based or dateTime-based datatype.
The latest permissible value of the variable
The latest permissible value of the variable, used with variables that have a date-based or dateTime-based datatype.
The lowest number of characters allowed for a value of the variable
The lowest number of characters allowed for a value of the variable, used with variables that have a string-based datatype.
The highest number of characters allowed for a value of the variable
The highest number of characters allowed for a value of the variable, used with variables that have a string-based datatype.
A rule, such as a format or other expectation, for the data values.
Rule for acceptable data values, as an Expression
A rule, such as a format or other expectation, for the data values, expressed as an Expression.
List of anticipated values used to express value of the variable
List of anticipated values used to express value of the variable, used with variables that have a codeable concept-based datatype.
List of anticipated values used to express units for the value of the variable
List of anticipated values used to express units for the value of the variable, used with variables that have a Quantity-based datatype.
Permissibility of unanticipated value used to express value of the variable
Whether the value expressed for a variable is allowed to not be restricted to the expected value set.
A method or transformation applied for missing data.
A method or transformation applied for data that does not match required patterns.