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

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

## Resource Profile: Evidence Overall Quality Assessment

Official URL: http://fhir.awmf.org/awmf.ig/StructureDefinition/evidence-overall-quality-assessment | Version: 0.2.0
Draft as of 2026-01-29 | Computable Name: EvidenceOverallQualityAssessment

A structured assessment of the overall evidence for a specific outcome.

### Guidance

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

Usages:

- Derived from this Profile: Evidence Overall Assessment GRADE and Evidence Overall Assessment Oxford 2011

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ArtifactAssessment |  | 0..* | EvidenceAssessment | Adds metadata-supported comments, classifiers or ratings related to a Resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  |  |  | Content/Rules for all slices
extension:url |  | 0..1 | uri | Canonical identifier for this artifact, represented as a URI (globally unique) URL: http://hl7.org/fhir/StructureDefinition/artifact-url
extension:description |  | 0..1 | markdown | Natural language description of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-description
extension:author |  | 0..* | ContactDetail | Who authored the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-author
extension:useContext |  | 0..* | UsageContext | The context that the content is intended to support URL: http://hl7.org/fhir/StructureDefinition/artifact-useContext
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
extension:publicationStatus |  | 0..1 | CodeableConcept | Publication status URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status Binding: Cited Artifact Status Type (preferred)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
Slices for artifact[x] | Σ | 1..1 |  | The artifact that is rated Slice: Unordered, Open by type:$this
artifactReference |  |  | Reference(Resource) |
artifactCanonical |  |  | canonical(Any) |
artifactUri |  |  | uri |
artifact[x]:artifactReference | Σ | 0..1 | Reference(Citation | Evidence | SummaryOfFindings | EvidenceList | Citation List) | The artifact that is rated
Slices for content |  | 0..* | BackboneElement | Comment, classifier, or rating content Slice: Unordered, Open by value:type
content:All Slices |  |  |  | Content/Rules for all slices
Slices for extension |  |  |  | Content/Rules for all slices
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
content:ratingSystem | S | 0..1 | BackboneElement | Comment, classifier, or rating content
Slices for extension |  |  |  | Content/Rules for all slices
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: rating-system
display |  | 1..1 | string | Representation defined by the system Fixed Value: Rating System
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
classifier |  | 1..1 | CodeableConcept | Rating, classifier, or assessment Binding: Evidence Rating System Classifier Codes Value Set (extensible)
content:overall |  | 0..1 | BackboneElement | Comment, classifier, or rating content
Slices for extension |  |  |  | Content/Rules for all slices
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/certainty-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: Overall
display |  | 1..1 | string | Representation defined by the system Fixed Value: Overall certainty
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
content:riskOfBias |  | 0..1 | BackboneElement | Comment, classifier, or rating content
Slices for extension |  |  |  | Content/Rules for all slices
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/certainty-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: RiskOfBias
display |  | 1..1 | string | Representation defined by the system Fixed Value: Risk of bias
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
content:levelOfEvidence |  | 0..1 | BackboneElement | Comment, classifier, or rating content
Slices for extension |  |  |  | Content/Rules for all slices
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/certainty-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: Overall
display |  | 1..1 | string | Representation defined by the system Fixed Value: Overall certainty
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
content:outcome |  | 0..1 | BackboneElement | Comment, classifier, or rating content
Slices for extension |  |  |  | Content/Rules for all slices
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://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
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:ratingSystem.​type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:ratingSystem.​classifier | Base | extensible | Evidence Rating System Classifier Codes Value Set | 📦1.0.0-ballot3 | Evidence Based Medicine on FHIR Implementation Guide v1.0
ArtifactAssessment.content:overall.​type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:riskOfBias.​type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:levelOfEvidence.​type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:outcome.​type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:outcome.​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())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from EvidenceAssessment

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ArtifactAssessment |  | 0..* | EvidenceAssessment | Adds metadata-supported comments, classifiers or ratings related to a Resource
Slices for content |  |  |  | Content/Rules for all slices
content:outcome |  | 0..1 | BackboneElement | Comment, classifier, or rating content
Slices for extension |  |  |  | Content/Rules for all slices
extension:RelatesToWithQuotation |  | 0..* | RelatesToWithQuotation | Related artifact with quoted portion
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-pico
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
relatesTo |  | 1..1 | BackboneElement | Relationship to other Resources
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 Required Pattern: depends-on
Slices for target[x] |  | 1..1 | Reference(Resource) | The artifact that is related to this ArtifactAssessment Slice: Unordered, Open by type:$this
target[x]:targetReference |  | 1..1 | Reference(Conceptual Cohort Definition Outcome | Outcome Evidence) | The artifact that is related to this ArtifactAssessment
​ component |  |  |  |
Slices for extension |  |  |  | Content/Rules for all slices
​ extension:RelatesToWithQuotation |  |  |  |
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ArtifactAssessment |  | 0..* | EvidenceAssessment | 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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:url |  | 0..1 | uri | Canonical identifier for this artifact, represented as a URI (globally unique) URL: http://hl7.org/fhir/StructureDefinition/artifact-url
extension:description |  | 0..1 | markdown | Natural language description of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-description
extension:author |  | 0..* | ContactDetail | Who authored the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-author
extension:useContext |  | 0..* | UsageContext | The context that the content is intended to support URL: http://hl7.org/fhir/StructureDefinition/artifact-useContext
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
extension:publicationStatus |  | 0..1 | CodeableConcept | Publication status URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status Binding: Cited Artifact Status Type (preferred)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Additional identifier for the EvidenceAssessment
title | Σ | 0..1 | string | A label for use in displaying and selecting the artifact assessment
citeAs |  | 0..1 | markdown | How to cite the EvidenceAssessment
Slices for artifact[x] | Σ | 1..1 |  | The artifact that is rated Slice: Unordered, Open by type:$this
artifactReference |  |  | Reference(Resource) |
artifactCanonical |  |  | canonical(Any) |
artifactUri |  |  | uri |
artifact[x]:artifactReference | Σ | 0..1 | Reference(Citation | Evidence | SummaryOfFindings | EvidenceList | Citation List) | The artifact that is rated
relatesTo |  | 0..* | BackboneElement | Relationship to other Resources
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | code | documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact.
target[x] |  | 1..1 |  | The artifact that is related to this ArtifactAssessment
targetUri |  |  | uri |
targetAttachment |  |  | Attachment |
targetCanonical |  |  | canonical(Resource) |
targetReference |  |  | Reference(Resource) |
targetMarkdown |  |  | markdown |
date | Σ | 0..1 | dateTime | Date last changed
copyright |  | 0..1 | markdown | Use and/or publishing restrictions
approvalDate |  | 0..1 | date | When the EvidenceAssessment was approved by publisher
lastReviewDate | Σ | 0..1 | date | When the EvidenceAssessment was last reviewed
Slices for content |  | 0..* | BackboneElement | Comment, classifier, or rating content Slice: Unordered, Open by value:type
content:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary |  | 0..1 | markdown | Brief summary of the content
type |  | 0..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example)
classifier |  | 0..* | CodeableConcept | Rating, classifier, or assessment Binding: EvidenceCertaintyRating (example)
quantity |  | 0..1 | Quantity | Quantitative rating
author |  | 0..* | Reference(Patient | Practitioner | PractitionerRole | Organization | Device) | Who authored the content
path |  | 0..* | uri | What the comment is directed to
relatesTo |  | 0..* | See relatesTo (ArtifactAssessment) | Relationship to other Resources
freeToShare |  | 0..1 | boolean | Acceptable to publicly share the EvidenceAssessment content
component |  | 0..* | BackboneElement | Comment, classifier, or rating content
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary |  | 0..1 | markdown | Brief summary of the content
type |  | 0..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example)
classifier |  | 0..* | CodeableConcept | Rating, classifier, or assessment Binding: EvidenceCertaintyRating (example)
quantity |  | 0..1 | Quantity | Quantitative rating
author |  | 0..* | Reference(Patient | Practitioner | PractitionerRole | Organization | Device) | Who authored the content
path |  | 0..* | uri | What the comment is directed to
relatesTo |  | 0..* | See relatesTo (ArtifactAssessment) | Relationship to other Resources
freeToShare |  | 0..1 | boolean | Acceptable to publicly share the content
component |  | 0..* | See content (ArtifactAssessment) | Comment, classifier, or rating content
content:ratingSystem | S | 0..1 | BackboneElement | Comment, classifier, or rating content
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary |  | 0..1 | markdown | Brief summary of the content
type |  | 1..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: rating-system
display |  | 1..1 | string | Representation defined by the system Fixed Value: Rating System
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
classifier |  | 1..1 | CodeableConcept | Rating, classifier, or assessment Binding: Evidence Rating System Classifier Codes Value Set (extensible)
quantity |  | 0..1 | Quantity | Quantitative rating
author |  | 0..* | Reference(Patient | Practitioner | PractitionerRole | Organization | Device) | Who authored the content
path |  | 0..* | uri | What the comment is directed to
relatesTo |  | 0..* | See relatesTo (ArtifactAssessment) | Relationship to other Resources
freeToShare |  | 0..1 | boolean | Acceptable to publicly share the EvidenceAssessment content
component |  | 0..* | BackboneElement | Comment, classifier, or rating content
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary |  | 0..1 | markdown | Brief summary of the content
type |  | 0..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example)
classifier |  | 0..* | CodeableConcept | Rating, classifier, or assessment Binding: EvidenceCertaintyRating (example)
quantity |  | 0..1 | Quantity | Quantitative rating
author |  | 0..* | Reference(Patient | Practitioner | PractitionerRole | Organization | Device) | Who authored the content
path |  | 0..* | uri | What the comment is directed to
relatesTo |  | 0..* | See relatesTo (ArtifactAssessment) | Relationship to other Resources
freeToShare |  | 0..1 | boolean | Acceptable to publicly share the content
component |  | 0..* | See content (ArtifactAssessment) | Comment, classifier, or rating content
content:overall |  | 0..1 | BackboneElement | Comment, classifier, or rating content
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary |  | 0..1 | markdown | Brief summary of the content
type |  | 1..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/certainty-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: Overall
display |  | 1..1 | string | Representation defined by the system Fixed Value: Overall certainty
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
classifier |  | 0..* | CodeableConcept | Rating, classifier, or assessment Binding: StatisticCertaintyRating (extensible)
quantity |  | 0..1 | Quantity | Quantitative rating
author |  | 0..* | Reference(Patient | Practitioner | PractitionerRole | Organization | Device) | Who authored the content
path |  | 0..* | uri | What the comment is directed to
relatesTo |  | 0..* | See relatesTo (ArtifactAssessment) | Relationship to other Resources
freeToShare |  | 0..1 | boolean | Acceptable to publicly share the EvidenceAssessment content
component |  | 0..* | BackboneElement | Comment, classifier, or rating content
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary |  | 0..1 | markdown | Brief summary of the content
type |  | 0..1 | CodeableConcept | What type of content Binding: Evidence Certainty Type (extensible)
classifier |  | 0..* | CodeableConcept | Rating, classifier, or assessment Binding: StatisticCertaintyRating (extensible)
quantity |  | 0..1 | Quantity | Quantitative rating
author |  | 0..* | Reference(Patient | Practitioner | PractitionerRole | Organization | Device) | Who authored the content
path |  | 0..* | uri | What the comment is directed to
relatesTo |  | 0..* | See relatesTo (ArtifactAssessment) | Relationship to other Resources
freeToShare |  | 0..1 | boolean | Acceptable to publicly share the content
component |  | 0..* | See content (ArtifactAssessment) | Comment, classifier, or rating content
content:riskOfBias |  | 0..1 | BackboneElement | Comment, classifier, or rating content
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary |  | 0..1 | markdown | Brief summary of the content
type |  | 1..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/certainty-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: RiskOfBias
display |  | 1..1 | string | Representation defined by the system Fixed Value: Risk of bias
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
classifier |  | 0..* | CodeableConcept | Rating, classifier, or assessment Binding: EvidenceCertaintyRating (example)
quantity |  | 0..1 | Quantity | Quantitative rating
author |  | 0..* | Reference(Patient | Practitioner | PractitionerRole | Organization | Device) | Who authored the content
path |  | 0..* | uri | What the comment is directed to
relatesTo |  | 0..* | See relatesTo (ArtifactAssessment) | Relationship to other Resources
freeToShare |  | 0..1 | boolean | Acceptable to publicly share the EvidenceAssessment content
component |  | 0..* | BackboneElement | Comment, classifier, or rating content
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary |  | 0..1 | markdown | Brief summary of the content
type |  | 0..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example)
classifier |  | 0..* | CodeableConcept | Rating, classifier, or assessment Binding: EvidenceCertaintyRating (example)
quantity |  | 0..1 | Quantity | Quantitative rating
author |  | 0..* | Reference(Patient | Practitioner | PractitionerRole | Organization | Device) | Who authored the content
path |  | 0..* | uri | What the comment is directed to
relatesTo |  | 0..* | See relatesTo (ArtifactAssessment) | Relationship to other Resources
freeToShare |  | 0..1 | boolean | Acceptable to publicly share the content
component |  | 0..* | See content (ArtifactAssessment) | Comment, classifier, or rating content
content:levelOfEvidence |  | 0..1 | BackboneElement | Comment, classifier, or rating content
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary |  | 0..1 | markdown | Brief summary of the content
type |  | 1..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/certainty-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: Overall
display |  | 1..1 | string | Representation defined by the system Fixed Value: Overall certainty
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
classifier |  | 0..* | CodeableConcept | Rating, classifier, or assessment Binding: EvidenceCertaintyRating (example)
quantity |  | 0..1 | Quantity | Quantitative rating
author |  | 0..* | Reference(Patient | Practitioner | PractitionerRole | Organization | Device) | Who authored the content
path |  | 0..* | uri | What the comment is directed to
relatesTo |  | 0..* | See relatesTo (ArtifactAssessment) | Relationship to other Resources
freeToShare |  | 0..1 | boolean | Acceptable to publicly share the EvidenceAssessment content
component |  | 0..* | BackboneElement | Comment, classifier, or rating content
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary |  | 0..1 | markdown | Brief summary of the content
type |  | 0..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example)
classifier |  | 0..* | CodeableConcept | Rating, classifier, or assessment Binding: EvidenceCertaintyRating (example)
quantity |  | 0..1 | Quantity | Quantitative rating
author |  | 0..* | Reference(Patient | Practitioner | PractitionerRole | Organization | Device) | Who authored the content
path |  | 0..* | uri | What the comment is directed to
relatesTo |  | 0..* | See relatesTo (ArtifactAssessment) | Relationship to other Resources
freeToShare |  | 0..1 | boolean | Acceptable to publicly share the content
component |  | 0..* | See content (ArtifactAssessment) | Comment, classifier, or rating content
content:outcome |  | 0..1 | BackboneElement | Comment, classifier, or rating content
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary |  | 0..1 | markdown | Brief summary of the content
type |  | 1..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://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
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.​component.type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content.​component.classifier | Base | example | Evidence Certainty Rating | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:ratingSystem.​type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:ratingSystem.​classifier | Base | extensible | Evidence Rating System Classifier Codes Value Set | 📦1.0.0-ballot3 | Evidence Based Medicine on FHIR Implementation Guide v1.0
ArtifactAssessment.content:ratingSystem.​component.type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:ratingSystem.​component.classifier | Base | example | Evidence Certainty Rating | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:overall.​type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:overall.​classifier | Base | extensible | StatisticCertaintyRating | 📦1.0.0 | THO v7.0
ArtifactAssessment.content:overall.​component.type | Base | extensible | Evidence Certainty Type | 📦1.0.0 | THO v7.0
ArtifactAssessment.content:overall.​component.classifier | Base | extensible | StatisticCertaintyRating | 📦1.0.0 | THO v7.0
ArtifactAssessment.content:riskOfBias.​type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:riskOfBias.​classifier | Base | example | Evidence Certainty Rating | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:riskOfBias.​component.type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:riskOfBias.​component.classifier | Base | example | Evidence Certainty Rating | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:levelOfEvidence.​type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:levelOfEvidence.​classifier | Base | example | Evidence Certainty Rating | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:levelOfEvidence.​component.type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:levelOfEvidence.​component.classifier | Base | example | Evidence Certainty Rating | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:outcome.​type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:outcome.​classifier | Base | example | Evidence Certainty Rating | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:outcome.​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())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from EvidenceAssessment

Summary

Mandatory: 0 element(3 nested mandatory elements)

Structures

This structure refers to these other structures:

- Conceptual Cohort Definition Outcome (http://fhir.awmf.org/awmf.ig/StructureDefinition/conceptual-cohort-definition-outcome)
- Outcome Evidence (http://fhir.awmf.org/awmf.ig/StructureDefinition/outcome-evidence)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of ArtifactAssessment.content.relatesTo.target[x]

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ArtifactAssessment |  | 0..* | EvidenceAssessment | Adds metadata-supported comments, classifiers or ratings related to a Resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  |  |  | Content/Rules for all slices
extension:url |  | 0..1 | uri | Canonical identifier for this artifact, represented as a URI (globally unique) URL: http://hl7.org/fhir/StructureDefinition/artifact-url
extension:description |  | 0..1 | markdown | Natural language description of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-description
extension:author |  | 0..* | ContactDetail | Who authored the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-author
extension:useContext |  | 0..* | UsageContext | The context that the content is intended to support URL: http://hl7.org/fhir/StructureDefinition/artifact-useContext
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
extension:publicationStatus |  | 0..1 | CodeableConcept | Publication status URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status Binding: Cited Artifact Status Type (preferred)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
Slices for artifact[x] | Σ | 1..1 |  | The artifact that is rated Slice: Unordered, Open by type:$this
artifactReference |  |  | Reference(Resource) |
artifactCanonical |  |  | canonical(Any) |
artifactUri |  |  | uri |
artifact[x]:artifactReference | Σ | 0..1 | Reference(Citation | Evidence | SummaryOfFindings | EvidenceList | Citation List) | The artifact that is rated
Slices for content |  | 0..* | BackboneElement | Comment, classifier, or rating content Slice: Unordered, Open by value:type
content:All Slices |  |  |  | Content/Rules for all slices
Slices for extension |  |  |  | Content/Rules for all slices
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
content:ratingSystem | S | 0..1 | BackboneElement | Comment, classifier, or rating content
Slices for extension |  |  |  | Content/Rules for all slices
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: rating-system
display |  | 1..1 | string | Representation defined by the system Fixed Value: Rating System
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
classifier |  | 1..1 | CodeableConcept | Rating, classifier, or assessment Binding: Evidence Rating System Classifier Codes Value Set (extensible)
content:overall |  | 0..1 | BackboneElement | Comment, classifier, or rating content
Slices for extension |  |  |  | Content/Rules for all slices
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/certainty-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: Overall
display |  | 1..1 | string | Representation defined by the system Fixed Value: Overall certainty
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
content:riskOfBias |  | 0..1 | BackboneElement | Comment, classifier, or rating content
Slices for extension |  |  |  | Content/Rules for all slices
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/certainty-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: RiskOfBias
display |  | 1..1 | string | Representation defined by the system Fixed Value: Risk of bias
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
content:levelOfEvidence |  | 0..1 | BackboneElement | Comment, classifier, or rating content
Slices for extension |  |  |  | Content/Rules for all slices
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/certainty-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: Overall
display |  | 1..1 | string | Representation defined by the system Fixed Value: Overall certainty
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
content:outcome |  | 0..1 | BackboneElement | Comment, classifier, or rating content
Slices for extension |  |  |  | Content/Rules for all slices
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://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
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:ratingSystem.​type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:ratingSystem.​classifier | Base | extensible | Evidence Rating System Classifier Codes Value Set | 📦1.0.0-ballot3 | Evidence Based Medicine on FHIR Implementation Guide v1.0
ArtifactAssessment.content:overall.​type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:riskOfBias.​type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:levelOfEvidence.​type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:outcome.​type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:outcome.​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())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from EvidenceAssessment

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ArtifactAssessment |  | 0..* | EvidenceAssessment | Adds metadata-supported comments, classifiers or ratings related to a Resource
Slices for content |  |  |  | Content/Rules for all slices
content:outcome |  | 0..1 | BackboneElement | Comment, classifier, or rating content
Slices for extension |  |  |  | Content/Rules for all slices
extension:RelatesToWithQuotation |  | 0..* | RelatesToWithQuotation | Related artifact with quoted portion
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-pico
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
relatesTo |  | 1..1 | BackboneElement | Relationship to other Resources
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 Required Pattern: depends-on
Slices for target[x] |  | 1..1 | Reference(Resource) | The artifact that is related to this ArtifactAssessment Slice: Unordered, Open by type:$this
target[x]:targetReference |  | 1..1 | Reference(Conceptual Cohort Definition Outcome | Outcome Evidence) | The artifact that is related to this ArtifactAssessment
​ component |  |  |  |
Slices for extension |  |  |  | Content/Rules for all slices
​ extension:RelatesToWithQuotation |  |  |  |
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ArtifactAssessment |  | 0..* | EvidenceAssessment | 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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:url |  | 0..1 | uri | Canonical identifier for this artifact, represented as a URI (globally unique) URL: http://hl7.org/fhir/StructureDefinition/artifact-url
extension:description |  | 0..1 | markdown | Natural language description of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-description
extension:author |  | 0..* | ContactDetail | Who authored the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-author
extension:useContext |  | 0..* | UsageContext | The context that the content is intended to support URL: http://hl7.org/fhir/StructureDefinition/artifact-useContext
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
extension:publicationStatus |  | 0..1 | CodeableConcept | Publication status URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/artifact-publication-status Binding: Cited Artifact Status Type (preferred)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Additional identifier for the EvidenceAssessment
title | Σ | 0..1 | string | A label for use in displaying and selecting the artifact assessment
citeAs |  | 0..1 | markdown | How to cite the EvidenceAssessment
Slices for artifact[x] | Σ | 1..1 |  | The artifact that is rated Slice: Unordered, Open by type:$this
artifactReference |  |  | Reference(Resource) |
artifactCanonical |  |  | canonical(Any) |
artifactUri |  |  | uri |
artifact[x]:artifactReference | Σ | 0..1 | Reference(Citation | Evidence | SummaryOfFindings | EvidenceList | Citation List) | The artifact that is rated
relatesTo |  | 0..* | BackboneElement | Relationship to other Resources
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | code | documentation | justification | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | specification-of | created-with | cite-as | summarizes Binding: ArtifactRelationshipType (required): The type of relationship to the related artifact.
target[x] |  | 1..1 |  | The artifact that is related to this ArtifactAssessment
targetUri |  |  | uri |
targetAttachment |  |  | Attachment |
targetCanonical |  |  | canonical(Resource) |
targetReference |  |  | Reference(Resource) |
targetMarkdown |  |  | markdown |
date | Σ | 0..1 | dateTime | Date last changed
copyright |  | 0..1 | markdown | Use and/or publishing restrictions
approvalDate |  | 0..1 | date | When the EvidenceAssessment was approved by publisher
lastReviewDate | Σ | 0..1 | date | When the EvidenceAssessment was last reviewed
Slices for content |  | 0..* | BackboneElement | Comment, classifier, or rating content Slice: Unordered, Open by value:type
content:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary |  | 0..1 | markdown | Brief summary of the content
type |  | 0..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example)
classifier |  | 0..* | CodeableConcept | Rating, classifier, or assessment Binding: EvidenceCertaintyRating (example)
quantity |  | 0..1 | Quantity | Quantitative rating
author |  | 0..* | Reference(Patient | Practitioner | PractitionerRole | Organization | Device) | Who authored the content
path |  | 0..* | uri | What the comment is directed to
relatesTo |  | 0..* | See relatesTo (ArtifactAssessment) | Relationship to other Resources
freeToShare |  | 0..1 | boolean | Acceptable to publicly share the EvidenceAssessment content
component |  | 0..* | BackboneElement | Comment, classifier, or rating content
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary |  | 0..1 | markdown | Brief summary of the content
type |  | 0..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example)
classifier |  | 0..* | CodeableConcept | Rating, classifier, or assessment Binding: EvidenceCertaintyRating (example)
quantity |  | 0..1 | Quantity | Quantitative rating
author |  | 0..* | Reference(Patient | Practitioner | PractitionerRole | Organization | Device) | Who authored the content
path |  | 0..* | uri | What the comment is directed to
relatesTo |  | 0..* | See relatesTo (ArtifactAssessment) | Relationship to other Resources
freeToShare |  | 0..1 | boolean | Acceptable to publicly share the content
component |  | 0..* | See content (ArtifactAssessment) | Comment, classifier, or rating content
content:ratingSystem | S | 0..1 | BackboneElement | Comment, classifier, or rating content
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary |  | 0..1 | markdown | Brief summary of the content
type |  | 1..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://fevir.net/resources/CodeSystem/179423
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: rating-system
display |  | 1..1 | string | Representation defined by the system Fixed Value: Rating System
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
classifier |  | 1..1 | CodeableConcept | Rating, classifier, or assessment Binding: Evidence Rating System Classifier Codes Value Set (extensible)
quantity |  | 0..1 | Quantity | Quantitative rating
author |  | 0..* | Reference(Patient | Practitioner | PractitionerRole | Organization | Device) | Who authored the content
path |  | 0..* | uri | What the comment is directed to
relatesTo |  | 0..* | See relatesTo (ArtifactAssessment) | Relationship to other Resources
freeToShare |  | 0..1 | boolean | Acceptable to publicly share the EvidenceAssessment content
component |  | 0..* | BackboneElement | Comment, classifier, or rating content
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary |  | 0..1 | markdown | Brief summary of the content
type |  | 0..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example)
classifier |  | 0..* | CodeableConcept | Rating, classifier, or assessment Binding: EvidenceCertaintyRating (example)
quantity |  | 0..1 | Quantity | Quantitative rating
author |  | 0..* | Reference(Patient | Practitioner | PractitionerRole | Organization | Device) | Who authored the content
path |  | 0..* | uri | What the comment is directed to
relatesTo |  | 0..* | See relatesTo (ArtifactAssessment) | Relationship to other Resources
freeToShare |  | 0..1 | boolean | Acceptable to publicly share the content
component |  | 0..* | See content (ArtifactAssessment) | Comment, classifier, or rating content
content:overall |  | 0..1 | BackboneElement | Comment, classifier, or rating content
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary |  | 0..1 | markdown | Brief summary of the content
type |  | 1..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/certainty-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: Overall
display |  | 1..1 | string | Representation defined by the system Fixed Value: Overall certainty
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
classifier |  | 0..* | CodeableConcept | Rating, classifier, or assessment Binding: StatisticCertaintyRating (extensible)
quantity |  | 0..1 | Quantity | Quantitative rating
author |  | 0..* | Reference(Patient | Practitioner | PractitionerRole | Organization | Device) | Who authored the content
path |  | 0..* | uri | What the comment is directed to
relatesTo |  | 0..* | See relatesTo (ArtifactAssessment) | Relationship to other Resources
freeToShare |  | 0..1 | boolean | Acceptable to publicly share the EvidenceAssessment content
component |  | 0..* | BackboneElement | Comment, classifier, or rating content
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary |  | 0..1 | markdown | Brief summary of the content
type |  | 0..1 | CodeableConcept | What type of content Binding: Evidence Certainty Type (extensible)
classifier |  | 0..* | CodeableConcept | Rating, classifier, or assessment Binding: StatisticCertaintyRating (extensible)
quantity |  | 0..1 | Quantity | Quantitative rating
author |  | 0..* | Reference(Patient | Practitioner | PractitionerRole | Organization | Device) | Who authored the content
path |  | 0..* | uri | What the comment is directed to
relatesTo |  | 0..* | See relatesTo (ArtifactAssessment) | Relationship to other Resources
freeToShare |  | 0..1 | boolean | Acceptable to publicly share the content
component |  | 0..* | See content (ArtifactAssessment) | Comment, classifier, or rating content
content:riskOfBias |  | 0..1 | BackboneElement | Comment, classifier, or rating content
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary |  | 0..1 | markdown | Brief summary of the content
type |  | 1..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/certainty-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: RiskOfBias
display |  | 1..1 | string | Representation defined by the system Fixed Value: Risk of bias
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
classifier |  | 0..* | CodeableConcept | Rating, classifier, or assessment Binding: EvidenceCertaintyRating (example)
quantity |  | 0..1 | Quantity | Quantitative rating
author |  | 0..* | Reference(Patient | Practitioner | PractitionerRole | Organization | Device) | Who authored the content
path |  | 0..* | uri | What the comment is directed to
relatesTo |  | 0..* | See relatesTo (ArtifactAssessment) | Relationship to other Resources
freeToShare |  | 0..1 | boolean | Acceptable to publicly share the EvidenceAssessment content
component |  | 0..* | BackboneElement | Comment, classifier, or rating content
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary |  | 0..1 | markdown | Brief summary of the content
type |  | 0..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example)
classifier |  | 0..* | CodeableConcept | Rating, classifier, or assessment Binding: EvidenceCertaintyRating (example)
quantity |  | 0..1 | Quantity | Quantitative rating
author |  | 0..* | Reference(Patient | Practitioner | PractitionerRole | Organization | Device) | Who authored the content
path |  | 0..* | uri | What the comment is directed to
relatesTo |  | 0..* | See relatesTo (ArtifactAssessment) | Relationship to other Resources
freeToShare |  | 0..1 | boolean | Acceptable to publicly share the content
component |  | 0..* | See content (ArtifactAssessment) | Comment, classifier, or rating content
content:levelOfEvidence |  | 0..1 | BackboneElement | Comment, classifier, or rating content
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary |  | 0..1 | markdown | Brief summary of the content
type |  | 1..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/certainty-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: Overall
display |  | 1..1 | string | Representation defined by the system Fixed Value: Overall certainty
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
classifier |  | 0..* | CodeableConcept | Rating, classifier, or assessment Binding: EvidenceCertaintyRating (example)
quantity |  | 0..1 | Quantity | Quantitative rating
author |  | 0..* | Reference(Patient | Practitioner | PractitionerRole | Organization | Device) | Who authored the content
path |  | 0..* | uri | What the comment is directed to
relatesTo |  | 0..* | See relatesTo (ArtifactAssessment) | Relationship to other Resources
freeToShare |  | 0..1 | boolean | Acceptable to publicly share the EvidenceAssessment content
component |  | 0..* | BackboneElement | Comment, classifier, or rating content
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary |  | 0..1 | markdown | Brief summary of the content
type |  | 0..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example)
classifier |  | 0..* | CodeableConcept | Rating, classifier, or assessment Binding: EvidenceCertaintyRating (example)
quantity |  | 0..1 | Quantity | Quantitative rating
author |  | 0..* | Reference(Patient | Practitioner | PractitionerRole | Organization | Device) | Who authored the content
path |  | 0..* | uri | What the comment is directed to
relatesTo |  | 0..* | See relatesTo (ArtifactAssessment) | Relationship to other Resources
freeToShare |  | 0..1 | boolean | Acceptable to publicly share the content
component |  | 0..* | See content (ArtifactAssessment) | Comment, classifier, or rating content
content:outcome |  | 0..1 | BackboneElement | Comment, classifier, or rating content
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:RelatesToWithQuotation |  | 0..* | (Complex) | Related artifact with quoted portion URL: http://hl7.org/fhir/uv/ebm/StructureDefinition/relates-to-with-quotation
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary |  | 0..1 | markdown | Brief summary of the content
type |  | 1..1 | CodeableConcept | What type of content Binding: EvidenceCertaintyType (example) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://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
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.​component.type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content.​component.classifier | Base | example | Evidence Certainty Rating | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:ratingSystem.​type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:ratingSystem.​classifier | Base | extensible | Evidence Rating System Classifier Codes Value Set | 📦1.0.0-ballot3 | Evidence Based Medicine on FHIR Implementation Guide v1.0
ArtifactAssessment.content:ratingSystem.​component.type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:ratingSystem.​component.classifier | Base | example | Evidence Certainty Rating | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:overall.​type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:overall.​classifier | Base | extensible | StatisticCertaintyRating | 📦1.0.0 | THO v7.0
ArtifactAssessment.content:overall.​component.type | Base | extensible | Evidence Certainty Type | 📦1.0.0 | THO v7.0
ArtifactAssessment.content:overall.​component.classifier | Base | extensible | StatisticCertaintyRating | 📦1.0.0 | THO v7.0
ArtifactAssessment.content:riskOfBias.​type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:riskOfBias.​classifier | Base | example | Evidence Certainty Rating | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:riskOfBias.​component.type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:riskOfBias.​component.classifier | Base | example | Evidence Certainty Rating | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:levelOfEvidence.​type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:levelOfEvidence.​classifier | Base | example | Evidence Certainty Rating | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:levelOfEvidence.​component.type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:levelOfEvidence.​component.classifier | Base | example | Evidence Certainty Rating | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:outcome.​type | Base | example | Evidence Certainty Type | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:outcome.​classifier | Base | example | Evidence Certainty Rating | 📍6.0.0-ballot3 | FHIR Std.
ArtifactAssessment.content:outcome.​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())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from EvidenceAssessment

Summary

Mandatory: 0 element(3 nested mandatory elements)

Structures

This structure refers to these other structures:

- Conceptual Cohort Definition Outcome (http://fhir.awmf.org/awmf.ig/StructureDefinition/conceptual-cohort-definition-outcome)
- Outcome Evidence (http://fhir.awmf.org/awmf.ig/StructureDefinition/outcome-evidence)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of ArtifactAssessment.content.relatesTo.target[x]

Other representations of profile: CSV, Excel, Schematron