R6 Ballot (2nd Draft)

Publish-box (todo)

Example ArtifactAssessment/example-certainty-rating (JSON)

Clinical Decision Support Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: No defined compartments

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

Certainty Rating of all-cause mortality in meta-analysis of RCTs of heparin for moderately ill patients with COVID-19

{
  "resourceType" : "ArtifactAssessment",
  "id" : "example-certainty-rating",
  "identifier" : [{
    "type" : {
      "text" : "FEvIR Object Identifier"
    },
    "system" : "https://fevir.net",
    "value" : "27756",
    "assigner" : {
      "display" : "Computable Publishing LLC"
    }
  }],
  "date" : "2021-11-02T14:48:59.890Z",
  "copyright" : "https://creativecommons.org/licenses/by-nc-sa/4.0/",
  "artifactReference" : {
    "reference" : "Evidence/example-stroke-alteplase-fatalICH",
    "type" : "Evidence",
    "display" : "Critically appraised summary of all-cause mortality in meta-analysis of RCTs of heparin for moderately ill patients with COVID-19"
  },
  "content" : [{
    "informationType" : "rating",
    "summary" : "serious concerns with risk of bias, inconsistency, and imprecision",
    "type" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/certainty-type",
        "code" : "Overall",
        "display" : "Overall certainty"
      }]
    },
    "classifier" : [{
      "coding" : [{
        "system" : "http://hl7.org/fhir/certainty-rating",
        "code" : "very-low",
        "display" : "Very low quality"
      }]
    }],
    "author" : {
      "display" : "Brian S. Alper"
    },
    "freeToShare" : true,
    "component" : [{
      "informationType" : "rating",
      "summary" : "risk of bias in both included trials",
      "type" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/certainty-type",
          "code" : "RiskOfBias",
          "display" : "Risk of bias"
        }]
      },
      "classifier" : [{
        "coding" : [{
          "system" : "http://hl7.org/fhir/certainty-rating",
          "code" : "serious-concern",
          "display" : "serious concern"
        }]
      }],
      "author" : {
        "display" : "Brian S. Alper"
      }
    },
    {
      "informationType" : "rating",
      "summary" : "high degree of heterogeneity (I-squared 80.7%) with confidence intervals of 2 trial effect estimates barely overlapping",
      "type" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/certainty-type",
          "code" : "Inconsistency",
          "display" : "Inconsistency"
        }]
      },
      "classifier" : [{
        "coding" : [{
          "system" : "http://hl7.org/fhir/certainty-rating",
          "code" : "serious-concern",
          "display" : "serious concern"
        }]
      }],
      "author" : {
        "display" : "Brian S. Alper"
      }
    },
    {
      "informationType" : "rating",
      "type" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/certainty-type",
          "code" : "Indirectness",
          "display" : "Indirectness"
        }]
      },
      "classifier" : [{
        "coding" : [{
          "system" : "http://hl7.org/fhir/certainty-rating",
          "code" : "no-concern",
          "display" : "no serious concern"
        }]
      }],
      "author" : {
        "display" : "Brian S. Alper"
      }
    },
    {
      "informationType" : "rating",
      "summary" : "95% confidence interval includes both large effects and no effects",
      "type" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/certainty-type",
          "code" : "Imprecision",
          "display" : "Imprecision"
        }]
      },
      "classifier" : [{
        "coding" : [{
          "system" : "http://hl7.org/fhir/certainty-rating",
          "code" : "serious-concern",
          "display" : "serious concern"
        }]
      }],
      "author" : {
        "display" : "Brian S. Alper"
      }
    },
    {
      "informationType" : "rating",
      "type" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/certainty-type",
          "code" : "PublicationBias",
          "display" : "Publication bias"
        }]
      },
      "classifier" : [{
        "coding" : [{
          "system" : "http://hl7.org/fhir/certainty-rating",
          "code" : "no-concern",
          "display" : "no serious concern"
        }]
      }],
      "author" : {
        "display" : "Brian S. Alper"
      }
    }]
  }]
}

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.