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: ParticipantFlowEvidenceVariable - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 1

Definitions for the participant-flow-evidence-variable resource profile

Guidance on how to interpret the contents of this table can be foundhere

0. EvidenceVariable
Definition

The EvidenceVariable resource describes an element that knowledge (Evidence) is about.

ShortA definition of an exposure, outcome, or other variable
Comments

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).

Control0..*
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantscnl-0: 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}$'))
2. EvidenceVariable.implicitRules
Definition

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. For DomainResources, if more than one implicitRules policy applies, additional policies may be conveyed using the additionalImplicitRules extension.

ShortA set of rules under which this content was created
Comments

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.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. EvidenceVariable.contained
Definition

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.

ShortContained, inline Resources
Comments

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.

Control0..*
This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
TypeResource
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
6. EvidenceVariable.extension:publicationStatus
Slice NamepublicationStatus
Definition

The status of the processing for making the artifact publicly available, not necessarily the same as artifact status (Resource.status).

ShortPublication status
Control0..1
TypeExtension(ArtifactPublicationStatus) (Extension Type: CodeableConcept)
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. EvidenceVariable.extension:handlingDetail
Slice NamehandlingDetail
Definition

Handling of the variable that is not boolean, continuous, dichotomous, ordinal, or polychotomous.

ShortHow the variable is handled
Control0..*
TypeExtension(EvidenceVariableHandlingDetail) (Extension Type: CodeableConcept)
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. EvidenceVariable.modifierExtension
Definition

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).

ShortExtensions that cannot be ignored
Comments

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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Must Supportfalse
Summarytrue
Requirements

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.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on EvidenceVariable.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 12. EvidenceVariable.status
    Definition

    The status of this EvidenceVariable. Enables tracking the life-cycle of the content.

    Shortdraft | active | retired | unknown
    Comments

    Allows filtering of evidence variables that are appropriate for use versus not.

    See guidance around (not) making local changes to elements here.

    Control0..1
    BindingThe codes SHALL be taken from PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot5
    (required to http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot5)

    The lifecycle status of an artifact.

    Typecode
    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not use a retired EvidenceVariable without due consideration
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Meaning if MissingValue is unknown.
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    14. EvidenceVariable.relatesTo
    Definition

    Relationships that this EvidenceVariable has with other FHIR or non-FHIR resources that already exist.

    ShortRelationships to other Resources
    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on EvidenceVariable.relatesTo. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ type
    • 16. EvidenceVariable.relatesTo.extension:quotation
      Slice Namequotation
      Definition

      Specification of a portion quoted from the related artifact.

      ShortQuoted portion from related artifact
      Control0..1
      TypeExtension(RelatesToWithQuotation) (Extension Type: markdown)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      18. EvidenceVariable.relatesTo.extension:classifier
      Slice Nameclassifier
      Definition

      A classifier of the target artifact in a relatesTo element.

      ShortA classifier of the target artifact in a relatesTo element
      Control0..1
      TypeExtension(RelatesToClassifier) (Extension Type: CodeableConcept)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      20. EvidenceVariable.relatesTo.modifierExtension
      Definition

      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).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      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.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      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.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on EvidenceVariable.relatesTo.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 22. EvidenceVariable.relatesTo.type
        Definition

        The type of relationship to the related artifact.

        Shortdocumentation | 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 | reprint | reprint-of | summarizes
        Control1..1
        BindingUnless not suitable, these codes SHALL be taken from Artifact Relationship Typehttp://terminology.hl7.org/ValueSet/artifact-relationship-type
        (extensible to http://terminology.hl7.org/ValueSet/artifact-relationship-type)

        The type of relationship to the related artifact.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        24. EvidenceVariable.relatesTo.target[x]
        Definition

        The artifact that is related to this EvidenceVariable Resource.

        ShortThe artifact that is related to this EvidenceVariable
        Control1..1
        TypeChoice of: uri, Attachment, canonical(Resource), Reference(Resource), markdown
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        26. EvidenceVariable.relatesTo:supportedWith
        Slice NamesupportedWith
        Definition

        Relationships that this EvidenceVariable has with other FHIR or non-FHIR resources that already exist.

        ShortRelationships to other Resources
        Control0..*
        TypeBackboneElement
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
        28. EvidenceVariable.relatesTo:supportedWith.extension:quotation
        Slice Namequotation
        Definition

        Specification of a portion quoted from the related artifact.

        ShortQuoted portion from related artifact
        Control0..1
        TypeExtension(RelatesToWithQuotation) (Extension Type: markdown)
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        30. EvidenceVariable.relatesTo:supportedWith.extension:classifier
        Slice Nameclassifier
        Definition

        A classifier of the target artifact in a relatesTo element.

        ShortA classifier of the target artifact in a relatesTo element
        Control0..1
        TypeExtension(RelatesToClassifier) (Extension Type: CodeableConcept)
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        32. EvidenceVariable.relatesTo:supportedWith.modifierExtension
        Definition

        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).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        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.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        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.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on EvidenceVariable.relatesTo.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 34. EvidenceVariable.relatesTo:supportedWith.type
          Definition

          The type of relationship to the related artifact.

          Shortdocumentation | 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 | reprint | reprint-of | summarizes
          Control1..1
          BindingUnless not suitable, these codes SHALL be taken from Artifact Relationship Typehttp://terminology.hl7.org/ValueSet/artifact-relationship-type
          (extensible to http://terminology.hl7.org/ValueSet/artifact-relationship-type)

          The type of relationship to the related artifact.

          TypeCodeableConcept
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Pattern Value{
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/artifact-relationship-type",
              "code" : "supported-with"
            }]
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          36. EvidenceVariable.relatesTo:supportedWith.target[x]
          Definition

          The artifact that is related to this EvidenceVariable Resource.

          ShortThe artifact that is related to this EvidenceVariable
          Control1..1
          TypeChoice of: uri, Attachment, canonical(Resource), Reference(Resource), markdown
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supportfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          SlicingThis element introduces a set of slices on EvidenceVariable.relatesTo.target[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • type @ $this
          • 38. EvidenceVariable.relatesTo:supportedWith.target[x]:targetReference
            Slice NametargetReference
            Definition

            The artifact that is related to this EvidenceVariable Resource.

            ShortThe artifact that is related to this EvidenceVariable
            Control01..1
            TypeReference(ParticipantFlowReasonEvidenceVariable, Resource), markdown, Attachment, canonical(Resource), uri
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            40. EvidenceVariable.handling
            Definition

            The method of handling in statistical analysis.

            Shortboolean | continuous | dichotomous | ordinal | polychotomous | time-to-event | not-specified
            Comments

            See the Evidence Based Medicine on FHIR Implementation Guide (https://hl7.org/fhir/uv/ebm) for Extensible and Preferred value sets for evidence-related terminologies.

            Control10..1
            BindingUnless not suitable, these codes SHALL be taken from Evidence Variable Handlinghttp://terminology.hl7.org/ValueSet/evidence-variable-handling
            (extensible to http://terminology.hl7.org/ValueSet/evidence-variable-handling)
            TypeCodeableConcept
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Pattern Value{
              "coding" : [{
                "code" : "boolean"
              }]
            }
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

            Guidance on how to interpret the contents of this table can be foundhere

            0. EvidenceVariable
            2. EvidenceVariable.relatesTo
            SlicingThis element introduces a set of slices on EvidenceVariable.relatesTo. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ type
            • 4. EvidenceVariable.relatesTo:supportedWith
              Slice NamesupportedWith
              Control0..*
              6. EvidenceVariable.relatesTo:supportedWith.type
              Pattern Value{
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/artifact-relationship-type",
                  "code" : "supported-with"
                }]
              }
              8. EvidenceVariable.relatesTo:supportedWith.target[x]
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              SlicingThis element introduces a set of slices on EvidenceVariable.relatesTo.target[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • type @ $this
              • 10. EvidenceVariable.relatesTo:supportedWith.target[x]:targetReference
                Slice NametargetReference
                Control0..1
                TypeReference(ParticipantFlowReasonEvidenceVariable)
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                12. EvidenceVariable.handling
                Pattern Value{
                  "coding" : [{
                    "code" : "boolean"
                  }]
                }

                Guidance on how to interpret the contents of this table can be foundhere

                0. EvidenceVariable
                Definition

                The EvidenceVariable resource describes an element that knowledge (Evidence) is about.

                ShortA definition of an exposure, outcome, or other variable
                Comments

                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).

                Control0..*
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Invariantscnl-0: 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}$'))
                2. EvidenceVariable.id
                Definition

                The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                ShortLogical id of this artifact
                Comments

                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 resource id depends on the given use case.

                Control0..1
                Typeid
                Is Modifierfalse
                Must Supportfalse
                Summarytrue
                4. EvidenceVariable.meta
                Definition

                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.

                ShortMetadata about the resource
                Control0..1
                TypeMeta
                Is Modifierfalse
                Must Supportfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                6. EvidenceVariable.implicitRules
                Definition

                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. For DomainResources, if more than one implicitRules policy applies, additional policies may be conveyed using the additionalImplicitRules extension.

                ShortA set of rules under which this content was created
                Comments

                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.

                Control0..1
                Typeuri
                Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supportfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                8. EvidenceVariable.language
                Definition

                The base language in which the resource is written.

                ShortLanguage of the resource content
                Comments

                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).

                Control0..1
                BindingThe codes SHALL be taken from AllLanguages
                (required to http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot5)

                IETF language tag for a human language

                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supportfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                10. EvidenceVariable.text
                Definition

                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.

                ShortText summary of the resource, for human interpretation
                Comments

                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.

                Control0..1
                This element is affected by the following invariants: dom-6
                TypeNarrative
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Alternate Namesnarrative, html, xhtml, display
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                12. EvidenceVariable.contained
                Definition

                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.

                ShortContained, inline Resources
                Comments

                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.

                Control0..*
                This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
                TypeResource
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Alternate Namesinline resources, anonymous resources, contained resources
                14. EvidenceVariable.extension
                Definition

                May be used to represent additional information that is not part of the basic definition of the resource. 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.

                ShortAdditional content defined by implementations
                Comments

                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.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                SlicingThis element introduces a set of slices on EvidenceVariable.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 16. EvidenceVariable.extension:publicationStatus
                  Slice NamepublicationStatus
                  Definition

                  The status of the processing for making the artifact publicly available, not necessarily the same as artifact status (Resource.status).

                  ShortPublication status
                  Control0..1
                  TypeExtension(ArtifactPublicationStatus) (Extension Type: CodeableConcept)
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  18. EvidenceVariable.extension:handlingDetail
                  Slice NamehandlingDetail
                  Definition

                  Handling of the variable that is not boolean, continuous, dichotomous, ordinal, or polychotomous.

                  ShortHow the variable is handled
                  Control0..*
                  TypeExtension(EvidenceVariableHandlingDetail) (Extension Type: CodeableConcept)
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  20. EvidenceVariable.modifierExtension
                  Definition

                  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).

                  ShortExtensions that cannot be ignored
                  Comments

                  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.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                  Must Supportfalse
                  Summarytrue
                  Requirements

                  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.

                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  SlicingThis element introduces a set of slices on EvidenceVariable.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 22. EvidenceVariable.url
                    Definition

                    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.

                    ShortCanonical identifier for this evidence variable, represented as a URI (globally unique)
                    Comments

                    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.

                    Control0..1
                    Typeuri
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summarytrue
                    Requirements

                    Allows the evidence variable to be referenced by a single globally unique identifier.

                    Invariantscnl-1: URL should not contain | or # - these characters make processing canonical references problematic (exists() implies matches('^[^|# ]+$'))
                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    24. EvidenceVariable.identifier
                    Definition

                    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.

                    ShortAdditional identifier for the evidence variable
                    NoteThis is a business identifier, not a resource identifier (see discussion)
                    Control0..*
                    TypeIdentifier
                    Is Modifierfalse
                    Must Supportfalse
                    Summarytrue
                    Requirements

                    Allows externally provided and/or usable business identifiers to be easily associated with the module.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    26. EvidenceVariable.version
                    Definition

                    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. For more information on versioning knowledge artifacts, refer to the Canonical Resource Management Infrastructure (CRMI) implementation guide artifact versioning discussion (http://hl7.org/fhir/uv/crmi/artifact-lifecycle.html#artifact-versioning).

                    ShortBusiness version of the evidence variable
                    Comments

                    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.

                    NoteThis is a business version Id, not a resource version Id (see discussion)
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    28. EvidenceVariable.versionAlgorithm[x]
                    Definition

                    Indicates the mechanism used to compare versions to determine which is more current.

                    ShortHow to compare versions
                    Comments

                    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.

                    Control0..1
                    BindingUnless not suitable, these codes SHALL be taken from VersionAlgorithm
                    (extensible to http://hl7.org/fhir/ValueSet/version-algorithm|6.0.0-ballot5)
                    TypeChoice of: string, Coding
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    30. EvidenceVariable.name
                    Definition

                    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.

                    ShortName for this evidence variable (computer friendly)
                    Comments

                    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.

                    Control0..1
                    This element is affected by the following invariants: cnl-0
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summarytrue
                    Requirements

                    Support human navigation and code generation.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    32. EvidenceVariable.title
                    Definition

                    A short, descriptive, user-friendly title for the evidence variable.

                    ShortName for this evidence variable (human friendly)
                    Comments

                    This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.

                    Control0..1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    34. EvidenceVariable.shortTitle
                    Definition

                    The short title provides an alternate title for use in informal descriptive contexts where the full, formal title is not necessary.

                    ShortTitle for use in informal contexts
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summarytrue
                    Requirements

                    Need to be able to reference the content by a short description, but still provide a longer, more formal title for the content.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    36. EvidenceVariable.citeAs
                    Definition

                    Display of the suggested method of how to cite this EvidenceVariable.

                    ShortDisplay of how to cite this EvidenceVariable
                    Control0..1
                    Typemarkdown
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    38. EvidenceVariable.status
                    Definition

                    The status of this EvidenceVariable. Enables tracking the life-cycle of the content.

                    Shortdraft | active | retired | unknown
                    Comments

                    Allows filtering of evidence variables that are appropriate for use versus not.

                    See guidance around (not) making local changes to elements here.

                    Control0..1
                    BindingThe codes SHALL be taken from PublicationStatus
                    (required to http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot5)

                    The lifecycle status of an artifact.

                    Typecode
                    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not use a retired EvidenceVariable without due consideration
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summarytrue
                    Meaning if MissingValue is unknown.
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    40. EvidenceVariable.experimental
                    Definition

                    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.

                    ShortFor testing only - never for real usage
                    Comments

                    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.

                    Control0..1
                    Typeboolean
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Meaning if MissingIf absent, this resource is treated as though it is not experimental.
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    42. EvidenceVariable.date
                    Definition

                    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.

                    ShortDate last changed
                    Comments

                    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.

                    Control0..1
                    TypedateTime
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summarytrue
                    Alternate NamesRevision Date
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    44. EvidenceVariable.author
                    Definition

                    An individual or organization primarily involved in the creation and maintenance of the content.

                    ShortWho authored the content
                    Comments

                    Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see Clinical Reasoning Module).

                    Control0..*
                    TypeContactDetail
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    46. EvidenceVariable.publisher
                    Definition

                    The name of the organization or individual responsible for the release and ongoing maintenance of the evidence variable.

                    ShortName of the publisher/steward (organization or individual)
                    Comments

                    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.

                    Control0..1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summarytrue
                    Requirements

                    Helps establish the "authority/credibility" of the evidence variable. May also allow for contact.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    48. EvidenceVariable.contact
                    Definition

                    Contact details to assist a user in finding and communicating with the publisher.

                    ShortContact details for the publisher
                    Comments

                    Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see Clinical Reasoning Module).

                    See guidance around (not) making local changes to elements here.

                    Control0..*
                    TypeContactDetail
                    Is Modifierfalse
                    Must Supportfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    50. EvidenceVariable.recorder
                    Definition

                    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.

                    ShortWho entered the data for the evidence variable
                    Comments

                    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.

                    Control0..*
                    TypeContactDetail
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    52. EvidenceVariable.editor
                    Definition

                    An individual or organization primarily responsible for internal coherence of the content.

                    ShortWho edited the content
                    Comments

                    Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see Clinical Reasoning Module).

                    Control0..*
                    TypeContactDetail
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    54. EvidenceVariable.reviewer
                    Definition

                    An individual or organization asserted by the publisher to be primarily responsible for review of some aspect of the content.

                    ShortWho reviewed the content
                    Comments

                    Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see Clinical Reasoning Module).

                    See guidance around (not) making local changes to elements here.

                    Control0..*
                    TypeContactDetail
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    56. EvidenceVariable.endorser
                    Definition

                    An individual or organization asserted by the publisher to be responsible for officially endorsing the content for use in some setting.

                    ShortWho endorsed the content
                    Comments

                    Extensions to ContactDetail include: contactReference, contactAddress, and contributionTime (see Clinical Reasoning Module).

                    See guidance around (not) making local changes to elements here.

                    Control0..*
                    TypeContactDetail
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    58. EvidenceVariable.description
                    Definition

                    A natural language summary of the evidence variable.

                    ShortNatural language description of the evidence variable
                    Comments

                    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).

                    Control0..1
                    Typemarkdown
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    60. EvidenceVariable.note
                    Definition

                    A human-readable string to clarify or explain concepts about the resource.

                    ShortUsed for footnotes or explanatory notes
                    Control0..*
                    TypeAnnotation
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    62. EvidenceVariable.useContext
                    Definition

                    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.

                    ShortThe context that the content is intended to support
                    Comments

                    When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

                    Control0..*
                    TypeUsageContext
                    Is Modifierfalse
                    Must Supportfalse
                    Summarytrue
                    Requirements

                    Assist in searching for appropriate content.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    64. EvidenceVariable.purpose
                    Definition

                    Explanation of why this EvidenceVariable is needed and why it has been designed as it has.

                    ShortWhy this EvidenceVariable is defined
                    Comments

                    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.

                    Control0..1
                    Typemarkdown
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    66. EvidenceVariable.copyright
                    Definition

                    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.

                    ShortIntellectual property ownership, may include restrictions on use
                    Control0..1
                    Typemarkdown
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    68. EvidenceVariable.copyrightLabel
                    Definition

                    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').

                    ShortCopyright holder and year(s)
                    Comments

                    The copyright symbol and the '(c)' textual representation 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.

                    Control0..1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Requirements

                    Defines the content expected to be rendered in all representations of the artifact.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    70. EvidenceVariable.approvalDate
                    Definition

                    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.

                    ShortWhen the resource was approved by publisher
                    Control0..1
                    Typedate
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    72. EvidenceVariable.lastReviewDate
                    Definition

                    The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.

                    ShortWhen the resource was last reviewed by the publisher
                    Comments

                    If specified, this date follows the original approval date.

                    See guidance around (not) making local changes to elements here.

                    Control0..1
                    Typedate
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    74. EvidenceVariable.effectivePeriod
                    Definition

                    The period during which the resource content was or is planned to be in active use.

                    ShortWhen the resource is expected to be used
                    Comments

                    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.

                    Control0..1
                    TypePeriod
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    76. EvidenceVariable.relatesTo
                    Definition

                    Relationships that this EvidenceVariable has with other FHIR or non-FHIR resources that already exist.

                    ShortRelationships to other Resources
                    Control0..*
                    TypeBackboneElement
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                    SlicingThis element introduces a set of slices on EvidenceVariable.relatesTo. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ type
                    • 78. EvidenceVariable.relatesTo.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      This element is affected by the following invariants: ele-1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      80. EvidenceVariable.relatesTo.extension
                      Definition

                      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.

                      ShortAdditional content defined by implementations
                      Comments

                      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.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      SlicingThis element introduces a set of slices on EvidenceVariable.relatesTo.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 82. EvidenceVariable.relatesTo.extension:quotation
                        Slice Namequotation
                        Definition

                        Specification of a portion quoted from the related artifact.

                        ShortQuoted portion from related artifact
                        Control0..1
                        TypeExtension(RelatesToWithQuotation) (Extension Type: markdown)
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        84. EvidenceVariable.relatesTo.extension:classifier
                        Slice Nameclassifier
                        Definition

                        A classifier of the target artifact in a relatesTo element.

                        ShortA classifier of the target artifact in a relatesTo element
                        Control0..1
                        TypeExtension(RelatesToClassifier) (Extension Type: CodeableConcept)
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        86. EvidenceVariable.relatesTo.modifierExtension
                        Definition

                        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).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        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.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        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.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        SlicingThis element introduces a set of slices on EvidenceVariable.relatesTo.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 88. EvidenceVariable.relatesTo.type
                          Definition

                          The type of relationship to the related artifact.

                          Shortdocumentation | 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 | reprint | reprint-of | summarizes
                          Control1..1
                          BindingUnless not suitable, these codes SHALL be taken from Artifact Relationship Type
                          (extensible to http://terminology.hl7.org/ValueSet/artifact-relationship-type)

                          The type of relationship to the related artifact.

                          TypeCodeableConcept
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          90. EvidenceVariable.relatesTo.target[x]
                          Definition

                          The artifact that is related to this EvidenceVariable Resource.

                          ShortThe artifact that is related to this EvidenceVariable
                          Control1..1
                          TypeChoice of: uri, Attachment, canonical(Resource), Reference(Resource), markdown
                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          92. EvidenceVariable.relatesTo:supportedWith
                          Slice NamesupportedWith
                          Definition

                          Relationships that this EvidenceVariable has with other FHIR or non-FHIR resources that already exist.

                          ShortRelationships to other Resources
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                          94. EvidenceVariable.relatesTo:supportedWith.id
                          Definition

                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                          ShortUnique id for inter-element referencing
                          Control0..1
                          This element is affected by the following invariants: ele-1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          96. EvidenceVariable.relatesTo:supportedWith.extension
                          Definition

                          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.

                          ShortAdditional content defined by implementations
                          Comments

                          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.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          SlicingThis element introduces a set of slices on EvidenceVariable.relatesTo.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 98. EvidenceVariable.relatesTo:supportedWith.extension:quotation
                            Slice Namequotation
                            Definition

                            Specification of a portion quoted from the related artifact.

                            ShortQuoted portion from related artifact
                            Control0..1
                            TypeExtension(RelatesToWithQuotation) (Extension Type: markdown)
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            100. EvidenceVariable.relatesTo:supportedWith.extension:classifier
                            Slice Nameclassifier
                            Definition

                            A classifier of the target artifact in a relatesTo element.

                            ShortA classifier of the target artifact in a relatesTo element
                            Control0..1
                            TypeExtension(RelatesToClassifier) (Extension Type: CodeableConcept)
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            102. EvidenceVariable.relatesTo:supportedWith.modifierExtension
                            Definition

                            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).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

                            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.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            Requirements

                            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.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            SlicingThis element introduces a set of slices on EvidenceVariable.relatesTo.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 104. EvidenceVariable.relatesTo:supportedWith.type
                              Definition

                              The type of relationship to the related artifact.

                              Shortdocumentation | 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 | reprint | reprint-of | summarizes
                              Control1..1
                              BindingUnless not suitable, these codes SHALL be taken from Artifact Relationship Type
                              (extensible to http://terminology.hl7.org/ValueSet/artifact-relationship-type)

                              The type of relationship to the related artifact.

                              TypeCodeableConcept
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Pattern Value{
                                "coding" : [{
                                  "system" : "http://terminology.hl7.org/CodeSystem/artifact-relationship-type",
                                  "code" : "supported-with"
                                }]
                              }
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              106. EvidenceVariable.relatesTo:supportedWith.target[x]
                              Definition

                              The artifact that is related to this EvidenceVariable Resource.

                              ShortThe artifact that is related to this EvidenceVariable
                              Control1..1
                              TypeChoice of: uri, Attachment, canonical(Resource), Reference(Resource), markdown
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              SlicingThis element introduces a set of slices on EvidenceVariable.relatesTo.target[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • type @ $this
                              • 108. EvidenceVariable.relatesTo:supportedWith.target[x]:targetReference
                                Slice NametargetReference
                                Definition

                                The artifact that is related to this EvidenceVariable Resource.

                                ShortThe artifact that is related to this EvidenceVariable
                                Control0..1
                                TypeReference(ParticipantFlowReasonEvidenceVariable)
                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                110. EvidenceVariable.actual
                                Definition

                                True if the actual variable measured, false if a conceptual representation of the intended variable.

                                ShortActual or conceptual
                                Control0..1
                                Typeboolean
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supportfalse
                                Summaryfalse
                                Meaning if MissingValue is unknown.
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                112. EvidenceVariable.definition
                                Definition

                                The meaning of the evidence variable.

                                ShortThe meaning of the evidence variable
                                Control0..1
                                BindingFor example codes, see EvidenceVariableDefinition
                                (example to http://hl7.org/fhir/ValueSet/evidence-variable-definition|6.0.0-ballot5)
                                TypeCodeableReference(Group)
                                Is Modifierfalse
                                Must Supportfalse
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                114. EvidenceVariable.definitionModifier
                                Definition

                                Further specification of the definition.

                                ShortFurther specification of the definition
                                Control0..*
                                TypeBackboneElement
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                                116. EvidenceVariable.definitionModifier.id
                                Definition

                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                ShortUnique id for inter-element referencing
                                Control0..1
                                This element is affected by the following invariants: ele-1
                                Typestring
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                118. EvidenceVariable.definitionModifier.extension
                                Definition

                                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.

                                ShortAdditional content defined by implementations
                                Comments

                                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.

                                Control0..*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Alternate Namesextensions, user content
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                SlicingThis element introduces a set of slices on EvidenceVariable.definitionModifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 120. EvidenceVariable.definitionModifier.modifierExtension
                                  Definition

                                  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).

                                  ShortExtensions that cannot be ignored even if unrecognized
                                  Comments

                                  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.

                                  Control0..*
                                  TypeExtension
                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                  Summarytrue
                                  Requirements

                                  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.

                                  Alternate Namesextensions, user content, modifiers
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  SlicingThis element introduces a set of slices on EvidenceVariable.definitionModifier.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • value @ url
                                  • 122. EvidenceVariable.definitionModifier.code
                                    Definition

                                    Attribute of the definition.

                                    ShortAttribute of the definition
                                    Control1..1
                                    BindingFor example codes, see EvidenceVariableDefinitionModifierCode
                                    (example to http://hl7.org/fhir/ValueSet/evidence-variable-definition-modifier-code|6.0.0-ballot5)
                                    TypeCodeableConcept
                                    Is Modifierfalse
                                    Must Supportfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    124. EvidenceVariable.definitionModifier.value[x]
                                    Definition

                                    Specification of the definition attribute.

                                    ShortSpecification of the definition attribute
                                    Control1..1
                                    TypeChoice of: CodeableConcept, boolean, Quantity, Range, Period, RelativeTime, Reference(Resource), Expression, uri
                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Must Supportfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    126. EvidenceVariable.handling
                                    Definition

                                    The method of handling in statistical analysis.

                                    Shortboolean | continuous | dichotomous | ordinal | polychotomous | time-to-event | not-specified
                                    Comments

                                    See the Evidence Based Medicine on FHIR Implementation Guide (https://hl7.org/fhir/uv/ebm) for Extensible and Preferred value sets for evidence-related terminologies.

                                    Control1..1
                                    BindingUnless not suitable, these codes SHALL be taken from Evidence Variable Handling
                                    (extensible to http://terminology.hl7.org/ValueSet/evidence-variable-handling)
                                    TypeCodeableConcept
                                    Is Modifierfalse
                                    Must Supportfalse
                                    Summaryfalse
                                    Pattern Value{
                                      "coding" : [{
                                        "code" : "boolean"
                                      }]
                                    }
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    128. EvidenceVariable.category
                                    Definition

                                    A grouping for dichotomous, ordinal, or polychotomouos variables.

                                    ShortA grouping for dichotomous, ordinal, or polychotomouos variables
                                    Control0..*
                                    TypeBackboneElement
                                    Is Modifierfalse
                                    Must Supportfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                                    130. EvidenceVariable.category.id
                                    Definition

                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                    ShortUnique id for inter-element referencing
                                    Control0..1
                                    This element is affected by the following invariants: ele-1
                                    Typestring
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Summaryfalse
                                    132. EvidenceVariable.category.extension
                                    Definition

                                    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.

                                    ShortAdditional content defined by implementations
                                    Comments

                                    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.

                                    Control0..*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Alternate Namesextensions, user content
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    SlicingThis element introduces a set of slices on EvidenceVariable.category.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • value @ url
                                    • 134. EvidenceVariable.category.modifierExtension
                                      Definition

                                      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).

                                      ShortExtensions that cannot be ignored even if unrecognized
                                      Comments

                                      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.

                                      Control0..*
                                      TypeExtension
                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                      Summarytrue
                                      Requirements

                                      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.

                                      Alternate Namesextensions, user content, modifiers
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      SlicingThis element introduces a set of slices on EvidenceVariable.category.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                      • value @ url
                                      • 136. EvidenceVariable.category.name
                                        Definition

                                        Description of the grouping.

                                        ShortDescription of the grouping
                                        Control0..1
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Must Supportfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        138. EvidenceVariable.category.value[x]
                                        Definition

                                        Definition of the grouping.

                                        ShortDefinition of the grouping
                                        Control0..1
                                        TypeChoice of: CodeableConcept, Quantity, Range, Reference(Group)
                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                        Is Modifierfalse
                                        Must Supportfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        140. EvidenceVariable.conditional
                                        Definition

                                        The context, situation, or parameters that determine whether the data is obtained to determine the value of the variable.

                                        ShortCondition determining whether the data will be collected
                                        Control0..1
                                        TypeExpression
                                        Is Modifierfalse
                                        Must Supportfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        142. EvidenceVariable.classifier
                                        Definition

                                        Classification of the variable.

                                        ShortClassification
                                        Control0..*
                                        BindingFor example codes, see EvidenceVariableClassifierExample
                                        (example to http://hl7.org/fhir/ValueSet/evidence-variable-classifier-example|6.0.0-ballot5)
                                        TypeCodeableConcept
                                        Is Modifierfalse
                                        Must Supportfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        144. EvidenceVariable.dataStorage
                                        Definition

                                        How the data element is organized and where the data element (expressing the value of the variable) is found in the dataset.

                                        ShortHow the data element (value of the variable) is found
                                        Control0..*
                                        TypeBackboneElement
                                        Is Modifierfalse
                                        Must Supportfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                                        146. EvidenceVariable.dataStorage.id
                                        Definition

                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                        ShortUnique id for inter-element referencing
                                        Control0..1
                                        This element is affected by the following invariants: ele-1
                                        Typestring
                                        Is Modifierfalse
                                        XML FormatIn the XML format, this property is represented as an attribute.
                                        Summaryfalse
                                        148. EvidenceVariable.dataStorage.extension
                                        Definition

                                        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.

                                        ShortAdditional content defined by implementations
                                        Comments

                                        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.

                                        Control0..*
                                        TypeExtension
                                        Is Modifierfalse
                                        Summaryfalse
                                        Alternate Namesextensions, user content
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        SlicingThis element introduces a set of slices on EvidenceVariable.dataStorage.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                        • value @ url
                                        • 150. EvidenceVariable.dataStorage.modifierExtension
                                          Definition

                                          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).

                                          ShortExtensions that cannot be ignored even if unrecognized
                                          Comments

                                          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.

                                          Control0..*
                                          TypeExtension
                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                          Summarytrue
                                          Requirements

                                          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.

                                          Alternate Namesextensions, user content, modifiers
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          SlicingThis element introduces a set of slices on EvidenceVariable.dataStorage.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                          • value @ url
                                          • 152. EvidenceVariable.dataStorage.datatype
                                            Definition

                                            The type of data used to express values of the variable.

                                            ShortType of data used to express value of the variable
                                            Control0..1
                                            BindingThe codes SHOULD be taken from FHIRTypes
                                            (preferred to http://hl7.org/fhir/ValueSet/fhir-types|6.0.0-ballot5)

                                            Either a resource or a data type, including logical model types.

                                            TypeCodeableConcept
                                            Is Modifierfalse
                                            Must Supportfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            154. EvidenceVariable.dataStorage.path
                                            Definition

                                            The mapping (order of elements) to reach the element containing the data element in the dataset.

                                            ShortWhere to find the data element in the dataset
                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Must Supportfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            156. EvidenceVariable.dataStorage.delimiter
                                            Definition

                                            A character or series of characters that is used within a string to signal the separation of discrete values.

                                            ShortCharacter(s) separating values in a string-based list
                                            Comments

                                            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.

                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Must Supportfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            158. EvidenceVariable.dataStorage.component
                                            Definition

                                            A part of the value for a variable that is stored in 2 or more parts.

                                            Control0..*
                                            TypeSeettp://hl7.org/fhir/StructureDefinition/EvidenceVariable#EvidenceVariable.dataStorage
                                            Is Modifierfalse
                                            Must Supportfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            160. EvidenceVariable.timing
                                            Definition

                                            When the variable is observed in relation to a reference point in time defined by context or event.

                                            ShortWhen the variable is observed
                                            Control0..1
                                            TypeRelativeTime
                                            Is Modifierfalse
                                            Must Supportfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            162. EvidenceVariable.period
                                            Definition

                                            When the variable is observed in relation to calendar dates and times.

                                            ShortCalendar-based timing when the variable is observed
                                            Control0..1
                                            TypePeriod
                                            Is Modifierfalse
                                            Must Supportfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            164. EvidenceVariable.constraint
                                            Definition

                                            Limit on acceptability of data used to express values of the variable.

                                            ShortLimit on acceptability of data value
                                            Control0..*
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Must Supportfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                                            166. EvidenceVariable.constraint.id
                                            Definition

                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                            ShortUnique id for inter-element referencing
                                            Control0..1
                                            This element is affected by the following invariants: ele-1
                                            Typestring
                                            Is Modifierfalse
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Summaryfalse
                                            168. EvidenceVariable.constraint.extension
                                            Definition

                                            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.

                                            ShortAdditional content defined by implementations
                                            Comments

                                            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.

                                            Control0..*
                                            TypeExtension
                                            Is Modifierfalse
                                            Summaryfalse
                                            Alternate Namesextensions, user content
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            SlicingThis element introduces a set of slices on EvidenceVariable.constraint.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                            • value @ url
                                            • 170. EvidenceVariable.constraint.modifierExtension
                                              Definition

                                              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).

                                              ShortExtensions that cannot be ignored even if unrecognized
                                              Comments

                                              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.

                                              Control0..*
                                              TypeExtension
                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                              Summarytrue
                                              Requirements

                                              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.

                                              Alternate Namesextensions, user content, modifiers
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              SlicingThis element introduces a set of slices on EvidenceVariable.constraint.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                              • value @ url
                                              • 172. EvidenceVariable.constraint.conditional
                                                Definition

                                                The context, situation, or parameters that determine whether this constraint applies.

                                                ShortCondition determining whether this constraint applies
                                                Control0..1
                                                BindingFor example codes, see AdministrativeGender
                                                (example to http://hl7.org/fhir/ValueSet/administrative-gender|6.0.0-ballot5)
                                                TypeCodeableConcept
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                174. EvidenceVariable.constraint.minimumQuantity
                                                Definition

                                                The lowest permissible value of the variable, used with variables that have a number-based datatype (with or without units).

                                                ShortThe lowest permissible value of the variable
                                                Control0..1
                                                TypeQuantity
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                176. EvidenceVariable.constraint.maximumQuantity
                                                Definition

                                                The highest permissible value of the variable, used with variables that have a number-based datatype (with or without units).

                                                ShortThe highest permissible value of the variable
                                                Control0..1
                                                TypeQuantity
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                178. EvidenceVariable.constraint.earliestDateTime
                                                Definition

                                                The earliest permissible value of the variable, used with variables that have a date-based or dateTime-based datatype.

                                                ShortThe earliest permissible value of the variable
                                                Control0..1
                                                TypedateTime
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                180. EvidenceVariable.constraint.latestDateTime
                                                Definition

                                                The latest permissible value of the variable, used with variables that have a date-based or dateTime-based datatype.

                                                ShortThe latest permissible value of the variable
                                                Control0..1
                                                TypedateTime
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                182. EvidenceVariable.constraint.minimumStringLength
                                                Definition

                                                The lowest number of characters allowed for a value of the variable, used with variables that have a string-based datatype.

                                                ShortThe lowest number of characters allowed for a value of the variable
                                                Control0..1
                                                TypeunsignedInt
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                184. EvidenceVariable.constraint.maximumStringLength
                                                Definition

                                                The highest number of characters allowed for a value of the variable, used with variables that have a string-based datatype.

                                                ShortThe highest number of characters allowed for a value of the variable
                                                Control0..1
                                                TypepositiveInt
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                186. EvidenceVariable.constraint.code
                                                Definition

                                                A rule, such as a format or other expectation, for the data values.

                                                ShortRule for acceptable data values
                                                Control0..1
                                                BindingFor example codes, see Evidence Variable Constraint
                                                (example to http://terminology.hl7.org/ValueSet/evidence-variable-constraint)
                                                TypeCodeableConcept
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                188. EvidenceVariable.constraint.expression
                                                Definition

                                                A rule, such as a format or other expectation, for the data values, expressed as an Expression.

                                                ShortRule for acceptable data values, as an Expression
                                                Control0..1
                                                TypeExpression
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                190. EvidenceVariable.constraint.expectedValueSet
                                                Definition

                                                List of anticipated values used to express value of the variable, used with variables that have a codeable concept-based datatype.

                                                ShortList of anticipated values used to express value of the variable
                                                Control0..1
                                                TypeReference(ValueSet)
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                192. EvidenceVariable.constraint.expectedUnitsValueSet
                                                Definition

                                                List of anticipated values used to express units for the value of the variable, used with variables that have a Quantity-based datatype.

                                                ShortList of anticipated values used to express units for the value of the variable
                                                Control0..1
                                                TypeReference(ValueSet)
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                194. EvidenceVariable.constraint.anyValueAllowed
                                                Definition

                                                Whether the value expressed for a variable is allowed to not be restricted to the expected value set.

                                                ShortPermissibility of unanticipated value used to express value of the variable
                                                Control0..1
                                                Typeboolean
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Must Supportfalse
                                                Summaryfalse
                                                Meaning if MissingPresumed false.
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                196. EvidenceVariable.missingDataMeaning
                                                Definition

                                                A method or transformation applied for missing data.

                                                ShortHow missing data can be interpreted
                                                Control0..*
                                                BindingFor example codes, see DataAbsentReason
                                                (example to http://hl7.org/fhir/ValueSet/data-absent-reason|6.0.0-ballot5)
                                                TypeCodeableConcept
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                198. EvidenceVariable.unacceptableDataHandling
                                                Definition

                                                A method or transformation applied for data that does not match required patterns.

                                                ShortHow erroneous data is processed
                                                Control0..*
                                                BindingFor example codes, see Evidence Variable Unacceptable Data Handling
                                                (example to http://terminology.hl7.org/ValueSet/evidence-variable-unacceptable-data-handling)
                                                TypeCodeableConcept
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))