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Clinical Decision Support Work Group | Maturity Level: N/A | Standards Status: Informative |
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Definition for Code SystemEvidenceCertaintyType
<?xml version="1.0" encoding="UTF-8"?> <CodeSystem xmlns="http://hl7.org/fhir"> <id value="certainty-type"/> <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-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> </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-type"/> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:oid:2.16.840.1.113883.4.642.4.1939"/> </identifier> <version value="5.0.0"/> <name value="EvidenceCertaintyType"/> <title value="Evidence Certainty Type"/> <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 aspect 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-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.
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