Release 4B

This page is part of the FHIR Specification (v4.3.0: R4B - STU). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B

Codesystem-certainty-type.xml

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

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

Definition for Code SystemEvidenceCertaintyType

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

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="certainty-type"/> 
  <meta> 
    <lastUpdated value="2022-05-28T13:47:40.239+11:00"/> 
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      
      
      <p> This code system http://terminology.hl7.org/CodeSystem/certainty-type 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">Overall
            
            
            <a name="certainty-type-Overall"> </a> 
          
          
          </td> 
          
          
          <td> Overall certainty</td> 
          
          
          <td> Overall certainty of evidence (quality of evidence).</td> 
        
        
        </tr> 
        
        
        <tr> 
          
          
          <td style="white-space:nowrap">RiskOfBias
            
            
            <a name="certainty-type-RiskOfBias"> </a> 
          
          
          </td> 
          
          
          <td> Risk of bias</td> 
          
          
          <td> methodologic concerns reducing internal validity.</td> 
        
        
        </tr> 
        
        
        <tr> 
          
          
          <td style="white-space:nowrap">Inconsistency
            
            
            <a name="certainty-type-Inconsistency"> </a> 
          
          
          </td> 
          
          
          <td> Inconsistency</td> 
          
          
          <td> concerns that findings are not similar enough to support certainty.</td> 
        
        
        </tr> 
        
        
        <tr> 
          
          
          <td style="white-space:nowrap">Indirectness
            
            
            <a name="certainty-type-Indirectness"> </a> 
          
          
          </td> 
          
          
          <td> Indirectness</td> 
          
          
          <td> concerns reducing external validity.</td> 
        
        
        </tr> 
        
        
        <tr> 
          
          
          <td style="white-space:nowrap">Imprecision
            
            
            <a name="certainty-type-Imprecision"> </a> 
          
          
          </td> 
          
          
          <td> Imprecision</td> 
          
          
          <td> fuzzy or wide variability.</td> 
        
        
        </tr> 
        
        
        <tr> 
          
          
          <td style="white-space:nowrap">PublicationBias
            
            
            <a name="certainty-type-PublicationBias"> </a> 
          
          
          </td> 
          
          
          <td> Publication bias</td> 
          
          
          <td> likelihood that what is published misrepresents what is available to publish.</td> 
        
        
        </tr> 
        
        
        <tr> 
          
          
          <td style="white-space:nowrap">DoseResponseGradient
            
            
            <a name="certainty-type-DoseResponseGradient"> </a> 
          
          
          </td> 
          
          
          <td> Dose response gradient</td> 
          
          
          <td> higher certainty due to dose response relationship.</td> 
        
        
        </tr> 
        
        
        <tr> 
          
          
          <td style="white-space:nowrap">PlausibleConfounding
            
            
            <a name="certainty-type-PlausibleConfounding"> </a> 
          
          
          </td> 
          
          
          <td> Plausible confounding</td> 
          
          
          <td> higher certainty due to risk of bias in opposite direction.</td> 
        
        
        </tr> 
        
        
        <tr> 
          
          
          <td style="white-space:nowrap">LargeEffect
            
            
            <a name="certainty-type-LargeEffect"> </a> 
          
          
          </td> 
          
          
          <td> Large effect</td> 
          
          
          <td> higher certainty due to large effect size.</td> 
        
        
        </tr> 
      
      
      </table> 
    
    
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="cds"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1"/> 
  </extension> 
  <url value="http://terminology.hl7.org/CodeSystem/certainty-type"/> 
  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.4.642.1.0"/> 
  </identifier> 
  <version value="4.3.0"/> 
  <name value="EvidenceCertaintyType"/> 
  <title value="EvidenceCertaintyType"/> 
  <status value="draft"/> 
  <experimental value="false"/> 
  <date value="2020-12-28T16:55:11+11:00"/> 
  <publisher value="HL7 (FHIR Project)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
    <telecom> 
      <system value="email"/> 
      <value value="fhir@lists.hl7.org"/> 
    </telecom> 
  </contact> 
  <description value="The aspect of quality, confidence, or certainty."/> 
  <caseSensitive value="true"/> 
  <valueSet value="http://hl7.org/fhir/ValueSet/certainty-type"/> 
  <content value="complete"/> 
  <concept> 
    <code value="Overall"/> 
    <display value="Overall certainty"/> 
    <definition value="Overall certainty of evidence (quality of evidence)."/> 
  </concept> 
  <concept> 
    <code value="RiskOfBias"/> 
    <display value="Risk of bias"/> 
    <definition value="methodologic concerns reducing internal validity."/> 
  </concept> 
  <concept> 
    <code value="Inconsistency"/> 
    <display value="Inconsistency"/> 
    <definition value="concerns that findings are not similar enough to support certainty."/> 
  </concept> 
  <concept> 
    <code value="Indirectness"/> 
    <display value="Indirectness"/> 
    <definition value="concerns reducing external validity."/> 
  </concept> 
  <concept> 
    <code value="Imprecision"/> 
    <display value="Imprecision"/> 
    <definition value="fuzzy or wide variability."/> 
  </concept> 
  <concept> 
    <code value="PublicationBias"/> 
    <display value="Publication bias"/> 
    <definition value="likelihood that what is published misrepresents what is available to publish."/> 
  </concept> 
  <concept> 
    <code value="DoseResponseGradient"/> 
    <display value="Dose response gradient"/> 
    <definition value="higher certainty due to dose response relationship."/> 
  </concept> 
  <concept> 
    <code value="PlausibleConfounding"/> 
    <display value="Plausible confounding"/> 
    <definition value="higher certainty due to risk of bias in opposite direction."/> 
  </concept> 
  <concept> 
    <code value="LargeEffect"/> 
    <display value="Large effect"/> 
    <definition value="higher certainty due to large effect size."/> 
  </concept> 
</CodeSystem> 

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.