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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: EvidenceOverallQualityAssessment - Detailed Descriptions

Draft as of 2026-01-29

Definitions for the evidence-overall-quality-assessment resource profile.

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

0. ArtifactAssessment
Definition

This Resource provides one or more comments, classifiers or ratings about a Resource and supports attribution and rights management metadata for the added content.

ShortAdds metadata-supported comments, classifiers or ratings related to a Resource
Control0..*
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. ArtifactAssessment.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

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

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

ShortContained, inline Resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. Contained resources may be a resource type defined in the FHIR specification, or an additional resource.

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

An absolute URI that is used to identify this artifact when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this artifact is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the artifact is stored on different servers.

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

Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.

The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions.

In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found.

Control0..1
TypeExtension(Artifact URL) (Extension Type: uri)
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. ArtifactAssessment.extension:description
Slice Namedescription
Definition

A free text natural language description of the artifact from a consumer's perspective.

ShortNatural language description of the artifact
Comments

This description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the artifact as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the artifact is presumed to be the predominant language in the place the artifact was created).

Control0..1
TypeExtension(Artifact Description) (Extension Type: markdown)
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. ArtifactAssessment.extension:author
Slice Nameauthor
Definition

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

ShortWho authored the artifact
Control0..*
TypeExtension(Artifact Author) (Extension Type: ContactDetail)
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
12. ArtifactAssessment.extension:useContext
Slice NameuseContext
Definition

The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate artifact instances.

ShortThe context that the content is intended to support
Comments

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

Control0..*
TypeExtension(Artifact use context) (Extension Type: UsageContext)
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
14. ArtifactAssessment.extension:RelatesToWithQuotation
Slice NameRelatesToWithQuotation
Definition

Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

ShortRelated artifact with quoted portion
Control0..*
TypeExtension(RelatesToWithQuotation) (Complex Extension)
Is Modifierfalse
Must Supportfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. ArtifactAssessment.extension:publicationStatus
Slice NamepublicationStatus
Definition

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

ShortPublication status
Control0..1
TypeExtension(ArtifactPublicationStatus) (Extension Type: CodeableConcept)
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. ArtifactAssessment.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. ArtifactAssessment.artifact[x]
Definition

A reference to a resource, canonical resource, or non-FHIR resource which the EvidenceAssessment is about.


A reference to a resource, canonical resource, or non-FHIR resource which the comment or assessment is about.

ShortThe artifact that is ratedThe artifact assessed, commented upon or rated
Control1..1
TypeChoice of: Reference(Resource), canonical, uri
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on ArtifactAssessment.artifact[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • type @ $this
  • 22. ArtifactAssessment.artifact[x]:artifactReference
    Slice NameartifactReference
    Definition

    A reference to a resource, canonical resource, or non-FHIR resource which the EvidenceAssessment is about.


    A reference to a resource, canonical resource, or non-FHIR resource which the comment or assessment is about.

    ShortThe artifact that is ratedThe artifact assessed, commented upon or rated
    Control01..1
    TypeReference(Citation, Evidence, SummaryOfFindings, EvidenceList, Citation List, Resource), canonical, uri
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. ArtifactAssessment.content
    Definition

    A component comment, classifier, or rating of the artifact.

    ShortComment, classifier, or rating content
    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Must Supportfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on ArtifactAssessment.content. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ type
    • 26. ArtifactAssessment.content.extension:RelatesToWithQuotation
      Slice NameRelatesToWithQuotation
      Definition

      Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

      ShortRelated artifact with quoted portion
      Control0..*
      TypeExtension(RelatesToWithQuotation) (Complex Extension)
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      28. ArtifactAssessment.content.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      30. ArtifactAssessment.content:ratingSystem
      Slice NameratingSystem
      Definition

      A component comment, classifier, or rating of the artifact.

      ShortComment, classifier, or rating content
      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
      32. ArtifactAssessment.content:ratingSystem.extension:RelatesToWithQuotation
      Slice NameRelatesToWithQuotation
      Definition

      Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

      ShortRelated artifact with quoted portion
      Control0..*
      TypeExtension(RelatesToWithQuotation) (Complex Extension)
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      34. ArtifactAssessment.content:ratingSystem.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      36. ArtifactAssessment.content:ratingSystem.type
      Definition

      Indicates what type of content this component represents.

      ShortWhat type of content
      Control10..1
      BindingFor example codes, see EvidenceCertaintyTypehttp://hl7.org/fhir/ValueSet/certainty-type|6.0.0-ballot3
      (example to http://hl7.org/fhir/ValueSet/certainty-type|6.0.0-ballot3)
      TypeCodeableConcept
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Pattern Value{
        "coding" : [{
          "system" : "https://fevir.net/resources/CodeSystem/179423",
          "code" : "rating-system",
          "display" : "Rating System"
        }]
      }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      38. ArtifactAssessment.content:ratingSystem.classifier
      Definition

      Represents a rating, classifier, or assessment of the artifact.

      ShortRating, classifier, or assessment
      Control10..1*
      BindingUnless not suitable, these codes SHALL be taken from For example codes, see Evidence Rating System Classifier Codes Value Sethttp://hl7.org/fhir/ValueSet/certainty-rating|6.0.0-ballot3
      (extensible to http://hl7.org/fhir/uv/ebm/ValueSet/evidence-rating-system-classifier)
      TypeCodeableConcept
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      40. ArtifactAssessment.content:overall
      Slice Nameoverall
      Definition

      A component comment, classifier, or rating of the artifact.

      ShortComment, classifier, or rating content
      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
      42. ArtifactAssessment.content:overall.extension:RelatesToWithQuotation
      Slice NameRelatesToWithQuotation
      Definition

      Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

      ShortRelated artifact with quoted portion
      Control0..*
      TypeExtension(RelatesToWithQuotation) (Complex Extension)
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      44. ArtifactAssessment.content:overall.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      46. ArtifactAssessment.content:overall.type
      Definition

      Indicates what type of content this component represents.

      ShortWhat type of content
      Control10..1
      BindingFor example codes, see EvidenceCertaintyTypehttp://hl7.org/fhir/ValueSet/certainty-type|6.0.0-ballot3
      (example to http://hl7.org/fhir/ValueSet/certainty-type|6.0.0-ballot3)
      TypeCodeableConcept
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Pattern Value{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/certainty-type",
          "code" : "Overall",
          "display" : "Overall certainty"
        }]
      }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      48. ArtifactAssessment.content:riskOfBias
      Slice NameriskOfBias
      Definition

      A component comment, classifier, or rating of the artifact.

      ShortComment, classifier, or rating content
      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
      50. ArtifactAssessment.content:riskOfBias.extension:RelatesToWithQuotation
      Slice NameRelatesToWithQuotation
      Definition

      Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

      ShortRelated artifact with quoted portion
      Control0..*
      TypeExtension(RelatesToWithQuotation) (Complex Extension)
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      52. ArtifactAssessment.content:riskOfBias.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      54. ArtifactAssessment.content:riskOfBias.type
      Definition

      Indicates what type of content this component represents.

      ShortWhat type of content
      Control10..1
      BindingFor example codes, see EvidenceCertaintyTypehttp://hl7.org/fhir/ValueSet/certainty-type|6.0.0-ballot3
      (example to http://hl7.org/fhir/ValueSet/certainty-type|6.0.0-ballot3)
      TypeCodeableConcept
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Pattern Value{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/certainty-type",
          "code" : "RiskOfBias",
          "display" : "Risk of bias"
        }]
      }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      56. ArtifactAssessment.content:levelOfEvidence
      Slice NamelevelOfEvidence
      Definition

      A component comment, classifier, or rating of the artifact.

      ShortComment, classifier, or rating content
      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
      58. ArtifactAssessment.content:levelOfEvidence.extension:RelatesToWithQuotation
      Slice NameRelatesToWithQuotation
      Definition

      Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

      ShortRelated artifact with quoted portion
      Control0..*
      TypeExtension(RelatesToWithQuotation) (Complex Extension)
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      60. ArtifactAssessment.content:levelOfEvidence.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      62. ArtifactAssessment.content:levelOfEvidence.type
      Definition

      Indicates what type of content this component represents.

      ShortWhat type of content
      Control10..1
      BindingFor example codes, see EvidenceCertaintyTypehttp://hl7.org/fhir/ValueSet/certainty-type|6.0.0-ballot3
      (example to http://hl7.org/fhir/ValueSet/certainty-type|6.0.0-ballot3)
      TypeCodeableConcept
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Pattern Value{
        "coding" : [{
          "system" : "http://hl7.org/fhir/certainty-type",
          "code" : "Overall",
          "display" : "Overall certainty"
        }]
      }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      64. ArtifactAssessment.content:outcome
      Slice Nameoutcome
      Definition

      A component comment, classifier, or rating of the artifact.

      ShortComment, classifier, or rating content
      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
      66. ArtifactAssessment.content:outcome.extension:RelatesToWithQuotation
      Slice NameRelatesToWithQuotation
      Definition

      Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

      ShortRelated artifact with quoted portion
      Control0..*
      TypeExtension(RelatesToWithQuotation) (Complex Extension)
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      68. ArtifactAssessment.content:outcome.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      70. ArtifactAssessment.content:outcome.type
      Definition

      Indicates what type of content this component represents.

      ShortWhat type of content
      Control10..1
      BindingFor example codes, see EvidenceCertaintyTypehttp://hl7.org/fhir/ValueSet/certainty-type|6.0.0-ballot3
      (example to http://hl7.org/fhir/ValueSet/certainty-type|6.0.0-ballot3)
      TypeCodeableConcept
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Pattern Value{
        "coding" : [{
          "system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-pico",
          "code" : "outcome",
          "display" : "Outcome"
        }]
      }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      72. ArtifactAssessment.content:outcome.relatesTo
      Definition

      Relationship that this content component has with other FHIR or non-FHIR resources that already exist.

      ShortRelationship to other Resources
      Control10..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      74. ArtifactAssessment.content:outcome.relatesTo.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.


      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      76. ArtifactAssessment.content:outcome.relatesTo.type
      Definition

      The type of relationship to the related artifact.

      Shortdocumentation | 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
      Control1..1
      BindingThe codes SHALL be taken from ArtifactRelationshipTypehttp://hl7.org/fhir/ValueSet/artifact-relationship-type|6.0.0-ballot3
      (required to http://hl7.org/fhir/ValueSet/artifact-relationship-type|6.0.0-ballot3)

      The type of relationship to the related artifact.

      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summaryfalse
      Pattern Valuedepends-on
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      78. ArtifactAssessment.content:outcome.relatesTo.target[x]
      Definition

      The artifact that is related to this ArtifactAssessment Resource.

      ShortThe artifact that is related to this ArtifactAssessment
      Control1..1
      TypeReference(Resource), markdown, Attachment, canonical(Resource), uri
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on ArtifactAssessment.content.relatesTo.target[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
      • type @ $this
      • 80. ArtifactAssessment.content:outcome.relatesTo.target[x]:targetReference
        Slice NametargetReference
        Definition

        The artifact that is related to this ArtifactAssessment Resource.

        ShortThe artifact that is related to this ArtifactAssessment
        Control1..1
        TypeReference(Conceptual Cohort Definition Outcome, Outcome Evidence, Resource), markdown, Attachment, canonical(Resource), uri
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        82. ArtifactAssessment.workflowStatus
        Definition

        Indicates the workflow status of the comment or change request.

        Shortsubmitted | triaged | waiting-for-input | resolved-no-change | resolved-change-required | deferred | duplicate | applied | published | entered-in-error
        Control10..1
        BindingThe codes SHALL be taken from ArtifactAssessmentWorkflowStatushttp://hl7.org/fhir/ValueSet/artifactassessment-workflow-status|6.0.0-ballot3
        (required to http://hl7.org/fhir/ValueSet/artifactassessment-workflow-status|6.0.0-ballot3)
        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summarytrue
        Pattern Valueapplied
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

        0. ArtifactAssessment
        2. ArtifactAssessment.content:outcome
        Slice Nameoutcome
        Control0..1
        4. ArtifactAssessment.content:outcome.extension:RelatesToWithQuotation
        Slice NameRelatesToWithQuotation
        6. ArtifactAssessment.content:outcome.type
        Control1..?
        Pattern Value{
          "coding" : [{
            "system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-pico",
            "code" : "outcome",
            "display" : "Outcome"
          }]
        }
        8. ArtifactAssessment.content:outcome.relatesTo
        Control1..1
        TypeBackboneElement
        10. ArtifactAssessment.content:outcome.relatesTo.type
        Pattern Valuedepends-on
        12. ArtifactAssessment.content:outcome.relatesTo.target[x]
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        SlicingThis element introduces a set of slices on ArtifactAssessment.content.relatesTo.target[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • type @ $this
        • 14. ArtifactAssessment.content:outcome.relatesTo.target[x]:targetReference
          Slice NametargetReference
          Control1..1
          TypeReference(Conceptual Cohort Definition Outcome, Outcome Evidence)
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          16. ArtifactAssessment.content:outcome.component
          18. ArtifactAssessment.content:outcome.component.extension:RelatesToWithQuotation
          Slice NameRelatesToWithQuotation

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

          0. ArtifactAssessment
          Definition

          This Resource provides one or more comments, classifiers or ratings about a Resource and supports attribution and rights management metadata for the added content.

          ShortAdds metadata-supported comments, classifiers or ratings related to a Resource
          Control0..*
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
          dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
          dom-6: A resource should have narrative for robust management (text.`div`.exists())
          2. ArtifactAssessment.id
          Definition

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

          ShortLogical id of this artifact
          Comments

          Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

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

          The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

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

          A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

          ShortA set of rules under which this content was created
          Comments

          Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

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

          The base language in which the resource is written.

          ShortLanguage of the resource content
          Comments

          Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

          Control0..1
          BindingThe codes SHALL be taken from AllLanguages
          (required to http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3)

          IETF language tag for a human language

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

          A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

          ShortText summary of the resource, for human interpretation
          Comments

          Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

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

          These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

          ShortContained, inline Resources
          Comments

          This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. Contained resources may be a resource type defined in the FHIR specification, or an additional resource.

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

          An Extension

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

            An absolute URI that is used to identify this artifact when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this artifact is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the artifact is stored on different servers.

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

            Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.

            The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions.

            In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found.

            Control0..1
            TypeExtension(Artifact URL) (Extension Type: uri)
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            18. ArtifactAssessment.extension:description
            Slice Namedescription
            Definition

            A free text natural language description of the artifact from a consumer's perspective.

            ShortNatural language description of the artifact
            Comments

            This description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the artifact as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the artifact is presumed to be the predominant language in the place the artifact was created).

            Control0..1
            TypeExtension(Artifact Description) (Extension Type: markdown)
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            20. ArtifactAssessment.extension:author
            Slice Nameauthor
            Definition

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

            ShortWho authored the artifact
            Control0..*
            TypeExtension(Artifact Author) (Extension Type: ContactDetail)
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            22. ArtifactAssessment.extension:useContext
            Slice NameuseContext
            Definition

            The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate artifact instances.

            ShortThe context that the content is intended to support
            Comments

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

            Control0..*
            TypeExtension(Artifact use context) (Extension Type: UsageContext)
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            24. ArtifactAssessment.extension:RelatesToWithQuotation
            Slice NameRelatesToWithQuotation
            Definition

            Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

            ShortRelated artifact with quoted portion
            Control0..*
            TypeExtension(RelatesToWithQuotation) (Complex Extension)
            Is Modifierfalse
            Must Supportfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            26. ArtifactAssessment.extension:publicationStatus
            Slice NamepublicationStatus
            Definition

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

            ShortPublication status
            Control0..1
            TypeExtension(ArtifactPublicationStatus) (Extension Type: CodeableConcept)
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            28. ArtifactAssessment.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            30. ArtifactAssessment.identifier
            Definition

            A formal identifier that is used to identify this EvidenceAssessment when it is represented in other formats, or referenced in a specification, model, design or an instance.

            ShortAdditional identifier for the EvidenceAssessment
            Comments

            Typically, this is used for identifiers that can be used in systems outside of FHIR, where it is not sufficient to use the logical URI.

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

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

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

            A label for use in displaying and selecting the artifact assessment.

            ShortA label for use in displaying and selecting the artifact assessment
            Control0..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supportfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            34. ArtifactAssessment.citeAs
            Definition

            Display of or reference to the bibliographic citation of the EvidenceAssessment.

            ShortHow to cite the EvidenceAssessment
            Control0..1
            Typemarkdown
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            36. ArtifactAssessment.artifact[x]
            Definition

            A reference to a resource, canonical resource, or non-FHIR resource which the EvidenceAssessment is about.

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

              A reference to a resource, canonical resource, or non-FHIR resource which the EvidenceAssessment is about.

              ShortThe artifact that is rated
              Control0..1
              TypeReference(Citation, Evidence, SummaryOfFindings, EvidenceList, Citation List)
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Is Modifierfalse
              Must Supportfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              40. ArtifactAssessment.relatesTo
              Definition

              Relationship that this ArtifactAssessment has with other FHIR or non-FHIR resources that already exist.

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

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

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

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              46. ArtifactAssessment.relatesTo.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              48. ArtifactAssessment.relatesTo.type
              Definition

              The type of relationship to the related artifact.

              Shortdocumentation | 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
              Control1..1
              BindingThe codes SHALL be taken from ArtifactRelationshipType
              (required to http://hl7.org/fhir/ValueSet/artifact-relationship-type|6.0.0-ballot3)

              The type of relationship to the related artifact.

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

              The artifact that is related to this ArtifactAssessment Resource.

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

              The date (and optionally time) when the EvidenceAssessment was published. The date should change when the substantive content of the EvidenceAssessment changes.

              ShortDate last changed
              Comments

              The date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the artifact assessment. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

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

              A copyright statement relating to the EvidenceAssessment and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the EvidenceAssessment.

              ShortUse and/or publishing restrictions
              Control0..1
              Typemarkdown
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supportfalse
              Summaryfalse
              Requirements

              Consumers must be able to determine any legal restrictions on the use of the EvidenceAssessment and/or its content.

              Alternate NamesLicense, Restrictions
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              56. ArtifactAssessment.approvalDate
              Definition

              The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.

              ShortWhen the EvidenceAssessment was approved by publisher
              Comments

              The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.

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

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

              ShortWhen the EvidenceAssessment was last reviewed
              Comments

              If specified, this date follows the original approval date.

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

              Gives a sense of how "current" the content is. Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              60. ArtifactAssessment.content
              Definition

              A component comment, classifier, or rating of the artifact.

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

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

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

                An Extension

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

                  Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

                  ShortRelated artifact with quoted portion
                  Control0..*
                  TypeExtension(RelatesToWithQuotation) (Complex Extension)
                  Is Modifierfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  68. ArtifactAssessment.content.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  70. ArtifactAssessment.content.summary
                  Definition

                  A brief summary of the content of this component.

                  ShortBrief summary of the content
                  Control0..1
                  Typemarkdown
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  72. ArtifactAssessment.content.type
                  Definition

                  Indicates what type of content this component represents.

                  ShortWhat type of content
                  Control0..1
                  BindingFor example codes, see EvidenceCertaintyType
                  (example to http://hl7.org/fhir/ValueSet/certainty-type|6.0.0-ballot3)
                  TypeCodeableConcept
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  74. ArtifactAssessment.content.classifier
                  Definition

                  Represents a rating, classifier, or assessment of the artifact.

                  ShortRating, classifier, or assessment
                  Control0..*
                  BindingFor example codes, see EvidenceCertaintyRating
                  (example to http://hl7.org/fhir/ValueSet/certainty-rating|6.0.0-ballot3)
                  TypeCodeableConcept
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  76. ArtifactAssessment.content.quantity
                  Definition

                  A quantitative rating of the artifact.

                  ShortQuantitative rating
                  Control0..1
                  TypeQuantity
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  78. ArtifactAssessment.content.author
                  Definition

                  Indicates who or what authored the content.

                  ShortWho authored the content
                  Control0..*
                  TypeReference(Patient, Practitioner, PractitionerRole, Organization, Device)
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  80. ArtifactAssessment.content.path
                  Definition

                  A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.

                  ShortWhat the comment is directed to
                  Comments

                  The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).

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

                  Relationship that this content component has with other FHIR or non-FHIR resources that already exist.

                  ShortRelationship to other Resources
                  Control0..*
                  TypeSeettp://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.relatesTo
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  84. ArtifactAssessment.content.freeToShare
                  Definition

                  Acceptable to publicly share the EvidenceAssessment content, specific to the associated content instance

                  ShortAcceptable to publicly share the EvidenceAssessment content
                  Comments

                  Absence of a value should be interpreted as inheriting any freeToShare value present in a containing structure, else inheriting data from the ArtifactAssessment.copyright element, else value unknown.

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

                  A component comment, classifier, or rating of the artifact.

                  ShortComment, classifier, or rating content
                  Control0..*
                  TypeBackboneElement
                  Is Modifierfalse
                  Must Supportfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  88. ArtifactAssessment.content.component.id
                  Definition

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

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

                  An Extension

                  ShortExtension
                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  SlicingThis element introduces a set of slices on ArtifactAssessment.content.component.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 92. ArtifactAssessment.content.component.extension:RelatesToWithQuotation
                    Slice NameRelatesToWithQuotation
                    Definition

                    Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

                    ShortRelated artifact with quoted portion
                    Control0..*
                    TypeExtension(RelatesToWithQuotation) (Complex Extension)
                    Is Modifierfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    94. ArtifactAssessment.content.component.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored even if unrecognized
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    96. ArtifactAssessment.content.component.summary
                    Definition

                    A brief summary of the content of this component.

                    ShortBrief summary of the content
                    Control0..1
                    Typemarkdown
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    98. ArtifactAssessment.content.component.type
                    Definition

                    Indicates what type of content this component represents.

                    ShortWhat type of content
                    Control0..1
                    BindingFor example codes, see EvidenceCertaintyType
                    (example to http://hl7.org/fhir/ValueSet/certainty-type|6.0.0-ballot3)
                    TypeCodeableConcept
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    100. ArtifactAssessment.content.component.classifier
                    Definition

                    Represents a rating, classifier, or assessment of the artifact.

                    ShortRating, classifier, or assessment
                    Control0..*
                    BindingFor example codes, see EvidenceCertaintyRating
                    (example to http://hl7.org/fhir/ValueSet/certainty-rating|6.0.0-ballot3)
                    TypeCodeableConcept
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    102. ArtifactAssessment.content.component.quantity
                    Definition

                    A quantitative rating of the artifact.

                    ShortQuantitative rating
                    Control0..1
                    TypeQuantity
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    104. ArtifactAssessment.content.component.author
                    Definition

                    Indicates who or what authored the content.

                    ShortWho authored the content
                    Control0..*
                    TypeReference(Patient, Practitioner, PractitionerRole, Organization, Device)
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    106. ArtifactAssessment.content.component.path
                    Definition

                    A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.

                    ShortWhat the comment is directed to
                    Comments

                    The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).

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

                    Relationship that this content component has with other FHIR or non-FHIR resources that already exist.

                    ShortRelationship to other Resources
                    Control0..*
                    TypeSeettp://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.relatesTo
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    110. ArtifactAssessment.content.component.freeToShare
                    Definition

                    Acceptable to publicly share the comment, classifier or rating.

                    ShortAcceptable to publicly share the content
                    Comments

                    Absence of a value should be interpreted as inheriting any freeToShare value present in a containing structure, else inheriting data from the ArtifactAssessment.copyright element, else value unknown.

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

                    A component comment, classifier, or rating of the artifact.

                    ShortComment, classifier, or rating content
                    Control0..*
                    TypeSeettp://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.content
                    Is Modifierfalse
                    Must Supportfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    114. ArtifactAssessment.content:ratingSystem
                    Slice NameratingSystem
                    Definition

                    A component comment, classifier, or rating of the artifact.

                    ShortComment, classifier, or rating content
                    Control0..1
                    TypeBackboneElement
                    Is Modifierfalse
                    Must Supporttrue
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                    116. ArtifactAssessment.content:ratingSystem.id
                    Definition

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

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

                    An Extension

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

                      Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

                      ShortRelated artifact with quoted portion
                      Control0..*
                      TypeExtension(RelatesToWithQuotation) (Complex Extension)
                      Is Modifierfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      122. ArtifactAssessment.content:ratingSystem.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      124. ArtifactAssessment.content:ratingSystem.summary
                      Definition

                      A brief summary of the content of this component.

                      ShortBrief summary of the content
                      Control0..1
                      Typemarkdown
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      126. ArtifactAssessment.content:ratingSystem.type
                      Definition

                      Indicates what type of content this component represents.

                      ShortWhat type of content
                      Control1..1
                      BindingFor example codes, see EvidenceCertaintyType
                      (example to http://hl7.org/fhir/ValueSet/certainty-type|6.0.0-ballot3)
                      TypeCodeableConcept
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Pattern Value{
                        "coding" : [{
                          "system" : "https://fevir.net/resources/CodeSystem/179423",
                          "code" : "rating-system",
                          "display" : "Rating System"
                        }]
                      }
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      128. ArtifactAssessment.content:ratingSystem.classifier
                      Definition

                      Represents a rating, classifier, or assessment of the artifact.

                      ShortRating, classifier, or assessment
                      Control1..1
                      BindingUnless not suitable, these codes SHALL be taken from Evidence Rating System Classifier Codes Value Set
                      (extensible to http://hl7.org/fhir/uv/ebm/ValueSet/evidence-rating-system-classifier)
                      TypeCodeableConcept
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      130. ArtifactAssessment.content:ratingSystem.quantity
                      Definition

                      A quantitative rating of the artifact.

                      ShortQuantitative rating
                      Control0..1
                      TypeQuantity
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      132. ArtifactAssessment.content:ratingSystem.author
                      Definition

                      Indicates who or what authored the content.

                      ShortWho authored the content
                      Control0..*
                      TypeReference(Patient, Practitioner, PractitionerRole, Organization, Device)
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      134. ArtifactAssessment.content:ratingSystem.path
                      Definition

                      A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.

                      ShortWhat the comment is directed to
                      Comments

                      The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).

                      Control0..*
                      Typeuri
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      136. ArtifactAssessment.content:ratingSystem.relatesTo
                      Definition

                      Relationship that this content component has with other FHIR or non-FHIR resources that already exist.

                      ShortRelationship to other Resources
                      Control0..*
                      TypeSeettp://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.relatesTo
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      138. ArtifactAssessment.content:ratingSystem.freeToShare
                      Definition

                      Acceptable to publicly share the EvidenceAssessment content, specific to the associated content instance

                      ShortAcceptable to publicly share the EvidenceAssessment content
                      Comments

                      Absence of a value should be interpreted as inheriting any freeToShare value present in a containing structure, else inheriting data from the ArtifactAssessment.copyright element, else value unknown.

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

                      A component comment, classifier, or rating of the artifact.

                      ShortComment, classifier, or rating content
                      Control0..*
                      TypeBackboneElement
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      142. ArtifactAssessment.content:ratingSystem.component.id
                      Definition

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

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

                      An Extension

                      ShortExtension
                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      SlicingThis element introduces a set of slices on ArtifactAssessment.content.component.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 146. ArtifactAssessment.content:ratingSystem.component.extension:RelatesToWithQuotation
                        Slice NameRelatesToWithQuotation
                        Definition

                        Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

                        ShortRelated artifact with quoted portion
                        Control0..*
                        TypeExtension(RelatesToWithQuotation) (Complex Extension)
                        Is Modifierfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        148. ArtifactAssessment.content:ratingSystem.component.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        150. ArtifactAssessment.content:ratingSystem.component.summary
                        Definition

                        A brief summary of the content of this component.

                        ShortBrief summary of the content
                        Control0..1
                        Typemarkdown
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        152. ArtifactAssessment.content:ratingSystem.component.type
                        Definition

                        Indicates what type of content this component represents.

                        ShortWhat type of content
                        Control0..1
                        BindingFor example codes, see EvidenceCertaintyType
                        (example to http://hl7.org/fhir/ValueSet/certainty-type|6.0.0-ballot3)
                        TypeCodeableConcept
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        154. ArtifactAssessment.content:ratingSystem.component.classifier
                        Definition

                        Represents a rating, classifier, or assessment of the artifact.

                        ShortRating, classifier, or assessment
                        Control0..*
                        BindingFor example codes, see EvidenceCertaintyRating
                        (example to http://hl7.org/fhir/ValueSet/certainty-rating|6.0.0-ballot3)
                        TypeCodeableConcept
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        156. ArtifactAssessment.content:ratingSystem.component.quantity
                        Definition

                        A quantitative rating of the artifact.

                        ShortQuantitative rating
                        Control0..1
                        TypeQuantity
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        158. ArtifactAssessment.content:ratingSystem.component.author
                        Definition

                        Indicates who or what authored the content.

                        ShortWho authored the content
                        Control0..*
                        TypeReference(Patient, Practitioner, PractitionerRole, Organization, Device)
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        160. ArtifactAssessment.content:ratingSystem.component.path
                        Definition

                        A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.

                        ShortWhat the comment is directed to
                        Comments

                        The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).

                        Control0..*
                        Typeuri
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        162. ArtifactAssessment.content:ratingSystem.component.relatesTo
                        Definition

                        Relationship that this content component has with other FHIR or non-FHIR resources that already exist.

                        ShortRelationship to other Resources
                        Control0..*
                        TypeSeettp://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.relatesTo
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        164. ArtifactAssessment.content:ratingSystem.component.freeToShare
                        Definition

                        Acceptable to publicly share the comment, classifier or rating.

                        ShortAcceptable to publicly share the content
                        Comments

                        Absence of a value should be interpreted as inheriting any freeToShare value present in a containing structure, else inheriting data from the ArtifactAssessment.copyright element, else value unknown.

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

                        A component comment, classifier, or rating of the artifact.

                        ShortComment, classifier, or rating content
                        Control0..*
                        TypeSeettp://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.content
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        168. ArtifactAssessment.content:overall
                        Slice Nameoverall
                        Definition

                        A component comment, classifier, or rating of the artifact.

                        ShortComment, classifier, or rating content
                        Control0..1
                        TypeBackboneElement
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                        170. ArtifactAssessment.content:overall.id
                        Definition

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

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

                        An Extension

                        ShortExtension
                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        SlicingThis element introduces a set of slices on ArtifactAssessment.content.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 174. ArtifactAssessment.content:overall.extension:RelatesToWithQuotation
                          Slice NameRelatesToWithQuotation
                          Definition

                          Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

                          ShortRelated artifact with quoted portion
                          Control0..*
                          TypeExtension(RelatesToWithQuotation) (Complex Extension)
                          Is Modifierfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          176. ArtifactAssessment.content:overall.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          178. ArtifactAssessment.content:overall.summary
                          Definition

                          A brief summary of the content of this component.

                          ShortBrief summary of the content
                          Control0..1
                          Typemarkdown
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          180. ArtifactAssessment.content:overall.type
                          Definition

                          Indicates what type of content this component represents.

                          ShortWhat type of content
                          Control1..1
                          BindingFor example codes, see EvidenceCertaintyType
                          (example to http://hl7.org/fhir/ValueSet/certainty-type|6.0.0-ballot3)
                          TypeCodeableConcept
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Pattern Value{
                            "coding" : [{
                              "system" : "http://terminology.hl7.org/CodeSystem/certainty-type",
                              "code" : "Overall",
                              "display" : "Overall certainty"
                            }]
                          }
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          182. ArtifactAssessment.content:overall.classifier
                          Definition

                          Represents a rating, classifier, or assessment of the artifact.

                          ShortRating, classifier, or assessment
                          Control0..*
                          BindingUnless not suitable, these codes SHALL be taken from StatisticCertaintyRating
                          (extensible to http://terminology.hl7.org/ValueSet/certainty-rating)
                          TypeCodeableConcept
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          184. ArtifactAssessment.content:overall.quantity
                          Definition

                          A quantitative rating of the artifact.

                          ShortQuantitative rating
                          Control0..1
                          TypeQuantity
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          186. ArtifactAssessment.content:overall.author
                          Definition

                          Indicates who or what authored the content.

                          ShortWho authored the content
                          Control0..*
                          TypeReference(Patient, Practitioner, PractitionerRole, Organization, Device)
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          188. ArtifactAssessment.content:overall.path
                          Definition

                          A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.

                          ShortWhat the comment is directed to
                          Comments

                          The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).

                          Control0..*
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          190. ArtifactAssessment.content:overall.relatesTo
                          Definition

                          Relationship that this content component has with other FHIR or non-FHIR resources that already exist.

                          ShortRelationship to other Resources
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.relatesTo
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          192. ArtifactAssessment.content:overall.freeToShare
                          Definition

                          Acceptable to publicly share the EvidenceAssessment content, specific to the associated content instance

                          ShortAcceptable to publicly share the EvidenceAssessment content
                          Comments

                          Absence of a value should be interpreted as inheriting any freeToShare value present in a containing structure, else inheriting data from the ArtifactAssessment.copyright element, else value unknown.

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

                          A component comment, classifier, or rating of the artifact.

                          ShortComment, classifier, or rating content
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          196. ArtifactAssessment.content:overall.component.id
                          Definition

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

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

                          An Extension

                          ShortExtension
                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          SlicingThis element introduces a set of slices on ArtifactAssessment.content.component.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 200. ArtifactAssessment.content:overall.component.extension:RelatesToWithQuotation
                            Slice NameRelatesToWithQuotation
                            Definition

                            Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

                            ShortRelated artifact with quoted portion
                            Control0..*
                            TypeExtension(RelatesToWithQuotation) (Complex Extension)
                            Is Modifierfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            202. ArtifactAssessment.content:overall.component.modifierExtension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            204. ArtifactAssessment.content:overall.component.summary
                            Definition

                            A brief summary of the content of this component.

                            ShortBrief summary of the content
                            Control0..1
                            Typemarkdown
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            206. ArtifactAssessment.content:overall.component.type
                            Definition

                            Indicates what type of content this component represents.

                            ShortWhat type of content
                            Control0..1
                            BindingUnless not suitable, these codes SHALL be taken from Evidence Certainty Type
                            (extensible to http://terminology.hl7.org/ValueSet/certainty-type)
                            TypeCodeableConcept
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            208. ArtifactAssessment.content:overall.component.classifier
                            Definition

                            Represents a rating, classifier, or assessment of the artifact.

                            ShortRating, classifier, or assessment
                            Control0..*
                            BindingUnless not suitable, these codes SHALL be taken from StatisticCertaintyRating
                            (extensible to http://terminology.hl7.org/ValueSet/certainty-rating)
                            TypeCodeableConcept
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            210. ArtifactAssessment.content:overall.component.quantity
                            Definition

                            A quantitative rating of the artifact.

                            ShortQuantitative rating
                            Control0..1
                            TypeQuantity
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            212. ArtifactAssessment.content:overall.component.author
                            Definition

                            Indicates who or what authored the content.

                            ShortWho authored the content
                            Control0..*
                            TypeReference(Patient, Practitioner, PractitionerRole, Organization, Device)
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            214. ArtifactAssessment.content:overall.component.path
                            Definition

                            A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.

                            ShortWhat the comment is directed to
                            Comments

                            The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).

                            Control0..*
                            Typeuri
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            216. ArtifactAssessment.content:overall.component.relatesTo
                            Definition

                            Relationship that this content component has with other FHIR or non-FHIR resources that already exist.

                            ShortRelationship to other Resources
                            Control0..*
                            TypeSeettp://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.relatesTo
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            218. ArtifactAssessment.content:overall.component.freeToShare
                            Definition

                            Acceptable to publicly share the comment, classifier or rating.

                            ShortAcceptable to publicly share the content
                            Comments

                            Absence of a value should be interpreted as inheriting any freeToShare value present in a containing structure, else inheriting data from the ArtifactAssessment.copyright element, else value unknown.

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

                            A component comment, classifier, or rating of the artifact.

                            ShortComment, classifier, or rating content
                            Control0..*
                            TypeSeettp://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.content
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            222. ArtifactAssessment.content:riskOfBias
                            Slice NameriskOfBias
                            Definition

                            A component comment, classifier, or rating of the artifact.

                            ShortComment, classifier, or rating content
                            Control0..1
                            TypeBackboneElement
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                            224. ArtifactAssessment.content:riskOfBias.id
                            Definition

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

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

                            An Extension

                            ShortExtension
                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            SlicingThis element introduces a set of slices on ArtifactAssessment.content.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 228. ArtifactAssessment.content:riskOfBias.extension:RelatesToWithQuotation
                              Slice NameRelatesToWithQuotation
                              Definition

                              Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

                              ShortRelated artifact with quoted portion
                              Control0..*
                              TypeExtension(RelatesToWithQuotation) (Complex Extension)
                              Is Modifierfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              230. ArtifactAssessment.content:riskOfBias.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              232. ArtifactAssessment.content:riskOfBias.summary
                              Definition

                              A brief summary of the content of this component.

                              ShortBrief summary of the content
                              Control0..1
                              Typemarkdown
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              234. ArtifactAssessment.content:riskOfBias.type
                              Definition

                              Indicates what type of content this component represents.

                              ShortWhat type of content
                              Control1..1
                              BindingFor example codes, see EvidenceCertaintyType
                              (example to http://hl7.org/fhir/ValueSet/certainty-type|6.0.0-ballot3)
                              TypeCodeableConcept
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Pattern Value{
                                "coding" : [{
                                  "system" : "http://terminology.hl7.org/CodeSystem/certainty-type",
                                  "code" : "RiskOfBias",
                                  "display" : "Risk of bias"
                                }]
                              }
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              236. ArtifactAssessment.content:riskOfBias.classifier
                              Definition

                              Represents a rating, classifier, or assessment of the artifact.

                              ShortRating, classifier, or assessment
                              Control0..*
                              BindingFor example codes, see EvidenceCertaintyRating
                              (example to http://hl7.org/fhir/ValueSet/certainty-rating|6.0.0-ballot3)
                              TypeCodeableConcept
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              238. ArtifactAssessment.content:riskOfBias.quantity
                              Definition

                              A quantitative rating of the artifact.

                              ShortQuantitative rating
                              Control0..1
                              TypeQuantity
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              240. ArtifactAssessment.content:riskOfBias.author
                              Definition

                              Indicates who or what authored the content.

                              ShortWho authored the content
                              Control0..*
                              TypeReference(Patient, Practitioner, PractitionerRole, Organization, Device)
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              242. ArtifactAssessment.content:riskOfBias.path
                              Definition

                              A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.

                              ShortWhat the comment is directed to
                              Comments

                              The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).

                              Control0..*
                              Typeuri
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              244. ArtifactAssessment.content:riskOfBias.relatesTo
                              Definition

                              Relationship that this content component has with other FHIR or non-FHIR resources that already exist.

                              ShortRelationship to other Resources
                              Control0..*
                              TypeSeettp://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.relatesTo
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              246. ArtifactAssessment.content:riskOfBias.freeToShare
                              Definition

                              Acceptable to publicly share the EvidenceAssessment content, specific to the associated content instance

                              ShortAcceptable to publicly share the EvidenceAssessment content
                              Comments

                              Absence of a value should be interpreted as inheriting any freeToShare value present in a containing structure, else inheriting data from the ArtifactAssessment.copyright element, else value unknown.

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

                              A component comment, classifier, or rating of the artifact.

                              ShortComment, classifier, or rating content
                              Control0..*
                              TypeBackboneElement
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              250. ArtifactAssessment.content:riskOfBias.component.id
                              Definition

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

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

                              An Extension

                              ShortExtension
                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              SlicingThis element introduces a set of slices on ArtifactAssessment.content.component.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 254. ArtifactAssessment.content:riskOfBias.component.extension:RelatesToWithQuotation
                                Slice NameRelatesToWithQuotation
                                Definition

                                Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

                                ShortRelated artifact with quoted portion
                                Control0..*
                                TypeExtension(RelatesToWithQuotation) (Complex Extension)
                                Is Modifierfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                256. ArtifactAssessment.content:riskOfBias.component.modifierExtension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                ShortExtensions that cannot be ignored even if unrecognized
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                Alternate Namesextensions, user content, modifiers
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                258. ArtifactAssessment.content:riskOfBias.component.summary
                                Definition

                                A brief summary of the content of this component.

                                ShortBrief summary of the content
                                Control0..1
                                Typemarkdown
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                260. ArtifactAssessment.content:riskOfBias.component.type
                                Definition

                                Indicates what type of content this component represents.

                                ShortWhat type of content
                                Control0..1
                                BindingFor example codes, see EvidenceCertaintyType
                                (example to http://hl7.org/fhir/ValueSet/certainty-type|6.0.0-ballot3)
                                TypeCodeableConcept
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                262. ArtifactAssessment.content:riskOfBias.component.classifier
                                Definition

                                Represents a rating, classifier, or assessment of the artifact.

                                ShortRating, classifier, or assessment
                                Control0..*
                                BindingFor example codes, see EvidenceCertaintyRating
                                (example to http://hl7.org/fhir/ValueSet/certainty-rating|6.0.0-ballot3)
                                TypeCodeableConcept
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                264. ArtifactAssessment.content:riskOfBias.component.quantity
                                Definition

                                A quantitative rating of the artifact.

                                ShortQuantitative rating
                                Control0..1
                                TypeQuantity
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                266. ArtifactAssessment.content:riskOfBias.component.author
                                Definition

                                Indicates who or what authored the content.

                                ShortWho authored the content
                                Control0..*
                                TypeReference(Patient, Practitioner, PractitionerRole, Organization, Device)
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                268. ArtifactAssessment.content:riskOfBias.component.path
                                Definition

                                A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.

                                ShortWhat the comment is directed to
                                Comments

                                The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).

                                Control0..*
                                Typeuri
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                270. ArtifactAssessment.content:riskOfBias.component.relatesTo
                                Definition

                                Relationship that this content component has with other FHIR or non-FHIR resources that already exist.

                                ShortRelationship to other Resources
                                Control0..*
                                TypeSeettp://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.relatesTo
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                272. ArtifactAssessment.content:riskOfBias.component.freeToShare
                                Definition

                                Acceptable to publicly share the comment, classifier or rating.

                                ShortAcceptable to publicly share the content
                                Comments

                                Absence of a value should be interpreted as inheriting any freeToShare value present in a containing structure, else inheriting data from the ArtifactAssessment.copyright element, else value unknown.

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

                                A component comment, classifier, or rating of the artifact.

                                ShortComment, classifier, or rating content
                                Control0..*
                                TypeSeettp://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.content
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                276. ArtifactAssessment.content:levelOfEvidence
                                Slice NamelevelOfEvidence
                                Definition

                                A component comment, classifier, or rating of the artifact.

                                ShortComment, classifier, or rating content
                                Control0..1
                                TypeBackboneElement
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                                278. ArtifactAssessment.content:levelOfEvidence.id
                                Definition

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

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

                                An Extension

                                ShortExtension
                                Control0..*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                SlicingThis element introduces a set of slices on ArtifactAssessment.content.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 282. ArtifactAssessment.content:levelOfEvidence.extension:RelatesToWithQuotation
                                  Slice NameRelatesToWithQuotation
                                  Definition

                                  Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

                                  ShortRelated artifact with quoted portion
                                  Control0..*
                                  TypeExtension(RelatesToWithQuotation) (Complex Extension)
                                  Is Modifierfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  284. ArtifactAssessment.content:levelOfEvidence.modifierExtension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                  ShortExtensions that cannot be ignored even if unrecognized
                                  Comments

                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                  Alternate Namesextensions, user content, modifiers
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  286. ArtifactAssessment.content:levelOfEvidence.summary
                                  Definition

                                  A brief summary of the content of this component.

                                  ShortBrief summary of the content
                                  Control0..1
                                  Typemarkdown
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Must Supportfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  288. ArtifactAssessment.content:levelOfEvidence.type
                                  Definition

                                  Indicates what type of content this component represents.

                                  ShortWhat type of content
                                  Control1..1
                                  BindingFor example codes, see EvidenceCertaintyType
                                  (example to http://hl7.org/fhir/ValueSet/certainty-type|6.0.0-ballot3)
                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Must Supportfalse
                                  Summaryfalse
                                  Pattern Value{
                                    "coding" : [{
                                      "system" : "http://hl7.org/fhir/certainty-type",
                                      "code" : "Overall",
                                      "display" : "Overall certainty"
                                    }]
                                  }
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  290. ArtifactAssessment.content:levelOfEvidence.classifier
                                  Definition

                                  Represents a rating, classifier, or assessment of the artifact.

                                  ShortRating, classifier, or assessment
                                  Control0..*
                                  BindingFor example codes, see EvidenceCertaintyRating
                                  (example to http://hl7.org/fhir/ValueSet/certainty-rating|6.0.0-ballot3)
                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Must Supportfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  292. ArtifactAssessment.content:levelOfEvidence.quantity
                                  Definition

                                  A quantitative rating of the artifact.

                                  ShortQuantitative rating
                                  Control0..1
                                  TypeQuantity
                                  Is Modifierfalse
                                  Must Supportfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  294. ArtifactAssessment.content:levelOfEvidence.author
                                  Definition

                                  Indicates who or what authored the content.

                                  ShortWho authored the content
                                  Control0..*
                                  TypeReference(Patient, Practitioner, PractitionerRole, Organization, Device)
                                  Is Modifierfalse
                                  Must Supportfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  296. ArtifactAssessment.content:levelOfEvidence.path
                                  Definition

                                  A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.

                                  ShortWhat the comment is directed to
                                  Comments

                                  The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).

                                  Control0..*
                                  Typeuri
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Must Supportfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  298. ArtifactAssessment.content:levelOfEvidence.relatesTo
                                  Definition

                                  Relationship that this content component has with other FHIR or non-FHIR resources that already exist.

                                  ShortRelationship to other Resources
                                  Control0..*
                                  TypeSeettp://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.relatesTo
                                  Is Modifierfalse
                                  Must Supportfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  300. ArtifactAssessment.content:levelOfEvidence.freeToShare
                                  Definition

                                  Acceptable to publicly share the EvidenceAssessment content, specific to the associated content instance

                                  ShortAcceptable to publicly share the EvidenceAssessment content
                                  Comments

                                  Absence of a value should be interpreted as inheriting any freeToShare value present in a containing structure, else inheriting data from the ArtifactAssessment.copyright element, else value unknown.

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

                                  A component comment, classifier, or rating of the artifact.

                                  ShortComment, classifier, or rating content
                                  Control0..*
                                  TypeBackboneElement
                                  Is Modifierfalse
                                  Must Supportfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  304. ArtifactAssessment.content:levelOfEvidence.component.id
                                  Definition

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

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

                                  An Extension

                                  ShortExtension
                                  Control0..*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  SlicingThis element introduces a set of slices on ArtifactAssessment.content.component.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • value @ url
                                  • 308. ArtifactAssessment.content:levelOfEvidence.component.extension:RelatesToWithQuotation
                                    Slice NameRelatesToWithQuotation
                                    Definition

                                    Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

                                    ShortRelated artifact with quoted portion
                                    Control0..*
                                    TypeExtension(RelatesToWithQuotation) (Complex Extension)
                                    Is Modifierfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    310. ArtifactAssessment.content:levelOfEvidence.component.modifierExtension
                                    Definition

                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                    ShortExtensions that cannot be ignored even if unrecognized
                                    Comments

                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                    Alternate Namesextensions, user content, modifiers
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    312. ArtifactAssessment.content:levelOfEvidence.component.summary
                                    Definition

                                    A brief summary of the content of this component.

                                    ShortBrief summary of the content
                                    Control0..1
                                    Typemarkdown
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Must Supportfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    314. ArtifactAssessment.content:levelOfEvidence.component.type
                                    Definition

                                    Indicates what type of content this component represents.

                                    ShortWhat type of content
                                    Control0..1
                                    BindingFor example codes, see EvidenceCertaintyType
                                    (example to http://hl7.org/fhir/ValueSet/certainty-type|6.0.0-ballot3)
                                    TypeCodeableConcept
                                    Is Modifierfalse
                                    Must Supportfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    316. ArtifactAssessment.content:levelOfEvidence.component.classifier
                                    Definition

                                    Represents a rating, classifier, or assessment of the artifact.

                                    ShortRating, classifier, or assessment
                                    Control0..*
                                    BindingFor example codes, see EvidenceCertaintyRating
                                    (example to http://hl7.org/fhir/ValueSet/certainty-rating|6.0.0-ballot3)
                                    TypeCodeableConcept
                                    Is Modifierfalse
                                    Must Supportfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    318. ArtifactAssessment.content:levelOfEvidence.component.quantity
                                    Definition

                                    A quantitative rating of the artifact.

                                    ShortQuantitative rating
                                    Control0..1
                                    TypeQuantity
                                    Is Modifierfalse
                                    Must Supportfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    320. ArtifactAssessment.content:levelOfEvidence.component.author
                                    Definition

                                    Indicates who or what authored the content.

                                    ShortWho authored the content
                                    Control0..*
                                    TypeReference(Patient, Practitioner, PractitionerRole, Organization, Device)
                                    Is Modifierfalse
                                    Must Supportfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    322. ArtifactAssessment.content:levelOfEvidence.component.path
                                    Definition

                                    A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.

                                    ShortWhat the comment is directed to
                                    Comments

                                    The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).

                                    Control0..*
                                    Typeuri
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Must Supportfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    324. ArtifactAssessment.content:levelOfEvidence.component.relatesTo
                                    Definition

                                    Relationship that this content component has with other FHIR or non-FHIR resources that already exist.

                                    ShortRelationship to other Resources
                                    Control0..*
                                    TypeSeettp://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.relatesTo
                                    Is Modifierfalse
                                    Must Supportfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    326. ArtifactAssessment.content:levelOfEvidence.component.freeToShare
                                    Definition

                                    Acceptable to publicly share the comment, classifier or rating.

                                    ShortAcceptable to publicly share the content
                                    Comments

                                    Absence of a value should be interpreted as inheriting any freeToShare value present in a containing structure, else inheriting data from the ArtifactAssessment.copyright element, else value unknown.

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

                                    A component comment, classifier, or rating of the artifact.

                                    ShortComment, classifier, or rating content
                                    Control0..*
                                    TypeSeettp://hl7.org/fhir/StructureDefinition/ArtifactAssessment#ArtifactAssessment.content
                                    Is Modifierfalse
                                    Must Supportfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    330. ArtifactAssessment.content:outcome
                                    Slice Nameoutcome
                                    Definition

                                    A component comment, classifier, or rating of the artifact.

                                    ShortComment, classifier, or rating content
                                    Control0..1
                                    TypeBackboneElement
                                    Is Modifierfalse
                                    Must Supportfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                                    332. ArtifactAssessment.content:outcome.id
                                    Definition

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

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

                                    An Extension

                                    ShortExtension
                                    Control0..*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    SlicingThis element introduces a set of slices on ArtifactAssessment.content.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • value @ url
                                    • 336. ArtifactAssessment.content:outcome.extension:RelatesToWithQuotation
                                      Slice NameRelatesToWithQuotation
                                      Definition

                                      Resource (FHIR or non-FHIR) associated with the Resource, plus specification of a portion quoted from the Resource.

                                      ShortRelated artifact with quoted portion
                                      Control0..*
                                      TypeExtension(RelatesToWithQuotation) (Complex Extension)
                                      Is Modifierfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      338. ArtifactAssessment.content:outcome.modifierExtension
                                      Definition

                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                      ShortExtensions that cannot be ignored even if unrecognized
                                      Comments

                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                      Alternate Namesextensions, user content, modifiers
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      340. ArtifactAssessment.content:outcome.summary
                                      Definition

                                      A brief summary of the content of this component.

                                      ShortBrief summary of the content
                                      Control0..1
                                      Typemarkdown
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Must Supportfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      342. ArtifactAssessment.content:outcome.type
                                      Definition

                                      Indicates what type of content this component represents.

                                      ShortWhat type of content
                                      Control1..1
                                      BindingFor example codes, see EvidenceCertaintyType
                                      (example to http://hl7.org/fhir/ValueSet/certainty-type|6.0.0-ballot3)
                                      TypeCodeableConcept
                                      Is Modifierfalse
                                      Must Supportfalse
                                      Summaryfalse
                                      Pattern Value{
                                        "coding" : [{
                                          "system" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-pico",
                                          "code" : "outcome",
                                          "display" : "Outcome"
                                        }]
                                      }
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      344. ArtifactAssessment.content:outcome.classifier
                                      Definition

                                      Represents a rating, classifier, or assessment of the artifact.

                                      ShortRating, classifier, or assessment
                                      Control0..*
                                      BindingFor example codes, see EvidenceCertaintyRating
                                      (example to http://hl7.org/fhir/ValueSet/certainty-rating|6.0.0-ballot3)
                                      TypeCodeableConcept
                                      Is Modifierfalse
                                      Must Supportfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      346. ArtifactAssessment.content:outcome.quantity
                                      Definition

                                      A quantitative rating of the artifact.

                                      ShortQuantitative rating
                                      Control0..1
                                      TypeQuantity
                                      Is Modifierfalse
                                      Must Supportfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      348. ArtifactAssessment.content:outcome.author
                                      Definition

                                      Indicates who or what authored the content.

                                      ShortWho authored the content
                                      Control0..*
                                      TypeReference(Patient, Practitioner, PractitionerRole, Organization, Device)
                                      Is Modifierfalse
                                      Must Supportfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      350. ArtifactAssessment.content:outcome.path
                                      Definition

                                      A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.

                                      ShortWhat the comment is directed to
                                      Comments

                                      The target element is used to point the comment to aspect of the artifact, such as a text range within a CQL library (e.g. #content?0:0-120:80).

                                      Control0..*
                                      Typeuri
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Must Supportfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      352. ArtifactAssessment.content:outcome.relatesTo
                                      Definition

                                      Relationship that this content component has with other FHIR or non-FHIR resources that already exist.

                                      ShortRelationship to other Resources
                                      Control1..1
                                      TypeBackboneElement
                                      Is Modifierfalse
                                      Must Supportfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      354. ArtifactAssessment.content:outcome.relatesTo.id
                                      Definition

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

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

                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                      ShortAdditional content defined by implementations
                                      Comments

                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                      Control0..*
                                      TypeExtension
                                      Is Modifierfalse
                                      Summaryfalse
                                      Alternate Namesextensions, user content
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      358. ArtifactAssessment.content:outcome.relatesTo.modifierExtension
                                      Definition

                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                      ShortExtensions that cannot be ignored even if unrecognized
                                      Comments

                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                      Alternate Namesextensions, user content, modifiers
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      360. ArtifactAssessment.content:outcome.relatesTo.type
                                      Definition

                                      The type of relationship to the related artifact.

                                      Shortdocumentation | 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
                                      Control1..1
                                      BindingThe codes SHALL be taken from ArtifactRelationshipType
                                      (required to http://hl7.org/fhir/ValueSet/artifact-relationship-type|6.0.0-ballot3)

                                      The type of relationship to the related artifact.

                                      Typecode
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Must Supportfalse
                                      Summaryfalse
                                      Pattern Valuedepends-on
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      362. ArtifactAssessment.content:outcome.relatesTo.target[x]
                                      Definition

                                      The artifact that is related to this ArtifactAssessment Resource.

                                      ShortThe artifact that is related to this ArtifactAssessment
                                      Control1..1
                                      TypeReference(Resource)
                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                      Is Modifierfalse
                                      Must Supportfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      SlicingThis element introduces a set of slices on ArtifactAssessment.content.relatesTo.target[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                      • type @ $this
                                      • 364. ArtifactAssessment.content:outcome.relatesTo.target[x]:targetReference
                                        Slice NametargetReference
                                        Definition

                                        The artifact that is related to this ArtifactAssessment Resource.

                                        ShortThe artifact that is related to this ArtifactAssessment
                                        Control1..1
                                        TypeReference(Conceptual Cohort Definition Outcome, Outcome Evidence)
                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                        Is Modifierfalse
                                        Must Supportfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        366. ArtifactAssessment.workflowStatus
                                        Definition

                                        Indicates the workflow status of the comment or change request.

                                        Shortsubmitted | triaged | waiting-for-input | resolved-no-change | resolved-change-required | deferred | duplicate | applied | published | entered-in-error
                                        Control1..1
                                        BindingThe codes SHALL be taken from ArtifactAssessmentWorkflowStatus
                                        (required to http://hl7.org/fhir/ValueSet/artifactassessment-workflow-status|6.0.0-ballot3)
                                        Typecode
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Must Supportfalse
                                        Summarytrue
                                        Pattern Valueapplied
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        368. ArtifactAssessment.disposition
                                        Definition

                                        Indicates the disposition of the responsible party to the comment or change request.

                                        Shortunresolved | not-persuasive | persuasive | persuasive-with-modification | not-persuasive-with-modification
                                        Control0..1
                                        BindingThe codes SHALL be taken from ArtifactAssessmentDisposition
                                        (required to http://hl7.org/fhir/ValueSet/artifactassessment-disposition|6.0.0-ballot3)
                                        Typecode
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Must Supportfalse
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))