Release 5 Ballot

This page is part of the FHIR Specification (v5.0.0-ballot: R5 Ballot - see ballot notes). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Example ArtifactAssessment/example-certainty-rating (XML)

Clinical Decision Support Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Not linked to any defined compartments

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Certainty Rating of all-cause mortality in meta-analysis of RCTs of heparin for moderately ill patients with COVID-19 (id = "example-certainty-rating")

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

<ArtifactAssessment xmlns="http://hl7.org/fhir">
    <id value="example-certainty-rating"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: ArtifactAssessment</b> <a name="example-certainty-rating"> </a> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border:
       1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource ArtifactAssessment &quot;example-certainty-rating&quot; </p> </div> <p> <b> identifier</b> : FEvIR Object Identifier: 27756</p> <p> <b> date</b> : 2021-11-02T14:48:59.89Z</p> <p> <b> copyright</b> : https://creativecommons.org/licenses/by-nc-sa/4.0/</p> <p> <b> artifact</b> : <a href="broken-link.html">Evidence/18812: Critically appraised summary of all-cause mortality in meta-analysis
           of RCTs of heparin for moderately ill patients with COVID-19</a> </p> <blockquote> <p> <b> content</b> </p> <p> <b> informationType</b> : rating</p> <p> <b> summary</b> : serious concerns with risk of bias, inconsistency, and imprecision</p> <p> <b> type</b> : Overall certainty <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="codesystem-certainty-type.html">EvidenceCertaintyType</a> #Overall)</span> </p> <p> <b> classifier</b> : Very low quality <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="codesystem-certainty-rating.html">EvidenceCertaintyRating</a> #very-low)</span> </p> <p> <b> author</b> : <span> : Brian S. Alper</span> </p> <p> <b> freeToShare</b> : true</p> <h3> Components</h3> <table class="grid"><tr> <td> -</td> <td> <b> InformationType</b> </td> <td> <b> Summary</b> </td> <td> <b> Type</b> </td> <td> <b> Classifier</b> </td> <td> <b> Author</b> </td> </tr> <tr> <td> *</td> <td> rating</td> <td> risk of bias in both included trials</td> <td> Risk of bias <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="codesystem-certainty-type.html">EvidenceCertaintyType</a> #RiskOfBias)</span> </td> <td> serious concern <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="codesystem-certainty-rating.html">EvidenceCertaintyRating</a> #serious-concern)</span> </td> <td> <span> : Brian S. Alper</span> </td> </tr> <tr> <td> *</td> <td> rating</td> <td> high degree of heterogeneity (I-squared 80.7%) with confidence intervals of 2 trial
               effect estimates barely overlapping</td> <td> Inconsistency <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="codesystem-certainty-type.html">EvidenceCertaintyType</a> #Inconsistency)</span> </td> <td> serious concern <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="codesystem-certainty-rating.html">EvidenceCertaintyRating</a> #serious-concern)</span> </td> <td> <span> : Brian S. Alper</span> </td> </tr> <tr> <td> *</td> <td> rating</td> <td>  </td> <td> Indirectness <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="codesystem-certainty-type.html">EvidenceCertaintyType</a> #Indirectness)</span> </td> <td> no serious concern <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="codesystem-certainty-rating.html">EvidenceCertaintyRating</a> #no-concern)</span> </td> <td> <span> : Brian S. Alper</span> </td> </tr> <tr> <td> *</td> <td> rating</td> <td> 95% confidence interval includes both large effects and no effects</td> <td> Imprecision <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="codesystem-certainty-type.html">EvidenceCertaintyType</a> #Imprecision)</span> </td> <td> serious concern <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="codesystem-certainty-rating.html">EvidenceCertaintyRating</a> #serious-concern)</span> </td> <td> <span> : Brian S. Alper</span> </td> </tr> <tr> <td> *</td> <td> rating</td> <td>  </td> <td> Publication bias <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="codesystem-certainty-type.html">EvidenceCertaintyType</a> #PublicationBias)</span> </td> <td> no serious concern <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="codesystem-certainty-rating.html">EvidenceCertaintyRating</a> #no-concern)</span> </td> <td> <span> : Brian S. Alper</span> </td> </tr> </table> </blockquote> </div> </text> <identifier> 
    <type> 
      <text value="FEvIR Object Identifier"/> 
    </type> 
    <system value="https://fevir.net"/> 
    <value value="27756"/> 
    <assigner> 
      <display value="Computable Publishing LLC"/> 
    </assigner> 
  </identifier> 
  <date value="2021-11-02T14:48:59.890Z"/> 
  <copyright value="https://creativecommons.org/licenses/by-nc-sa/4.0/"/> 
  <artifactReference> 
    <reference value="Evidence/18812"/> 
    <type value="Evidence"/> 
    <display value="Critically appraised summary of all-cause mortality in meta-analysis of RCTs of
     heparin for moderately ill patients with COVID-19"/> 
  </artifactReference> 
  <content> 
    <informationType value="rating"/> 
    <summary value="serious concerns with risk of bias, inconsistency, and imprecision"/> 
    <type> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/certainty-type"/> 
        <code value="Overall"/> 
        <display value="Overall certainty"/> 
      </coding> 
    </type> 
    <classifier> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/certainty-rating"/> 
        <code value="very-low"/> 
        <display value="Very low quality"/> 
      </coding> 
    </classifier> 
    <author> 
      <display value="Brian S. Alper"/> 
    </author> 
    <freeToShare value="true"/> 
    <component> 
      <informationType value="rating"/> 
      <summary value="risk of bias in both included trials"/> 
      <type> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/certainty-type"/> 
          <code value="RiskOfBias"/> 
          <display value="Risk of bias"/> 
        </coding> 
      </type> 
      <classifier> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/certainty-rating"/> 
          <code value="serious-concern"/> 
          <display value="serious concern"/> 
        </coding> 
      </classifier> 
      <author> 
        <display value="Brian S. Alper"/> 
      </author> 
    </component> 
    <component> 
      <informationType value="rating"/> 
      <summary value="high degree of heterogeneity (I-squared 80.7%) with confidence intervals of 2 trial
       effect estimates barely overlapping"/> 
      <type> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/certainty-type"/> 
          <code value="Inconsistency"/> 
          <display value="Inconsistency"/> 
        </coding> 
      </type> 
      <classifier> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/certainty-rating"/> 
          <code value="serious-concern"/> 
          <display value="serious concern"/> 
        </coding> 
      </classifier> 
      <author> 
        <display value="Brian S. Alper"/> 
      </author> 
    </component> 
    <component> 
      <informationType value="rating"/> 
      <type> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/certainty-type"/> 
          <code value="Indirectness"/> 
          <display value="Indirectness"/> 
        </coding> 
      </type> 
      <classifier> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/certainty-rating"/> 
          <code value="no-concern"/> 
          <display value="no serious concern"/> 
        </coding> 
      </classifier> 
      <author> 
        <display value="Brian S. Alper"/> 
      </author> 
    </component> 
    <component> 
      <informationType value="rating"/> 
      <summary value="95% confidence interval includes both large effects and no effects"/> 
      <type> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/certainty-type"/> 
          <code value="Imprecision"/> 
          <display value="Imprecision"/> 
        </coding> 
      </type> 
      <classifier> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/certainty-rating"/> 
          <code value="serious-concern"/> 
          <display value="serious concern"/> 
        </coding> 
      </classifier> 
      <author> 
        <display value="Brian S. Alper"/> 
      </author> 
    </component> 
    <component> 
      <informationType value="rating"/> 
      <type> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/certainty-type"/> 
          <code value="PublicationBias"/> 
          <display value="Publication bias"/> 
        </coding> 
      </type> 
      <classifier> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/certainty-rating"/> 
          <code value="no-concern"/> 
          <display value="no serious concern"/> 
        </coding> 
      </classifier> 
      <author> 
        <display value="Brian S. Alper"/> 
      </author> 
    </component> 
  </content> 
</ArtifactAssessment> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.