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Packagehl7.fhir.uv.xver-r5.r3
Resource TypeStructureDefinition
IdStructureDefinition-ext-R5-ResearchStudy.outcomeMeasure.json
FHIR VersionR3

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: StructureDefinition ext-R5-ResearchStudy.outcomeMeasure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionR5: A variable measured during the study (new)
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... extension:name 0..1ExtensionR5: Label for the outcome (new)
..... url 1..1uri"name"
..... value[x] 0..1stringLabel for the outcome
.... extension:type 0..*ExtensionR5: primary | secondary | exploratory (new)
..... url 1..1uri"type"
..... value[x] 0..1CodeableConceptprimary | secondary | exploratory
Binding: R5ResearchStudyObjectiveTypeForR3 (0.1.0) (preferred): defn.
.... extension:description 0..1ExtensionR5: Description of the outcome (new)
..... url 1..1uri"description"
..... value[x] 0..1markdownDescription of the outcome
.... extension:reference 0..1ExtensionR5: Structured outcome definition (new)
..... url 1..1uri"reference"
..... value[x] 0..1Reference(Cross-version Profile for R5.EvidenceVariable for use in FHIR STU3(0.1.0) | Basic)Structured outcome definition
... url 1..1uri"http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.outcomeMeasure"
... value[x] 0..0Value of extension

doco Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "ext-R5-ResearchStudy.outcomeMeasure",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fhir"
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r5.r3"
        },
        {
          "url": "version",
          "valueString": "0.1.0"
        },
        {
          "url": "uri",
          "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.outcomeMeasure",
  "version": "0.1.0",
  "name": "ExtensionResearchStudy_OutcomeMeasure",
  "title": "R5: A variable measured during the study (new)",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T21:02:03.8104715+00:00",
  "publisher": "FHIR Infrastructure",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "R5: `ResearchStudy.outcomeMeasure` (new:BackboneElement)",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "purpose": "This extension is part of the cross-version definitions generated to enable use of the\r\nelement `ResearchStudy.outcomeMeasure` as defined in FHIR R5\r\nin FHIR STU3.\r\n\r\nThe source element is defined as:\r\n`ResearchStudy.outcomeMeasure` 0..* `BackboneElement`\r\n\r\nAcross FHIR versions, the element set has been mapped as:\r\n*  R5: `ResearchStudy.outcomeMeasure` 0..* `BackboneElement`\r\n\r\nFollowing are the generation technical comments:\r\nElement `ResearchStudy.outcomeMeasure` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.outcomeMeasure` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
  "fhirVersion": "3.0.2",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "complex-type",
  "abstract": false,
  "contextType": "resource",
  "context": [
    "ResearchStudy"
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation": "constraint",
  "snapshot": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "R5: A variable measured during the study (new)",
        "definition": "R5: `ResearchStudy.outcomeMeasure` (new:BackboneElement)",
        "comment": "Element `ResearchStudy.outcomeMeasure` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.outcomeMeasure` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nA study may have multiple distinct outcome measures that can be used to assess the overall goal for a study. The goal of a study is in the objective whereas the metric by which the goal is assessed is the outcomeMeasure. Examples: Time to Local Recurrence (TLR), Disease-free Survival (DFS), 30 Day Mortality, Systolic BP",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension",
          "min": 0,
          "max": "*"
        },
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "Extension.id",
        "path": "Extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:name",
        "path": "Extension.extension",
        "sliceName": "name",
        "short": "R5: Label for the outcome (new)",
        "definition": "R5: `ResearchStudy.outcomeMeasure.name` (new:string)",
        "comment": "Element `ResearchStudy.outcomeMeasure.name` is part of an existing definition because parent element `ResearchStudy.outcomeMeasure` requires a cross-version extension.\nElement `ResearchStudy.outcomeMeasure.name` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.outcomeMeasure.name` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `ResearchStudy.outcomeMeasure.name` is part of an existing definition because parent element `ResearchStudy.outcomeMeasure` requires a cross-version extension.\nElement `ResearchStudy.outcomeMeasure.name` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.outcomeMeasure.name` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:name.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:name.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:name.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "name",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:name.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Label for the outcome",
        "definition": "Label for the outcome.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:type",
        "path": "Extension.extension",
        "sliceName": "type",
        "short": "R5: primary | secondary | exploratory (new)",
        "definition": "R5: `ResearchStudy.outcomeMeasure.type` (new:CodeableConcept)",
        "comment": "Element `ResearchStudy.outcomeMeasure.type` is part of an existing definition because parent element `ResearchStudy.outcomeMeasure` requires a cross-version extension.\nElement `ResearchStudy.outcomeMeasure.type` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.outcomeMeasure.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `ResearchStudy.outcomeMeasure.type` is part of an existing definition because parent element `ResearchStudy.outcomeMeasure` requires a cross-version extension.\nElement `ResearchStudy.outcomeMeasure.type` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.outcomeMeasure.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:type.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:type.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:type.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "type",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:type.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "primary | secondary | exploratory",
        "definition": "The parameter or characteristic being assessed as one of the values by which the study is assessed.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "defn.",
          "valueSetUri": "http://hl7.org/fhir/uv/xver/ValueSet/R5-research-study-objective-type-for-R3|0.1.0"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:description",
        "path": "Extension.extension",
        "sliceName": "description",
        "short": "R5: Description of the outcome (new)",
        "definition": "R5: `ResearchStudy.outcomeMeasure.description` (new:markdown)",
        "comment": "Element `ResearchStudy.outcomeMeasure.description` is part of an existing definition because parent element `ResearchStudy.outcomeMeasure` requires a cross-version extension.\nElement `ResearchStudy.outcomeMeasure.description` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.outcomeMeasure.description` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `ResearchStudy.outcomeMeasure.description` is part of an existing definition because parent element `ResearchStudy.outcomeMeasure` requires a cross-version extension.\nElement `ResearchStudy.outcomeMeasure.description` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.outcomeMeasure.description` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:description.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:description.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:description.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "description",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:description.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Description of the outcome",
        "definition": "Description of the outcome.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "markdown"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:reference",
        "path": "Extension.extension",
        "sliceName": "reference",
        "short": "R5: Structured outcome definition (new)",
        "definition": "R5: `ResearchStudy.outcomeMeasure.reference` (new:Reference(EvidenceVariable))",
        "comment": "Element `ResearchStudy.outcomeMeasure.reference` is part of an existing definition because parent element `ResearchStudy.outcomeMeasure` requires a cross-version extension.\nElement `ResearchStudy.outcomeMeasure.reference` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.outcomeMeasure.reference` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `ResearchStudy.outcomeMeasure.reference` is part of an existing definition because parent element `ResearchStudy.outcomeMeasure` requires a cross-version extension.\nElement `ResearchStudy.outcomeMeasure.reference` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.outcomeMeasure.reference` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:reference.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:reference.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:reference.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "reference",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:reference.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Structured outcome definition",
        "definition": "Structured outcome definition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-EvidenceVariable|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Basic"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.outcomeMeasure",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          },
          {
            "code": "boolean"
          },
          {
            "code": "code"
          },
          {
            "code": "date"
          },
          {
            "code": "dateTime"
          },
          {
            "code": "decimal"
          },
          {
            "code": "id"
          },
          {
            "code": "instant"
          },
          {
            "code": "integer"
          },
          {
            "code": "markdown"
          },
          {
            "code": "oid"
          },
          {
            "code": "positiveInt"
          },
          {
            "code": "string"
          },
          {
            "code": "time"
          },
          {
            "code": "unsignedInt"
          },
          {
            "code": "uri"
          },
          {
            "code": "Address"
          },
          {
            "code": "Age"
          },
          {
            "code": "Annotation"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "Coding"
          },
          {
            "code": "ContactPoint"
          },
          {
            "code": "Count"
          },
          {
            "code": "Distance"
          },
          {
            "code": "Duration"
          },
          {
            "code": "HumanName"
          },
          {
            "code": "Identifier"
          },
          {
            "code": "Money"
          },
          {
            "code": "Period"
          },
          {
            "code": "Quantity"
          },
          {
            "code": "Range"
          },
          {
            "code": "Ratio"
          },
          {
            "code": "Reference"
          },
          {
            "code": "SampledData"
          },
          {
            "code": "Signature"
          },
          {
            "code": "Timing"
          },
          {
            "code": "Meta"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "R5: A variable measured during the study (new)",
        "definition": "R5: `ResearchStudy.outcomeMeasure` (new:BackboneElement)",
        "comment": "Element `ResearchStudy.outcomeMeasure` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.outcomeMeasure` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nA study may have multiple distinct outcome measures that can be used to assess the overall goal for a study. The goal of a study is in the objective whereas the metric by which the goal is assessed is the outcomeMeasure. Examples: Time to Local Recurrence (TLR), Disease-free Survival (DFS), 30 Day Mortality, Systolic BP",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension",
          "min": 0,
          "max": "*"
        },
        "isModifier": false
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:name",
        "path": "Extension.extension",
        "sliceName": "name",
        "short": "R5: Label for the outcome (new)",
        "definition": "R5: `ResearchStudy.outcomeMeasure.name` (new:string)",
        "comment": "Element `ResearchStudy.outcomeMeasure.name` is part of an existing definition because parent element `ResearchStudy.outcomeMeasure` requires a cross-version extension.\nElement `ResearchStudy.outcomeMeasure.name` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.outcomeMeasure.name` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `ResearchStudy.outcomeMeasure.name` is part of an existing definition because parent element `ResearchStudy.outcomeMeasure` requires a cross-version extension.\nElement `ResearchStudy.outcomeMeasure.name` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.outcomeMeasure.name` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:name.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "name"
      },
      {
        "id": "Extension.extension:name.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Label for the outcome",
        "definition": "Label for the outcome.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:type",
        "path": "Extension.extension",
        "sliceName": "type",
        "short": "R5: primary | secondary | exploratory (new)",
        "definition": "R5: `ResearchStudy.outcomeMeasure.type` (new:CodeableConcept)",
        "comment": "Element `ResearchStudy.outcomeMeasure.type` is part of an existing definition because parent element `ResearchStudy.outcomeMeasure` requires a cross-version extension.\nElement `ResearchStudy.outcomeMeasure.type` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.outcomeMeasure.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `ResearchStudy.outcomeMeasure.type` is part of an existing definition because parent element `ResearchStudy.outcomeMeasure` requires a cross-version extension.\nElement `ResearchStudy.outcomeMeasure.type` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.outcomeMeasure.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:type.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "type"
      },
      {
        "id": "Extension.extension:type.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "primary | secondary | exploratory",
        "definition": "The parameter or characteristic being assessed as one of the values by which the study is assessed.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "defn.",
          "valueSetUri": "http://hl7.org/fhir/uv/xver/ValueSet/R5-research-study-objective-type-for-R3|0.1.0"
        }
      },
      {
        "id": "Extension.extension:description",
        "path": "Extension.extension",
        "sliceName": "description",
        "short": "R5: Description of the outcome (new)",
        "definition": "R5: `ResearchStudy.outcomeMeasure.description` (new:markdown)",
        "comment": "Element `ResearchStudy.outcomeMeasure.description` is part of an existing definition because parent element `ResearchStudy.outcomeMeasure` requires a cross-version extension.\nElement `ResearchStudy.outcomeMeasure.description` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.outcomeMeasure.description` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `ResearchStudy.outcomeMeasure.description` is part of an existing definition because parent element `ResearchStudy.outcomeMeasure` requires a cross-version extension.\nElement `ResearchStudy.outcomeMeasure.description` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.outcomeMeasure.description` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:description.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "description"
      },
      {
        "id": "Extension.extension:description.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Description of the outcome",
        "definition": "Description of the outcome.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "markdown"
          }
        ]
      },
      {
        "id": "Extension.extension:reference",
        "path": "Extension.extension",
        "sliceName": "reference",
        "short": "R5: Structured outcome definition (new)",
        "definition": "R5: `ResearchStudy.outcomeMeasure.reference` (new:Reference(EvidenceVariable))",
        "comment": "Element `ResearchStudy.outcomeMeasure.reference` is part of an existing definition because parent element `ResearchStudy.outcomeMeasure` requires a cross-version extension.\nElement `ResearchStudy.outcomeMeasure.reference` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.outcomeMeasure.reference` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Element `ResearchStudy.outcomeMeasure.reference` is part of an existing definition because parent element `ResearchStudy.outcomeMeasure` requires a cross-version extension.\nElement `ResearchStudy.outcomeMeasure.reference` has a context of ResearchStudy based on following the parent source element upwards and mapping to `ResearchStudy`.\nElement `ResearchStudy.outcomeMeasure.reference` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:reference.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "reference"
      },
      {
        "id": "Extension.extension:reference.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Structured outcome definition",
        "definition": "Structured outcome definition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-EvidenceVariable|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Basic"
          }
        ]
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchStudy.outcomeMeasure"
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        }
      }
    ]
  }
}