<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="cqif-strengthOfRecommendation" />
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="cds" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1" />
  </extension>
  <url value="http://hl7.org/fhir/StructureDefinition/cqif-strengthOfRecommendation" />
  <name value="strengthOfRecommendation" />
  <title value="strengthOfRecommendation" />
  <status value="draft" />
  <publisher value="Health Level Seven, Inc. - CDS WG" />
  <contact>
    <telecom>
      <system value="url" />
      <value value="http://hl7.org/special/committees/dss" />
    </telecom>
  </contact>
  <description value="The strength of the recommendation assigned to this reference. The code system used specifies the rating scale used to rate this recommendation while the code specifies the actual recommendation rating (represented as a coded value) associated with this recommendation." />
  <fhirVersion value="3.0.0" />
  <mapping>
    <identity value="rim" />
    <uri value="http://hl7.org/v3" />
    <name value="RIM Mapping" />
  </mapping>
  <kind value="complex-type" />
  <abstract value="false" />
  <contextType value="datatype" />
  <context value="Attachment" />
  <type value="Extension" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
  <derivation value="constraint" />
  <differential>
    <element id="Extension">
      <path value="Extension" />
      <short value="The strength of the recommendation" />
      <definition value="The strength of the recommendation assigned to this reference. The code system used specifies the rating scale used to rate this recommendation while the code specifies the actual recommendation rating (represented as a coded value) associated with this recommendation." />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="Extension.extension">
      <path value="Extension.extension" />
      <max value="0" />
    </element>
    <element id="Extension.url">
      <path value="Extension.url" />
      <type>
        <code value="uri" />
      </type>
      <fixedUri value="http://hl7.org/fhir/StructureDefinition/cqif-strengthOfRecommendation" />
    </element>
    <element id="Extension.valueCodeableConcept">
      <path value="Extension.valueCodeableConcept" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="StrengthOfRecommendationRating" />
        </extension>
        <strength value="example" />
        <description value="A rating system that describes the strength of the recommendation, such as the GRADE, DynaMed, or HGPS systems" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/cqif-recommendation-strength" />
        </valueSetReference>
      </binding>
    </element>
  </differential>
</StructureDefinition>