Evidence Assessment ROBIS - Dissolve-E: FHIR Implementation Guide for the AWMF Guideline Registry v0.1.0

A set of rules under which this content was created

language

0..1

Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language

Additional Bindings

Purpose

CommonLanguages

Starter

0..1

Narrative

Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

contained

0..*

Resource

Contained, inline Resources

0..*

Extension
Slice: Unordered, Open by value:url

extension:url

0..1

Canonical identifier for this artifact, represented as a URI (globally unique)
URL: http://hl7.org/fhir/StructureDefinition/artifact-url

extension:description

0..1

Natural language description of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-description

extension:author

0..*

ContactDetail

Who authored the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-author

extension:useContext

0..*

UsageContext

The context that the content is intended to support
URL: http://hl7.org/fhir/StructureDefinition/artifact-useContext

0..*

(Complex)

Related artifact with quoted portion
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation

?!Σ

0..*

Extensions that cannot be ignored

identifier

0..*

Identifier

Additional identifier for the CertaintyOfEvidence

title

0..1

A label for use in displaying and selecting the artifact assessment

citeAs

0..1

How to cite the CertaintyOfEvidence

Slices for artifact[x]

1..1

The artifact that is rated
Slice: Unordered, Open by type:$this

artifactReference

Reference(Resource)

artifactCanonical

canonical(Any)

artifactUri

artifact[x]:artifactReference

0..1

Reference(Outcome Evidence)

The artifact that is rated

0..*

Relationship to other Resources

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

target[x]

1..1

The artifact that is related to this ArtifactAssessment

targetUri

targetAttachment

targetCanonical

targetReference

targetMarkdown

0..1

dateTime

Date last changed

0..1

Use and/or publishing restrictions

approvalDate

0..1

When the CertaintyOfEvidence was approved by publisher

lastReviewDate

0..1

When the CertaintyOfEvidence was last reviewed

Slices for content

0..*

Comment, classifier, or rating content
Slice: Unordered, Open by value:type

content:All Slices

Content/Rules for all slices

0..1

Unique id for inter-element referencing

0..*

Extension
Slice: Unordered, Open by value:url

0..*

(Complex)

Related artifact with quoted portion
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Brief summary of the content

0..1

What type of content
Binding: EvidenceCertaintyType (example)

0..*

Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)

0..1

Quantitative rating

0..*

Reference(Patient | Practitioner | PractitionerRole | Organization | Device)

Who authored the content

0..*

What the comment is directed to

0..*

Relationship to other Resources

0..1

Acceptable to publicly share the CertaintyOfEvidence content

0..*

Comment, classifier, or rating content

0..1

Unique id for inter-element referencing

0..*

Extension
Slice: Unordered, Open by value:url

0..*

(Complex)

Related artifact with quoted portion
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Brief summary of the content

0..1

What type of content
Binding: EvidenceCertaintyType (example)

0..*

Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)

0..1

Quantitative rating

0..*

Reference(Patient | Practitioner | PractitionerRole | Organization | Device)

Who authored the content

0..*

What the comment is directed to

0..*

Relationship to other Resources

0..1

Acceptable to publicly share the content

0..*

Comment, classifier, or rating content

content:ratingSystem

0..1

Comment, classifier, or rating content

0..1

Unique id for inter-element referencing

0..*

Extension
Slice: Unordered, Open by value:url

0..*

(Complex)

Related artifact with quoted portion
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Brief summary of the content

1..1

What type of content
Binding: EvidenceCertaintyType (example)
Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (Complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: https://fevir.net/resources/CodeSystem/179423

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: rating-system

1..1

Representation defined by the system
Fixed Value: Rating System

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

1..1

Rating, classifier, or assessment
Binding: Evidence Rating System Value Set (extensible)

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (Complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-evidence-rating-system

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: ROBIS

1..1

Representation defined by the system
Fixed Value: ROBIS

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..1

Quantitative rating

0..*

Reference(Patient | Practitioner | PractitionerRole | Organization | Device)

Who authored the content

0..*

What the comment is directed to

0..*

Relationship to other Resources

0..1

Acceptable to publicly share the EvidenceAssessment content

0..*

Comment, classifier, or rating content

0..1

Unique id for inter-element referencing

0..*

Extension
Slice: Unordered, Open by value:url

0..*

(Complex)

Related artifact with quoted portion
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Brief summary of the content

0..1

What type of content
Binding: EvidenceCertaintyType (example)

0..*

Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)

0..1

Quantitative rating

0..*

Reference(Patient | Practitioner | PractitionerRole | Organization | Device)

Who authored the content

0..*

What the comment is directed to

0..*

Relationship to other Resources

0..1

Acceptable to publicly share the content

0..*

Comment, classifier, or rating content

content:overall

0..1

Comment, classifier, or rating content

0..1

Unique id for inter-element referencing

0..*

Extension
Slice: Unordered, Open by value:url

0..*

(Complex)

Related artifact with quoted portion
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Brief summary of the content

1..1

What type of content
Binding: EvidenceCertaintyType (extensible)
Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (Complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://hl7.org/fhir/certainty-type

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: Overall

1..1

Representation defined by the system
Fixed Value: Overall certainty

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (extensible)

0..1

Quantitative rating

0..*

Reference(Patient | Practitioner | PractitionerRole | Organization | Device)

Who authored the content

0..*

What the comment is directed to

0..*

Relationship to other Resources

0..1

Acceptable to publicly share the EvidenceAssessment content

0..*

Comment, classifier, or rating content

0..1

Unique id for inter-element referencing

0..*

Extension
Slice: Unordered, Open by value:url

0..*

(Complex)

Related artifact with quoted portion
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Brief summary of the content

0..1

What type of content
Binding: EvidenceCertaintyType (example)

0..*

Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)

0..1

Quantitative rating

0..*

Reference(Patient | Practitioner | PractitionerRole | Organization | Device)

Who authored the content

0..*

What the comment is directed to

0..*

Relationship to other Resources

0..1

Acceptable to publicly share the content

0..*

Comment, classifier, or rating content

content:levelOfEvidence

0..1

Comment, classifier, or rating content

0..1

Unique id for inter-element referencing

0..*

Extension
Slice: Unordered, Open by value:url

0..*

(Complex)

Related artifact with quoted portion
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Brief summary of the content

1..1

What type of content
Binding: EvidenceCertaintyType (example)
Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (Complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://hl7.org/fhir/certainty-type

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: Overall

1..1

Representation defined by the system
Fixed Value: Overall certainty

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)

0..1

Quantitative rating

0..*

Reference(Patient | Practitioner | PractitionerRole | Organization | Device)

Who authored the content

0..*

What the comment is directed to

0..*

Relationship to other Resources

0..1

Acceptable to publicly share the CertaintyOfEvidence content

0..*

Comment, classifier, or rating content

0..1

Unique id for inter-element referencing

0..*

Extension
Slice: Unordered, Open by value:url

0..*

(Complex)

Related artifact with quoted portion
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Brief summary of the content

0..1

What type of content
Binding: EvidenceCertaintyType (example)

0..*

Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)

0..1

Quantitative rating

0..*

Reference(Patient | Practitioner | PractitionerRole | Organization | Device)

Who authored the content

0..*

What the comment is directed to

0..*

Relationship to other Resources

0..1

Acceptable to publicly share the content

0..*

Documentation for this format

Comment, classifier, or rating content

1..1

0..1

unresolved | not-persuasive | persuasive | persuasive-with-modification | not-persuasive-with-modification
Binding: ArtifactAssessmentDisposition (required)

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ArtifactAssessment.language	required	AllLanguages `http://hl7.org/fhir/ValueSet/all-languages\|6.0.0-ballot3` From the FHIR Standard
ArtifactAssessment.relatesTo.type	required	ArtifactRelationshipType `http://hl7.org/fhir/ValueSet/artifact-relationship-type\|6.0.0-ballot3` From the FHIR Standard
ArtifactAssessment.content.type	example	EvidenceCertaintyType `http://hl7.org/fhir/ValueSet/certainty-type` From the FHIR Standard
ArtifactAssessment.content.classifier	example	EvidenceCertaintyRating `http://hl7.org/fhir/ValueSet/certainty-rating` From the FHIR Standard
ArtifactAssessment.content.component.type	example	EvidenceCertaintyType `http://hl7.org/fhir/ValueSet/certainty-type` From the FHIR Standard
ArtifactAssessment.content.component.classifier	example	EvidenceCertaintyRating `http://hl7.org/fhir/ValueSet/certainty-rating` From the FHIR Standard
ArtifactAssessment.content:ratingSystem.type	example	Pattern Value: rating-system("Rating System") `http://hl7.org/fhir/ValueSet/certainty-type` From the FHIR Standard
ArtifactAssessment.content:ratingSystem.classifier	extensible	Pattern Value: ROBIS("ROBIS") `http://fhir.awmf.org/awmf.ig/ValueSet/vs-evidence-rating-system` From this IG
ArtifactAssessment.content:ratingSystem.component.type	example	EvidenceCertaintyType `http://hl7.org/fhir/ValueSet/certainty-type` From the FHIR Standard
ArtifactAssessment.content:ratingSystem.component.classifier	example	EvidenceCertaintyRating `http://hl7.org/fhir/ValueSet/certainty-rating` From the FHIR Standard
ArtifactAssessment.content:overall.type	extensible	Pattern Value: Overall("Overall certainty") `http://hl7.org/fhir/ValueSet/certainty-type` From the FHIR Standard
ArtifactAssessment.content:overall.classifier	extensible	EvidenceCertaintyRating `http://hl7.org/fhir/ValueSet/certainty-rating` From the FHIR Standard
ArtifactAssessment.content:overall.component.type	example	EvidenceCertaintyType `http://hl7.org/fhir/ValueSet/certainty-type` From the FHIR Standard
ArtifactAssessment.content:overall.component.classifier	example	EvidenceCertaintyRating `http://hl7.org/fhir/ValueSet/certainty-rating` From the FHIR Standard
ArtifactAssessment.content:levelOfEvidence.type	example	Pattern Value: Overall("Overall certainty") `http://hl7.org/fhir/ValueSet/certainty-type` From the FHIR Standard
ArtifactAssessment.content:levelOfEvidence.classifier	example	EvidenceCertaintyRating `http://hl7.org/fhir/ValueSet/certainty-rating` From the FHIR Standard
ArtifactAssessment.content:levelOfEvidence.component.type	example	EvidenceCertaintyType `http://hl7.org/fhir/ValueSet/certainty-type` From the FHIR Standard
ArtifactAssessment.content:levelOfEvidence.component.classifier	example	EvidenceCertaintyRating `http://hl7.org/fhir/ValueSet/certainty-rating` From the FHIR Standard
ArtifactAssessment.workflowStatus	required	Pattern Value: applied `http://hl7.org/fhir/ValueSet/artifactassessment-workflow-status\|6.0.0-ballot3` From the FHIR Standard
ArtifactAssessment.disposition	required	ArtifactAssessmentDisposition `http://hl7.org/fhir/ValueSet/artifactassessment-disposition\|6.0.0-ballot3` From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ArtifactAssessment	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ArtifactAssessment	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id.trace('id') in %resource.descendants().select(reference \| as(uri))) or descendants().where(reference='#' \| as(uri)='#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ArtifactAssessment	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ArtifactAssessment	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ArtifactAssessment	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	ALL extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CertaintyOfEvidenceRating

Summary

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
ArtifactAssessment		0..*	CertaintyOfEvidenceRating	Adds metadata-supported comments, classifiers or ratings related to a Resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
Slices for extension				Content/Rules for all slices
extension:url		0..1	uri	Canonical identifier for this artifact, represented as a URI (globally unique) URL: http://hl7.org/fhir/StructureDefinition/artifact-url
extension:description		0..1	markdown	Natural language description of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-description
extension:author		0..*	ContactDetail	Who authored the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-author
extension:useContext		0..*	UsageContext	The context that the content is intended to support URL: http://hl7.org/fhir/StructureDefinition/artifact-useContext
extension:RelatesToWithQuotation		0..*	(Complex)	Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for artifact[x]	Σ	1..1		The artifact that is rated Slice: Unordered, Open by type:$this
artifactReference			Reference(Resource)
artifactCanonical			canonical(Any)
artifactUri			uri
artifact[x]:artifactReference	Σ	0..1	Reference(Outcome Evidence)	The artifact that is rated
Slices for content		0..*	BackboneElement	Comment, classifier, or rating content Slice: Unordered, Open by value:type
content:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:RelatesToWithQuotation		0..*	(Complex)	Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content:ratingSystem	S	0..1	BackboneElement	Comment, classifier, or rating content
Slices for extension				Content/Rules for all slices
extension:RelatesToWithQuotation		0..*	(Complex)	Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: rating-system
display		1..1	string	Representation defined by the system Fixed Value: Rating System
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Evidence Rating System Value Set (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-evidence-rating-system
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ROBIS
display		1..1	string	Representation defined by the system Fixed Value: ROBIS
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
content:overall	S	0..1	BackboneElement	Comment, classifier, or rating content
Slices for extension				Content/Rules for all slices
extension:RelatesToWithQuotation		0..*	(Complex)	Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/certainty-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: Overall
display		1..1	string	Representation defined by the system Fixed Value: Overall certainty
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
content:levelOfEvidence		0..1	BackboneElement	Comment, classifier, or rating content
Slices for extension				Content/Rules for all slices
extension:RelatesToWithQuotation		0..*	(Complex)	Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/certainty-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: Overall
display		1..1	string	Representation defined by the system Fixed Value: Overall certainty
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
workflowStatus	Σ	1..1	code	submitted \| triaged \| waiting-for-input \| resolved-no-change \| resolved-change-required \| deferred \| duplicate \| applied \| published \| entered-in-error Binding: ArtifactAssessmentWorkflowStatus (required) Required Pattern: applied
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ArtifactAssessment.content:ratingSystem.type	example	Pattern Value: rating-system("Rating System") `http://hl7.org/fhir/ValueSet/certainty-type` From the FHIR Standard
ArtifactAssessment.content:ratingSystem.classifier	extensible	Pattern Value: ROBIS("ROBIS") `http://fhir.awmf.org/awmf.ig/ValueSet/vs-evidence-rating-system` From this IG
ArtifactAssessment.content:overall.type	extensible	Pattern Value: Overall("Overall certainty") `http://hl7.org/fhir/ValueSet/certainty-type` From the FHIR Standard
ArtifactAssessment.content:levelOfEvidence.type	example	Pattern Value: Overall("Overall certainty") `http://hl7.org/fhir/ValueSet/certainty-type` From the FHIR Standard
ArtifactAssessment.workflowStatus	required	Pattern Value: applied `http://hl7.org/fhir/ValueSet/artifactassessment-workflow-status\|6.0.0-ballot3` From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ArtifactAssessment	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ArtifactAssessment	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id.trace('id') in %resource.descendants().select(reference \| as(uri))) or descendants().where(reference='#' \| as(uri)='#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ArtifactAssessment	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ArtifactAssessment	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ArtifactAssessment	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	ALL extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from CertaintyOfEvidenceRating

Name	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
ArtifactAssessment	0..*	CertaintyOfEvidenceRating	Adds metadata-supported comments, classifiers or ratings related to a Resource
Slices for content			Content/Rules for all slices
content:ratingSystem	0..1	BackboneElement	Comment, classifier, or rating content
classifier	1..1	CodeableConcept	Rating, classifier, or assessment Required Pattern: At least the following
coding	1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-evidence-rating-system
code	1..1	code	Symbol in syntax defined by the system Fixed Value: ROBIS
display	1..1	string	Representation defined by the system Fixed Value: ROBIS
Documentation for this format

Snapshot View

Description & Constraints Filter: Filters

ArtifactAssessment

0..*

CertaintyOfEvidenceRating

Adds metadata-supported comments, classifiers or ratings related to a Resource

0..1

Logical id of this artifact

Meta

Metadata about the resource

implicitRules

?!Σ

0..1

A set of rules under which this content was created

language

0..1

Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language

Additional Bindings

Purpose

CommonLanguages

Starter

0..1

Narrative

Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

contained

0..*

Resource

Contained, inline Resources

0..*

Extension
Slice: Unordered, Open by value:url

extension:url

0..1

Canonical identifier for this artifact, represented as a URI (globally unique)
URL: http://hl7.org/fhir/StructureDefinition/artifact-url

extension:description

0..1

Natural language description of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-description

extension:author

0..*

ContactDetail

Who authored the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-author

extension:useContext

0..*

UsageContext

The context that the content is intended to support
URL: http://hl7.org/fhir/StructureDefinition/artifact-useContext

0..*

(Complex)

Related artifact with quoted portion
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation

?!Σ

0..*

Extensions that cannot be ignored

identifier

0..*

Identifier

Additional identifier for the CertaintyOfEvidence

title

0..1

A label for use in displaying and selecting the artifact assessment

citeAs

0..1

How to cite the CertaintyOfEvidence

Slices for artifact[x]

1..1

The artifact that is rated
Slice: Unordered, Open by type:$this

artifactReference

Reference(Resource)

artifactCanonical

canonical(Any)

artifactUri

artifact[x]:artifactReference

0..1

Reference(Outcome Evidence)

The artifact that is rated

0..*

Relationship to other Resources

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

target[x]

1..1

The artifact that is related to this ArtifactAssessment

targetUri

targetAttachment

targetCanonical

targetReference

targetMarkdown

0..1

dateTime

Date last changed

0..1

Use and/or publishing restrictions

approvalDate

0..1

When the CertaintyOfEvidence was approved by publisher

lastReviewDate

0..1

When the CertaintyOfEvidence was last reviewed

Slices for content

0..*

Comment, classifier, or rating content
Slice: Unordered, Open by value:type

content:All Slices

Content/Rules for all slices

0..1

Unique id for inter-element referencing

0..*

Extension
Slice: Unordered, Open by value:url

0..*

(Complex)

Related artifact with quoted portion
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Brief summary of the content

0..1

What type of content
Binding: EvidenceCertaintyType (example)

0..*

Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)

0..1

Quantitative rating

0..*

Reference(Patient | Practitioner | PractitionerRole | Organization | Device)

Who authored the content

0..*

What the comment is directed to

0..*

Relationship to other Resources

0..1

Acceptable to publicly share the CertaintyOfEvidence content

0..*

Comment, classifier, or rating content

0..1

Unique id for inter-element referencing

0..*

Extension
Slice: Unordered, Open by value:url

0..*

(Complex)

Related artifact with quoted portion
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Brief summary of the content

0..1

What type of content
Binding: EvidenceCertaintyType (example)

0..*

Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)

0..1

Quantitative rating

0..*

Reference(Patient | Practitioner | PractitionerRole | Organization | Device)

Who authored the content

0..*

What the comment is directed to

0..*

Relationship to other Resources

0..1

Acceptable to publicly share the content

0..*

Comment, classifier, or rating content

content:ratingSystem

0..1

Comment, classifier, or rating content

0..1

Unique id for inter-element referencing

0..*

Extension
Slice: Unordered, Open by value:url

0..*

(Complex)

Related artifact with quoted portion
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Brief summary of the content

1..1

What type of content
Binding: EvidenceCertaintyType (example)
Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (Complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: https://fevir.net/resources/CodeSystem/179423

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: rating-system

1..1

Representation defined by the system
Fixed Value: Rating System

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

1..1

Rating, classifier, or assessment
Binding: Evidence Rating System Value Set (extensible)

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (Complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-evidence-rating-system

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: ROBIS

1..1

Representation defined by the system
Fixed Value: ROBIS

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..1

Quantitative rating

0..*

Reference(Patient | Practitioner | PractitionerRole | Organization | Device)

Who authored the content

0..*

What the comment is directed to

0..*

Relationship to other Resources

0..1

Acceptable to publicly share the EvidenceAssessment content

0..*

Comment, classifier, or rating content

0..1

Unique id for inter-element referencing

0..*

Extension
Slice: Unordered, Open by value:url

0..*

(Complex)

Related artifact with quoted portion
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Brief summary of the content

0..1

What type of content
Binding: EvidenceCertaintyType (example)

0..*

Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)

0..1

Quantitative rating

0..*

Reference(Patient | Practitioner | PractitionerRole | Organization | Device)

Who authored the content

0..*

What the comment is directed to

0..*

Relationship to other Resources

0..1

Acceptable to publicly share the content

0..*

Comment, classifier, or rating content

content:overall

0..1

Comment, classifier, or rating content

0..1

Unique id for inter-element referencing

0..*

Extension
Slice: Unordered, Open by value:url

0..*

(Complex)

Related artifact with quoted portion
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Brief summary of the content

1..1

What type of content
Binding: EvidenceCertaintyType (extensible)
Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (Complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://hl7.org/fhir/certainty-type

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: Overall

1..1

Representation defined by the system
Fixed Value: Overall certainty

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (extensible)

0..1

Quantitative rating

0..*

Reference(Patient | Practitioner | PractitionerRole | Organization | Device)

Who authored the content

0..*

What the comment is directed to

0..*

Relationship to other Resources

0..1

Acceptable to publicly share the EvidenceAssessment content

0..*

Comment, classifier, or rating content

0..1

Unique id for inter-element referencing

0..*

Extension
Slice: Unordered, Open by value:url

0..*

(Complex)

Related artifact with quoted portion
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Brief summary of the content

0..1

What type of content
Binding: EvidenceCertaintyType (example)

0..*

Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)

0..1

Quantitative rating

0..*

Reference(Patient | Practitioner | PractitionerRole | Organization | Device)

Who authored the content

0..*

What the comment is directed to

0..*

Relationship to other Resources

0..1

Acceptable to publicly share the content

0..*

Comment, classifier, or rating content

content:levelOfEvidence

0..1

Comment, classifier, or rating content

0..1

Unique id for inter-element referencing

0..*

Extension
Slice: Unordered, Open by value:url

0..*

(Complex)

Related artifact with quoted portion
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Brief summary of the content

1..1

What type of content
Binding: EvidenceCertaintyType (example)
Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (Complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://hl7.org/fhir/certainty-type

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: Overall

1..1

Representation defined by the system
Fixed Value: Overall certainty

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)

0..1

Quantitative rating

0..*

Reference(Patient | Practitioner | PractitionerRole | Organization | Device)

Who authored the content

0..*

What the comment is directed to

0..*

Relationship to other Resources

0..1

Acceptable to publicly share the CertaintyOfEvidence content

0..*

Comment, classifier, or rating content

0..1

Unique id for inter-element referencing

0..*

Extension
Slice: Unordered, Open by value:url

0..*

(Complex)

Related artifact with quoted portion
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Brief summary of the content

0..1

What type of content
Binding: EvidenceCertaintyType (example)

0..*

Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)

0..1

Quantitative rating

0..*

Reference(Patient | Practitioner | PractitionerRole | Organization | Device)

Who authored the content

0..*

What the comment is directed to

0..*

Relationship to other Resources

0..1

Acceptable to publicly share the content

0..*