type: resourceresource: ArtifactAssessment

ArtifactAssessment

The ArtifactAssessment Resource represents one or more assessments of another record or resource. The resource captures metadata about the assessment, as well as the data for the results of the assessment which might include comments, classifications, ratings, questions, and responses.

The ArtifactAssessment Resource provides a structure to communicate judgments or qualitative data about a record (a resource or other set of data with a known identity or URL by which it can be accessed), including comments, corrections, classifications, and ratings. The ArtifactAssessment Resource is used when the content attribution and management rights differ from the record being commented upon, or the commenter desires to separate the comments from the target record. The scope is intended to cover assessments (added information) regarding clinical records about individual human subjects, assessments (added information) regarding healthcare provision for individual persons (such as care plans), and assessments (added information) regarding records related to community knowledge such as scientific evidence and group-oriented guidance.

Boundaries and Relationships

ArtifactAssessment may by referenced by ArtifactAssessment and by Task.

ArtifactAssessment may reference any resource of 'community knowledge' and will likely reference Evidence, EvidenceVariable, PlanDefinition, ActivityDefinition, Library, Measure, and Citation. ArtifactAssessment may reference any resource of a 'medical record' and will likely reference DocumentReference, Composition, CarePlan, and DiagnosticReport.

ArtifactAssessment is about the content of a Resource and not about the provenance of the Resource so should not be confused with Provenance.

ArtifactAssessment is not used for communications that are not about a Resource so should not be confused with Communication or Composition (or profiles of Composition) which may be used for the primary communication about the subject matter.

Observation Resource is used extensively for observations about people, groups, devices, locations, substances, and procedures – not about the record describing these entities. ArtifiactAssessment is used for observations where the subject is the artifact or record, not the entity described by the artifact. Simple "assessments" about an Observation such as status, dataAbsentReason, interpretation and note would use the Observation Resource where this is already structured. ArtifactAssessment Resource may be used for complex assessments of an Observation such as justifications for reasons to correct the record.

Background and Context

Across healthcare communities, there are an extensive number of comments and corrections regarding resources where the commenter is not able or permitted to modify the resource content, and there are many situations in which assessments with classifications and ratings of medical record content are made by parties who would not include the assessments in the medical record. Across the academic, scientific, quality measurement development, and clinical decision support communities there is an extensive need to report assessments and feedback about resources and records. These artifact assessments may take multiple forms (including text, classifications, ratings or measurements) and might or might not be created, queried and maintained independently from the artifact being rated or commented upon.

StructureDefinition

Elements (Simplified)

ArtifactAssessment [0..*]: - Adds metadata-supported comments, classifiers or ratings related to a Resource
ArtifactAssessment.identifier [0..*]: Identifier Additional identifier for the artifact assessment
ArtifactAssessment.title [0..1]: string A label for use in displaying and selecting the artifact assessment
ArtifactAssessment.citeAs [0..1]: markdown How to cite the comment or rating
ArtifactAssessment.artifact[x] [1..1]: Reference(Any), canonical, uri The artifact assessed, commented upon or rated
ArtifactAssessment.relatesTo [0..*]: BackboneElement Relationship to other Resources
ArtifactAssessment.relatesTo.type [1..1]: CodeableConcept extensible:artifact-relationship-type documentation | justification | citation | 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 | documents | specification-of | created-with | cite-as | reprint | reprint-of | summarizes
ArtifactAssessment.relatesTo.target[x] [1..1]: uri, Attachment, canonical, Reference(Resource), markdown The artifact that is related to this ArtifactAssessment
ArtifactAssessment.date [0..1]: dateTime Date last changed
ArtifactAssessment.copyright [0..1]: markdown Notice about intellectual property ownership, can include restrictions on use
ArtifactAssessment.approvalDate [0..1]: date When the artifact assessment was approved by publisher
ArtifactAssessment.lastReviewDate [0..1]: date When the artifact assessment was last reviewed by the publisher
ArtifactAssessment.content [0..*]: BackboneElement Comment, classifier, or rating content
ArtifactAssessment.content.summary [0..1]: markdown Brief summary of the content
ArtifactAssessment.content.type [0..1]: CodeableConcept example:certainty-type What type of content
ArtifactAssessment.content.classifier [0..*]: CodeableConcept example:certainty-rating Rating, classifier, or assessment
ArtifactAssessment.content.quantity [0..1]: Quantity Quantitative rating
ArtifactAssessment.content.author [0..*]: [Reference(Patient](/Reference(Patient), Practitioner, PractitionerRole, Organization, Device)) Who authored the content
ArtifactAssessment.content.path [0..*]: uri What the comment is directed to
ArtifactAssessment.content.relatesTo [0..*]: - Relationship to other Resources
ArtifactAssessment.content.freeToShare [0..1]: boolean Acceptable to publicly share the content
ArtifactAssessment.content.component [0..*]: - Comment, classifier, or rating content
ArtifactAssessment.workflowStatus [0..1]: code required:artifactassessment-workflow-status submitted | triaged | waiting-for-input | resolved-no-change | resolved-change-required | deferred | duplicate | applied | published | entered-in-error
ArtifactAssessment.disposition [0..1]: code required:artifactassessment-disposition unresolved | not-persuasive | persuasive | persuasive-with-modification | not-persuasive-with-modification

Mappings

ArtifactAssessment Mappings — 14 mapping entries

Resource Packs

list-ArtifactAssessment-packs.xml

<?xml version="1.0" encoding="UTF-8"?>

<List xmlns="http://hl7.org/fhir">
  <id value="ArtifactAssessment-packs"/>
  <status value="current"/>
  <mode value="working"/>
</List>

Search Parameters

date — date — The artifact assessment publication date — ArtifactAssessment.date
identifier — token — The artifact assessment identifier — ArtifactAssessment.identifier

Full Search Parameters

Examples

artifactassessment-example-certainty-rating — artifactassessment-example-certainty-rating
artifactassessment-example-justification-for-recommendation — artifactassessment-example-justification-for-recommendation
artifactassessment-example-risk-of-bias-assessment-of-parachute-trial — artifactassessment-example-risk-of-bias-assessment-of-parachute-trial
artifactassessment-examples-header — artifactassessment-examples-header
example-certainty-rating — artifactassessment-example-certainty-rating — Certainty Rating of all-cause mortality in meta-analysis of RCTs of heparin for moderately ill patients with COVID-19
example-justification-for-recommendation — artifactassessment-example-justification-for-recommendation — Justification for Recommendation: ADA Obesity Management Recommendation
example-risk-of-bias-assessment-of-parachute-trial — artifactassessment-example-risk-of-bias-assessment-of-parachute-trial — This is an example of the RiskOfBias Profile.
risk-of-bias-example — artifactassessment-risk-of-bias-example — ArtifactAssessment that contains a series of nested ratings to document the risk of bias assessment of an Evidence resource

Full Examples

FiveWs.author — Unknown
FiveWs.actor — Unknown
FiveWs.cause — Unknown
FiveWs.version — Unknown
FiveWs.witness — Unknown
FiveWs.class — Unknown
FiveWs.where — Unknown
FiveWs.context — Unknown
FiveWs.init — Unknown
FiveWs.why — Unknown
FiveWs.source — Unknown
FiveWs.who — Unknown
FiveWs.grade — Unknown
FiveWs.status — Unknown
FiveWs.planned — Unknown
FiveWs.done — Unknown
FiveWs.subject — Unknown

ArtifactAssessment

Introduction

Scope and Usage