Evidence Based Medicine on FHIR Implementation Guide
1.0.0-ballot3 - STU 1 Ballot 3 World

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

: Outcome: Death or Major Traumatic Injury on Impact

Page standards status: Informative

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<EvidenceVariable xmlns="http://hl7.org/fhir">
  <id value="297743"/>
  <meta>
    <versionId value="8"/>
    <lastUpdated value="2026-08-15T16:11:14.504Z"/>
    <profile
             value="http://hl7.org/fhir/uv/ebm/StructureDefinition/variable-definition"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: EvidenceVariable 297743</b></p><a name="297743"> </a><a name="hc297743"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">version: 8; Last updated: 2026-08-15 16:11:14+0000</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-variable-definition.html">VariableDefinition</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="EvidenceVariable-297743.html">EvidenceVariable Outcome: Death or Major Traumatic Injury on Impact</a></p><p><b>identifier</b>: FEvIR Object Identifier/297743, <a href="http://terminology.hl7.org/7.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt 

This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: 

Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.

This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:oid:2.16.840.1.113883.4.642.40.44.24.54</p><p><b>version</b>: 1.0.0-ballot3</p><p><b>name</b>: Outcome_Death_or_Major_Traumatic_Injury_on_Impact</p><p><b>title</b>: Outcome: Death or Major Traumatic Injury on Impact</p><p><b>shortTitle</b>: Death or Major Traumatic Injury on Impact</p><p><b>citeAs</b>: </p><div><p>Outcome: Death or Major Traumatic Injury on Impact [Database Entry: FHIR EvidenceVariable Resource]. Contributors: Joanne Dehnbostel [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 297743. Revised 2026-08-15. Available at: https://fevir.net/resources/EvidenceVariable/297743. Computable resource at: https://fevir.net/resources/EvidenceVariable/297743#json.</p>
</div><p><b>status</b>: Active</p><p><b>date</b>: 2026-11-05 14:34:28+0000</p><p><b>author</b>: Joanne Dehnbostel: </p><p><b>publisher</b>: HL7 International / Clinical Decision Support</p><p><b>contact</b>: HL7 International / Clinical Decision Support: <a href="http://www.hl7.org/Special/committees/dss">http://www.hl7.org/Special/committees/dss</a></p><p><b>description</b>: </p><div><p>Example of VariableDefinition for EBMonFHIR IG</p>
</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="CodeSystem-179423.html#179423-evidence-communication">Evidence Based Medicine on FHIR Implementation Guide Code System: evidence-communication</a> (Evidence Communication)</td><td><span title="Codes:{https://fevir.net/resources/CodeSystem/179423 VariableDefinition}">VariableDefinition</span></td></tr></table><p><b>copyright</b>: </p><div><p>https://creativecommons.org/licenses/by-nc-sa/4.0/</p>
</div><p><b>actual</b>: true</p><h3>Definitions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 417746004}">Death or Major Traumatic Injury</span></td></tr></table><h3>DefinitionModifiers</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><span title="Codes:{http://snomed.info/sct 246112005}">Severity</span></td><td><span title="Codes:{http://snomed.info/sct 371924009}">Major or Fatal (in the context of severity of traumatic injury)</span></td></tr></table><p><b>handling</b>: <span title="Codes:{https://fevir.net/sevco STATO:0000724}">boolean variable</span></p><h3>Timings</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ContextCode</b></td><td><b>Offset[x]</b></td><td><b>Text</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:">impact</span></td><td>0 seconds<span style="background: LightGoldenRodYellow"> (Details: UCUM  codes = 's')</span></td><td>on impact</td></tr></table></div>
  </text>
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             url="http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status">
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                value="http://terminology.hl7.org/CodeSystem/cited-artifact-status-type"/>
        <code value="active"/>
        <display value="Active"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <url value="https://fevir.net/resources/EvidenceVariable/297743"/>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="ACSN"/>
        <display value="Accession ID"/>
      </coding>
      <text value="FEvIR Object Identifier"/>
    </type>
    <system value="https://fevir.net/FOI"/>
    <value value="297743"/>
    <assigner>
      <display value="Computable Publishing LLC"/>
    </assigner>
  </identifier>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.40.44.24.54"/>
  </identifier>
  <version value="1.0.0-ballot3"/>
  <name value="Outcome_Death_or_Major_Traumatic_Injury_on_Impact"/>
  <title value="Outcome: Death or Major Traumatic Injury on Impact"/>
  <shortTitle value="Death or Major Traumatic Injury on Impact"/>
  <citeAs
          value="Outcome: Death or Major Traumatic Injury on Impact [Database Entry: FHIR EvidenceVariable Resource]. Contributors: Joanne Dehnbostel [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 297743. Revised 2026-08-15. Available at: https://fevir.net/resources/EvidenceVariable/297743. Computable resource at: https://fevir.net/resources/EvidenceVariable/297743#json."/>
  <status value="active"/>
  <date value="2026-11-05T14:34:28+00:00"/>
  <author>
    <name value="Joanne Dehnbostel"/>
  </author>
  <publisher value="HL7 International / Clinical Decision Support"/>
  <contact>
    <name value="HL7 International / Clinical Decision Support"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/dss"/>
    </telecom>
  </contact>
  <description value="Example of VariableDefinition for EBMonFHIR IG"/>
  <useContext>
    <code>
      <system value="https://fevir.net/resources/CodeSystem/179423"/>
      <code value="evidence-communication"/>
      <display value="Evidence Communication"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="https://fevir.net/resources/CodeSystem/179423"/>
        <code value="VariableDefinition"/>
        <display value="VariableDefinition"/>
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  <copyright value="https://creativecommons.org/licenses/by-nc-sa/4.0/"/>
  <actual value="true"/>
  <definition>
    <concept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="417746004"/>
        <display value="Traumatic injury"/>
      </coding>
      <text value="Death or Major Traumatic Injury"/>
    </concept>
  </definition>
  <definitionModifier>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="246112005"/>
        <display value="Severity"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="371924009"/>
        <display value="Moderate to severe"/>
      </coding>
      <text
            value="Major or Fatal (in the context of severity of traumatic injury)"/>
    </valueCodeableConcept>
  </definitionModifier>
  <handling>
    <coding>
      <system value="https://fevir.net/sevco"/>
      <code value="STATO:0000724"/>
      <display value="boolean variable"/>
    </coding>
  </handling>
  <timing>
    <contextCode>
      <text value="impact"/>
    </contextCode>
    <offsetDuration>
      <value value="0"/>
      <unit value="seconds"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="s"/>
    </offsetDuration>
    <text value="on impact"/>
  </timing>
</EvidenceVariable>