abstractbaseDefinitioncopyrightdate- Values Differ
descriptionexperimentalfhirVersion- Values Differ
jurisdiction
jurisdiction[0]kindnamepublisherpurposestatus- Values Differ
titletypeurlversion- Values Differ
| Left: | EvidenceReport (http://hl7.org/fhir/uv/ebm/StructureDefinition/evidence-report) |
| Right: | EvidenceReport (http://hl7.org/fhir/uv/ebm/StructureDefinition/evidence-report) |
| Error | StructureDefinition.version | Values for version differ: '1.0.0-ballot2' vs '1.0.0-ballot3' |
| Information | StructureDefinition.status | Values for status differ: 'draft' vs 'active' |
| Information | StructureDefinition.date | Values for date differ: '2025-03-28T17:11:38+00:00' vs '2026-03-27T09:54:14+00:00' |
| Warning | StructureDefinition.fhirVersion | Values for fhirVersion differ: '6.0.0-ballot2' vs '6.0.0-ballot3' |
| Information | StructureDefinition.comment | Values for comment differ: '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.' vs '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).' |
| Information | StructureDefinition.requirements | Values for requirements differ: '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://hl7.org/fhir/6.0.0-ballot2/extensibility.html#modifierExtension).' vs '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).' |
| Information | Composition.type | Example/preferred bindings differ at Composition.type using binding from EvidenceReport |
| Information | StructureDefinition.requirements | Values for requirements differ: '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://hl7.org/fhir/6.0.0-ballot2/extensibility.html#modifierExtension).' vs '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).' |
| Information | Composition.attester.mode | Example/preferred bindings differ at Composition.attester.mode using binding from EvidenceReport |
| Information | StructureDefinition.definition | Values for definition differ: 'Relationships that this composition has with other compositions or documents that already exist.' vs 'Relationships that this composition has with other compositions or documents (FHIR or non-FHIR resources) that already exist.' |
| Information | StructureDefinition.comment | Values for comment differ: 'To reference (using relatesTo) a Bundle of type 'document' or another Composition where you only have the identifier, use a resourceReference with an identifier.\ When a Composition is an alternate representation of another type of document e.g. CDA, the other document could be referenced in a DocumentReference resource. Here is an example of using relatesTo to reference another Bundle of type 'document' or Composition where you only have the identifier: ``` 'relatesTo': [{ 'type': 'replaces', 'resourceReference': { 'identifier': { 'system': '...', 'value': '...' } } }] ```' vs 'To reference (using relatesTo) a Bundle of type 'document' or another Composition where you only have the identifier, use a targetReference with an identifier.\ When a Composition is an alternate representation of another type of document e.g. CDA, the other document could be referenced in a DocumentReference resource. Here is an example of using relatesTo to reference another Bundle of type 'document' or Composition where you only have the identifier: ``` 'relatesTo': [{ 'type': 'replaces', 'targetReference': { 'identifier': { 'system': '...', 'value': '...' } } }] ```' |
| Information | StructureDefinition.short | Values for short differ: 'Additional content defined by implementations' vs 'Extension' |
| Information | StructureDefinition.definition | Values for definition differ: '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.' vs 'An Extension' |
| Information | StructureDefinition.short | Values for short differ: 'documentation | justification | citation | 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 | documents | specification-of | created-with | cite-as' vs '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' |
| Information | StructureDefinition.requirements | Values for requirements differ: '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://hl7.org/fhir/6.0.0-ballot2/extensibility.html#modifierExtension).' vs '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).' |
| Information | StructureDefinition.requirements | Values for requirements differ: '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://hl7.org/fhir/6.0.0-ballot2/extensibility.html#modifierExtension).' vs '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).' |
| Information | StructureDefinition.short | Values for short differ: 'Who and/or what authored the section' vs 'Who and/or what authored the section, when the section is authored by someone other than the composition.author' |
| Information | StructureDefinition.definition | Values for definition differ: 'Identifies who is responsible for the information in this section, not necessarily who typed it in.' vs 'Identifies who is responsible for the information in this section, not necessarily who typed it in. The actual author of the section when it is not the author of the composition. If author is not specified, the author is assumed to be the author of the parent section or the author of the composition.' |
| Information | Composition.section.orderedBy | Example/preferred bindings differ at Composition.section.orderedBy using binding from EvidenceReport |
| Information | Composition.section.emptyReason | Example/preferred bindings differ at Composition.section.emptyReason using binding from EvidenceReport |
| Name | Value | Comments | |
|---|---|---|---|
| abstract | false | ||
| baseDefinition | http://hl7.org/fhir/StructureDefinition/Composition | ||
| copyright | |||
| date | 2025-03-28T17:11:38+00:00 | 2026-03-27T09:54:14+00:00 |
|
| description | Profile of Composition for Evidence Based Medicine IG. The EvidenceReport Profile is used for a base structure (canonical resource management) for a report combining any number of Citation, Evidence, EvidenceVariable, EvidenceReport, and related Resources. | ||
| experimental | |||
| fhirVersion | 6.0.0-ballot2 | 6.0.0-ballot3 |
|
| jurisdiction | |||
| jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 | ||
| kind | resource | ||
| name | EvidenceReport | ||
| publisher | HL7 International / Clinical Decision Support | ||
| purpose | |||
| status | draft | active |
|
| title | |||
| type | Composition | ||
| url | http://hl7.org/fhir/uv/ebm/StructureDefinition/evidence-report | ||
| version | 1.0.0-ballot2 | 1.0.0-ballot3 |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||||||||
 id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
| language | 0..1 | code | Language of the resource content Binding: ?? (required): IETF language tag for a human language
| 0..1 | code | Language of the resource content Binding: ?? (required): IETF language tag for a human language
| |||||||||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||
| contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
 Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
 modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | |||||||||
| url | Σ | 0..1 | uri | Canonical identifier for this Composition, represented as a URI (globally unique) | Σ | 0..1 | uri | Canonical identifier for this Composition, represented as a URI (globally unique) | |||||||||
| identifier | Σ | 0..* | Identifier | Version-independent identifier for the Composition | Σ | 0..* | Identifier | Version-independent identifier for the Composition | |||||||||
| version | Σ | 0..1 | string | An explicitly assigned identifier of a variation of the content in the Composition | Σ | 0..1 | string | An explicitly assigned identifier of a variation of the content in the Composition | |||||||||
| status | ?!Σ | 1..1 | code | registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: ?? (required): The workflow/clinical status of the composition. | ?!Σ | 1..1 | code | registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: ?? (required): The workflow/clinical status of the composition. | |||||||||
| type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: ?? (preferred): Type of a composition. | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: ?? (preferred): Type of a composition. |
| ||||||||
| category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: ?? (example): High-level kind of a clinical document at a macro level. | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: ?? (example): High-level kind of a clinical document at a macro level. | |||||||||
| subject | Σ | 0..* | Reference(Resource) | Who and/or what the composition is about | Σ | 0..* | Reference(Resource) | Who and/or what the composition is about | |||||||||
| encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition | Σ | 0..1 | Reference(Encounter) | Context of the Composition | |||||||||
| date | Σ | 1..1 | dateTime | Composition editing time | Σ | 1..1 | dateTime | Composition editing time | |||||||||
| useContext | Σ | 0..* | UsageContext | The context that the content is intended to support | Σ | 0..* | UsageContext | The context that the content is intended to support | |||||||||
| author | Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition | Σ | 1..* | Reference(Practitioner | PractitionerRole | CareTeam | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition | |||||||||
| name | Σ | 0..1 | string | Name for this Composition (computer friendly) | Σ | 0..1 | string | Name for this Composition (computer friendly) | |||||||||
| title | Σ | 1..1 | string | Human Readable name/title | Σ | 1..1 | string | Human Readable name/title | |||||||||
| note | 0..* | Annotation | For any additional notes | 0..* | Annotation | For any additional notes | |||||||||||
 attester | 0..* | BackboneElement | Attests to accuracy of composition | 0..* | BackboneElement | Attests to accuracy of composition | |||||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| mode | 1..1 | CodeableConcept | reviewer | editor | endorser | informant | recorder Binding: ?? (preferred) | 1..1 | CodeableConcept | reviewer | editor | endorser | informant | recorder Binding: ?? (preferred) |
| ||||||||||
| time | 0..1 | dateTime | When the composition was attested | 0..1 | dateTime | When the composition was attested | |||||||||||
| party | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |||||||||||
| custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition | |||||||||
| Slices for relatesTo | 0..* | RelatedArtifact | Relationships to other compositions/documents Slice: Unordered, Open by value:type | 0..* | BackboneElement | Relationships to other compositions/documents Slice: Unordered, Open by value:type | |||||||||||
| id | 0..1 | id | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| type | 1..1 | code | documentation | justification | citation | 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 | documents | specification-of | created-with | cite-as Binding: ?? (required): The type of relationship to the related artifact. | 1..1 | code | 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 Binding: ?? (required): The type of relationship to the related artifact. | |||||||||||
| classifier | 0..* | CodeableConcept | Additional classifiers Binding: ?? (example): Additional classifiers for the related artifact. |
| |||||||||||||
| label | 0..1 | string | Short label |
| |||||||||||||
| display | 0..1 | string | Brief description of the related artifact |
| |||||||||||||
| citation | 0..1 | markdown | Bibliographic citation for the artifact |
| |||||||||||||
| document | 0..1 | Attachment | What document is being referenced |
| |||||||||||||
| resource | 0..1 | canonical(Resource) | What artifact is being referenced |
| |||||||||||||
| resourceReference | 0..1 | Reference(Resource) | What artifact, if not a conformance resource |
| |||||||||||||
| publicationStatus | 0..1 | code | draft | active | retired | unknown Binding: ?? (required): Publication status of an artifact being referred to. |
| |||||||||||||
| publicationDate | 0..1 | date | Date of publication of the artifact being referred to |
| |||||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| ||||||||||||
| target[x] | 1..1 | uri, Attachment, canonical(Resource), Reference(Resource), markdown | The artifact that is related to this Composition |
| |||||||||||||
| event | Σ | 0..* | BackboneElement | The clinical service(s) being documented | Σ | 0..* | BackboneElement | The clinical service(s) being documented | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| period | Σ | 0..1 | Period | The period covered by the documentation | Σ | 0..1 | Period | The period covered by the documentation | |||||||||
| detail | Σ | 0..* | CodeableReference(Resource) | The event(s) being documented, as code(s), reference(s), or both Binding: ?? (example): This list of codes represents the main clinical acts being documented. | Σ | 0..* | CodeableReference(Resource) | The event(s) being documented, as code(s), reference(s), or both Binding: ?? (example): This list of codes represents the main clinical acts being documented. | |||||||||
 section | C | 0..* | BackboneElement | Composition is broken into sections | C | 0..* | BackboneElement | Composition is broken into sections | |||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| title | 0..1 | string | Label for section (e.g. for ToC) | 0..1 | string | Label for section (e.g. for ToC) | |||||||||||
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: ?? (extensible) | 0..1 | CodeableConcept | Classification of section (recommended) Binding: ?? (extensible) | |||||||||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | 0..* | Reference(Practitioner | PractitionerRole | CareTeam | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section, when the section is authored by someone other than the composition.author | |||||||||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text | C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ?? (preferred): What order applies to the items in the entry. | 0..1 | CodeableConcept | Order of section entries Binding: ?? (preferred): What order applies to the items in the entry. |
| ||||||||||
| entry | C | 0..* | Reference(Resource) | A reference to data that supports this section | C | 0..* | Reference(Resource) | A reference to data that supports this section | |||||||||
| emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ?? (preferred): If a section is empty, why it is empty. | C | 0..1 | CodeableConcept | Why the section is empty Binding: ?? (preferred): If a section is empty, why it is empty. |
| ||||||||
 section | 0..* | See section (Composition) | Nested Section | 0..* | See section (Composition) | Nested Section | |||||||||||
| Documentation for this format | |||||||||||||||||