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Clinical Decision Support Work Group | Maturity Level: N/A | Standards Status: Informative |
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Definition for Code SystemEvidenceCertaintyRating
<?xml version="1.0" encoding="UTF-8"?> <CodeSystem xmlns="http://hl7.org/fhir"> <id value="certainty-rating"/> <meta> <lastUpdated value="2023-03-26T15:21:02.749+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 <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> </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://hl7.org/fhir/certainty-rating"/> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:oid:2.16.840.1.113883.4.642.4.1941"/> </identifier> <version value="5.0.0"/> <name value="EvidenceCertaintyRating"/> <title value="Evidence Certainty Rating"/> <status value="active"/> <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 assessment of quality, confidence, or certainty."/> <jurisdiction> <coding> <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> <code value="001"/> <display value="World"/> </coding> </jurisdiction> <caseSensitive value="true"/> <valueSet value="http://hl7.org/fhir/ValueSet/certainty-rating"/> <content value="complete"/> <concept> <code value="high"/> <display value="High quality"/> <definition value="High quality evidence."/> </concept> <concept> <code value="moderate"/> <display value="Moderate quality"/> <definition value="Moderate quality evidence."/> </concept> <concept> <code value="low"/> <display value="Low quality"/> <definition value="Low quality evidence."/> </concept> <concept> <code value="very-low"/> <display value="Very low quality"/> <definition value="Very low quality evidence."/> </concept> <concept> <code value="no-concern"/> <display value="no serious concern"/> <definition value="no serious concern."/> </concept> <concept> <code value="serious-concern"/> <display value="serious concern"/> <definition value="serious concern."/> </concept> <concept> <code value="very-serious-concern"/> <display value="very serious concern"/> <definition value="very serious concern."/> </concept> <concept> <code value="extremely-serious-concern"/> <display value="extremely serious concern"/> <definition value="extremely serious concern."/> </concept> <concept> <code value="present"/> <display value="present"/> <definition value="possible reason for increasing quality rating was checked and found to be present."/> </concept> <concept> <code value="absent"/> <display value="absent"/> <definition value="possible reason for increasing quality rating was checked and found to be absent."/> </concept> <concept> <code value="no-change"/> <display value="no change to rating"/> <definition value="no change to quality rating."/> </concept> <concept> <code value="downcode1"/> <display value="reduce rating: -1"/> <definition value="reduce quality rating by 1."/> </concept> <concept> <code value="downcode2"/> <display value="reduce rating: -2"/> <definition value="reduce quality rating by 2."/> </concept> <concept> <code value="downcode3"/> <display value="reduce rating: -3"/> <definition value="reduce quality rating by 3."/> </concept> <concept> <code value="upcode1"/> <display value="increase rating: +1"/> <definition value="increase quality rating by 1."/> </concept> <concept> <code value="upcode2"/> <display value="increase rating: +2"/> <definition value="increase quality rating by 2."/> </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.
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