Release 5 Snapshot #1

This page is part of the FHIR Specification (v5.0.0-snapshot1: Release 5 Snapshot #1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Artifactassessment-example-certainty-rating.xml

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

Raw XML (canonical form + also see XML Format Specification)

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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</b> </p> <div> <p> Resource &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> 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>  (<a> EvidenceCertaintyType</a> #Overall)</span> </p> <p> <b> classifier</b> : Very low quality <span>  (<a> EvidenceCertaintyRating</a> #very-low)</span> </p> <p> <b> author</b> : <span> : Brian S. Alper</span> </p> <p> <b> freeToShare</b> : true</p> </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.