R6 Ballot (2nd Draft)

Publish-box (todo)

Example CodeSystem/certainty-rating (JSON)

Clinical Decision Support Work GroupMaturity Level: N/AStandards Status: Informative

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

Definition for Code SystemEvidenceCertaintyRating

{
  "resourceType" : "CodeSystem",
  "id" : "certainty-rating",
  "meta" : {
    "lastUpdated" : "2024-08-12T16:52:12.437+08:00",
    "profile" : ["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem certainty-rating</b></p><a name=\"certainty-rating\"> </a><a name=\"hccertainty-rating\"> </a><a name=\"certainty-rating-en-AU\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/certainty-rating</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">high<a name=\"certainty-rating-high\"> </a></td><td>High quality</td><td>High quality evidence.</td></tr><tr><td style=\"white-space:nowrap\">moderate<a name=\"certainty-rating-moderate\"> </a></td><td>Moderate quality</td><td>Moderate quality evidence.</td></tr><tr><td style=\"white-space:nowrap\">low<a name=\"certainty-rating-low\"> </a></td><td>Low quality</td><td>Low quality evidence.</td></tr><tr><td style=\"white-space:nowrap\">very-low<a name=\"certainty-rating-very-low\"> </a></td><td>Very low quality</td><td>Very low quality evidence.</td></tr><tr><td style=\"white-space:nowrap\">no-concern<a name=\"certainty-rating-no-concern\"> </a></td><td>no serious concern</td><td>no serious concern.</td></tr><tr><td style=\"white-space:nowrap\">serious-concern<a name=\"certainty-rating-serious-concern\"> </a></td><td>serious concern</td><td>serious concern.</td></tr><tr><td style=\"white-space:nowrap\">very-serious-concern<a name=\"certainty-rating-very-serious-concern\"> </a></td><td>very serious concern</td><td>very serious concern.</td></tr><tr><td style=\"white-space:nowrap\">extremely-serious-concern<a name=\"certainty-rating-extremely-serious-concern\"> </a></td><td>extremely serious concern</td><td>extremely serious concern.</td></tr><tr><td style=\"white-space:nowrap\">present<a name=\"certainty-rating-present\"> </a></td><td>present</td><td>possible reason for increasing quality rating was checked and found to be present.</td></tr><tr><td style=\"white-space:nowrap\">absent<a name=\"certainty-rating-absent\"> </a></td><td>absent</td><td>possible reason for increasing quality rating was checked and found to be absent.</td></tr><tr><td style=\"white-space:nowrap\">no-change<a name=\"certainty-rating-no-change\"> </a></td><td>no change to rating</td><td>no change to quality rating.</td></tr><tr><td style=\"white-space:nowrap\">downcode1<a name=\"certainty-rating-downcode1\"> </a></td><td>reduce rating: -1</td><td>reduce quality rating by 1.</td></tr><tr><td style=\"white-space:nowrap\">downcode2<a name=\"certainty-rating-downcode2\"> </a></td><td>reduce rating: -2</td><td>reduce quality rating by 2.</td></tr><tr><td style=\"white-space:nowrap\">downcode3<a name=\"certainty-rating-downcode3\"> </a></td><td>reduce rating: -3</td><td>reduce quality rating by 3.</td></tr><tr><td style=\"white-space:nowrap\">upcode1<a name=\"certainty-rating-upcode1\"> </a></td><td>increase rating: +1</td><td>increase quality rating by 1.</td></tr><tr><td style=\"white-space:nowrap\">upcode2<a name=\"certainty-rating-upcode2\"> </a></td><td>increase rating: +2</td><td>increase quality rating by 2.</td></tr></table></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "cds"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 1
  }],
  "url" : "http://hl7.org/fhir/certainty-rating",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.4.1941"
  }],
  "version" : "6.0.0-ballot2",
  "name" : "EvidenceCertaintyRating",
  "title" : "Evidence Certainty Rating",
  "status" : "active",
  "experimental" : false,
  "date" : "2020-12-28T16:55:11+11:00",
  "publisher" : "HL7 (FHIR Project)",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    },
    {
      "system" : "email",
      "value" : "fhir@lists.hl7.org"
    }]
  }],
  "description" : "The assessment of quality, confidence, or certainty.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"
    }]
  }],
  "caseSensitive" : true,
  "valueSet" : "http://hl7.org/fhir/ValueSet/certainty-rating",
  "content" : "complete",
  "concept" : [{
    "code" : "high",
    "display" : "High quality",
    "definition" : "High quality evidence."
  },
  {
    "code" : "moderate",
    "display" : "Moderate quality",
    "definition" : "Moderate quality evidence."
  },
  {
    "code" : "low",
    "display" : "Low quality",
    "definition" : "Low quality evidence."
  },
  {
    "code" : "very-low",
    "display" : "Very low quality",
    "definition" : "Very low quality evidence."
  },
  {
    "code" : "no-concern",
    "display" : "no serious concern",
    "definition" : "no serious concern."
  },
  {
    "code" : "serious-concern",
    "display" : "serious concern",
    "definition" : "serious concern."
  },
  {
    "code" : "very-serious-concern",
    "display" : "very serious concern",
    "definition" : "very serious concern."
  },
  {
    "code" : "extremely-serious-concern",
    "display" : "extremely serious concern",
    "definition" : "extremely serious concern."
  },
  {
    "code" : "present",
    "display" : "present",
    "definition" : "possible reason for increasing quality rating was checked and found to be present."
  },
  {
    "code" : "absent",
    "display" : "absent",
    "definition" : "possible reason for increasing quality rating was checked and found to be absent."
  },
  {
    "code" : "no-change",
    "display" : "no change to rating",
    "definition" : "no change to quality rating."
  },
  {
    "code" : "downcode1",
    "display" : "reduce rating: -1",
    "definition" : "reduce quality rating by 1."
  },
  {
    "code" : "downcode2",
    "display" : "reduce rating: -2",
    "definition" : "reduce quality rating by 2."
  },
  {
    "code" : "downcode3",
    "display" : "reduce rating: -3",
    "definition" : "reduce quality rating by 3."
  },
  {
    "code" : "upcode1",
    "display" : "increase rating: +1",
    "definition" : "increase quality rating by 1."
  },
  {
    "code" : "upcode2",
    "display" : "increase rating: +2",
    "definition" : "increase quality rating by 2."
  }]
}

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.