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Resource Profile: RecommendationJustificationExpertConsensus - Detailed Descriptions

Draft as of 2026-01-29

Definitions for the recommendation-justification-expert-consensus 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.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()))
8. ArtifactAssessment.artifact[x]
Definition

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

ShortThe 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
  • 10. ArtifactAssessment.artifact[x]:artifactReference
    Slice NameartifactReference
    Definition

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

    ShortThe artifact assessed, commented upon or rated
    Control01..1
    TypeReference(Recommendation, 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()))
    12. 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
    • 14. 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()))
      16. ArtifactAssessment.content:recommendationRating
      Slice NamerecommendationRating
      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()))
      18. ArtifactAssessment.content:recommendationRating.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()))
      20. ArtifactAssessment.content:recommendationRating.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" : "recommendation-rating",
          "display" : "Recommendation Rating"
        }]
      }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      22. ArtifactAssessment.content:recommendationRating.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()))
      SlicingThis element introduces a set of slices on ArtifactAssessment.content.component. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ type
      • 24. ArtifactAssessment.content:recommendationRating.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()))
        26. ArtifactAssessment.content:recommendationRating.component:ratingSystem
        Slice NameratingSystem
        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 (hasValue() or (children().count() > id.count()))
        28. ArtifactAssessment.content:recommendationRating.component: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()))
        30. ArtifactAssessment.content:recommendationRating.component: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()))
        32. ArtifactAssessment.content:recommendationRating.component:ratingSystem.classifier
        Definition

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

        ShortRating, classifier, or assessment
        Control10..1*
        BindingThe codes SHOULD be taken from For example codes, see Evidence Rating System Classifier Codes Value Sethttp://hl7.org/fhir/ValueSet/certainty-rating|6.0.0-ballot3
        (preferred 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()))
        34. ArtifactAssessment.content:recommendationRating.component:strengthOfRecommendation
        Slice NamestrengthOfRecommendation
        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 (hasValue() or (children().count() > id.count()))
        36. ArtifactAssessment.content:recommendationRating.component:strengthOfRecommendation.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()))
        38. ArtifactAssessment.content:recommendationRating.component:strengthOfRecommendation.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" : "strength-of-recommendation",
            "display" : "Strength of Recommendation"
          }]
        }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        40. ArtifactAssessment.content:recommendationRating.component:directionOfRecommendation
        Slice NamedirectionOfRecommendation
        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 (hasValue() or (children().count() > id.count()))
        42. ArtifactAssessment.content:recommendationRating.component:directionOfRecommendation.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()))
        44. ArtifactAssessment.content:recommendationRating.component:directionOfRecommendation.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" : "direction-of-recommendation",
            "display" : "Direction of Recommendation"
          }]
        }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        46. ArtifactAssessment.content:recommendationRating.component:directionOfRecommendation.classifier
        Definition

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

        ShortRating, classifier, or assessment
        Control10..1*
        BindingThe codes SHALL be taken from For example codes, see Recommendation Directionhttp://hl7.org/fhir/ValueSet/certainty-rating|6.0.0-ballot3
        (required to http://fhir.awmf.org/awmf.ig/ValueSet/vs-recommendation-direction)
        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        48. ArtifactAssessment.content:recommendationRating.component:levelOfConsensus
        Slice NamelevelOfConsensus
        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 (hasValue() or (children().count() > id.count()))
        50. ArtifactAssessment.content:recommendationRating.component:levelOfConsensus.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()))
        52. ArtifactAssessment.content:recommendationRating.component:levelOfConsensus.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-awmf",
            "code" : "level-of-consensus"
          }]
        }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        54. ArtifactAssessment.content:recommendationRating.component:levelOfConsensus.classifier
        Definition

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

        ShortRating, classifier, or assessment
        Control10..1*
        BindingThe codes SHALL be taken from For example codes, see Level Of Consensushttp://hl7.org/fhir/ValueSet/certainty-rating|6.0.0-ballot3
        (required to http://fhir.awmf.org/awmf.ig/ValueSet/vs-level-of-consensus)
        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        56. ArtifactAssessment.content:evidenceRating
        Slice NameevidenceRating
        Definition

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

        ShortComment, classifier, or rating content
        Control0..0*
        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()))
        86. ArtifactAssessment.content:searchStrategy
        Slice NamesearchStrategy
        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()))
        88. ArtifactAssessment.content:searchStrategy.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()))
        90. ArtifactAssessment.content:searchStrategy.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" : "SearchStrategy",
            "display" : "SearchStrategy"
          }]
        }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        92. ArtifactAssessment.content:searchStrategy.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()))
        94. ArtifactAssessment.content:searchStrategy.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()))
        96. ArtifactAssessment.content:searchStrategy.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
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        98. ArtifactAssessment.content:searchStrategy.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
        • 100. ArtifactAssessment.content:searchStrategy.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(SystematicReview, 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()))
          102. 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:evidenceRating
          Slice NameevidenceRating
          Control0..0

          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

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

          ShortAdditional content defined by implementations
          Comments

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

          Control0..*
          TypeExtension
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          16. 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()))
          18. ArtifactAssessment.identifier
          Definition

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

          ShortAdditional identifier for the artifact assessment
          Comments

          This may be used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this artifact assessment outside of FHIR, where it is not possible 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 artifact assessment.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          20. 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()))
          22. ArtifactAssessment.citeAs
          Definition

          Display of the bibliographic citation of the comment, classifier, or rating.

          ShortHow to cite the comment or rating
          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()))
          24. ArtifactAssessment.artifact[x]
          Definition

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

          ShortThe 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
          • 26. ArtifactAssessment.artifact[x]:artifactReference
            Slice NameartifactReference
            Definition

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

            ShortThe artifact assessed, commented upon or rated
            Control0..1
            TypeReference(Recommendation)
            [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()))
            28. 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()))
            30. 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
            32. 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()))
            34. 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()))
            36. 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()))
            38. 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()))
            40. ArtifactAssessment.date
            Definition

            The date (and optionally time) when the artifact assessment was published. The date must change when the disposition changes and it must change if the workflow status code changes. In addition, it should change when the substantive content of the artifact assessment 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()))
            42. ArtifactAssessment.copyright
            Definition

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

            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 artifact assessment and/or its content.

            Alternate NamesLicense, Restrictions
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            44. 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 artifact assessment 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()))
            46. 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 artifact assessment was last reviewed by the publisher
            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()))
            48. 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
            • 50. 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
              52. ArtifactAssessment.content.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()))
              54. 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()))
              56. 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()))
              58. 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()))
              60. 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()))
              62. 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()))
              64. 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()))
              66. 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()))
              68. 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()))
              70. ArtifactAssessment.content.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()))
              72. ArtifactAssessment.content.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()))
              74. ArtifactAssessment.content:recommendationRating
              Slice NamerecommendationRating
              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()))
              76. ArtifactAssessment.content:recommendationRating.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
              78. ArtifactAssessment.content:recommendationRating.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()))
              80. ArtifactAssessment.content:recommendationRating.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()))
              82. ArtifactAssessment.content:recommendationRating.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()))
              84. ArtifactAssessment.content:recommendationRating.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" : "recommendation-rating",
                  "display" : "Recommendation Rating"
                }]
              }
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              86. ArtifactAssessment.content:recommendationRating.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()))
              88. ArtifactAssessment.content:recommendationRating.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()))
              90. ArtifactAssessment.content:recommendationRating.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()))
              92. ArtifactAssessment.content:recommendationRating.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()))
              94. ArtifactAssessment.content:recommendationRating.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()))
              96. ArtifactAssessment.content:recommendationRating.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()))
              98. ArtifactAssessment.content:recommendationRating.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()))
              SlicingThis element introduces a set of slices on ArtifactAssessment.content.component. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ type
              • 100. ArtifactAssessment.content:recommendationRating.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
                102. ArtifactAssessment.content:recommendationRating.component.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()))
                104. ArtifactAssessment.content:recommendationRating.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()))
                106. ArtifactAssessment.content:recommendationRating.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()))
                108. ArtifactAssessment.content:recommendationRating.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()))
                110. ArtifactAssessment.content:recommendationRating.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()))
                112. ArtifactAssessment.content:recommendationRating.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()))
                114. ArtifactAssessment.content:recommendationRating.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()))
                116. ArtifactAssessment.content:recommendationRating.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()))
                118. ArtifactAssessment.content:recommendationRating.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()))
                120. ArtifactAssessment.content:recommendationRating.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()))
                122. ArtifactAssessment.content:recommendationRating.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()))
                124. ArtifactAssessment.content:recommendationRating.component:ratingSystem
                Slice NameratingSystem
                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 (hasValue() or (children().count() > id.count()))
                126. ArtifactAssessment.content:recommendationRating.component: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
                128. ArtifactAssessment.content:recommendationRating.component:ratingSystem.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()))
                130. ArtifactAssessment.content:recommendationRating.component: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()))
                132. ArtifactAssessment.content:recommendationRating.component: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()))
                134. ArtifactAssessment.content:recommendationRating.component: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()))
                136. ArtifactAssessment.content:recommendationRating.component:ratingSystem.classifier
                Definition

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

                ShortRating, classifier, or assessment
                Control1..1
                BindingThe codes SHOULD be taken from Evidence Rating System Classifier Codes Value Set
                (preferred 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()))
                138. ArtifactAssessment.content:recommendationRating.component: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()))
                140. ArtifactAssessment.content:recommendationRating.component: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()))
                142. ArtifactAssessment.content:recommendationRating.component: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()))
                144. ArtifactAssessment.content:recommendationRating.component: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()))
                146. ArtifactAssessment.content:recommendationRating.component:ratingSystem.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()))
                148. ArtifactAssessment.content:recommendationRating.component:ratingSystem.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()))
                150. ArtifactAssessment.content:recommendationRating.component:strengthOfRecommendation
                Slice NamestrengthOfRecommendation
                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 (hasValue() or (children().count() > id.count()))
                152. ArtifactAssessment.content:recommendationRating.component:strengthOfRecommendation.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
                154. ArtifactAssessment.content:recommendationRating.component:strengthOfRecommendation.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()))
                156. ArtifactAssessment.content:recommendationRating.component:strengthOfRecommendation.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()))
                158. ArtifactAssessment.content:recommendationRating.component:strengthOfRecommendation.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()))
                160. ArtifactAssessment.content:recommendationRating.component:strengthOfRecommendation.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" : "strength-of-recommendation",
                    "display" : "Strength of Recommendation"
                  }]
                }
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                162. ArtifactAssessment.content:recommendationRating.component:strengthOfRecommendation.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()))
                164. ArtifactAssessment.content:recommendationRating.component:strengthOfRecommendation.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()))
                166. ArtifactAssessment.content:recommendationRating.component:strengthOfRecommendation.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()))
                168. ArtifactAssessment.content:recommendationRating.component:strengthOfRecommendation.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()))
                170. ArtifactAssessment.content:recommendationRating.component:strengthOfRecommendation.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()))
                172. ArtifactAssessment.content:recommendationRating.component:strengthOfRecommendation.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()))
                174. ArtifactAssessment.content:recommendationRating.component:strengthOfRecommendation.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()))
                176. ArtifactAssessment.content:recommendationRating.component:directionOfRecommendation
                Slice NamedirectionOfRecommendation
                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 (hasValue() or (children().count() > id.count()))
                178. ArtifactAssessment.content:recommendationRating.component:directionOfRecommendation.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
                180. ArtifactAssessment.content:recommendationRating.component:directionOfRecommendation.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()))
                182. ArtifactAssessment.content:recommendationRating.component:directionOfRecommendation.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()))
                184. ArtifactAssessment.content:recommendationRating.component:directionOfRecommendation.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()))
                186. ArtifactAssessment.content:recommendationRating.component:directionOfRecommendation.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" : "direction-of-recommendation",
                    "display" : "Direction of Recommendation"
                  }]
                }
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                188. ArtifactAssessment.content:recommendationRating.component:directionOfRecommendation.classifier
                Definition

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

                ShortRating, classifier, or assessment
                Control1..1
                BindingThe codes SHALL be taken from Recommendation Direction
                (required to http://fhir.awmf.org/awmf.ig/ValueSet/vs-recommendation-direction)
                TypeCodeableConcept
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                190. ArtifactAssessment.content:recommendationRating.component:directionOfRecommendation.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()))
                192. ArtifactAssessment.content:recommendationRating.component:directionOfRecommendation.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()))
                194. ArtifactAssessment.content:recommendationRating.component:directionOfRecommendation.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()))
                196. ArtifactAssessment.content:recommendationRating.component:directionOfRecommendation.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()))
                198. ArtifactAssessment.content:recommendationRating.component:directionOfRecommendation.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()))
                200. ArtifactAssessment.content:recommendationRating.component:directionOfRecommendation.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()))
                202. ArtifactAssessment.content:recommendationRating.component:levelOfConsensus
                Slice NamelevelOfConsensus
                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 (hasValue() or (children().count() > id.count()))
                204. ArtifactAssessment.content:recommendationRating.component:levelOfConsensus.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
                206. ArtifactAssessment.content:recommendationRating.component:levelOfConsensus.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()))
                208. ArtifactAssessment.content:recommendationRating.component:levelOfConsensus.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()))
                210. ArtifactAssessment.content:recommendationRating.component:levelOfConsensus.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()))
                212. ArtifactAssessment.content:recommendationRating.component:levelOfConsensus.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-awmf",
                    "code" : "level-of-consensus"
                  }]
                }
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                214. ArtifactAssessment.content:recommendationRating.component:levelOfConsensus.classifier
                Definition

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

                ShortRating, classifier, or assessment
                Control1..1
                BindingThe codes SHALL be taken from Level Of Consensus
                (required to http://fhir.awmf.org/awmf.ig/ValueSet/vs-level-of-consensus)
                TypeCodeableConcept
                Is Modifierfalse
                Must Supportfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                216. ArtifactAssessment.content:recommendationRating.component:levelOfConsensus.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()))
                218. ArtifactAssessment.content:recommendationRating.component:levelOfConsensus.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()))
                220. ArtifactAssessment.content:recommendationRating.component:levelOfConsensus.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()))
                222. ArtifactAssessment.content:recommendationRating.component:levelOfConsensus.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()))
                224. ArtifactAssessment.content:recommendationRating.component:levelOfConsensus.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()))
                226. ArtifactAssessment.content:recommendationRating.component:levelOfConsensus.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()))
                228. ArtifactAssessment.content:evidenceRating
                Slice NameevidenceRating
                Definition

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

                ShortComment, classifier, or rating content
                Control0..0
                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()))
                318. ArtifactAssessment.content:searchStrategy
                Slice NamesearchStrategy
                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()))
                320. ArtifactAssessment.content:searchStrategy.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
                322. ArtifactAssessment.content:searchStrategy.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()))
                324. ArtifactAssessment.content:searchStrategy.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()))
                326. ArtifactAssessment.content:searchStrategy.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()))
                328. ArtifactAssessment.content:searchStrategy.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" : "SearchStrategy",
                    "display" : "SearchStrategy"
                  }]
                }
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                330. ArtifactAssessment.content:searchStrategy.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()))
                332. ArtifactAssessment.content:searchStrategy.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()))
                334. ArtifactAssessment.content:searchStrategy.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()))
                336. ArtifactAssessment.content:searchStrategy.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()))
                338. ArtifactAssessment.content:searchStrategy.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()))
                340. ArtifactAssessment.content:searchStrategy.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
                342. ArtifactAssessment.content:searchStrategy.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()))
                344. ArtifactAssessment.content:searchStrategy.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()))
                346. ArtifactAssessment.content:searchStrategy.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()))
                348. ArtifactAssessment.content:searchStrategy.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
                • 350. ArtifactAssessment.content:searchStrategy.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(SystematicReview)
                  [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()))
                  352. ArtifactAssessment.content:searchStrategy.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()))
                  354. ArtifactAssessment.content:searchStrategy.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()))
                  356. 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()))
                  358. 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()))