Release 4B

This page is part of the FHIR Specification (v4.3.0: R4B - STU). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

14.11 Resource EvidenceVariable - Content

Clinical Decision Support Work Group Maturity Level: 1 Trial Use Security Category: Business Compartments: Not linked to any defined compartments

The EvidenceVariable resource describes an element that knowledge (Evidence) is about.

14.11.1 Scope and Usage

This resource is a definition resource from a FHIR workflow perspective - see Workflow, specifically Definition.

The scope of the EvidenceVariable Resource is to describe an element that knowledge (evidence) is about. The EvidenceVariable Resources are expected to be used with Evidence Resources to facilitate searching and knowledge representation.

Evidence may be reported for different types of knowledge. One commonly used format for expression of what evidence is about is the "PICO" format. PICO stands for:

Population - the population within which exposures and outcomes are being considered

Intervention - the conditional state or exposure state being described for which one is expressing the risk of or effect on an outcome

Comparison - the alternative conditional state or alternative exposure state when one is comparing states for the effect on an outcome

Outcome - the result or effect of an intervention or exposure in a population

PICO (and its variants like PECO or PICOT) is a universal acronym used in evidence-based medicine communities to clearly express research questions and evidence findings.

The EvidenceVariable Resource allows expression of the components of a PICO question in codeable and reusable formats. As an exception, the Population specification will NOT use the EvidenceVariable Resource. The Population specification will use the Group Resource to facilitate interoperability in matching Evidence Resources to actual groups.

14.11.2 Boundaries and Relationships

The Resource describing evidence findings (Evidence) will reference EvidenceVariable to describe what the evidence findings are about.

14.11.3 References

This resource is referenced by Evidence and itself.

This resource implements the Definition pattern.

14.11.4 Resource Content

Structure

Name Flags Card. Type Description & Constraints doco
.. EvidenceVariable TU DomainResource A definition of an exposure, outcome, or other variable
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... url Σ 0..1uri Canonical identifier for this evidence variable, represented as a URI (globally unique)
... identifier Σ 0..*Identifier Additional identifier for the evidence variable
... version Σ 0..1string Business version of the evidence variable
... title Σ 0..1string Name for this evidence variable (human friendly)
... shortTitle Σ 0..1string Title for use in informal contexts
... subtitle 0..1string Subordinate title of the EvidenceVariable
... status ?! Σ 1..1code draft | active | retired | unknown
PublicationStatus (Required)
... date Σ 0..1dateTime Date last changed
... description Σ 0..1markdown Natural language description of the evidence variable
... note 0..*Annotation Used for footnotes or explanatory notes
... useContext Σ 0..*UsageContext The context that the content is intended to support
... publisher Σ 0..1string Name of the publisher (organization or individual)
... contact Σ 0..*ContactDetail Contact details for the publisher
... author 0..*ContactDetail Who authored the content
... editor 0..*ContactDetail Who edited the content
... reviewer 0..*ContactDetail Who reviewed the content
... endorser 0..*ContactDetail Who endorsed the content
... relatedArtifact 0..*RelatedArtifact Additional documentation, citations, etc.
... actual 0..1boolean Actual or conceptual
... characteristicCombination 0..1code intersection | union
CharacteristicCombination (Required)
... characteristic Σ 0..*BackboneElement What defines the members of the evidence element
.... description 0..1string Natural language description of the characteristic
.... definition[x] Σ 1..1What code or expression defines members?
..... definitionReferenceReference(Group | EvidenceVariable)
..... definitionCanonicalcanonical(Any)
..... definitionCodeableConceptCodeableConcept
..... definitionExpressionExpression
.... method 0..1CodeableConcept Method used for describing characteristic
CharacteristicMethod (Example)
.... device 0..1Reference(Device | DeviceMetric)Device used for determining characteristic
.... exclude 0..1boolean Whether the characteristic includes or excludes members
.... timeFromStart 0..1BackboneElement Observation time from study start
..... description 0..1string Human readable description
..... quantity 0..1Quantity Used to express the observation at a defined amount of time after the study start
..... range 0..1Range Used to express the observation within a period after the study start
..... note 0..*Annotation Used for footnotes or explanatory notes
.... groupMeasure 0..1code mean | median | mean-of-mean | mean-of-median | median-of-mean | median-of-median
GroupMeasure (Required)
... handling Σ 0..1code continuous | dichotomous | ordinal | polychotomous
EvidenceVariableHandling (Required)
... category 0..*BackboneElement A grouping for ordinal or polychotomous variables
.... name 0..1string Description of the grouping
.... value[x] 0..1Definition of the grouping
..... valueCodeableConceptCodeableConcept
..... valueQuantityQuantity
..... valueRangeRange

doco Documentation for this format

UML Diagram (Legend)

EvidenceVariable (DomainResource)An absolute URI that is used to identify this evidence variable when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this evidence variable is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the evidence variable is stored on different serversurl : uri [0..1]A formal identifier that is used to identify this evidence variable when it is represented in other formats, or referenced in a specification, model, design or an instanceidentifier : Identifier [0..*]The identifier that is used to identify this version of the evidence variable when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the evidence variable author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifactsversion : string [0..1]A natural language name identifying the evidence variable. This name should be usable as an identifier for the module by machine processing applications such as code generationname : string [0..1]A short, descriptive, user-friendly title for the evidence variabletitle : string [0..1]The short title provides an alternate title for use in informal descriptive contexts where the full, formal title is not necessaryshortTitle : string [0..1]An explanatory or alternate title for the EvidenceVariable giving additional information about its contentsubtitle : string [0..1]The status of this evidence variable. Enables tracking the life-cycle of the content (this element modifies the meaning of other elements)status : code [1..1] « null (Strength=Required)PublicationStatus! »The date (and optionally time) when the evidence variable was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the evidence variable changesdate : dateTime [0..1]A free text natural language description of the evidence variable from a consumer's perspectivedescription : markdown [0..1]A human-readable string to clarify or explain concepts about the resourcenote : Annotation [0..*]The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate evidence variable instancesuseContext : UsageContext [0..*]The name of the organization or individual that published the evidence variablepublisher : string [0..1]Contact details to assist a user in finding and communicating with the publishercontact : ContactDetail [0..*]An individiual or organization primarily involved in the creation and maintenance of the contentauthor : ContactDetail [0..*]An individual or organization primarily responsible for internal coherence of the contenteditor : ContactDetail [0..*]An individual or organization primarily responsible for review of some aspect of the contentreviewer : ContactDetail [0..*]An individual or organization responsible for officially endorsing the content for use in some settingendorser : ContactDetail [0..*]Related artifacts such as additional documentation, justification, or bibliographic referencesrelatedArtifact : RelatedArtifact [0..*]True if the actual variable measured, false if a conceptual representation of the intended variableactual : boolean [0..1]Used to specify if two or more characteristics are combined with OR or ANDcharacteristicCombination : code [0..1] « null (Strength=Required)CharacteristicCombination! »Used for an outcome to classifyhandling : code [0..1] « null (Strength=Required)EvidenceVariableHandling! »CharacteristicA short, natural language description of the characteristic that could be used to communicate the criteria to an end-userdescription : string [0..1]Define members of the evidence element using Codes (such as condition, medication, or observation), Expressions ( using an expression language such as FHIRPath or CQL) or DataRequirements (such as Diabetes diagnosis onset in the last year)definition[x] : Element [1..1] « Reference(Group|EvidenceVariable)| canonical(Any)|CodeableConcept|Expression »Method used for describing characteristicmethod : CodeableConcept [0..1] « null (Strength=Example)CharacteristicMethod?? »Device used for determining characteristicdevice : Reference [0..1] « Device|DeviceMetric »When true, members with this characteristic are excluded from the elementexclude : boolean [0..1]Indicates how elements are aggregated within the study effective periodgroupMeasure : code [0..1] « null (Strength=Required)GroupMeasure! »TimeFromStartA short, natural language descriptiondescription : string [0..1]Used to express the observation at a defined amount of time after the study startquantity : Quantity [0..1]Used to express the observation within a period after the study startrange : Range [0..1]A human-readable string to clarify or explain concepts about the resourcenote : Annotation [0..*]CategoryA human-readable title or representation of the groupingname : string [0..1]Value or set of values that define the groupingvalue[x] : Element [0..1] « CodeableConcept|Quantity|Range »Indicates duration, period, or point of observation from the participant's study entrytimeFromStart [0..1]A characteristic that defines the members of the evidence element. Multiple characteristics are applied with "and" semanticscharacteristic [0..*]A grouping (or set of values) described along with other groupings to specify the set of groupings allowed for the variablecategory [0..*]

XML Template

<EvidenceVariable xmlns="http://hl7.org/fhir"> doco 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <url value="[uri ]"/><!-- 0..1 Canonical identifier for this evidence variable, represented as a URI (globally unique)  -->
 <identifier><!-- 0..* Identifier  Additional identifier for the evidence variable  --></identifier>
 <version value="[string ]"/><!-- 0..1 Business version of the evidence variable  -->
 <name value="[string ]"/><!-- ?? 0..1 Name for this evidence variable (computer friendly)  -->
 <title value="[string ]"/><!-- 0..1 Name for this evidence variable (human friendly)  -->
 <shortTitle value="[string ]"/><!-- 0..1 Title for use in informal contexts  -->
 <subtitle value="[string ]"/><!-- 0..1 Subordinate title of the EvidenceVariable  -->
 <status value="[code ]"/><!-- 1..1 draft | active | retired | unknown  -->
 <date value="[dateTime ]"/><!-- 0..1 Date last changed  -->
 <description value="[markdown ]"/><!-- 0..1 Natural language description of the evidence variable  -->
 <note><!-- 0..* Annotation  Used for footnotes or explanatory notes  --></note>
 <useContext><!-- 0..* UsageContext  The context that the content is intended to support  --></useContext>
 <publisher value="[string ]"/><!-- 0..1 Name of the publisher (organization or individual)  -->
 <contact><!-- 0..* ContactDetail  Contact details for the publisher  --></contact>
 <author><!-- 0..* ContactDetail  Who authored the content  --></author>
 <editor><!-- 0..* ContactDetail  Who edited the content  --></editor>
 <reviewer><!-- 0..* ContactDetail  Who reviewed the content  --></reviewer>
 <endorser><!-- 0..* ContactDetail  Who endorsed the content  --></endorser>
 <relatedArtifact><!-- 0..* RelatedArtifact  Additional documentation, citations, etc.  --></relatedArtifact>
 <actual value="[boolean ]"/><!-- 0..1 Actual or conceptual  -->
 <characteristicCombination value="[code ]"/><!-- 0..1 intersection | union  -->
 <characteristic> <!-- 0..* What defines the members of the evidence element -->
 <description value="[string ]"/><!-- 0..1 Natural language description of the characteristic  -->
 <definition[x]><!-- 1..1 Reference(EvidenceVariable|Group)|canonical(Any)|
 CodeableConcept|Expression  What code or expression defines members?  --></definition[x]>
 <method><!-- 0..1 CodeableConcept  Method used for describing characteristic  --></method>
 <device><!-- 0..1 Reference(Device|DeviceMetric) Device used for determining characteristic  --></device>
 <exclude value="[boolean ]"/><!-- 0..1 Whether the characteristic includes or excludes members  -->
 <timeFromStart> <!-- 0..1 Observation time from study start -->
 <description value="[string ]"/><!-- 0..1 Human readable description  -->
 <quantity><!-- 0..1 Quantity  Used to express the observation at a defined amount of time after the study start  --></quantity>
 <range><!-- 0..1 Range  Used to express the observation within a period after the study start  --></range>
 <note><!-- 0..* Annotation  Used for footnotes or explanatory notes  --></note>
 </timeFromStart>
 <groupMeasure value="[code ]"/><!-- 0..1 mean | median | mean-of-mean | mean-of-median | median-of-mean | median-of-median  -->
 </characteristic>
 <handling value="[code ]"/><!-- 0..1 continuous | dichotomous | ordinal | polychotomous  -->
 <category> <!-- 0..* A grouping for ordinal or polychotomous variables -->
 <name value="[string ]"/><!-- 0..1 Description of the grouping  -->
 <value[x]><!-- 0..1 CodeableConcept|Quantity|Range  Definition of the grouping  --></value[x]>
 </category>
</EvidenceVariable>

JSON Template

{doco 
 "resourceType" : "EvidenceVariable",
 // from Resource: id, meta, implicitRules, and language
 // from DomainResource: text, contained, extension, and modifierExtension
 "url" : "<uri >", // Canonical identifier for this evidence variable, represented as a URI (globally unique) 
 "identifier" : [{ Identifier  }], // Additional identifier for the evidence variable 
 "version" : "<string >", // Business version of the evidence variable 
 "name" : "<string >", // C? Name for this evidence variable (computer friendly) 
 "title" : "<string >", // Name for this evidence variable (human friendly) 
 "shortTitle" : "<string >", // Title for use in informal contexts 
 "subtitle" : "<string >", // Subordinate title of the EvidenceVariable 
 "status" : "<code >", // R! draft | active | retired | unknown 
 "date" : "<dateTime >", // Date last changed 
 "description" : "<markdown >", // Natural language description of the evidence variable 
 "note" : [{ Annotation  }], // Used for footnotes or explanatory notes 
 "useContext" : [{ UsageContext  }], // The context that the content is intended to support 
 "publisher" : "<string >", // Name of the publisher (organization or individual) 
 "contact" : [{ ContactDetail  }], // Contact details for the publisher 
 "author" : [{ ContactDetail  }], // Who authored the content 
 "editor" : [{ ContactDetail  }], // Who edited the content 
 "reviewer" : [{ ContactDetail  }], // Who reviewed the content 
 "endorser" : [{ ContactDetail  }], // Who endorsed the content 
 "relatedArtifact" : [{ RelatedArtifact  }], // Additional documentation, citations, etc. 
 "actual" : <boolean >, // Actual or conceptual 
 "characteristicCombination" : "<code >", // intersection | union 
 "characteristic" : [{ // What defines the members of the evidence element 
 "description" : "<string >", // Natural language description of the characteristic 
 // definition[x]: What code or expression defines members?. One of these 4:
 "definitionReference" : { Reference(EvidenceVariable|Group) },
 "definitionCanonical" : { canonical(Any) },
 "definitionCodeableConcept" : { CodeableConcept  },
 "definitionExpression" : { Expression  },
 "method" : { CodeableConcept  }, // Method used for describing characteristic 
 "device" : { Reference(Device|DeviceMetric) }, // Device used for determining characteristic 
 "exclude" : <boolean >, // Whether the characteristic includes or excludes members 
 "timeFromStart" : { // Observation time from study start 
 "description" : "<string >", // Human readable description 
 "quantity" : { Quantity  }, // Used to express the observation at a defined amount of time after the study start 
 "range" : { Range  }, // Used to express the observation within a period after the study start 
 "note" : [{ Annotation  }] // Used for footnotes or explanatory notes 
 },
 "groupMeasure" : "<code >" // mean | median | mean-of-mean | mean-of-median | median-of-mean | median-of-median 
 }],
 "handling" : "<code >", // continuous | dichotomous | ordinal | polychotomous 
 "category" : [{ // A grouping for ordinal or polychotomous variables 
 "name" : "<string >", // Description of the grouping 
 // value[x]: Definition of the grouping. One of these 3:
 "valueCodeableConcept" : { CodeableConcept  }
 "valueQuantity" : { Quantity  }
 "valueRange" : { Range  }
 }]
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco 
[ a fhir:EvidenceVariable;
 fhir:nodeRole fhir:treeRoot; # if this is the parser root
 # from Resource: .id, .meta, .implicitRules, and .language
 # from DomainResource: .text, .contained, .extension, and .modifierExtension
 fhir:EvidenceVariable.url[ uri ]; # 0..1 Canonical identifier for this evidence variable, represented as a URI (globally unique)
 fhir:EvidenceVariable.identifier[ Identifier ], ... ; # 0..* Additional identifier for the evidence variable
 fhir:EvidenceVariable.version[ string ]; # 0..1 Business version of the evidence variable
 fhir:EvidenceVariable.name[ string ]; # 0..1 Name for this evidence variable (computer friendly)
 fhir:EvidenceVariable.title[ string ]; # 0..1 Name for this evidence variable (human friendly)
 fhir:EvidenceVariable.shortTitle[ string ]; # 0..1 Title for use in informal contexts
 fhir:EvidenceVariable.subtitle[ string ]; # 0..1 Subordinate title of the EvidenceVariable
 fhir:EvidenceVariable.status[ code ]; # 1..1 draft | active | retired | unknown
 fhir:EvidenceVariable.date[ dateTime ]; # 0..1 Date last changed
 fhir:EvidenceVariable.description[ markdown ]; # 0..1 Natural language description of the evidence variable
 fhir:EvidenceVariable.note[ Annotation ], ... ; # 0..* Used for footnotes or explanatory notes
 fhir:EvidenceVariable.useContext[ UsageContext ], ... ; # 0..* The context that the content is intended to support
 fhir:EvidenceVariable.publisher[ string ]; # 0..1 Name of the publisher (organization or individual)
 fhir:EvidenceVariable.contact[ ContactDetail ], ... ; # 0..* Contact details for the publisher
 fhir:EvidenceVariable.author[ ContactDetail ], ... ; # 0..* Who authored the content
 fhir:EvidenceVariable.editor[ ContactDetail ], ... ; # 0..* Who edited the content
 fhir:EvidenceVariable.reviewer[ ContactDetail ], ... ; # 0..* Who reviewed the content
 fhir:EvidenceVariable.endorser[ ContactDetail ], ... ; # 0..* Who endorsed the content
 fhir:EvidenceVariable.relatedArtifact[ RelatedArtifact ], ... ; # 0..* Additional documentation, citations, etc.
 fhir:EvidenceVariable.actual[ boolean ]; # 0..1 Actual or conceptual
 fhir:EvidenceVariable.characteristicCombination[ code ]; # 0..1 intersection | union
 fhir:EvidenceVariable.characteristic[ # 0..* What defines the members of the evidence element
 fhir:EvidenceVariable.characteristic.description[ string ]; # 0..1 Natural language description of the characteristic
 # EvidenceVariable.characteristic.definition[x]: 1..1 What code or expression defines members?. One of these 4
 fhir:EvidenceVariable.characteristic.definitionReference[ Reference(EvidenceVariable|Group) ]
 fhir:EvidenceVariable.characteristic.definitionCanonical[ canonical(Any) ]
 fhir:EvidenceVariable.characteristic.definitionCodeableConcept[ CodeableConcept ]
 fhir:EvidenceVariable.characteristic.definitionExpression[ Expression ]
 fhir:EvidenceVariable.characteristic.method[ CodeableConcept ]; # 0..1 Method used for describing characteristic
 fhir:EvidenceVariable.characteristic.device[ Reference(Device|DeviceMetric) ]; # 0..1 Device used for determining characteristic
 fhir:EvidenceVariable.characteristic.exclude[ boolean ]; # 0..1 Whether the characteristic includes or excludes members
 fhir:EvidenceVariable.characteristic.timeFromStart[ # 0..1 Observation time from study start
 fhir:EvidenceVariable.characteristic.timeFromStart.description[ string ]; # 0..1 Human readable description
 fhir:EvidenceVariable.characteristic.timeFromStart.quantity[ Quantity ]; # 0..1 Used to express the observation at a defined amount of time after the study start
 fhir:EvidenceVariable.characteristic.timeFromStart.range[ Range ]; # 0..1 Used to express the observation within a period after the study start
 fhir:EvidenceVariable.characteristic.timeFromStart.note[ Annotation ], ... ; # 0..* Used for footnotes or explanatory notes
 ];
 fhir:EvidenceVariable.characteristic.groupMeasure[ code ]; # 0..1 mean | median | mean-of-mean | mean-of-median | median-of-mean | median-of-median
 ], ...;
 fhir:EvidenceVariable.handling[ code ]; # 0..1 continuous | dichotomous | ordinal | polychotomous
 fhir:EvidenceVariable.category[ # 0..* A grouping for ordinal or polychotomous variables
 fhir:EvidenceVariable.category.name[ string ]; # 0..1 Description of the grouping
 # EvidenceVariable.category.value[x]: 0..1 Definition of the grouping. One of these 3
 fhir:EvidenceVariable.category.valueCodeableConcept[ CodeableConcept ]
 fhir:EvidenceVariable.category.valueQuantity[ Quantity ]
 fhir:EvidenceVariable.category.valueRange[ Range ]
 ], ...;
]

Changes since R4

EvidenceVariable.actual
  • Added Element
EvidenceVariable.characteristicCombination
  • Added Element
EvidenceVariable.characteristic
  • Min Cardinality changed from 1 to 0
EvidenceVariable.characteristic.definition[x]
  • Remove Types DataRequirement, TriggerDefinition
EvidenceVariable.characteristic.method
  • Added Element
EvidenceVariable.characteristic.device
  • Added Element
EvidenceVariable.characteristic.timeFromStart
  • Type changed from Duration to BackboneElement
EvidenceVariable.characteristic.timeFromStart.description
  • Added Element
EvidenceVariable.characteristic.timeFromStart.quantity
  • Added Element
EvidenceVariable.characteristic.timeFromStart.range
  • Added Element
EvidenceVariable.characteristic.timeFromStart.note
  • Added Element
EvidenceVariable.handling
  • Added Element
EvidenceVariable.category
  • Added Element
EvidenceVariable.category.name
  • Added Element
EvidenceVariable.category.value[x]
  • Added Element
EvidenceVariable.jurisdiction
  • deleted
EvidenceVariable.copyright
  • deleted
EvidenceVariable.approvalDate
  • deleted
EvidenceVariable.lastReviewDate
  • deleted
EvidenceVariable.effectivePeriod
  • deleted
EvidenceVariable.topic
  • deleted
EvidenceVariable.type
  • deleted
EvidenceVariable.characteristic.usageContext
  • deleted
EvidenceVariable.characteristic.participantEffective[x]
  • deleted

See the Full Difference for further information

This analysis is available as XML or JSON.

Conversions between R3 and R4

Structure

Name Flags Card. Type Description & Constraints doco
.. EvidenceVariable TU DomainResource A definition of an exposure, outcome, or other variable
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... url Σ 0..1uri Canonical identifier for this evidence variable, represented as a URI (globally unique)
... identifier Σ 0..*Identifier Additional identifier for the evidence variable
... version Σ 0..1string Business version of the evidence variable
... title Σ 0..1string Name for this evidence variable (human friendly)
... shortTitle Σ 0..1string Title for use in informal contexts
... subtitle 0..1string Subordinate title of the EvidenceVariable
... status ?! Σ 1..1code draft | active | retired | unknown
PublicationStatus (Required)
... date Σ 0..1dateTime Date last changed
... description Σ 0..1markdown Natural language description of the evidence variable
... note 0..*Annotation Used for footnotes or explanatory notes
... useContext Σ 0..*UsageContext The context that the content is intended to support
... publisher Σ 0..1string Name of the publisher (organization or individual)
... contact Σ 0..*ContactDetail Contact details for the publisher
... author 0..*ContactDetail Who authored the content
... editor 0..*ContactDetail Who edited the content
... reviewer 0..*ContactDetail Who reviewed the content
... endorser 0..*ContactDetail Who endorsed the content
... relatedArtifact 0..*RelatedArtifact Additional documentation, citations, etc.
... actual 0..1boolean Actual or conceptual
... characteristicCombination 0..1code intersection | union
CharacteristicCombination (Required)
... characteristic Σ 0..*BackboneElement What defines the members of the evidence element
.... description 0..1string Natural language description of the characteristic
.... definition[x] Σ 1..1What code or expression defines members?
..... definitionReferenceReference(Group | EvidenceVariable)
..... definitionCanonicalcanonical(Any)
..... definitionCodeableConceptCodeableConcept
..... definitionExpressionExpression
.... method 0..1CodeableConcept Method used for describing characteristic
CharacteristicMethod (Example)
.... device 0..1Reference(Device | DeviceMetric)Device used for determining characteristic
.... exclude 0..1boolean Whether the characteristic includes or excludes members
.... timeFromStart 0..1BackboneElement Observation time from study start
..... description 0..1string Human readable description
..... quantity 0..1Quantity Used to express the observation at a defined amount of time after the study start
..... range 0..1Range Used to express the observation within a period after the study start
..... note 0..*Annotation Used for footnotes or explanatory notes
.... groupMeasure 0..1code mean | median | mean-of-mean | mean-of-median | median-of-mean | median-of-median
GroupMeasure (Required)
... handling Σ 0..1code continuous | dichotomous | ordinal | polychotomous
EvidenceVariableHandling (Required)
... category 0..*BackboneElement A grouping for ordinal or polychotomous variables
.... name 0..1string Description of the grouping
.... value[x] 0..1Definition of the grouping
..... valueCodeableConceptCodeableConcept
..... valueQuantityQuantity
..... valueRangeRange

doco Documentation for this format

UML Diagram (Legend)

EvidenceVariable (DomainResource)An absolute URI that is used to identify this evidence variable when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this evidence variable is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the evidence variable is stored on different serversurl : uri [0..1]A formal identifier that is used to identify this evidence variable when it is represented in other formats, or referenced in a specification, model, design or an instanceidentifier : Identifier [0..*]The identifier that is used to identify this version of the evidence variable when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the evidence variable author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifactsversion : string [0..1]A natural language name identifying the evidence variable. This name should be usable as an identifier for the module by machine processing applications such as code generationname : string [0..1]A short, descriptive, user-friendly title for the evidence variabletitle : string [0..1]The short title provides an alternate title for use in informal descriptive contexts where the full, formal title is not necessaryshortTitle : string [0..1]An explanatory or alternate title for the EvidenceVariable giving additional information about its contentsubtitle : string [0..1]The status of this evidence variable. Enables tracking the life-cycle of the content (this element modifies the meaning of other elements)status : code [1..1] « null (Strength=Required)PublicationStatus! »The date (and optionally time) when the evidence variable was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the evidence variable changesdate : dateTime [0..1]A free text natural language description of the evidence variable from a consumer's perspectivedescription : markdown [0..1]A human-readable string to clarify or explain concepts about the resourcenote : Annotation [0..*]The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate evidence variable instancesuseContext : UsageContext [0..*]The name of the organization or individual that published the evidence variablepublisher : string [0..1]Contact details to assist a user in finding and communicating with the publishercontact : ContactDetail [0..*]An individiual or organization primarily involved in the creation and maintenance of the contentauthor : ContactDetail [0..*]An individual or organization primarily responsible for internal coherence of the contenteditor : ContactDetail [0..*]An individual or organization primarily responsible for review of some aspect of the contentreviewer : ContactDetail [0..*]An individual or organization responsible for officially endorsing the content for use in some settingendorser : ContactDetail [0..*]Related artifacts such as additional documentation, justification, or bibliographic referencesrelatedArtifact : RelatedArtifact [0..*]True if the actual variable measured, false if a conceptual representation of the intended variableactual : boolean [0..1]Used to specify if two or more characteristics are combined with OR or ANDcharacteristicCombination : code [0..1] « null (Strength=Required)CharacteristicCombination! »Used for an outcome to classifyhandling : code [0..1] « null (Strength=Required)EvidenceVariableHandling! »CharacteristicA short, natural language description of the characteristic that could be used to communicate the criteria to an end-userdescription : string [0..1]Define members of the evidence element using Codes (such as condition, medication, or observation), Expressions ( using an expression language such as FHIRPath or CQL) or DataRequirements (such as Diabetes diagnosis onset in the last year)definition[x] : Element [1..1] « Reference(Group|EvidenceVariable)| canonical(Any)|CodeableConcept|Expression »Method used for describing characteristicmethod : CodeableConcept [0..1] « null (Strength=Example)CharacteristicMethod?? »Device used for determining characteristicdevice : Reference [0..1] « Device|DeviceMetric »When true, members with this characteristic are excluded from the elementexclude : boolean [0..1]Indicates how elements are aggregated within the study effective periodgroupMeasure : code [0..1] « null (Strength=Required)GroupMeasure! »TimeFromStartA short, natural language descriptiondescription : string [0..1]Used to express the observation at a defined amount of time after the study startquantity : Quantity [0..1]Used to express the observation within a period after the study startrange : Range [0..1]A human-readable string to clarify or explain concepts about the resourcenote : Annotation [0..*]CategoryA human-readable title or representation of the groupingname : string [0..1]Value or set of values that define the groupingvalue[x] : Element [0..1] « CodeableConcept|Quantity|Range »Indicates duration, period, or point of observation from the participant's study entrytimeFromStart [0..1]A characteristic that defines the members of the evidence element. Multiple characteristics are applied with "and" semanticscharacteristic [0..*]A grouping (or set of values) described along with other groupings to specify the set of groupings allowed for the variablecategory [0..*]

XML Template

<EvidenceVariable xmlns="http://hl7.org/fhir"> doco 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <url value="[uri ]"/><!-- 0..1 Canonical identifier for this evidence variable, represented as a URI (globally unique)  -->
 <identifier><!-- 0..* Identifier  Additional identifier for the evidence variable  --></identifier>
 <version value="[string ]"/><!-- 0..1 Business version of the evidence variable  -->
 <name value="[string ]"/><!-- ?? 0..1 Name for this evidence variable (computer friendly)  -->
 <title value="[string ]"/><!-- 0..1 Name for this evidence variable (human friendly)  -->
 <shortTitle value="[string ]"/><!-- 0..1 Title for use in informal contexts  -->
 <subtitle value="[string ]"/><!-- 0..1 Subordinate title of the EvidenceVariable  -->
 <status value="[code ]"/><!-- 1..1 draft | active | retired | unknown  -->
 <date value="[dateTime ]"/><!-- 0..1 Date last changed  -->
 <description value="[markdown ]"/><!-- 0..1 Natural language description of the evidence variable  -->
 <note><!-- 0..* Annotation  Used for footnotes or explanatory notes  --></note>
 <useContext><!-- 0..* UsageContext  The context that the content is intended to support  --></useContext>
 <publisher value="[string ]"/><!-- 0..1 Name of the publisher (organization or individual)  -->
 <contact><!-- 0..* ContactDetail  Contact details for the publisher  --></contact>
 <author><!-- 0..* ContactDetail  Who authored the content  --></author>
 <editor><!-- 0..* ContactDetail  Who edited the content  --></editor>
 <reviewer><!-- 0..* ContactDetail  Who reviewed the content  --></reviewer>
 <endorser><!-- 0..* ContactDetail  Who endorsed the content  --></endorser>
 <relatedArtifact><!-- 0..* RelatedArtifact  Additional documentation, citations, etc.  --></relatedArtifact>
 <actual value="[boolean ]"/><!-- 0..1 Actual or conceptual  -->
 <characteristicCombination value="[code ]"/><!-- 0..1 intersection | union  -->
 <characteristic> <!-- 0..* What defines the members of the evidence element -->
 <description value="[string ]"/><!-- 0..1 Natural language description of the characteristic  -->
 <definition[x]><!-- 1..1 Reference(EvidenceVariable|Group)|canonical(Any)|
 CodeableConcept|Expression  What code or expression defines members?  --></definition[x]>
 <method><!-- 0..1 CodeableConcept  Method used for describing characteristic  --></method>
 <device><!-- 0..1 Reference(Device|DeviceMetric) Device used for determining characteristic  --></device>
 <exclude value="[boolean ]"/><!-- 0..1 Whether the characteristic includes or excludes members  -->
 <timeFromStart> <!-- 0..1 Observation time from study start -->
 <description value="[string ]"/><!-- 0..1 Human readable description  -->
 <quantity><!-- 0..1 Quantity  Used to express the observation at a defined amount of time after the study start  --></quantity>
 <range><!-- 0..1 Range  Used to express the observation within a period after the study start  --></range>
 <note><!-- 0..* Annotation  Used for footnotes or explanatory notes  --></note>
 </timeFromStart>
 <groupMeasure value="[code ]"/><!-- 0..1 mean | median | mean-of-mean | mean-of-median | median-of-mean | median-of-median  -->
 </characteristic>
 <handling value="[code ]"/><!-- 0..1 continuous | dichotomous | ordinal | polychotomous  -->
 <category> <!-- 0..* A grouping for ordinal or polychotomous variables -->
 <name value="[string ]"/><!-- 0..1 Description of the grouping  -->
 <value[x]><!-- 0..1 CodeableConcept|Quantity|Range  Definition of the grouping  --></value[x]>
 </category>
</EvidenceVariable>

JSON Template

{doco 
 "resourceType" : "EvidenceVariable",
 // from Resource: id, meta, implicitRules, and language
 // from DomainResource: text, contained, extension, and modifierExtension
 "url" : "<uri >", // Canonical identifier for this evidence variable, represented as a URI (globally unique) 
 "identifier" : [{ Identifier  }], // Additional identifier for the evidence variable 
 "version" : "<string >", // Business version of the evidence variable 
 "name" : "<string >", // C? Name for this evidence variable (computer friendly) 
 "title" : "<string >", // Name for this evidence variable (human friendly) 
 "shortTitle" : "<string >", // Title for use in informal contexts 
 "subtitle" : "<string >", // Subordinate title of the EvidenceVariable 
 "status" : "<code >", // R! draft | active | retired | unknown 
 "date" : "<dateTime >", // Date last changed 
 "description" : "<markdown >", // Natural language description of the evidence variable 
 "note" : [{ Annotation  }], // Used for footnotes or explanatory notes 
 "useContext" : [{ UsageContext  }], // The context that the content is intended to support 
 "publisher" : "<string >", // Name of the publisher (organization or individual) 
 "contact" : [{ ContactDetail  }], // Contact details for the publisher 
 "author" : [{ ContactDetail  }], // Who authored the content 
 "editor" : [{ ContactDetail  }], // Who edited the content 
 "reviewer" : [{ ContactDetail  }], // Who reviewed the content 
 "endorser" : [{ ContactDetail  }], // Who endorsed the content 
 "relatedArtifact" : [{ RelatedArtifact  }], // Additional documentation, citations, etc. 
 "actual" : <boolean >, // Actual or conceptual 
 "characteristicCombination" : "<code >", // intersection | union 
 "characteristic" : [{ // What defines the members of the evidence element 
 "description" : "<string >", // Natural language description of the characteristic 
 // definition[x]: What code or expression defines members?. One of these 4:
 "definitionReference" : { Reference(EvidenceVariable|Group) },
 "definitionCanonical" : { canonical(Any) },
 "definitionCodeableConcept" : { CodeableConcept  },
 "definitionExpression" : { Expression  },
 "method" : { CodeableConcept  }, // Method used for describing characteristic 
 "device" : { Reference(Device|DeviceMetric) }, // Device used for determining characteristic 
 "exclude" : <boolean >, // Whether the characteristic includes or excludes members 
 "timeFromStart" : { // Observation time from study start 
 "description" : "<string >", // Human readable description 
 "quantity" : { Quantity  }, // Used to express the observation at a defined amount of time after the study start 
 "range" : { Range  }, // Used to express the observation within a period after the study start 
 "note" : [{ Annotation  }] // Used for footnotes or explanatory notes 
 },
 "groupMeasure" : "<code >" // mean | median | mean-of-mean | mean-of-median | median-of-mean | median-of-median 
 }],
 "handling" : "<code >", // continuous | dichotomous | ordinal | polychotomous 
 "category" : [{ // A grouping for ordinal or polychotomous variables 
 "name" : "<string >", // Description of the grouping 
 // value[x]: Definition of the grouping. One of these 3:
 "valueCodeableConcept" : { CodeableConcept  }
 "valueQuantity" : { Quantity  }
 "valueRange" : { Range  }
 }]
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco 
[ a fhir:EvidenceVariable;
 fhir:nodeRole fhir:treeRoot; # if this is the parser root
 # from Resource: .id, .meta, .implicitRules, and .language
 # from DomainResource: .text, .contained, .extension, and .modifierExtension
 fhir:EvidenceVariable.url[ uri ]; # 0..1 Canonical identifier for this evidence variable, represented as a URI (globally unique)
 fhir:EvidenceVariable.identifier[ Identifier ], ... ; # 0..* Additional identifier for the evidence variable
 fhir:EvidenceVariable.version[ string ]; # 0..1 Business version of the evidence variable
 fhir:EvidenceVariable.name[ string ]; # 0..1 Name for this evidence variable (computer friendly)
 fhir:EvidenceVariable.title[ string ]; # 0..1 Name for this evidence variable (human friendly)
 fhir:EvidenceVariable.shortTitle[ string ]; # 0..1 Title for use in informal contexts
 fhir:EvidenceVariable.subtitle[ string ]; # 0..1 Subordinate title of the EvidenceVariable
 fhir:EvidenceVariable.status[ code ]; # 1..1 draft | active | retired | unknown
 fhir:EvidenceVariable.date[ dateTime ]; # 0..1 Date last changed
 fhir:EvidenceVariable.description[ markdown ]; # 0..1 Natural language description of the evidence variable
 fhir:EvidenceVariable.note[ Annotation ], ... ; # 0..* Used for footnotes or explanatory notes
 fhir:EvidenceVariable.useContext[ UsageContext ], ... ; # 0..* The context that the content is intended to support
 fhir:EvidenceVariable.publisher[ string ]; # 0..1 Name of the publisher (organization or individual)
 fhir:EvidenceVariable.contact[ ContactDetail ], ... ; # 0..* Contact details for the publisher
 fhir:EvidenceVariable.author[ ContactDetail ], ... ; # 0..* Who authored the content
 fhir:EvidenceVariable.editor[ ContactDetail ], ... ; # 0..* Who edited the content
 fhir:EvidenceVariable.reviewer[ ContactDetail ], ... ; # 0..* Who reviewed the content
 fhir:EvidenceVariable.endorser[ ContactDetail ], ... ; # 0..* Who endorsed the content
 fhir:EvidenceVariable.relatedArtifact[ RelatedArtifact ], ... ; # 0..* Additional documentation, citations, etc.
 fhir:EvidenceVariable.actual[ boolean ]; # 0..1 Actual or conceptual
 fhir:EvidenceVariable.characteristicCombination[ code ]; # 0..1 intersection | union
 fhir:EvidenceVariable.characteristic[ # 0..* What defines the members of the evidence element
 fhir:EvidenceVariable.characteristic.description[ string ]; # 0..1 Natural language description of the characteristic
 # EvidenceVariable.characteristic.definition[x]: 1..1 What code or expression defines members?. One of these 4
 fhir:EvidenceVariable.characteristic.definitionReference[ Reference(EvidenceVariable|Group) ]
 fhir:EvidenceVariable.characteristic.definitionCanonical[ canonical(Any) ]
 fhir:EvidenceVariable.characteristic.definitionCodeableConcept[ CodeableConcept ]
 fhir:EvidenceVariable.characteristic.definitionExpression[ Expression ]
 fhir:EvidenceVariable.characteristic.method[ CodeableConcept ]; # 0..1 Method used for describing characteristic
 fhir:EvidenceVariable.characteristic.device[ Reference(Device|DeviceMetric) ]; # 0..1 Device used for determining characteristic
 fhir:EvidenceVariable.characteristic.exclude[ boolean ]; # 0..1 Whether the characteristic includes or excludes members
 fhir:EvidenceVariable.characteristic.timeFromStart[ # 0..1 Observation time from study start
 fhir:EvidenceVariable.characteristic.timeFromStart.description[ string ]; # 0..1 Human readable description
 fhir:EvidenceVariable.characteristic.timeFromStart.quantity[ Quantity ]; # 0..1 Used to express the observation at a defined amount of time after the study start
 fhir:EvidenceVariable.characteristic.timeFromStart.range[ Range ]; # 0..1 Used to express the observation within a period after the study start
 fhir:EvidenceVariable.characteristic.timeFromStart.note[ Annotation ], ... ; # 0..* Used for footnotes or explanatory notes
 ];
 fhir:EvidenceVariable.characteristic.groupMeasure[ code ]; # 0..1 mean | median | mean-of-mean | mean-of-median | median-of-mean | median-of-median
 ], ...;
 fhir:EvidenceVariable.handling[ code ]; # 0..1 continuous | dichotomous | ordinal | polychotomous
 fhir:EvidenceVariable.category[ # 0..* A grouping for ordinal or polychotomous variables
 fhir:EvidenceVariable.category.name[ string ]; # 0..1 Description of the grouping
 # EvidenceVariable.category.value[x]: 0..1 Definition of the grouping. One of these 3
 fhir:EvidenceVariable.category.valueCodeableConcept[ CodeableConcept ]
 fhir:EvidenceVariable.category.valueQuantity[ Quantity ]
 fhir:EvidenceVariable.category.valueRange[ Range ]
 ], ...;
]

Changes since Release 4

EvidenceVariable.actual
  • Added Element
EvidenceVariable.characteristicCombination
  • Added Element
EvidenceVariable.characteristic
  • Min Cardinality changed from 1 to 0
EvidenceVariable.characteristic.definition[x]
  • Remove Types DataRequirement, TriggerDefinition
EvidenceVariable.characteristic.method
  • Added Element
EvidenceVariable.characteristic.device
  • Added Element
EvidenceVariable.characteristic.timeFromStart
  • Type changed from Duration to BackboneElement
EvidenceVariable.characteristic.timeFromStart.description
  • Added Element
EvidenceVariable.characteristic.timeFromStart.quantity
  • Added Element
EvidenceVariable.characteristic.timeFromStart.range
  • Added Element
EvidenceVariable.characteristic.timeFromStart.note
  • Added Element
EvidenceVariable.handling
  • Added Element
EvidenceVariable.category
  • Added Element
EvidenceVariable.category.name
  • Added Element
EvidenceVariable.category.value[x]
  • Added Element
EvidenceVariable.jurisdiction
  • deleted
EvidenceVariable.copyright
  • deleted
EvidenceVariable.approvalDate
  • deleted
EvidenceVariable.lastReviewDate
  • deleted
EvidenceVariable.effectivePeriod
  • deleted
EvidenceVariable.topic
  • deleted
EvidenceVariable.type
  • deleted
EvidenceVariable.characteristic.usageContext
  • deleted
EvidenceVariable.characteristic.participantEffective[x]
  • deleted

See the Full Difference for further information

This analysis is available as XML or JSON.

Conversions between R3 and R4

See the Profiles & Extensions and the alternate definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions & the dependency analysis

14.11.4.1 Terminology Bindings

PathDefinitionTypeReference
EvidenceVariable.status Required PublicationStatus
EvidenceVariable.characteristicCombination Required CharacteristicCombination
EvidenceVariable.characteristic.method Example CharacteristicMethod
EvidenceVariable.characteristic.groupMeasure Required GroupMeasure
EvidenceVariable.handling Required EvidenceVariableHandling

14.11.4.2 Constraints

id Level Location Description Expression
cnl-0 Warning (base) Name should be usable as an identifier for the module by machine processing applications such as code generation name.exists() implies name.matches('[A-Z]([A-Za-z0-9_]){0,254}')

14.11.5 Search Parameters

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

Name Type Description Expression In Common
context token A use context assigned to the evidence variable (EvidenceVariable.useContext.value as CodeableConcept)
context-quantity quantity A quantity- or range-valued use context assigned to the evidence variable (EvidenceVariable.useContext.value as Quantity) | (EvidenceVariable.useContext.value as Range)
context-type token A type of use context assigned to the evidence variable EvidenceVariable.useContext.code
context-type-quantity composite A use context type and quantity- or range-based value assigned to the evidence variable On EvidenceVariable.useContext:
context-type: code
context-quantity: value.as(Quantity) | value.as(Range)
context-type-value composite A use context type and value assigned to the evidence variable On EvidenceVariable.useContext:
context-type: code
context: value.as(CodeableConcept)
date N date The evidence variable publication date EvidenceVariable.date
description N string The description of the evidence variable EvidenceVariable.description
identifier token External identifier for the evidence variable EvidenceVariable.identifier
name N string Computationally friendly name of the evidence variable EvidenceVariable.name
publisher N string Name of the publisher of the evidence variable EvidenceVariable.publisher
status N token The current status of the evidence variable EvidenceVariable.status
title N string The human-friendly name of the evidence variable EvidenceVariable.title
url N uri The uri that identifies the evidence variable EvidenceVariable.url
version N token The business version of the evidence variable EvidenceVariable.version

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