Dissolve-E: AWMF Guideline Registry
0.2.0 - ci-build

Dissolve-E: AWMF Guideline Registry - Local Development build (v0.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Evidence Internal Assessment AGREE II

Official URL: http://fhir.awmf.org/awmf.ig/StructureDefinition/evidence-internal-assessment-agreeii Version: 0.2.0
Draft as of 2026-01-29 Computable Name: EvidenceInternalAssessmentAGREEII

A structured assessment of the quality of guidelines using the AGREE II instrument.

Guidance

This profile represents an Evidence Assessment using AGREE II – a structured assessment of the quality of clinical practice guidelines using the AGREE II (Appraisal of Guidelines for Research and Evaluation) instrument.

Overview

AGREE II is the international standard for assessing the methodological quality of clinical practice guidelines. It evaluates guidelines across 6 domains with 23 items.

AGREE II Domains

  1. Scope and Purpose – Overall aim, clinical questions, target population
  2. Stakeholder Involvement – Relevant professional groups and patient views
  3. Rigour of Development – Systematic evidence search and recommendation formulation
  4. Clarity of Presentation – Specific and unambiguous recommendations
  5. Applicability – Barriers, facilitators, and resource implications
  6. Editorial Independence – Funding and competing interests

Key Elements

Rating System (Required)

The rating system is fixed to AGREE II:

* content[ratingSystem]
  * type = $cs-ebm-ig#rating-system "Rating System"
  * classifier = $cs-evidence-rating-system#AGREEII "AGREE II"

Current Implementation

Currently, this profile only implements specification of the rating system used. Domain-level scores and overall assessment may be added in future versions.

Example Usage

Instance: AGREEIIAssessmentExample
InstanceOf: evidence-assessment-agreeii
Usage: #example
* artifactReference = Reference(SourceGuideline)
* workflowStatus = #applied
* content[ratingSystem].classifier = $cs-evidence-rating-system#AGREEII "AGREE II"

For the base profile structure, see Evidence Internal Validity Assessment.

This profile of a FHIR ArtifactAssessment is derived from the evidence-internal-validity-assessment FHIR resource.

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ArtifactAssessment 0..* EvidenceInternalValidityAssessment 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
.... extension:publicationStatus 0..1 CodeableConcept Publication status
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status
Binding: Cited Artifact Status Type (preferred)
... 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(Citation | Evidence | SummaryOfFindings | EvidenceList | Citation List) 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 Classifier Codes 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://hl7.org/fhir/uv/ebm/CodeSystem/evidence-rating-system-classifier-codesystem
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: AGREEII
....... display 1..1 string Representation defined by the system
Fixed Value: AGREE II
....... 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 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://terminology.hl7.org/CodeSystem/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:riskOfBias 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://terminology.hl7.org/CodeSystem/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: RiskOfBias
....... display 1..1 string Representation defined by the system
Fixed Value: Risk of bias
....... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ArtifactAssessment.content:ratingSystem.​type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:ratingSystem.​classifier Base extensible Evidence Rating System Classifier Codes Value Set 📦1.0.0-ballot3 Evidence Based Medicine on FHIR Implementation Guide v1.0
ArtifactAssessment.content:overall.​type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:riskOfBias.​type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:levelOfEvidence.​type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.workflowStatus Base required Artifact Assessment Workflow Status 📍6.0.0-ballot3 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 EvidenceInternalValidityAssessment

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ArtifactAssessment 0..* EvidenceInternalValidityAssessment 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://hl7.org/fhir/uv/ebm/CodeSystem/evidence-rating-system-classifier-codesystem
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: AGREEII
....... display 1..1 string Representation defined by the system
Fixed Value: AGREE II

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ArtifactAssessment 0..* EvidenceInternalValidityAssessment Adds metadata-supported comments, classifiers or ratings related to a Resource
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
.... extension:publicationStatus 0..1 CodeableConcept Publication status
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status
Binding: Cited Artifact Status Type (preferred)
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Additional identifier for the EvidenceAssessment
... title Σ 0..1 string A label for use in displaying and selecting the artifact assessment
... citeAs 0..1 markdown How to cite the EvidenceAssessment
... 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(Citation | Evidence | SummaryOfFindings | EvidenceList | Citation List) The artifact that is rated
... relatesTo 0..* BackboneElement Relationship to other Resources
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type 1..1 code documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes
Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact.
.... target[x] 1..1 The artifact that is related to this ArtifactAssessment
..... targetUri uri
..... targetAttachment Attachment
..... targetCanonical canonical(Resource)
..... targetReference Reference(Resource)
..... targetMarkdown markdown
... date Σ 0..1 dateTime Date last changed
... copyright 0..1 markdown Use and/or publishing restrictions
... approvalDate 0..1 date When the EvidenceAssessment was approved by publisher
... lastReviewDate Σ 0..1 date When the EvidenceAssessment was last reviewed
... Slices for content 0..* BackboneElement Comment, classifier, or rating content
Slice: Unordered, Open by value:type
.... content:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... 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
..... summary 0..1 markdown Brief summary of the content
..... type 0..1 CodeableConcept What type of content
Binding: EvidenceCertaintyType (example)
..... classifier 0..* CodeableConcept Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)
..... quantity 0..1 Quantity Quantitative rating
..... author 0..* Reference(Patient | Practitioner | PractitionerRole | Organization | Device) Who authored the content
..... path 0..* uri What the comment is directed to
..... relatesTo 0..* See relatesTo (ArtifactAssessment) Relationship to other Resources
..... freeToShare 0..1 boolean Acceptable to publicly share the EvidenceAssessment content
..... component 0..* BackboneElement Comment, classifier, or rating content
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... 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
...... summary 0..1 markdown Brief summary of the content
...... type 0..1 CodeableConcept What type of content
Binding: EvidenceCertaintyType (example)
...... classifier 0..* CodeableConcept Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)
...... quantity 0..1 Quantity Quantitative rating
...... author 0..* Reference(Patient | Practitioner | PractitionerRole | Organization | Device) Who authored the content
...... path 0..* uri What the comment is directed to
...... relatesTo 0..* See relatesTo (ArtifactAssessment) Relationship to other Resources
...... freeToShare 0..1 boolean Acceptable to publicly share the content
...... component 0..* See content (ArtifactAssessment) Comment, classifier, or rating content
.... content:ratingSystem S 0..1 BackboneElement Comment, classifier, or rating content
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... 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
..... summary 0..1 markdown Brief summary of the content
..... 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 Classifier Codes 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://hl7.org/fhir/uv/ebm/CodeSystem/evidence-rating-system-classifier-codesystem
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: AGREEII
....... display 1..1 string Representation defined by the system
Fixed Value: AGREE II
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... quantity 0..1 Quantity Quantitative rating
..... author 0..* Reference(Patient | Practitioner | PractitionerRole | Organization | Device) Who authored the content
..... path 0..* uri What the comment is directed to
..... relatesTo 0..* See relatesTo (ArtifactAssessment) Relationship to other Resources
..... freeToShare 0..1 boolean Acceptable to publicly share the EvidenceAssessment content
..... component 0..* BackboneElement Comment, classifier, or rating content
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... 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
...... summary 0..1 markdown Brief summary of the content
...... type 0..1 CodeableConcept What type of content
Binding: EvidenceCertaintyType (example)
...... classifier 0..* CodeableConcept Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)
...... quantity 0..1 Quantity Quantitative rating
...... author 0..* Reference(Patient | Practitioner | PractitionerRole | Organization | Device) Who authored the content
...... path 0..* uri What the comment is directed to
...... relatesTo 0..* See relatesTo (ArtifactAssessment) Relationship to other Resources
...... freeToShare 0..1 boolean Acceptable to publicly share the content
...... component 0..* See content (ArtifactAssessment) Comment, classifier, or rating content
.... content:overall 0..1 BackboneElement Comment, classifier, or rating content
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... 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
..... summary 0..1 markdown Brief summary of the content
..... 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://terminology.hl7.org/CodeSystem/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
..... classifier 0..* CodeableConcept Rating, classifier, or assessment
Binding: StatisticCertaintyRating (extensible)
..... quantity 0..1 Quantity Quantitative rating
..... author 0..* Reference(Patient | Practitioner | PractitionerRole | Organization | Device) Who authored the content
..... path 0..* uri What the comment is directed to
..... relatesTo 0..* See relatesTo (ArtifactAssessment) Relationship to other Resources
..... freeToShare 0..1 boolean Acceptable to publicly share the EvidenceAssessment content
..... component 0..* BackboneElement Comment, classifier, or rating content
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... 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
...... summary 0..1 markdown Brief summary of the content
...... type 0..1 CodeableConcept What type of content
Binding: Evidence Certainty Type (extensible)
...... classifier 0..* CodeableConcept Rating, classifier, or assessment
Binding: StatisticCertaintyRating (extensible)
...... quantity 0..1 Quantity Quantitative rating
...... author 0..* Reference(Patient | Practitioner | PractitionerRole | Organization | Device) Who authored the content
...... path 0..* uri What the comment is directed to
...... relatesTo 0..* See relatesTo (ArtifactAssessment) Relationship to other Resources
...... freeToShare 0..1 boolean Acceptable to publicly share the content
...... component 0..* See content (ArtifactAssessment) Comment, classifier, or rating content
.... content:riskOfBias 0..1 BackboneElement Comment, classifier, or rating content
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... 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
..... summary 0..1 markdown Brief summary of the content
..... 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://terminology.hl7.org/CodeSystem/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: RiskOfBias
....... display 1..1 string Representation defined by the system
Fixed Value: Risk of bias
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... classifier 0..* CodeableConcept Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)
..... quantity 0..1 Quantity Quantitative rating
..... author 0..* Reference(Patient | Practitioner | PractitionerRole | Organization | Device) Who authored the content
..... path 0..* uri What the comment is directed to
..... relatesTo 0..* See relatesTo (ArtifactAssessment) Relationship to other Resources
..... freeToShare 0..1 boolean Acceptable to publicly share the EvidenceAssessment content
..... component 0..* BackboneElement Comment, classifier, or rating content
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... 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
...... summary 0..1 markdown Brief summary of the content
...... type 0..1 CodeableConcept What type of content
Binding: EvidenceCertaintyType (example)
...... classifier 0..* CodeableConcept Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)
...... quantity 0..1 Quantity Quantitative rating
...... author 0..* Reference(Patient | Practitioner | PractitionerRole | Organization | Device) Who authored the content
...... path 0..* uri What the comment is directed to
...... relatesTo 0..* See relatesTo (ArtifactAssessment) Relationship to other Resources
...... freeToShare 0..1 boolean Acceptable to publicly share the content
...... component 0..* See content (ArtifactAssessment) Comment, classifier, or rating content
.... content:levelOfEvidence 0..1 BackboneElement Comment, classifier, or rating content
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... 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
..... summary 0..1 markdown Brief summary of the content
..... 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
..... classifier 0..* CodeableConcept Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)
..... quantity 0..1 Quantity Quantitative rating
..... author 0..* Reference(Patient | Practitioner | PractitionerRole | Organization | Device) Who authored the content
..... path 0..* uri What the comment is directed to
..... relatesTo 0..* See relatesTo (ArtifactAssessment) Relationship to other Resources
..... freeToShare 0..1 boolean Acceptable to publicly share the EvidenceAssessment content
..... component 0..* BackboneElement Comment, classifier, or rating content
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... 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
...... summary 0..1 markdown Brief summary of the content
...... type 0..1 CodeableConcept What type of content
Binding: EvidenceCertaintyType (example)
...... classifier 0..* CodeableConcept Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)
...... quantity 0..1 Quantity Quantitative rating
...... author 0..* Reference(Patient | Practitioner | PractitionerRole | Organization | Device) Who authored the content
...... path 0..* uri What the comment is directed to
...... relatesTo 0..* See relatesTo (ArtifactAssessment) Relationship to other Resources
...... freeToShare 0..1 boolean Acceptable to publicly share the content
...... component 0..* See content (ArtifactAssessment) Comment, classifier, or rating content
... 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
... disposition Σ 0..1 code unresolved | not-persuasive | persuasive | persuasive-with-modification | not-persuasive-with-modification
Binding: ArtifactAssessmentDisposition (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ArtifactAssessment.language Base required All Languages 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.relatesTo.​type Base required Artifact Relationship Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content.​type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content.​classifier Base example Evidence Certainty Rating 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content.​component.type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content.​component.classifier Base example Evidence Certainty Rating 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:ratingSystem.​type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:ratingSystem.​classifier Base extensible Evidence Rating System Classifier Codes Value Set 📦1.0.0-ballot3 Evidence Based Medicine on FHIR Implementation Guide v1.0
ArtifactAssessment.content:ratingSystem.​component.type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:ratingSystem.​component.classifier Base example Evidence Certainty Rating 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:overall.​type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:overall.​classifier Base extensible StatisticCertaintyRating 📦1.0.0 THO v7.0
ArtifactAssessment.content:overall.​component.type Base extensible Evidence Certainty Type 📦1.0.0 THO v7.0
ArtifactAssessment.content:overall.​component.classifier Base extensible StatisticCertaintyRating 📦1.0.0 THO v7.0
ArtifactAssessment.content:riskOfBias.​type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:riskOfBias.​classifier Base example Evidence Certainty Rating 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:riskOfBias.​component.type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:riskOfBias.​component.classifier Base example Evidence Certainty Rating 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:levelOfEvidence.​type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:levelOfEvidence.​classifier Base example Evidence Certainty Rating 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:levelOfEvidence.​component.type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:levelOfEvidence.​component.classifier Base example Evidence Certainty Rating 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.workflowStatus Base required Artifact Assessment Workflow Status 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.disposition Base required Artifact Assessment Disposition 📍6.0.0-ballot3 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 EvidenceInternalValidityAssessment

Summary

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ArtifactAssessment 0..* EvidenceInternalValidityAssessment 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
.... extension:publicationStatus 0..1 CodeableConcept Publication status
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status
Binding: Cited Artifact Status Type (preferred)
... 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(Citation | Evidence | SummaryOfFindings | EvidenceList | Citation List) 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 Classifier Codes 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://hl7.org/fhir/uv/ebm/CodeSystem/evidence-rating-system-classifier-codesystem
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: AGREEII
....... display 1..1 string Representation defined by the system
Fixed Value: AGREE II
....... 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 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://terminology.hl7.org/CodeSystem/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:riskOfBias 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://terminology.hl7.org/CodeSystem/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: RiskOfBias
....... display 1..1 string Representation defined by the system
Fixed Value: Risk of bias
....... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ArtifactAssessment.content:ratingSystem.​type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:ratingSystem.​classifier Base extensible Evidence Rating System Classifier Codes Value Set 📦1.0.0-ballot3 Evidence Based Medicine on FHIR Implementation Guide v1.0
ArtifactAssessment.content:overall.​type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:riskOfBias.​type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:levelOfEvidence.​type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.workflowStatus Base required Artifact Assessment Workflow Status 📍6.0.0-ballot3 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 EvidenceInternalValidityAssessment

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ArtifactAssessment 0..* EvidenceInternalValidityAssessment 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://hl7.org/fhir/uv/ebm/CodeSystem/evidence-rating-system-classifier-codesystem
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: AGREEII
....... display 1..1 string Representation defined by the system
Fixed Value: AGREE II

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ArtifactAssessment 0..* EvidenceInternalValidityAssessment Adds metadata-supported comments, classifiers or ratings related to a Resource
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
.... extension:publicationStatus 0..1 CodeableConcept Publication status
URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status
Binding: Cited Artifact Status Type (preferred)
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Additional identifier for the EvidenceAssessment
... title Σ 0..1 string A label for use in displaying and selecting the artifact assessment
... citeAs 0..1 markdown How to cite the EvidenceAssessment
... 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(Citation | Evidence | SummaryOfFindings | EvidenceList | Citation List) The artifact that is rated
... relatesTo 0..* BackboneElement Relationship to other Resources
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type 1..1 code documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes
Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact.
.... target[x] 1..1 The artifact that is related to this ArtifactAssessment
..... targetUri uri
..... targetAttachment Attachment
..... targetCanonical canonical(Resource)
..... targetReference Reference(Resource)
..... targetMarkdown markdown
... date Σ 0..1 dateTime Date last changed
... copyright 0..1 markdown Use and/or publishing restrictions
... approvalDate 0..1 date When the EvidenceAssessment was approved by publisher
... lastReviewDate Σ 0..1 date When the EvidenceAssessment was last reviewed
... Slices for content 0..* BackboneElement Comment, classifier, or rating content
Slice: Unordered, Open by value:type
.... content:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... 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
..... summary 0..1 markdown Brief summary of the content
..... type 0..1 CodeableConcept What type of content
Binding: EvidenceCertaintyType (example)
..... classifier 0..* CodeableConcept Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)
..... quantity 0..1 Quantity Quantitative rating
..... author 0..* Reference(Patient | Practitioner | PractitionerRole | Organization | Device) Who authored the content
..... path 0..* uri What the comment is directed to
..... relatesTo 0..* See relatesTo (ArtifactAssessment) Relationship to other Resources
..... freeToShare 0..1 boolean Acceptable to publicly share the EvidenceAssessment content
..... component 0..* BackboneElement Comment, classifier, or rating content
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... 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
...... summary 0..1 markdown Brief summary of the content
...... type 0..1 CodeableConcept What type of content
Binding: EvidenceCertaintyType (example)
...... classifier 0..* CodeableConcept Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)
...... quantity 0..1 Quantity Quantitative rating
...... author 0..* Reference(Patient | Practitioner | PractitionerRole | Organization | Device) Who authored the content
...... path 0..* uri What the comment is directed to
...... relatesTo 0..* See relatesTo (ArtifactAssessment) Relationship to other Resources
...... freeToShare 0..1 boolean Acceptable to publicly share the content
...... component 0..* See content (ArtifactAssessment) Comment, classifier, or rating content
.... content:ratingSystem S 0..1 BackboneElement Comment, classifier, or rating content
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... 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
..... summary 0..1 markdown Brief summary of the content
..... 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 Classifier Codes 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://hl7.org/fhir/uv/ebm/CodeSystem/evidence-rating-system-classifier-codesystem
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: AGREEII
....... display 1..1 string Representation defined by the system
Fixed Value: AGREE II
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... quantity 0..1 Quantity Quantitative rating
..... author 0..* Reference(Patient | Practitioner | PractitionerRole | Organization | Device) Who authored the content
..... path 0..* uri What the comment is directed to
..... relatesTo 0..* See relatesTo (ArtifactAssessment) Relationship to other Resources
..... freeToShare 0..1 boolean Acceptable to publicly share the EvidenceAssessment content
..... component 0..* BackboneElement Comment, classifier, or rating content
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... 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
...... summary 0..1 markdown Brief summary of the content
...... type 0..1 CodeableConcept What type of content
Binding: EvidenceCertaintyType (example)
...... classifier 0..* CodeableConcept Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)
...... quantity 0..1 Quantity Quantitative rating
...... author 0..* Reference(Patient | Practitioner | PractitionerRole | Organization | Device) Who authored the content
...... path 0..* uri What the comment is directed to
...... relatesTo 0..* See relatesTo (ArtifactAssessment) Relationship to other Resources
...... freeToShare 0..1 boolean Acceptable to publicly share the content
...... component 0..* See content (ArtifactAssessment) Comment, classifier, or rating content
.... content:overall 0..1 BackboneElement Comment, classifier, or rating content
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... 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
..... summary 0..1 markdown Brief summary of the content
..... 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://terminology.hl7.org/CodeSystem/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
..... classifier 0..* CodeableConcept Rating, classifier, or assessment
Binding: StatisticCertaintyRating (extensible)
..... quantity 0..1 Quantity Quantitative rating
..... author 0..* Reference(Patient | Practitioner | PractitionerRole | Organization | Device) Who authored the content
..... path 0..* uri What the comment is directed to
..... relatesTo 0..* See relatesTo (ArtifactAssessment) Relationship to other Resources
..... freeToShare 0..1 boolean Acceptable to publicly share the EvidenceAssessment content
..... component 0..* BackboneElement Comment, classifier, or rating content
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... 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
...... summary 0..1 markdown Brief summary of the content
...... type 0..1 CodeableConcept What type of content
Binding: Evidence Certainty Type (extensible)
...... classifier 0..* CodeableConcept Rating, classifier, or assessment
Binding: StatisticCertaintyRating (extensible)
...... quantity 0..1 Quantity Quantitative rating
...... author 0..* Reference(Patient | Practitioner | PractitionerRole | Organization | Device) Who authored the content
...... path 0..* uri What the comment is directed to
...... relatesTo 0..* See relatesTo (ArtifactAssessment) Relationship to other Resources
...... freeToShare 0..1 boolean Acceptable to publicly share the content
...... component 0..* See content (ArtifactAssessment) Comment, classifier, or rating content
.... content:riskOfBias 0..1 BackboneElement Comment, classifier, or rating content
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... 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
..... summary 0..1 markdown Brief summary of the content
..... 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://terminology.hl7.org/CodeSystem/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: RiskOfBias
....... display 1..1 string Representation defined by the system
Fixed Value: Risk of bias
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... classifier 0..* CodeableConcept Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)
..... quantity 0..1 Quantity Quantitative rating
..... author 0..* Reference(Patient | Practitioner | PractitionerRole | Organization | Device) Who authored the content
..... path 0..* uri What the comment is directed to
..... relatesTo 0..* See relatesTo (ArtifactAssessment) Relationship to other Resources
..... freeToShare 0..1 boolean Acceptable to publicly share the EvidenceAssessment content
..... component 0..* BackboneElement Comment, classifier, or rating content
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... 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
...... summary 0..1 markdown Brief summary of the content
...... type 0..1 CodeableConcept What type of content
Binding: EvidenceCertaintyType (example)
...... classifier 0..* CodeableConcept Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)
...... quantity 0..1 Quantity Quantitative rating
...... author 0..* Reference(Patient | Practitioner | PractitionerRole | Organization | Device) Who authored the content
...... path 0..* uri What the comment is directed to
...... relatesTo 0..* See relatesTo (ArtifactAssessment) Relationship to other Resources
...... freeToShare 0..1 boolean Acceptable to publicly share the content
...... component 0..* See content (ArtifactAssessment) Comment, classifier, or rating content
.... content:levelOfEvidence 0..1 BackboneElement Comment, classifier, or rating content
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... 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
..... summary 0..1 markdown Brief summary of the content
..... 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
..... classifier 0..* CodeableConcept Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)
..... quantity 0..1 Quantity Quantitative rating
..... author 0..* Reference(Patient | Practitioner | PractitionerRole | Organization | Device) Who authored the content
..... path 0..* uri What the comment is directed to
..... relatesTo 0..* See relatesTo (ArtifactAssessment) Relationship to other Resources
..... freeToShare 0..1 boolean Acceptable to publicly share the EvidenceAssessment content
..... component 0..* BackboneElement Comment, classifier, or rating content
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... 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
...... summary 0..1 markdown Brief summary of the content
...... type 0..1 CodeableConcept What type of content
Binding: EvidenceCertaintyType (example)
...... classifier 0..* CodeableConcept Rating, classifier, or assessment
Binding: EvidenceCertaintyRating (example)
...... quantity 0..1 Quantity Quantitative rating
...... author 0..* Reference(Patient | Practitioner | PractitionerRole | Organization | Device) Who authored the content
...... path 0..* uri What the comment is directed to
...... relatesTo 0..* See relatesTo (ArtifactAssessment) Relationship to other Resources
...... freeToShare 0..1 boolean Acceptable to publicly share the content
...... component 0..* See content (ArtifactAssessment) Comment, classifier, or rating content
... 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
... disposition Σ 0..1 code unresolved | not-persuasive | persuasive | persuasive-with-modification | not-persuasive-with-modification
Binding: ArtifactAssessmentDisposition (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ArtifactAssessment.language Base required All Languages 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.relatesTo.​type Base required Artifact Relationship Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content.​type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content.​classifier Base example Evidence Certainty Rating 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content.​component.type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content.​component.classifier Base example Evidence Certainty Rating 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:ratingSystem.​type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:ratingSystem.​classifier Base extensible Evidence Rating System Classifier Codes Value Set 📦1.0.0-ballot3 Evidence Based Medicine on FHIR Implementation Guide v1.0
ArtifactAssessment.content:ratingSystem.​component.type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:ratingSystem.​component.classifier Base example Evidence Certainty Rating 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:overall.​type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:overall.​classifier Base extensible StatisticCertaintyRating 📦1.0.0 THO v7.0
ArtifactAssessment.content:overall.​component.type Base extensible Evidence Certainty Type 📦1.0.0 THO v7.0
ArtifactAssessment.content:overall.​component.classifier Base extensible StatisticCertaintyRating 📦1.0.0 THO v7.0
ArtifactAssessment.content:riskOfBias.​type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:riskOfBias.​classifier Base example Evidence Certainty Rating 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:riskOfBias.​component.type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:riskOfBias.​component.classifier Base example Evidence Certainty Rating 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:levelOfEvidence.​type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:levelOfEvidence.​classifier Base example Evidence Certainty Rating 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:levelOfEvidence.​component.type Base example Evidence Certainty Type 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.content:levelOfEvidence.​component.classifier Base example Evidence Certainty Rating 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.workflowStatus Base required Artifact Assessment Workflow Status 📍6.0.0-ballot3 FHIR Std.
ArtifactAssessment.disposition Base required Artifact Assessment Disposition 📍6.0.0-ballot3 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 EvidenceInternalValidityAssessment

Summary

 

Other representations of profile: CSV, Excel, Schematron