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

Resource Profile: MetaanalysisOutcomeDefinition

Official URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/metaanalysis-outcome-definition Version: 1.0.0-ballot3
Standards status: Trial-use Maturity Level: 1 Computable Name: MetaanalysisOutcomeDefinition
Other Identifiers: OID:2.16.840.1.113883.4.642.40.44.42.60

Profile of Group for Evidence Based Medicine IG. The MetaanalysisOutcomeDefinition Profile is used to express the criteria defining an evidence variable in the role of outcome where the population (dataset) is a set of Evidence Resources. Characteristics define the characteristics of the Evidence Resource to be eligible to be used for this outcome.

See Understanding the Group Resource for additional information.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Group C 0..* ConceptualCohortDefinition Group of multiple entities
Interfaces Implemented: CanonicalResource
Constraints: grp-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension Content/Rules for all slices
.... extension:author 0..* ContactDetail Who authored the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-author
.... extension:recorder 0..* ContactDetail Who entered the data
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-recorder
.... extension:citeAs 0..1 markdown PublicationRecord for this Resource
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/cite-as
.... extension:relatedArtifact 0..* RelatedArtifact Additional documentation, citations, etc.
URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
.... extension:characteristicExpression 0..1 Expression Criteria for group membership
URL: http://hl7.org/fhir/StructureDefinition/characteristicExpression
.... extension:publicationStatus 0..1 CodeableConcept Publication status
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status
Binding: Cited Artifact Status Type (preferred)
... status ?!Σ 0..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.
... membership ΣC 0..1 code definitional | conceptual | enumerated
Binding: GroupMembershipBasis (required): The basis for membership in a group
Required Pattern: conceptual
... combinationMethod ?!Σ 0..1 code all-of | any-of | at-least | at-most | except-subset
Binding: GroupCharacteristicCombination (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Group.status Base required PublicationStatus 📍6.0.0-ballot5 FHIR Std.
Group.membership Base required Group Membership Basis 📍6.0.0-ballot5 FHIR Std.
Group.combinationMethod Base required Group Characteristic Combination 📍6.0.0-ballot5 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
grp-2 error Group Group.type SHALL be defined if Group.membership is either 'definitional' or 'enumerated' type.exists() or (membership = 'conceptual')

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Group 0..* ConceptualCohortDefinition Group of multiple entities
Interfaces Implemented: CanonicalResource

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Group C 0..* ConceptualCohortDefinition Group of multiple entities
Interfaces Implemented: CanonicalResource
Constraints: grp-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... 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
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:author 0..* ContactDetail Who authored the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-author
.... extension:recorder 0..* ContactDetail Who entered the data
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-recorder
.... extension:citeAs 0..1 markdown PublicationRecord for this Resource
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/cite-as
.... extension:relatedArtifact 0..* RelatedArtifact Additional documentation, citations, etc.
URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
.... extension:characteristicExpression 0..1 Expression Criteria for group membership
URL: http://hl7.org/fhir/StructureDefinition/characteristicExpression
.... extension:publicationStatus 0..1 CodeableConcept Publication status
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status
Binding: Cited Artifact Status Type (preferred)
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... url ΣC 0..1 uri Canonical identifier for this Group, represented as an absolute URI (globally unique)
Constraints: cnl-1
... identifier Σ 0..* Identifier Business Identifier for this Group
... version Σ 0..1 string Business version of the Group
... versionAlgorithm[x] Σ 0..1 How to compare versions
Binding: VersionAlgorithm (extensible)
.... versionAlgorithmString string
.... versionAlgorithmCoding Coding
... name Σ 0..1 string Label for Group
... title Σ 0..1 string Name for this Group (human friendly)
... status ?!Σ 0..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.
... experimental Σ 0..1 boolean For testing only - never for real usage
... date Σ 0..1 dateTime Date last changed
... publisher Σ 0..1 string Name of the publisher/steward (organization or individual)
... contact Σ 0..* ContactDetail Contact details for the publisher
... description 0..1 markdown Natural language description of the group
... useContext Σ 0..* UsageContext The context that the content is intended to support
... purpose 0..1 markdown Why this Group is defined
... copyright 0..1 markdown Notice about intellectual property ownership, can include restrictions on use
... copyrightLabel 0..1 string Copyright holder and year(s)
... type ΣC 0..1 code person | animal | practitioner | device | careteam | healthcareservice | location | organization | relatedperson | specimen | medication | medicinalproductdefinition | substance | substancedefinition | biologicallyDerivedProduct | nutritionProduct
Binding: GroupType (required): Types of resources that are part of group.
... membership ΣC 0..1 code definitional | conceptual | enumerated
Binding: GroupMembershipBasis (required): The basis for membership in a group
Required Pattern: conceptual
... code Σ 0..1 CodeableConcept Use of the Group (and by implication, kind of members)
Binding: GroupCode (extensible): A code that describes the kind of group, which usually dictates what kind if entities can be in the group.
... managingEntity Σ 0..1 Reference(Organization | RelatedPerson | Practitioner | PractitionerRole) Entity that is the custodian of the Group's definition
... combinationMethod ?!Σ 0..1 code all-of | any-of | at-least | at-most | except-subset
Binding: GroupCharacteristicCombination (required)
... combinationThreshold 0..1 positiveInt Provides the value of "n" when "at-least" or "at-most" codes are used
... characteristic Σ 0..* BackboneElement Include / Exclude group members by Trait
.... id 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
..... extension:relevantForAutomatedMatching 0..1 boolean Relevant for automated matching
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relevant-for-automated-matching
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Slice: Unordered, Open by value:url
.... code Σ 1..1 CodeableConcept Kind of characteristic
Binding: ExampleCharacteristicCodes (example): List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.
.... value[x] Σ 1..1 Value held by characteristic
..... valueCodeableConcept CodeableConcept
..... valueBoolean boolean
..... valueQuantity Quantity
..... valueRange Range
..... valueReference Reference(Any)
..... valueUri uri
..... valueExpression Expression
.... exclude Σ 1..1 boolean Group includes or excludes
.... description 0..1 markdown Natural language description of the characteristic
.... method 0..* CodeableConcept Method for how the characteristic value was determined
Binding: DefinitionMethod (example)
.... formula 0..1 Expression Formal algorithm to derive the value
.... determiner 0..1 Reference(Practitioner | PractitionerRole | Organization | Device | DeviceDefinition) Who determines the value
.... offset ?!Σ 0..1 CodeableConcept Reference point for comparison
Binding: CharacteristicOffset (example)
.... instances[x] C 0..1 Number of occurrences
Constraints: grp-1
..... instancesUnsignedInt unsignedInt
..... instancesRange Range
.... duration[x] 0..1 How long
..... durationDuration Duration
..... durationRange Range
.... period 0..1 Period When (in calendar time)
.... relativeTime 0..* RelativeTime When (with respect to an event)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Group.language Base required All Languages 📍6.0.0-ballot5 FHIR Std.
Group.versionAlgorithm[x] Base extensible Version Algorithm 📍6.0.0-ballot5 FHIR Std.
Group.status Base required PublicationStatus 📍6.0.0-ballot5 FHIR Std.
Group.type Base required Group Type 📍6.0.0-ballot5 FHIR Std.
Group.membership Base required Group Membership Basis 📍6.0.0-ballot5 FHIR Std.
Group.code Base extensible Group Code 📍6.0.0-ballot5 FHIR Std.
Group.combinationMethod Base required Group Characteristic Combination 📍6.0.0-ballot5 FHIR Std.
Group.characteristic.​code Base example Example Characteristic Codes 📍6.0.0-ballot5 FHIR Std.
Group.characteristic.​method Base example Definition Method 📍6.0.0-ballot5 FHIR Std.
Group.characteristic.​offset Base example Characteristic Offset 📍6.0.0-ballot5 FHIR Std.
Group.member.involvement Base example Group Involvement 📍6.0.0-ballot5 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cnl-1 warning Group.url URL should not contain | or # - these characters make processing canonical references problematic exists() implies matches('^[^|# ]+$')
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
grp-1 error Group.characteristic.instances[x] Ranges have to be positive ($this is Range) implies ((low.empty() or ((low.code.exists() or low.value.empty()) and (low.system.empty() or low.system = %ucum) and (low.code.empty() or low.code = '1') and (low.value.empty() or low.value.hasValue().not() or low.value.toString().contains('.').not()) and (low.value.empty() or low.value.hasValue().not() or low.value >= 0))) and (high.empty() or ((high.code.exists() or high.value.empty()) and (high.system.empty() or high.system = %ucum) and (high.code.empty() or high.code = '1') and (high.value.empty() or high.value.hasValue().not() or high.value.toString().contains('.').not()) and (high.value.empty() or high.value.hasValue().not() or high.value >= 0))))
grp-2 error Group Group.type SHALL be defined if Group.membership is either 'definitional' or 'enumerated' type.exists() or (membership = 'conceptual')

Summary

Maturity: 1

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Group C 0..* ConceptualCohortDefinition Group of multiple entities
Interfaces Implemented: CanonicalResource
Constraints: grp-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension Content/Rules for all slices
.... extension:author 0..* ContactDetail Who authored the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-author
.... extension:recorder 0..* ContactDetail Who entered the data
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-recorder
.... extension:citeAs 0..1 markdown PublicationRecord for this Resource
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/cite-as
.... extension:relatedArtifact 0..* RelatedArtifact Additional documentation, citations, etc.
URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
.... extension:characteristicExpression 0..1 Expression Criteria for group membership
URL: http://hl7.org/fhir/StructureDefinition/characteristicExpression
.... extension:publicationStatus 0..1 CodeableConcept Publication status
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status
Binding: Cited Artifact Status Type (preferred)
... status ?!Σ 0..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.
... membership ΣC 0..1 code definitional | conceptual | enumerated
Binding: GroupMembershipBasis (required): The basis for membership in a group
Required Pattern: conceptual
... combinationMethod ?!Σ 0..1 code all-of | any-of | at-least | at-most | except-subset
Binding: GroupCharacteristicCombination (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Group.status Base required PublicationStatus 📍6.0.0-ballot5 FHIR Std.
Group.membership Base required Group Membership Basis 📍6.0.0-ballot5 FHIR Std.
Group.combinationMethod Base required Group Characteristic Combination 📍6.0.0-ballot5 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
grp-2 error Group Group.type SHALL be defined if Group.membership is either 'definitional' or 'enumerated' type.exists() or (membership = 'conceptual')

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Group 0..* ConceptualCohortDefinition Group of multiple entities
Interfaces Implemented: CanonicalResource

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Group C 0..* ConceptualCohortDefinition Group of multiple entities
Interfaces Implemented: CanonicalResource
Constraints: grp-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... 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
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:author 0..* ContactDetail Who authored the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-author
.... extension:recorder 0..* ContactDetail Who entered the data
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-recorder
.... extension:citeAs 0..1 markdown PublicationRecord for this Resource
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/cite-as
.... extension:relatedArtifact 0..* RelatedArtifact Additional documentation, citations, etc.
URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
.... extension:characteristicExpression 0..1 Expression Criteria for group membership
URL: http://hl7.org/fhir/StructureDefinition/characteristicExpression
.... extension:publicationStatus 0..1 CodeableConcept Publication status
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status
Binding: Cited Artifact Status Type (preferred)
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... url ΣC 0..1 uri Canonical identifier for this Group, represented as an absolute URI (globally unique)
Constraints: cnl-1
... identifier Σ 0..* Identifier Business Identifier for this Group
... version Σ 0..1 string Business version of the Group
... versionAlgorithm[x] Σ 0..1 How to compare versions
Binding: VersionAlgorithm (extensible)
.... versionAlgorithmString string
.... versionAlgorithmCoding Coding
... name Σ 0..1 string Label for Group
... title Σ 0..1 string Name for this Group (human friendly)
... status ?!Σ 0..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.
... experimental Σ 0..1 boolean For testing only - never for real usage
... date Σ 0..1 dateTime Date last changed
... publisher Σ 0..1 string Name of the publisher/steward (organization or individual)
... contact Σ 0..* ContactDetail Contact details for the publisher
... description 0..1 markdown Natural language description of the group
... useContext Σ 0..* UsageContext The context that the content is intended to support
... purpose 0..1 markdown Why this Group is defined
... copyright 0..1 markdown Notice about intellectual property ownership, can include restrictions on use
... copyrightLabel 0..1 string Copyright holder and year(s)
... type ΣC 0..1 code person | animal | practitioner | device | careteam | healthcareservice | location | organization | relatedperson | specimen | medication | medicinalproductdefinition | substance | substancedefinition | biologicallyDerivedProduct | nutritionProduct
Binding: GroupType (required): Types of resources that are part of group.
... membership ΣC 0..1 code definitional | conceptual | enumerated
Binding: GroupMembershipBasis (required): The basis for membership in a group
Required Pattern: conceptual
... code Σ 0..1 CodeableConcept Use of the Group (and by implication, kind of members)
Binding: GroupCode (extensible): A code that describes the kind of group, which usually dictates what kind if entities can be in the group.
... managingEntity Σ 0..1 Reference(Organization | RelatedPerson | Practitioner | PractitionerRole) Entity that is the custodian of the Group's definition
... combinationMethod ?!Σ 0..1 code all-of | any-of | at-least | at-most | except-subset
Binding: GroupCharacteristicCombination (required)
... combinationThreshold 0..1 positiveInt Provides the value of "n" when "at-least" or "at-most" codes are used
... characteristic Σ 0..* BackboneElement Include / Exclude group members by Trait
.... id 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
..... extension:relevantForAutomatedMatching 0..1 boolean Relevant for automated matching
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relevant-for-automated-matching
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Slice: Unordered, Open by value:url
.... code Σ 1..1 CodeableConcept Kind of characteristic
Binding: ExampleCharacteristicCodes (example): List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.
.... value[x] Σ 1..1 Value held by characteristic
..... valueCodeableConcept CodeableConcept
..... valueBoolean boolean
..... valueQuantity Quantity
..... valueRange Range
..... valueReference Reference(Any)
..... valueUri uri
..... valueExpression Expression
.... exclude Σ 1..1 boolean Group includes or excludes
.... description 0..1 markdown Natural language description of the characteristic
.... method 0..* CodeableConcept Method for how the characteristic value was determined
Binding: DefinitionMethod (example)
.... formula 0..1 Expression Formal algorithm to derive the value
.... determiner 0..1 Reference(Practitioner | PractitionerRole | Organization | Device | DeviceDefinition) Who determines the value
.... offset ?!Σ 0..1 CodeableConcept Reference point for comparison
Binding: CharacteristicOffset (example)
.... instances[x] C 0..1 Number of occurrences
Constraints: grp-1
..... instancesUnsignedInt unsignedInt
..... instancesRange Range
.... duration[x] 0..1 How long
..... durationDuration Duration
..... durationRange Range
.... period 0..1 Period When (in calendar time)
.... relativeTime 0..* RelativeTime When (with respect to an event)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Group.language Base required All Languages 📍6.0.0-ballot5 FHIR Std.
Group.versionAlgorithm[x] Base extensible Version Algorithm 📍6.0.0-ballot5 FHIR Std.
Group.status Base required PublicationStatus 📍6.0.0-ballot5 FHIR Std.
Group.type Base required Group Type 📍6.0.0-ballot5 FHIR Std.
Group.membership Base required Group Membership Basis 📍6.0.0-ballot5 FHIR Std.
Group.code Base extensible Group Code 📍6.0.0-ballot5 FHIR Std.
Group.combinationMethod Base required Group Characteristic Combination 📍6.0.0-ballot5 FHIR Std.
Group.characteristic.​code Base example Example Characteristic Codes 📍6.0.0-ballot5 FHIR Std.
Group.characteristic.​method Base example Definition Method 📍6.0.0-ballot5 FHIR Std.
Group.characteristic.​offset Base example Characteristic Offset 📍6.0.0-ballot5 FHIR Std.
Group.member.involvement Base example Group Involvement 📍6.0.0-ballot5 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cnl-1 warning Group.url URL should not contain | or # - these characters make processing canonical references problematic exists() implies matches('^[^|# ]+$')
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
grp-1 error Group.characteristic.instances[x] Ranges have to be positive ($this is Range) implies ((low.empty() or ((low.code.exists() or low.value.empty()) and (low.system.empty() or low.system = %ucum) and (low.code.empty() or low.code = '1') and (low.value.empty() or low.value.hasValue().not() or low.value.toString().contains('.').not()) and (low.value.empty() or low.value.hasValue().not() or low.value >= 0))) and (high.empty() or ((high.code.exists() or high.value.empty()) and (high.system.empty() or high.system = %ucum) and (high.code.empty() or high.code = '1') and (high.value.empty() or high.value.hasValue().not() or high.value.toString().contains('.').not()) and (high.value.empty() or high.value.hasValue().not() or high.value >= 0))))
grp-2 error Group Group.type SHALL be defined if Group.membership is either 'definitional' or 'enumerated' type.exists() or (membership = 'conceptual')

Summary

Maturity: 1

 

Other representations of profile: CSV, Excel, Schematron