Definition for Code SystemEvidenceCertaintyType
{
"resourceType" : "CodeSystem",
"id" : "certainty-type",
"meta" : {
"lastUpdated" : "2023-03-26T15:21:02.749+11:00",
"profile" : ["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system <code>http://hl7.org/fhir/certainty-type</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\">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>"
},
"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-type",
"identifier" : [{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.4.1939"
}],
"version" : "5.0.0",
"name" : "EvidenceCertaintyType",
"title" : "Evidence Certainty Type",
"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 aspect 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-type",
"content" : "complete",
"concept" : [{
"code" : "Overall",
"display" : "Overall certainty",
"definition" : "Overall certainty of evidence (quality of evidence)."
},
{
"code" : "RiskOfBias",
"display" : "Risk of bias",
"definition" : "methodologic concerns reducing internal validity."
},
{
"code" : "Inconsistency",
"display" : "Inconsistency",
"definition" : "concerns that findings are not similar enough to support certainty."
},
{
"code" : "Indirectness",
"display" : "Indirectness",
"definition" : "concerns reducing external validity."
},
{
"code" : "Imprecision",
"display" : "Imprecision",
"definition" : "fuzzy or wide variability."
},
{
"code" : "PublicationBias",
"display" : "Publication bias",
"definition" : "likelihood that what is published misrepresents what is available to publish."
},
{
"code" : "DoseResponseGradient",
"display" : "Dose response gradient",
"definition" : "higher certainty due to dose response relationship."
},
{
"code" : "PlausibleConfounding",
"display" : "Plausible confounding",
"definition" : "higher certainty due to risk of bias in opposite direction."
},
{
"code" : "LargeEffect",
"display" : "Large effect",
"definition" : "higher certainty due to large effect size."
}]
}
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.