R6 Ballot (2nd Draft)

Publish-box (todo)

Example ArtifactAssessment/example-certainty-rating (XML)

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

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

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"/> 
  <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/example-stroke-alteplase-fatalICH"/> 
    <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://hl7.org/fhir/certainty-type"/> 
        <code value="Overall"/> 
        <display value="Overall certainty"/> 
      </coding> 
    </type> 
    <classifier> 
      <coding> 
        <system value="http://hl7.org/fhir/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://hl7.org/fhir/certainty-type"/> 
          <code value="RiskOfBias"/> 
          <display value="Risk of bias"/> 
        </coding> 
      </type> 
      <classifier> 
        <coding> 
          <system value="http://hl7.org/fhir/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://hl7.org/fhir/certainty-type"/> 
          <code value="Inconsistency"/> 
          <display value="Inconsistency"/> 
        </coding> 
      </type> 
      <classifier> 
        <coding> 
          <system value="http://hl7.org/fhir/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://hl7.org/fhir/certainty-type"/> 
          <code value="Indirectness"/> 
          <display value="Indirectness"/> 
        </coding> 
      </type> 
      <classifier> 
        <coding> 
          <system value="http://hl7.org/fhir/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://hl7.org/fhir/certainty-type"/> 
          <code value="Imprecision"/> 
          <display value="Imprecision"/> 
        </coding> 
      </type> 
      <classifier> 
        <coding> 
          <system value="http://hl7.org/fhir/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://hl7.org/fhir/certainty-type"/> 
          <code value="PublicationBias"/> 
          <display value="Publication bias"/> 
        </coding> 
      </type> 
      <classifier> 
        <coding> 
          <system value="http://hl7.org/fhir/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.