Guidance

This profile represents a Recommendation Justification using GRADE – a structured assessment of the evidence and consensus that underpins a recommendation, including all GRADE evidence-to-decision framework domains.

Overview

The GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach is widely used for rating the quality of evidence and making recommendations. This profile extends the base RecommendationJustification to capture GRADE-specific components.

Key Elements

Rating System (Required)

The rating system is fixed to GRADE:

* content[recommendationRating]
  * component[ratingSystem]
    * type = $cs-ebm-ig#rating-system "Rating System"
    * classifier = $cs-evidence-rating-system#GRADE

Strength of Recommendation

GRADE distinguishes between strong and weak/conditional recommendations:

* content[recommendationRating]
  * component[strengthOfRecommendation]
    * type = $cs-ebm-ig#strength-of-recommendation "Strength of Recommendation"
    * classifier from $vs-strength-of-recommendation (required)

Direction of Recommendation

Whether the recommendation is for or against the intervention:

* content[recommendationRating]
  * component[directionOfRecommendation]
    * type = $cs-ebm-ig#direction-of-recommendation "Direction of Recommendation"
    * classifier from $vs-direction-of-recommendation (required)

GRADE Evidence-to-Decision Components

The profile includes all standard GRADE EtD framework domains:

Example:

* content[recommendationRating]
  * component[overallCertaintyOfEvidence]
    * type = $cs-certainty-type#Overall "Overall certainty"
    * classifier from vs-rating-certainty-of-evidence (required)
  
  * component[benefitsAndHarms]
    * type = $cs-etd-certainty-type#benefits-and-harms "Benefits and Harms"
    * classifier from vs-rating-benefits-and-harms (required)
  
  * component[preferenceAndValues]
    * type = $cs-etd-certainty-type#preference-and-values "Preference and values"
    * classifier from vs-rating-preference-and-values (required)

Example Usage

Instance: GRADEJustificationExample
InstanceOf: recommendation-justification-grade
Usage: #example
* artifactReference = Reference(MyRecommendation)
* workflowStatus = #applied
* content[recommendationRating]
  * component[ratingSystem].classifier = $cs-evidence-rating-system#GRADE
  * component[strengthOfRecommendation].classifier = #strong
  * component[directionOfRecommendation].classifier = #for
  * component[overallCertaintyOfEvidence].classifier = #moderate
  * component[benefitsAndHarms].classifier = #benefits-outweigh-harms

For the base profile structure and evidence linking, see Recommendation Justification.

This profile of a FHIR ArtifactAssessment is derived from the recommendation-justification FHIR resource.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ArtifactAssessment		0..*	RecommendationJustification	Adds metadata-supported comments, classifiers or ratings related to a Resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for artifact[x]	Σ	1..1		The artifact assessed, commented upon or rated Slice: Unordered, Open by type:$this
artifactReference			Reference(Resource)
artifactCanonical			canonical(Any)
artifactUri			uri
artifact[x]:artifactReference	Σ	0..1	Reference(Recommendation)	The artifact assessed, commented upon or rated
Slices for content		0..*	BackboneElement	Comment, classifier, or rating content Slice: Unordered, Open by value:type
content:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content:recommendationRating		0..1	BackboneElement	Comment, classifier, or rating content
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: recommendation-rating
display		1..1	string	Representation defined by the system Fixed Value: Recommendation Rating
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for component		1..*	See content (ArtifactAssessment)	Comment, classifier, or rating content Slice: Unordered, Open by value:type
component:ratingSystem		1..1	BackboneElement	Comment, classifier, or rating content
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: rating-system
display		1..1	string	Representation defined by the system Fixed Value: Rating System
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Evidence Rating System Classifier Codes Value Set (preferred) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/ebm/CodeSystem/evidence-rating-system-classifier-codesystem
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: GRADE
display		1..1	string	Representation defined by the system Fixed Value: GRADE
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
component:strengthOfRecommendation		0..1	BackboneElement	Comment, classifier, or rating content
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: strength-of-recommendation
display		1..1	string	Representation defined by the system Fixed Value: Strength of Recommendation
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: StrengthOfRecommendationRating (required)
component:directionOfRecommendation		0..1	BackboneElement	Comment, classifier, or rating content
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: direction-of-recommendation
display		1..1	string	Representation defined by the system Fixed Value: Direction of Recommendation
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Recommendation Direction (required)
component:levelOfConsensus		0..1	BackboneElement	Comment, classifier, or rating content
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-awmf
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: level-of-consensus
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Level Of Consensus (required)
component:benefitsAndHarms	S	0..1	See content (ArtifactAssessment)	Comment, classifier, or rating content
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-evidence-to-decision-certainty-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: benefits-and-harms
display		1..1	string	Representation defined by the system Fixed Value: Benefits and Harms
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Rating Benefits And Harms (required)
component:overallCertaintyOfEvidence	S	0..1	See content (ArtifactAssessment)	Comment, classifier, or rating content
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/certainty-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: Overall
display		1..1	string	Representation defined by the system Fixed Value: Overall certainty
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Rating Certainty Of Evidence (required)
component:preferenceAndValues	S	0..1	See content (ArtifactAssessment)	Comment, classifier, or rating content
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-evidence-to-decision-certainty-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: preference-and-values
display		1..1	string	Representation defined by the system Fixed Value: Preference and values
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Rating Preference And Values (required)
component:resources	S	0..1	See content (ArtifactAssessment)	Comment, classifier, or rating content
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-evidence-to-decision-certainty-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: resources
display		1..1	string	Representation defined by the system Fixed Value: Resources
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Rating Resources (required)
component:equity	S	0..1	See content (ArtifactAssessment)	Comment, classifier, or rating content
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-evidence-to-decision-certainty-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: equity
display		1..1	string	Representation defined by the system Fixed Value: Equity
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Rating Equity (required)
component:acceptability	S	0..1	See content (ArtifactAssessment)	Comment, classifier, or rating content
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-evidence-to-decision-certainty-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: acceptability
display		1..1	string	Representation defined by the system Fixed Value: Acceptability
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Rating Acceptability (required)
component:feasibility	S	0..1	See content (ArtifactAssessment)	Comment, classifier, or rating content
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-evidence-to-decision-certainty-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: feasibility
display		1..1	string	Representation defined by the system Fixed Value: Feasibility
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Rating Feasibility (required)
content:evidenceRating		0..*	BackboneElement	Comment, classifier, or rating content
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-awmf
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: evidence-rating
display		1..1	string	Representation defined by the system Fixed Value: Evidence Rating
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for component		0..*	See content (ArtifactAssessment)	Comment, classifier, or rating content Slice: Unordered, Open by value:type
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
component:ratingSystem		0..1	BackboneElement	Comment, classifier, or rating content
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: rating-system
display		1..1	string	Representation defined by the system Fixed Value: Rating System
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Evidence Rating System Classifier Codes Value Set (extensible)
component:levelOfEvidence		0..1	BackboneElement	Comment, classifier, or rating content
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/certainty-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: Overall
display		1..1	string	Representation defined by the system Fixed Value: Overall certainty
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: EvidenceCertaintyRating (example)
component:outcome		0..1	BackboneElement	Comment, classifier, or rating content
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-pico
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: outcome
display		1..1	string	Representation defined by the system Fixed Value: Outcome
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
relatesTo		1..1	BackboneElement	Relationship to other Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: depends-on
Slices for target[x]		1..1	Reference(Resource)	The artifact that is related to this ArtifactAssessment Slice: Unordered, Closed by type:$this
target[x]:targetReference		1..1	Reference(Conceptual Cohort Definition Outcome | Outcome Evidence)	The artifact that is related to this ArtifactAssessment
component:overallQualityOfEvidence		0..*	BackboneElement	Comment, classifier, or rating content
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-awmf
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: overall-quality-of-evidence
display		1..1	string	Representation defined by the system Fixed Value: Overall Quality of Evidence
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
relatesTo		1..1	BackboneElement	Relationship to other Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: justification
Slices for target[x]		1..1	Reference(Resource)	The artifact that is related to this ArtifactAssessment Slice: Unordered, Closed by type:$this
target[x]:targetReference		1..1	Reference(Evidence Assessment)	The artifact that is related to this ArtifactAssessment
content:searchStrategy		0..1	BackboneElement	Comment, classifier, or rating content
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SearchStrategy
display		1..1	string	Representation defined by the system Fixed Value: SearchStrategy
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
relatesTo		1..1	BackboneElement	Relationship to other Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact.
Slices for target[x]		1..1	Reference(Resource)	The artifact that is related to this ArtifactAssessment Slice: Unordered, Closed by type:$this
target[x]:targetReference		1..1	Reference(SystematicReview)	The artifact that is related to this ArtifactAssessment
workflowStatus	Σ	1..1	code	submitted | triaged | waiting-for-input | resolved-no-change | resolved-change-required | deferred | duplicate | applied | published | entered-in-error Binding: ArtifactAssessmentWorkflowStatus (required) Required Pattern: applied
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ArtifactAssessment.content:recommendationRating.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​component:ratingSystem.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​component:ratingSystem.​classifier	Base	preferred	Evidence Rating System Classifier Codes Value Set	📦1.0.0-ballot3	Evidence Based Medicine on FHIR Implementation Guide v1.0
ArtifactAssessment.content:recommendationRating.​component:strengthOfRecommendation.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​component:strengthOfRecommendation.​classifier	Base	required	StrengthOfRecommendationRating	📦1.0.1	THO v7.0
ArtifactAssessment.content:recommendationRating.​component:directionOfRecommendation.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​component:directionOfRecommendation.​classifier	Base	required	Recommendation Direction	📦0.2.0	This IG
ArtifactAssessment.content:recommendationRating.​component:levelOfConsensus.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​component:levelOfConsensus.​classifier	Base	required	Level Of Consensus	📦0.2.0	This IG
ArtifactAssessment.content:recommendationRating.​component:benefitsAndHarms.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​component:benefitsAndHarms.​classifier	Base	required	Rating Benefits And Harms	📦0.2.0	This IG
ArtifactAssessment.content:recommendationRating.​component:overallCertaintyOfEvidence.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​component:overallCertaintyOfEvidence.​classifier	Base	required	Rating Certainty Of Evidence	📦0.2.0	This IG
ArtifactAssessment.content:recommendationRating.​component:preferenceAndValues.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​component:preferenceAndValues.​classifier	Base	required	Rating Preference And Values	📦0.2.0	This IG
ArtifactAssessment.content:recommendationRating.​component:resources.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​component:resources.​classifier	Base	required	Rating Resources	📦0.2.0	This IG
ArtifactAssessment.content:recommendationRating.​component:equity.type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​component:equity.classifier	Base	required	Rating Equity	📦0.2.0	This IG
ArtifactAssessment.content:recommendationRating.​component:acceptability.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​component:acceptability.​classifier	Base	required	Rating Acceptability	📦0.2.0	This IG
ArtifactAssessment.content:recommendationRating.​component:feasibility.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​component:feasibility.​classifier	Base	required	Rating Feasibility	📦0.2.0	This IG
ArtifactAssessment.content:evidenceRating.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:evidenceRating.​component:ratingSystem.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:evidenceRating.​component:ratingSystem.​classifier	Base	extensible	Evidence Rating System Classifier Codes Value Set	📦1.0.0-ballot3	Evidence Based Medicine on FHIR Implementation Guide v1.0
ArtifactAssessment.content:evidenceRating.​component:levelOfEvidence.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:evidenceRating.​component:levelOfEvidence.​classifier	Base	example	Evidence Certainty Rating	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:evidenceRating.​component:outcome.type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:evidenceRating.​component:outcome.relatesTo.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:evidenceRating.​component:overallQualityOfEvidence.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:evidenceRating.​component:overallQualityOfEvidence.​relatesTo.type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:searchStrategy.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:searchStrategy.​relatesTo.type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.workflowStatus	Base	required	Artifact Assessment Workflow Status	📍6.0.0-ballot3	FHIR Std.

Constraints

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

This structure is derived from RecommendationJustification

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ArtifactAssessment		0..*	RecommendationJustification	Adds metadata-supported comments, classifiers or ratings related to a Resource
Slices for content				Content/Rules for all slices
content:recommendationRating		0..1	BackboneElement	Comment, classifier, or rating content
component		1..*		Comment, classifier, or rating content
Slices for component				Content/Rules for all slices
component:ratingSystem		1..1	BackboneElement	Comment, classifier, or rating content
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/ebm/CodeSystem/evidence-rating-system-classifier-codesystem
code		1..1	code	Symbol in syntax defined by the system Fixed Value: GRADE
display		1..1	string	Representation defined by the system Fixed Value: GRADE
component:strengthOfRecommendation		0..1	BackboneElement	Comment, classifier, or rating content
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: StrengthOfRecommendationRating (required)
component:benefitsAndHarms	S	0..1	BackboneElement	Comment, classifier, or rating content
type		1..1	CodeableConcept	What type of content Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-evidence-to-decision-certainty-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: benefits-and-harms
display		1..1	string	Representation defined by the system Fixed Value: Benefits and Harms
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Rating Benefits And Harms (required)
component:overallCertaintyOfEvidence	S	0..1	BackboneElement	Comment, classifier, or rating content
type		1..1	CodeableConcept	What type of content Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/certainty-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: Overall
display		1..1	string	Representation defined by the system Fixed Value: Overall certainty
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Rating Certainty Of Evidence (required)
component:preferenceAndValues	S	0..1	BackboneElement	Comment, classifier, or rating content
type		1..1	CodeableConcept	What type of content Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-evidence-to-decision-certainty-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: preference-and-values
display		1..1	string	Representation defined by the system Fixed Value: Preference and values
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Rating Preference And Values (required)
component:resources	S	0..1	BackboneElement	Comment, classifier, or rating content
type		1..1	CodeableConcept	What type of content Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-evidence-to-decision-certainty-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: resources
display		1..1	string	Representation defined by the system Fixed Value: Resources
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Rating Resources (required)
component:equity	S	0..1	BackboneElement	Comment, classifier, or rating content
type		1..1	CodeableConcept	What type of content Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-evidence-to-decision-certainty-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: equity
display		1..1	string	Representation defined by the system Fixed Value: Equity
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Rating Equity (required)
component:acceptability	S	0..1	BackboneElement	Comment, classifier, or rating content
type		1..1	CodeableConcept	What type of content Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-evidence-to-decision-certainty-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: acceptability
display		1..1	string	Representation defined by the system Fixed Value: Acceptability
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Rating Acceptability (required)
component:feasibility	S	0..1	BackboneElement	Comment, classifier, or rating content
type		1..1	CodeableConcept	What type of content Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-evidence-to-decision-certainty-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: feasibility
display		1..1	string	Representation defined by the system Fixed Value: Feasibility
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Rating Feasibility (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
ArtifactAssessment.content:recommendationRating.​component:strengthOfRecommendation.​classifier	Base	required	StrengthOfRecommendationRating	📦1.0.1	THO v7.0
ArtifactAssessment.content:recommendationRating.​component:benefitsAndHarms.​classifier	Base	required	Rating Benefits And Harms	📦0.2.0	This IG
ArtifactAssessment.content:recommendationRating.​component:overallCertaintyOfEvidence.​classifier	Base	required	Rating Certainty Of Evidence	📦0.2.0	This IG
ArtifactAssessment.content:recommendationRating.​component:preferenceAndValues.​classifier	Base	required	Rating Preference And Values	📦0.2.0	This IG
ArtifactAssessment.content:recommendationRating.​component:resources.​classifier	Base	required	Rating Resources	📦0.2.0	This IG
ArtifactAssessment.content:recommendationRating.​component:equity.classifier	Base	required	Rating Equity	📦0.2.0	This IG
ArtifactAssessment.content:recommendationRating.​component:acceptability.​classifier	Base	required	Rating Acceptability	📦0.2.0	This IG
ArtifactAssessment.content:recommendationRating.​component:feasibility.​classifier	Base	required	Rating Feasibility	📦0.2.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ArtifactAssessment		0..*	RecommendationJustification	Adds metadata-supported comments, classifiers or ratings related to a Resource
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Additional identifier for the artifact assessment
title	Σ	0..1	string	A label for use in displaying and selecting the artifact assessment
citeAs		0..1	markdown	How to cite the comment or rating
Slices for artifact[x]	Σ	1..1		The artifact assessed, commented upon or rated Slice: Unordered, Open by type:$this
artifactReference			Reference(Resource)
artifactCanonical			canonical(Any)
artifactUri			uri
artifact[x]:artifactReference	Σ	0..1	Reference(Recommendation)	The artifact assessed, commented upon or rated
relatesTo		0..*	BackboneElement	Relationship to other Resources
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact.
target[x]		1..1		The artifact that is related to this ArtifactAssessment
targetUri			uri
targetAttachment			Attachment
targetCanonical			canonical(Resource)
targetReference			Reference(Resource)
targetMarkdown			markdown
date	Σ	0..1	dateTime	Date last changed
copyright		0..1	markdown	Use and/or publishing restrictions
approvalDate		0..1	date	When the artifact assessment was approved by publisher
lastReviewDate	Σ	0..1	date	When the artifact assessment was last reviewed by the publisher
Slices for content		0..*	BackboneElement	Comment, classifier, or rating content Slice: Unordered, Open by value:type
content:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary		0..1	markdown	Brief summary of the content
type		0..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example)
classifier		0..*	CodeableConcept	Rating, classifier, or assessment Binding: EvidenceCertaintyRating (example)
quantity		0..1	Quantity	Quantitative rating
author		0..*	Reference(Patient | Practitioner | PractitionerRole | Organization | Device)	Who authored the content
path		0..*	uri	What the comment is directed to
relatesTo		0..*	See relatesTo (ArtifactAssessment)	Relationship to other Resources
freeToShare		0..1	boolean	Acceptable to publicly share the content
component		0..*	See content (ArtifactAssessment)	Comment, classifier, or rating content
content:recommendationRating		0..1	BackboneElement	Comment, classifier, or rating content
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary		0..1	markdown	Brief summary of the content
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: recommendation-rating
display		1..1	string	Representation defined by the system Fixed Value: Recommendation Rating
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		0..*	CodeableConcept	Rating, classifier, or assessment Binding: EvidenceCertaintyRating (example)
quantity		0..1	Quantity	Quantitative rating
author		0..*	Reference(Patient | Practitioner | PractitionerRole | Organization | Device)	Who authored the content
path		0..*	uri	What the comment is directed to
relatesTo		0..*	See relatesTo (ArtifactAssessment)	Relationship to other Resources
freeToShare		0..1	boolean	Acceptable to publicly share the content
Slices for component		1..*	See content (ArtifactAssessment)	Comment, classifier, or rating content Slice: Unordered, Open by value:type
component:ratingSystem		1..1	BackboneElement	Comment, classifier, or rating content
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary		0..1	markdown	Brief summary of the content
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: rating-system
display		1..1	string	Representation defined by the system Fixed Value: Rating System
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Evidence Rating System Classifier Codes Value Set (preferred) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/ebm/CodeSystem/evidence-rating-system-classifier-codesystem
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: GRADE
display		1..1	string	Representation defined by the system Fixed Value: GRADE
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
quantity		0..1	Quantity	Quantitative rating
author		0..*	Reference(Patient | Practitioner | PractitionerRole | Organization | Device)	Who authored the content
path		0..*	uri	What the comment is directed to
relatesTo		0..*	See relatesTo (ArtifactAssessment)	Relationship to other Resources
freeToShare		0..1	boolean	Acceptable to publicly share the content
component		0..*	See content (ArtifactAssessment)	Comment, classifier, or rating content
component:strengthOfRecommendation		0..1	BackboneElement	Comment, classifier, or rating content
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary		0..1	markdown	Brief summary of the content
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: strength-of-recommendation
display		1..1	string	Representation defined by the system Fixed Value: Strength of Recommendation
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: StrengthOfRecommendationRating (required)
quantity		0..1	Quantity	Quantitative rating
author		0..*	Reference(Patient | Practitioner | PractitionerRole | Organization | Device)	Who authored the content
path		0..*	uri	What the comment is directed to
relatesTo		0..*	See relatesTo (ArtifactAssessment)	Relationship to other Resources
freeToShare		0..1	boolean	Acceptable to publicly share the content
component		0..*	See content (ArtifactAssessment)	Comment, classifier, or rating content
component:directionOfRecommendation		0..1	BackboneElement	Comment, classifier, or rating content
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary		0..1	markdown	Brief summary of the content
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: direction-of-recommendation
display		1..1	string	Representation defined by the system Fixed Value: Direction of Recommendation
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Recommendation Direction (required)
quantity		0..1	Quantity	Quantitative rating
author		0..*	Reference(Patient | Practitioner | PractitionerRole | Organization | Device)	Who authored the content
path		0..*	uri	What the comment is directed to
relatesTo		0..*	See relatesTo (ArtifactAssessment)	Relationship to other Resources
freeToShare		0..1	boolean	Acceptable to publicly share the content
component		0..*	See content (ArtifactAssessment)	Comment, classifier, or rating content
component:levelOfConsensus		0..1	BackboneElement	Comment, classifier, or rating content
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary		0..1	markdown	Brief summary of the content
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-awmf
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: level-of-consensus
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Level Of Consensus (required)
quantity		0..1	Quantity	Quantitative rating
author		0..*	Reference(Patient | Practitioner | PractitionerRole | Organization | Device)	Who authored the content
path		0..*	uri	What the comment is directed to
relatesTo		0..*	See relatesTo (ArtifactAssessment)	Relationship to other Resources
freeToShare		0..1	boolean	Acceptable to publicly share the content
component		0..*	See content (ArtifactAssessment)	Comment, classifier, or rating content
component:benefitsAndHarms	S	0..1	See content (ArtifactAssessment)	Comment, classifier, or rating content
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary		0..1	markdown	Brief summary of the content
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-evidence-to-decision-certainty-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: benefits-and-harms
display		1..1	string	Representation defined by the system Fixed Value: Benefits and Harms
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Rating Benefits And Harms (required)
quantity		0..1	Quantity	Quantitative rating
author		0..*	Reference(Patient | Practitioner | PractitionerRole | Organization | Device)	Who authored the content
path		0..*	uri	What the comment is directed to
relatesTo		0..*	See relatesTo (ArtifactAssessment)	Relationship to other Resources
freeToShare		0..1	boolean	Acceptable to publicly share the content
component		0..*	See content (ArtifactAssessment)	Comment, classifier, or rating content
component:overallCertaintyOfEvidence	S	0..1	See content (ArtifactAssessment)	Comment, classifier, or rating content
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary		0..1	markdown	Brief summary of the content
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/certainty-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: Overall
display		1..1	string	Representation defined by the system Fixed Value: Overall certainty
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Rating Certainty Of Evidence (required)
quantity		0..1	Quantity	Quantitative rating
author		0..*	Reference(Patient | Practitioner | PractitionerRole | Organization | Device)	Who authored the content
path		0..*	uri	What the comment is directed to
relatesTo		0..*	See relatesTo (ArtifactAssessment)	Relationship to other Resources
freeToShare		0..1	boolean	Acceptable to publicly share the content
component		0..*	See content (ArtifactAssessment)	Comment, classifier, or rating content
component:preferenceAndValues	S	0..1	See content (ArtifactAssessment)	Comment, classifier, or rating content
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary		0..1	markdown	Brief summary of the content
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-evidence-to-decision-certainty-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: preference-and-values
display		1..1	string	Representation defined by the system Fixed Value: Preference and values
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Rating Preference And Values (required)
quantity		0..1	Quantity	Quantitative rating
author		0..*	Reference(Patient | Practitioner | PractitionerRole | Organization | Device)	Who authored the content
path		0..*	uri	What the comment is directed to
relatesTo		0..*	See relatesTo (ArtifactAssessment)	Relationship to other Resources
freeToShare		0..1	boolean	Acceptable to publicly share the content
component		0..*	See content (ArtifactAssessment)	Comment, classifier, or rating content
component:resources	S	0..1	See content (ArtifactAssessment)	Comment, classifier, or rating content
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary		0..1	markdown	Brief summary of the content
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-evidence-to-decision-certainty-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: resources
display		1..1	string	Representation defined by the system Fixed Value: Resources
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Rating Resources (required)
quantity		0..1	Quantity	Quantitative rating
author		0..*	Reference(Patient | Practitioner | PractitionerRole | Organization | Device)	Who authored the content
path		0..*	uri	What the comment is directed to
relatesTo		0..*	See relatesTo (ArtifactAssessment)	Relationship to other Resources
freeToShare		0..1	boolean	Acceptable to publicly share the content
component		0..*	See content (ArtifactAssessment)	Comment, classifier, or rating content
component:equity	S	0..1	See content (ArtifactAssessment)	Comment, classifier, or rating content
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary		0..1	markdown	Brief summary of the content
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-evidence-to-decision-certainty-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: equity
display		1..1	string	Representation defined by the system Fixed Value: Equity
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Rating Equity (required)
quantity		0..1	Quantity	Quantitative rating
author		0..*	Reference(Patient | Practitioner | PractitionerRole | Organization | Device)	Who authored the content
path		0..*	uri	What the comment is directed to
relatesTo		0..*	See relatesTo (ArtifactAssessment)	Relationship to other Resources
freeToShare		0..1	boolean	Acceptable to publicly share the content
component		0..*	See content (ArtifactAssessment)	Comment, classifier, or rating content
component:acceptability	S	0..1	See content (ArtifactAssessment)	Comment, classifier, or rating content
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary		0..1	markdown	Brief summary of the content
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-evidence-to-decision-certainty-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: acceptability
display		1..1	string	Representation defined by the system Fixed Value: Acceptability
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Rating Acceptability (required)
quantity		0..1	Quantity	Quantitative rating
author		0..*	Reference(Patient | Practitioner | PractitionerRole | Organization | Device)	Who authored the content
path		0..*	uri	What the comment is directed to
relatesTo		0..*	See relatesTo (ArtifactAssessment)	Relationship to other Resources
freeToShare		0..1	boolean	Acceptable to publicly share the content
component		0..*	See content (ArtifactAssessment)	Comment, classifier, or rating content
component:feasibility	S	0..1	See content (ArtifactAssessment)	Comment, classifier, or rating content
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary		0..1	markdown	Brief summary of the content
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-evidence-to-decision-certainty-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: feasibility
display		1..1	string	Representation defined by the system Fixed Value: Feasibility
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Rating Feasibility (required)
quantity		0..1	Quantity	Quantitative rating
author		0..*	Reference(Patient | Practitioner | PractitionerRole | Organization | Device)	Who authored the content
path		0..*	uri	What the comment is directed to
relatesTo		0..*	See relatesTo (ArtifactAssessment)	Relationship to other Resources
freeToShare		0..1	boolean	Acceptable to publicly share the content
component		0..*	See content (ArtifactAssessment)	Comment, classifier, or rating content
content:evidenceRating		0..*	BackboneElement	Comment, classifier, or rating content
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary		0..1	markdown	Brief summary of the content
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-awmf
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: evidence-rating
display		1..1	string	Representation defined by the system Fixed Value: Evidence Rating
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		0..*	CodeableConcept	Rating, classifier, or assessment Binding: EvidenceCertaintyRating (example)
quantity		0..1	Quantity	Quantitative rating
author		0..*	Reference(Patient | Practitioner | PractitionerRole | Organization | Device)	Who authored the content
path		0..*	uri	What the comment is directed to
relatesTo		0..*	See relatesTo (ArtifactAssessment)	Relationship to other Resources
freeToShare		0..1	boolean	Acceptable to publicly share the content
Slices for component		0..*	See content (ArtifactAssessment)	Comment, classifier, or rating content Slice: Unordered, Open by value:type
component:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary		0..1	markdown	Brief summary of the content
type		0..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example)
classifier		0..*	CodeableConcept	Rating, classifier, or assessment Binding: EvidenceCertaintyRating (example)
quantity		0..1	Quantity	Quantitative rating
author		0..*	Reference(Patient | Practitioner | PractitionerRole | Organization | Device)	Who authored the content
path		0..*	uri	What the comment is directed to
relatesTo		0..*	See relatesTo (ArtifactAssessment)	Relationship to other Resources
freeToShare		0..1	boolean	Acceptable to publicly share the content
component		0..*	See content (ArtifactAssessment)	Comment, classifier, or rating content
component:ratingSystem		0..1	BackboneElement	Comment, classifier, or rating content
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary		0..1	markdown	Brief summary of the content
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: rating-system
display		1..1	string	Representation defined by the system Fixed Value: Rating System
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: Evidence Rating System Classifier Codes Value Set (extensible)
quantity		0..1	Quantity	Quantitative rating
author		0..*	Reference(Patient | Practitioner | PractitionerRole | Organization | Device)	Who authored the content
path		0..*	uri	What the comment is directed to
relatesTo		0..*	See relatesTo (ArtifactAssessment)	Relationship to other Resources
freeToShare		0..1	boolean	Acceptable to publicly share the content
component		0..*	See content (ArtifactAssessment)	Comment, classifier, or rating content
component:levelOfEvidence		0..1	BackboneElement	Comment, classifier, or rating content
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary		0..1	markdown	Brief summary of the content
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/certainty-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: Overall
display		1..1	string	Representation defined by the system Fixed Value: Overall certainty
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		1..1	CodeableConcept	Rating, classifier, or assessment Binding: EvidenceCertaintyRating (example)
quantity		0..1	Quantity	Quantitative rating
author		0..*	Reference(Patient | Practitioner | PractitionerRole | Organization | Device)	Who authored the content
path		0..*	uri	What the comment is directed to
relatesTo		0..*	See relatesTo (ArtifactAssessment)	Relationship to other Resources
freeToShare		0..1	boolean	Acceptable to publicly share the content
component		0..*	See content (ArtifactAssessment)	Comment, classifier, or rating content
component:outcome		0..1	BackboneElement	Comment, classifier, or rating content
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary		0..1	markdown	Brief summary of the content
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-pico
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: outcome
display		1..1	string	Representation defined by the system Fixed Value: Outcome
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		0..*	CodeableConcept	Rating, classifier, or assessment Binding: EvidenceCertaintyRating (example)
quantity		0..1	Quantity	Quantitative rating
author		0..*	Reference(Patient | Practitioner | PractitionerRole | Organization | Device)	Who authored the content
path		0..*	uri	What the comment is directed to
relatesTo		1..1	BackboneElement	Relationship to other Resources
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: depends-on
Slices for target[x]		1..1	Reference(Resource)	The artifact that is related to this ArtifactAssessment Slice: Unordered, Closed by type:$this
target[x]:targetReference		1..1	Reference(Conceptual Cohort Definition Outcome | Outcome Evidence)	The artifact that is related to this ArtifactAssessment
freeToShare		0..1	boolean	Acceptable to publicly share the content
component		0..*	See content (ArtifactAssessment)	Comment, classifier, or rating content
component:overallQualityOfEvidence		0..*	BackboneElement	Comment, classifier, or rating content
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary		0..1	markdown	Brief summary of the content
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.awmf.org/awmf.ig/CodeSystem/cs-awmf
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: overall-quality-of-evidence
display		1..1	string	Representation defined by the system Fixed Value: Overall Quality of Evidence
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		0..*	CodeableConcept	Rating, classifier, or assessment Binding: EvidenceCertaintyRating (example)
quantity		0..1	Quantity	Quantitative rating
author		0..*	Reference(Patient | Practitioner | PractitionerRole | Organization | Device)	Who authored the content
path		0..*	uri	What the comment is directed to
relatesTo		1..1	BackboneElement	Relationship to other Resources
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact. Required Pattern: justification
Slices for target[x]		1..1	Reference(Resource)	The artifact that is related to this ArtifactAssessment Slice: Unordered, Closed by type:$this
target[x]:targetReference		1..1	Reference(Evidence Assessment)	The artifact that is related to this ArtifactAssessment
freeToShare		0..1	boolean	Acceptable to publicly share the content
component		0..*	See content (ArtifactAssessment)	Comment, classifier, or rating content
content:searchStrategy		0..1	BackboneElement	Comment, classifier, or rating content
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary		0..1	markdown	Brief summary of the content
type		1..1	CodeableConcept	What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SearchStrategy
display		1..1	string	Representation defined by the system Fixed Value: SearchStrategy
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
classifier		0..*	CodeableConcept	Rating, classifier, or assessment Binding: EvidenceCertaintyRating (example)
quantity		0..1	Quantity	Quantitative rating
author		0..*	Reference(Patient | Practitioner | PractitionerRole | Organization | Device)	Who authored the content
path		0..*	uri	What the comment is directed to
relatesTo		1..1	BackboneElement	Relationship to other Resources
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact.
Slices for target[x]		1..1	Reference(Resource)	The artifact that is related to this ArtifactAssessment Slice: Unordered, Closed by type:$this
target[x]:targetReference		1..1	Reference(SystematicReview)	The artifact that is related to this ArtifactAssessment
freeToShare		0..1	boolean	Acceptable to publicly share the content
component		0..*	See content (ArtifactAssessment)	Comment, classifier, or rating content
workflowStatus	Σ	1..1	code	submitted | triaged | waiting-for-input | resolved-no-change | resolved-change-required | deferred | duplicate | applied | published | entered-in-error Binding: ArtifactAssessmentWorkflowStatus (required) Required Pattern: applied
disposition	Σ	0..1	code	unresolved | not-persuasive | persuasive | persuasive-with-modification | not-persuasive-with-modification Binding: ArtifactAssessmentDisposition (required)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ArtifactAssessment.language	Base	required	All Languages	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.relatesTo.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content.​classifier	Base	example	Evidence Certainty Rating	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​classifier	Base	example	Evidence Certainty Rating	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​component:ratingSystem.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​component:ratingSystem.​classifier	Base	preferred	Evidence Rating System Classifier Codes Value Set	📦1.0.0-ballot3	Evidence Based Medicine on FHIR Implementation Guide v1.0
ArtifactAssessment.content:recommendationRating.​component:strengthOfRecommendation.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​component:strengthOfRecommendation.​classifier	Base	required	StrengthOfRecommendationRating	📦1.0.1	THO v7.0
ArtifactAssessment.content:recommendationRating.​component:directionOfRecommendation.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​component:directionOfRecommendation.​classifier	Base	required	Recommendation Direction	📦0.2.0	This IG
ArtifactAssessment.content:recommendationRating.​component:levelOfConsensus.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​component:levelOfConsensus.​classifier	Base	required	Level Of Consensus	📦0.2.0	This IG
ArtifactAssessment.content:recommendationRating.​component:benefitsAndHarms.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​component:benefitsAndHarms.​classifier	Base	required	Rating Benefits And Harms	📦0.2.0	This IG
ArtifactAssessment.content:recommendationRating.​component:overallCertaintyOfEvidence.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​component:overallCertaintyOfEvidence.​classifier	Base	required	Rating Certainty Of Evidence	📦0.2.0	This IG
ArtifactAssessment.content:recommendationRating.​component:preferenceAndValues.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​component:preferenceAndValues.​classifier	Base	required	Rating Preference And Values	📦0.2.0	This IG
ArtifactAssessment.content:recommendationRating.​component:resources.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​component:resources.​classifier	Base	required	Rating Resources	📦0.2.0	This IG
ArtifactAssessment.content:recommendationRating.​component:equity.type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​component:equity.classifier	Base	required	Rating Equity	📦0.2.0	This IG
ArtifactAssessment.content:recommendationRating.​component:acceptability.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​component:acceptability.​classifier	Base	required	Rating Acceptability	📦0.2.0	This IG
ArtifactAssessment.content:recommendationRating.​component:feasibility.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:recommendationRating.​component:feasibility.​classifier	Base	required	Rating Feasibility	📦0.2.0	This IG
ArtifactAssessment.content:evidenceRating.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:evidenceRating.​classifier	Base	example	Evidence Certainty Rating	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:evidenceRating.​component.type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:evidenceRating.​component.classifier	Base	example	Evidence Certainty Rating	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:evidenceRating.​component:ratingSystem.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:evidenceRating.​component:ratingSystem.​classifier	Base	extensible	Evidence Rating System Classifier Codes Value Set	📦1.0.0-ballot3	Evidence Based Medicine on FHIR Implementation Guide v1.0
ArtifactAssessment.content:evidenceRating.​component:levelOfEvidence.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:evidenceRating.​component:levelOfEvidence.​classifier	Base	example	Evidence Certainty Rating	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:evidenceRating.​component:outcome.type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:evidenceRating.​component:outcome.classifier	Base	example	Evidence Certainty Rating	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:evidenceRating.​component:outcome.relatesTo.​type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:evidenceRating.​component:overallQualityOfEvidence.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:evidenceRating.​component:overallQualityOfEvidence.​classifier	Base	example	Evidence Certainty Rating	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:evidenceRating.​component:overallQualityOfEvidence.​relatesTo.type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:searchStrategy.​type	Base	example	Evidence Certainty Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:searchStrategy.​classifier	Base	example	Evidence Certainty Rating	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.content:searchStrategy.​relatesTo.type	Base	required	Artifact Relationship Type	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.workflowStatus	Base	required	Artifact Assessment Workflow Status	📍6.0.0-ballot3	FHIR Std.
ArtifactAssessment.disposition	Base	required	Artifact Assessment Disposition	📍6.0.0-ballot3	FHIR Std.

Constraints

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