Release 4
Clinical ReasoningThis page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU) in it's permanent home (it will always be available at this URL). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
| Clinical Decision Support Work Group | Maturity Level: 0 | Trial Use | Security Category: Business | Compartments: Not linked to any defined compartments |
Detailed Descriptions for the elements in the RiskEvidenceSynthesis resource.
| RiskEvidenceSynthesis | |||||||||
| Element Id | RiskEvidenceSynthesis | ||||||||
| Definition | The RiskEvidenceSynthesis resource describes the likelihood of an outcome in a population plus exposure state where the risk estimate is derived from a combination of research studies. | ||||||||
| Cardinality | 0..* | ||||||||
| Type | DomainResource | ||||||||
| Invariants |
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| RiskEvidenceSynthesis.url | |||||||||
| Element Id | RiskEvidenceSynthesis.url | ||||||||
| Definition | An absolute URI that is used to identify this risk evidence synthesis 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 risk evidence synthesis is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the risk evidence synthesis is stored on different servers. | ||||||||
| Cardinality | 0..1 | ||||||||
| Type | uri | ||||||||
| Requirements | Allows the risk evidence synthesis to be referenced by a single globally unique identifier. | ||||||||
| Summary | true | ||||||||
| Comments | Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version. The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions. In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found. | ||||||||
| RiskEvidenceSynthesis.identifier | |||||||||
| Element Id | RiskEvidenceSynthesis.identifier | ||||||||
| Definition | A formal identifier that is used to identify this risk evidence synthesis when it is represented in other formats, or referenced in a specification, model, design or an instance. | ||||||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||||||
| Cardinality | 0..* | ||||||||
| Type | Identifier | ||||||||
| Requirements | Allows externally provided and/or usable business identifiers to be easily associated with the module. | ||||||||
| Summary | true | ||||||||
| Comments | Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this risk evidence synthesis outside of FHIR, where it is not possible to use the logical URI. | ||||||||
| RiskEvidenceSynthesis.version | |||||||||
| Element Id | RiskEvidenceSynthesis.version | ||||||||
| Definition | The identifier that is used to identify this version of the risk evidence synthesis when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the risk evidence synthesis 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. | ||||||||
| Note | This is a business versionId, not a resource version id (see discussion) | ||||||||
| Cardinality | 0..1 | ||||||||
| Type | string | ||||||||
| Summary | true | ||||||||
| Comments | There may be different risk evidence synthesis instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the risk evidence synthesis with the format [url]|[version]. | ||||||||
| RiskEvidenceSynthesis.name | |||||||||
| Element Id | RiskEvidenceSynthesis.name | ||||||||
| Definition | A natural language name identifying the risk evidence synthesis. This name should be usable as an identifier for the module by machine processing applications such as code generation. | ||||||||
| Cardinality | 0..1 | ||||||||
| Type | string | ||||||||
| Requirements | Support human navigation and code generation. | ||||||||
| Summary | true | ||||||||
| Comments | The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly. | ||||||||
| Invariants |
| ||||||||
| To Do | Note: This was added back in because this is a metadata resource and it's a required element for metadata resource searching. | ||||||||
| RiskEvidenceSynthesis.title | |||||||||
| Element Id | RiskEvidenceSynthesis.title | ||||||||
| Definition | A short, descriptive, user-friendly title for the risk evidence synthesis. | ||||||||
| Cardinality | 0..1 | ||||||||
| Type | string | ||||||||
| Summary | true | ||||||||
| Comments | This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc. | ||||||||
| To Do | Note: This was added back in because this is a metadata resource and it's a required element for metadata resource searching. | ||||||||
| RiskEvidenceSynthesis.status | |||||||||
| Element Id | RiskEvidenceSynthesis.status | ||||||||
| Definition | The status of this risk evidence synthesis. Enables tracking the life-cycle of the content. | ||||||||
| Cardinality | 1..1 | ||||||||
| Terminology Binding | PublicationStatus (Required) | ||||||||
| Type | code | ||||||||
| Is Modifier | true (Reason: This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration) | ||||||||
| Summary | true | ||||||||
| Comments | Allows filtering of risk evidence synthesiss that are appropriate for use versus not. | ||||||||
| RiskEvidenceSynthesis.date | |||||||||
| Element Id | RiskEvidenceSynthesis.date | ||||||||
| Definition | The date (and optionally time) when the risk evidence synthesis 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 risk evidence synthesis changes. | ||||||||
| Cardinality | 0..1 | ||||||||
| Type | dateTime | ||||||||
| Alternate Names | Revision Date | ||||||||
| Summary | true | ||||||||
| Comments | Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the risk evidence synthesis. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource. | ||||||||
| RiskEvidenceSynthesis.publisher | |||||||||
| Element Id | RiskEvidenceSynthesis.publisher | ||||||||
| Definition | The name of the organization or individual that published the risk evidence synthesis. | ||||||||
| Cardinality | 0..1 | ||||||||
| Type | string | ||||||||
| Requirements | Helps establish the "authority/credibility" of the risk evidence synthesis. May also allow for contact. | ||||||||
| Summary | true | ||||||||
| Comments | Usually an organization but may be an individual. The publisher (or steward) of the risk evidence synthesis is the organization or individual primarily responsible for the maintenance and upkeep of the risk evidence synthesis. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the risk evidence synthesis. This item SHOULD be populated unless the information is available from context. | ||||||||
| RiskEvidenceSynthesis.contact | |||||||||
| Element Id | RiskEvidenceSynthesis.contact | ||||||||
| Definition | Contact details to assist a user in finding and communicating with the publisher. | ||||||||
| Cardinality | 0..* | ||||||||
| Type | ContactDetail | ||||||||
| Summary | true | ||||||||
| Comments | May be a web site, an email address, a telephone number, etc. | ||||||||
| RiskEvidenceSynthesis.description | |||||||||
| Element Id | RiskEvidenceSynthesis.description | ||||||||
| Definition | A free text natural language description of the risk evidence synthesis from a consumer's perspective. | ||||||||
| Cardinality | 0..1 | ||||||||
| Type | markdown | ||||||||
| Summary | true | ||||||||
| Comments | This description can be used to capture details such as why the risk evidence synthesis was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the risk evidence synthesis as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the risk evidence synthesis is presumed to be the predominant language in the place the risk evidence synthesis was created). | ||||||||
| RiskEvidenceSynthesis.note | |||||||||
| Element Id | RiskEvidenceSynthesis.note | ||||||||
| Definition | A human-readable string to clarify or explain concepts about the resource. | ||||||||
| Cardinality | 0..* | ||||||||
| Type | Annotation | ||||||||
| RiskEvidenceSynthesis.useContext | |||||||||
| Element Id | RiskEvidenceSynthesis.useContext | ||||||||
| Definition | The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate risk evidence synthesis instances. | ||||||||
| Cardinality | 0..* | ||||||||
| Type | UsageContext | ||||||||
| Requirements | Assist in searching for appropriate content. | ||||||||
| Summary | true | ||||||||
| Comments | When multiple useContexts are specified, there is no expectation that all or any of the contexts apply. | ||||||||
| To Do | Note: This was added back in because this is a metadata resource and it's a required element for metadata resource searching. | ||||||||
| RiskEvidenceSynthesis.jurisdiction | |||||||||
| Element Id | RiskEvidenceSynthesis.jurisdiction | ||||||||
| Definition | A legal or geographic region in which the risk evidence synthesis is intended to be used. | ||||||||
| Cardinality | 0..* | ||||||||
| Terminology Binding | Jurisdiction (Extensible) | ||||||||
| Type | CodeableConcept | ||||||||
| Summary | true | ||||||||
| Comments | It may be possible for the risk evidence synthesis to be used in jurisdictions other than those for which it was originally designed or intended. | ||||||||
| To Do | Note: This was added back in because this is a metadata resource and it's a required element for metadata resource searching. | ||||||||
| RiskEvidenceSynthesis.copyright | |||||||||
| Element Id | RiskEvidenceSynthesis.copyright | ||||||||
| Definition | A copyright statement relating to the risk evidence synthesis and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the risk evidence synthesis. | ||||||||
| Cardinality | 0..1 | ||||||||
| Type | markdown | ||||||||
| Requirements | Consumers must be able to determine any legal restrictions on the use of the risk evidence synthesis and/or its content. | ||||||||
| Alternate Names | License; Restrictions | ||||||||
| RiskEvidenceSynthesis.approvalDate | |||||||||
| Element Id | RiskEvidenceSynthesis.approvalDate | ||||||||
| Definition | The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage. | ||||||||
| Cardinality | 0..1 | ||||||||
| Type | date | ||||||||
| Comments | The 'date' element may be more recent than the approval date because of minor changes or editorial corrections. | ||||||||
| RiskEvidenceSynthesis.lastReviewDate | |||||||||
| Element Id | RiskEvidenceSynthesis.lastReviewDate | ||||||||
| Definition | The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date. | ||||||||
| Cardinality | 0..1 | ||||||||
| Type | date | ||||||||
| Requirements | Gives a sense of how "current" the content is. Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant. | ||||||||
| Comments | If specified, this date follows the original approval date. | ||||||||
| RiskEvidenceSynthesis.effectivePeriod | |||||||||
| Element Id | RiskEvidenceSynthesis.effectivePeriod | ||||||||
| Definition | The period during which the risk evidence synthesis content was or is planned to be in active use. | ||||||||
| Cardinality | 0..1 | ||||||||
| Type | Period | ||||||||
| Requirements | Allows establishing a transition before a resource comes into effect and also allows for a sunsetting process when new versions of the risk evidence synthesis are or are expected to be used instead. | ||||||||
| Summary | true | ||||||||
| Comments | The effective period for a risk evidence synthesis determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015. | ||||||||
| RiskEvidenceSynthesis.topic | |||||||||
| Element Id | RiskEvidenceSynthesis.topic | ||||||||
| Definition | Descriptive topics related to the content of the RiskEvidenceSynthesis. Topics provide a high-level categorization grouping types of EffectEvidenceSynthesiss that can be useful for filtering and searching. | ||||||||
| Cardinality | 0..* | ||||||||
| Terminology Binding | DefinitionTopic (Example) | ||||||||
| Type | CodeableConcept | ||||||||
| Requirements | Repositories must be able to determine how to categorize the RiskEvidenceSynthesis so that it can be found by topical searches. | ||||||||
| RiskEvidenceSynthesis.author | |||||||||
| Element Id | RiskEvidenceSynthesis.author | ||||||||
| Definition | An individiual or organization primarily involved in the creation and maintenance of the content. | ||||||||
| Cardinality | 0..* | ||||||||
| Type | ContactDetail | ||||||||
| RiskEvidenceSynthesis.editor | |||||||||
| Element Id | RiskEvidenceSynthesis.editor | ||||||||
| Definition | An individual or organization primarily responsible for internal coherence of the content. | ||||||||
| Cardinality | 0..* | ||||||||
| Type | ContactDetail | ||||||||
| RiskEvidenceSynthesis.reviewer | |||||||||
| Element Id | RiskEvidenceSynthesis.reviewer | ||||||||
| Definition | An individual or organization primarily responsible for review of some aspect of the content. | ||||||||
| Cardinality | 0..* | ||||||||
| Type | ContactDetail | ||||||||
| RiskEvidenceSynthesis.endorser | |||||||||
| Element Id | RiskEvidenceSynthesis.endorser | ||||||||
| Definition | An individual or organization responsible for officially endorsing the content for use in some setting. | ||||||||
| Cardinality | 0..* | ||||||||
| Type | ContactDetail | ||||||||
| RiskEvidenceSynthesis.relatedArtifact | |||||||||
| Element Id | RiskEvidenceSynthesis.relatedArtifact | ||||||||
| Definition | Related artifacts such as additional documentation, justification, or bibliographic references. | ||||||||
| Cardinality | 0..* | ||||||||
| Type | RelatedArtifact | ||||||||
| Requirements | RiskEvidenceSynthesiss must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content. | ||||||||
| Comments | Each related artifact is either an attachment, or a reference to another resource, but not both. | ||||||||
| RiskEvidenceSynthesis.synthesisType | |||||||||
| Element Id | RiskEvidenceSynthesis.synthesisType | ||||||||
| Definition | Type of synthesis eg meta-analysis. | ||||||||
| Cardinality | 0..1 | ||||||||
| Terminology Binding | SynthesisType (Extensible) | ||||||||
| Type | CodeableConcept | ||||||||
| RiskEvidenceSynthesis.studyType | |||||||||
| Element Id | RiskEvidenceSynthesis.studyType | ||||||||
| Definition | Type of study eg randomized trial. | ||||||||
| Cardinality | 0..1 | ||||||||
| Terminology Binding | StudyType (Extensible) | ||||||||
| Type | CodeableConcept | ||||||||
| RiskEvidenceSynthesis.population | |||||||||
| Element Id | RiskEvidenceSynthesis.population | ||||||||
| Definition | A reference to a EvidenceVariable resource that defines the population for the research. | ||||||||
| Cardinality | 1..1 | ||||||||
| Type | Reference(EvidenceVariable) | ||||||||
| Summary | true | ||||||||
| RiskEvidenceSynthesis.exposure | |||||||||
| Element Id | RiskEvidenceSynthesis.exposure | ||||||||
| Definition | A reference to a EvidenceVariable resource that defines the exposure for the research. | ||||||||
| Cardinality | 0..1 | ||||||||
| Type | Reference(EvidenceVariable) | ||||||||
| Summary | true | ||||||||
| RiskEvidenceSynthesis.outcome | |||||||||
| Element Id | RiskEvidenceSynthesis.outcome | ||||||||
| Definition | A reference to a EvidenceVariable resomece that defines the outcome for the research. | ||||||||
| Cardinality | 1..1 | ||||||||
| Type | Reference(EvidenceVariable) | ||||||||
| Summary | true | ||||||||
| RiskEvidenceSynthesis.sampleSize | |||||||||
| Element Id | RiskEvidenceSynthesis.sampleSize | ||||||||
| Definition | A description of the size of the sample involved in the synthesis. | ||||||||
| Cardinality | 0..1 | ||||||||
| RiskEvidenceSynthesis.sampleSize.description | |||||||||
| Element Id | RiskEvidenceSynthesis.sampleSize.description | ||||||||
| Definition | Human-readable summary of sample size. | ||||||||
| Cardinality | 0..1 | ||||||||
| Type | string | ||||||||
| RiskEvidenceSynthesis.sampleSize.numberOfStudies | |||||||||
| Element Id | RiskEvidenceSynthesis.sampleSize.numberOfStudies | ||||||||
| Definition | Number of studies included in this evidence synthesis. | ||||||||
| Cardinality | 0..1 | ||||||||
| Type | integer | ||||||||
| RiskEvidenceSynthesis.sampleSize.numberOfParticipants | |||||||||
| Element Id | RiskEvidenceSynthesis.sampleSize.numberOfParticipants | ||||||||
| Definition | Number of participants included in this evidence synthesis. | ||||||||
| Cardinality | 0..1 | ||||||||
| Type | integer | ||||||||
| RiskEvidenceSynthesis.riskEstimate | |||||||||
| Element Id | RiskEvidenceSynthesis.riskEstimate | ||||||||
| Definition | The estimated risk of the outcome. | ||||||||
| Cardinality | 0..1 | ||||||||
| Summary | true | ||||||||
| RiskEvidenceSynthesis.riskEstimate.description | |||||||||
| Element Id | RiskEvidenceSynthesis.riskEstimate.description | ||||||||
| Definition | Human-readable summary of risk estimate. | ||||||||
| Cardinality | 0..1 | ||||||||
| Type | string | ||||||||
| RiskEvidenceSynthesis.riskEstimate.type | |||||||||
| Element Id | RiskEvidenceSynthesis.riskEstimate.type | ||||||||
| Definition | Examples include proportion and mean. | ||||||||
| Cardinality | 0..1 | ||||||||
| Terminology Binding | RiskEstimateType (Extensible) | ||||||||
| Type | CodeableConcept | ||||||||
| RiskEvidenceSynthesis.riskEstimate.value | |||||||||
| Element Id | RiskEvidenceSynthesis.riskEstimate.value | ||||||||
| Definition | The point estimate of the risk estimate. | ||||||||
| Cardinality | 0..1 | ||||||||
| Type | decimal | ||||||||
| RiskEvidenceSynthesis.riskEstimate.unitOfMeasure | |||||||||
| Element Id | RiskEvidenceSynthesis.riskEstimate.unitOfMeasure | ||||||||
| Definition | Specifies the UCUM unit for the outcome. | ||||||||
| Cardinality | 0..1 | ||||||||
| Terminology Binding | UCUM Codes (Required) | ||||||||
| Type | CodeableConcept | ||||||||
| RiskEvidenceSynthesis.riskEstimate.denominatorCount | |||||||||
| Element Id | RiskEvidenceSynthesis.riskEstimate.denominatorCount | ||||||||
| Definition | The sample size for the group that was measured for this risk estimate. | ||||||||
| Cardinality | 0..1 | ||||||||
| Type | integer | ||||||||
| RiskEvidenceSynthesis.riskEstimate.numeratorCount | |||||||||
| Element Id | RiskEvidenceSynthesis.riskEstimate.numeratorCount | ||||||||
| Definition | The number of group members with the outcome of interest. | ||||||||
| Cardinality | 0..1 | ||||||||
| Type | integer | ||||||||
| RiskEvidenceSynthesis.riskEstimate.precisionEstimate | |||||||||
| Element Id | RiskEvidenceSynthesis.riskEstimate.precisionEstimate | ||||||||
| Definition | A description of the precision of the estimate for the effect. | ||||||||
| Cardinality | 0..* | ||||||||
| RiskEvidenceSynthesis.riskEstimate.precisionEstimate.type | |||||||||
| Element Id | RiskEvidenceSynthesis.riskEstimate.precisionEstimate.type | ||||||||
| Definition | Examples include confidence interval and interquartile range. | ||||||||
| Cardinality | 0..1 | ||||||||
| Terminology Binding | PrecisionEstimateType (Extensible) | ||||||||
| Type | CodeableConcept | ||||||||
| RiskEvidenceSynthesis.riskEstimate.precisionEstimate.level | |||||||||
| Element Id | RiskEvidenceSynthesis.riskEstimate.precisionEstimate.level | ||||||||
| Definition | Use 95 for a 95% confidence interval. | ||||||||
| Cardinality | 0..1 | ||||||||
| Type | decimal | ||||||||
| RiskEvidenceSynthesis.riskEstimate.precisionEstimate.from | |||||||||
| Element Id | RiskEvidenceSynthesis.riskEstimate.precisionEstimate.from | ||||||||
| Definition | Lower bound of confidence interval. | ||||||||
| Cardinality | 0..1 | ||||||||
| Type | decimal | ||||||||
| RiskEvidenceSynthesis.riskEstimate.precisionEstimate.to | |||||||||
| Element Id | RiskEvidenceSynthesis.riskEstimate.precisionEstimate.to | ||||||||
| Definition | Upper bound of confidence interval. | ||||||||
| Cardinality | 0..1 | ||||||||
| Type | decimal | ||||||||
| RiskEvidenceSynthesis.certainty | |||||||||
| Element Id | RiskEvidenceSynthesis.certainty | ||||||||
| Definition | A description of the certainty of the risk estimate. | ||||||||
| Cardinality | 0..* | ||||||||
| RiskEvidenceSynthesis.certainty.rating | |||||||||
| Element Id | RiskEvidenceSynthesis.certainty.rating | ||||||||
| Definition | A rating of the certainty of the effect estimate. | ||||||||
| Cardinality | 0..* | ||||||||
| Terminology Binding | QualityOfEvidenceRating (Extensible) | ||||||||
| Type | CodeableConcept | ||||||||
| RiskEvidenceSynthesis.certainty.note | |||||||||
| Element Id | RiskEvidenceSynthesis.certainty.note | ||||||||
| Definition | A human-readable string to clarify or explain concepts about the resource. | ||||||||
| Cardinality | 0..* | ||||||||
| Type | Annotation | ||||||||
| RiskEvidenceSynthesis.certainty.certaintySubcomponent | |||||||||
| Element Id | RiskEvidenceSynthesis.certainty.certaintySubcomponent | ||||||||
| Definition | A description of a component of the overall certainty. | ||||||||
| Cardinality | 0..* | ||||||||
| RiskEvidenceSynthesis.certainty.certaintySubcomponent.type | |||||||||
| Element Id | RiskEvidenceSynthesis.certainty.certaintySubcomponent.type | ||||||||
| Definition | Type of subcomponent of certainty rating. | ||||||||
| Cardinality | 0..1 | ||||||||
| Terminology Binding | CertaintySubcomponentType (Extensible) | ||||||||
| Type | CodeableConcept | ||||||||
| RiskEvidenceSynthesis.certainty.certaintySubcomponent.rating | |||||||||
| Element Id | RiskEvidenceSynthesis.certainty.certaintySubcomponent.rating | ||||||||
| Definition | A rating of a subcomponent of rating certainty. | ||||||||
| Cardinality | 0..* | ||||||||
| Terminology Binding | CertaintySubcomponentRating (Extensible) | ||||||||
| Type | CodeableConcept | ||||||||
| RiskEvidenceSynthesis.certainty.certaintySubcomponent.note | |||||||||
| Element Id | RiskEvidenceSynthesis.certainty.certaintySubcomponent.note | ||||||||
| Definition | A human-readable string to clarify or explain concepts about the resource. | ||||||||
| Cardinality | 0..* | ||||||||
| Type | Annotation | ||||||||
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