{
  "resourceType" : "CodeSystem",
  "id" : "certainty-type",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n      \n      \n            <p>This code system http://terminology.hl7.org/CodeSystem/certainty-type defines the following codes:</p>\n      \n      \n            <table class=\"codes\">\n        \n        \n              <tr>\n          \n          \n                <td style=\"white-space:nowrap\">\n            \n            \n                  <b>Code</b>\n          \n          \n                </td>\n          \n          \n                <td>\n            \n            \n                  <b>Display</b>\n          \n          \n                </td>\n          \n          \n                <td>\n            \n            \n                  <b>Definition</b>\n          \n          \n                </td>\n        \n        \n              </tr>\n        \n        \n              <tr>\n          \n          \n                <td style=\"white-space:nowrap\">Overall\n            \n            \n                  <a name=\"certainty-type-Overall\"> </a>\n          \n          \n                </td>\n          \n          \n                <td>Overall certainty</td>\n          \n          \n                <td>Overall certainty of evidence (quality of evidence).</td>\n        \n        \n              </tr>\n        \n        \n              <tr>\n          \n          \n                <td style=\"white-space:nowrap\">RiskOfBias\n            \n            \n                  <a name=\"certainty-type-RiskOfBias\"> </a>\n          \n          \n                </td>\n          \n          \n                <td>Risk of bias</td>\n          \n          \n                <td>methodologic concerns reducing internal validity.</td>\n        \n        \n              </tr>\n        \n        \n              <tr>\n          \n          \n                <td style=\"white-space:nowrap\">Inconsistency\n            \n            \n                  <a name=\"certainty-type-Inconsistency\"> </a>\n          \n          \n                </td>\n          \n          \n                <td>Inconsistency</td>\n          \n          \n                <td>concerns that findings are not similar enough to support certainty.</td>\n        \n        \n              </tr>\n        \n        \n              <tr>\n          \n          \n                <td style=\"white-space:nowrap\">Indirectness\n            \n            \n                  <a name=\"certainty-type-Indirectness\"> </a>\n          \n          \n                </td>\n          \n          \n                <td>Indirectness</td>\n          \n          \n                <td>concerns reducing external validity.</td>\n        \n        \n              </tr>\n        \n        \n              <tr>\n          \n          \n                <td style=\"white-space:nowrap\">Imprecision\n            \n            \n                  <a name=\"certainty-type-Imprecision\"> </a>\n          \n          \n                </td>\n          \n          \n                <td>Imprecision</td>\n          \n          \n                <td>fuzzy or wide variability.</td>\n        \n        \n              </tr>\n        \n        \n              <tr>\n          \n          \n                <td style=\"white-space:nowrap\">PublicationBias\n            \n            \n                  <a name=\"certainty-type-PublicationBias\"> </a>\n          \n          \n                </td>\n          \n          \n                <td>Publication bias</td>\n          \n          \n                <td>likelihood that what is published misrepresents what is available to publish.</td>\n        \n        \n              </tr>\n        \n        \n              <tr>\n          \n          \n                <td style=\"white-space:nowrap\">DoseResponseGradient\n            \n            \n                  <a name=\"certainty-type-DoseResponseGradient\"> </a>\n          \n          \n                </td>\n          \n          \n                <td>Dose response gradient</td>\n          \n          \n                <td>higher certainty due to dose response relationship.</td>\n        \n        \n              </tr>\n        \n        \n              <tr>\n          \n          \n                <td style=\"white-space:nowrap\">PlausibleConfounding\n            \n            \n                  <a name=\"certainty-type-PlausibleConfounding\"> </a>\n          \n          \n                </td>\n          \n          \n                <td>Plausible confounding</td>\n          \n          \n                <td>higher certainty due to risk of bias in opposite direction.</td>\n        \n        \n              </tr>\n        \n        \n              <tr>\n          \n          \n                <td style=\"white-space:nowrap\">LargeEffect\n            \n            \n                  <a name=\"certainty-type-LargeEffect\"> </a>\n          \n          \n                </td>\n          \n          \n                <td>Large effect</td>\n          \n          \n                <td>higher certainty due to large effect size.</td>\n        \n        \n              </tr>\n      \n      \n            </table>\n    \n    \n          </div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 1
  },
  {
    "extension" : [{
      "url" : "packageId",
      "valueId" : "hl7.fhir.uv.xver-r4b.r4"
    },
    {
      "url" : "version",
      "valueString" : "0.0.1-snapshot-2"
    }],
    "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "cds"
  }],
  "url" : "http://terminology.hl7.org/CodeSystem/certainty-type",
  "version" : "4.3.0",
  "name" : "EvidenceCertaintyType",
  "title" : "EvidenceCertaintyType",
  "status" : "draft",
  "experimental" : false,
  "date" : "2020-12-28T15:55:11+10:00",
  "publisher" : "Clinical Decision Support",
  "contact" : [{
    "name" : "Clinical Decision Support",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/dss"
    }]
  }],
  "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."
  }]
}