Extensions for Using Data Elements from FHIR R5 in FHIR R4
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR R4
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 1 |
{
"resourceType" : "ValueSet",
"id" : "R5-certainty-rating-for-R4",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet R5-certainty-rating-for-R4</b></p><a name=\"R5-certainty-rating-for-R4\"> </a><a name=\"hcR5-certainty-rating-for-R4\"> </a><p>This value set expansion contains 16 concepts.</p><table class=\"codes\"><tr><td><b>System</b></td><td><b>Version</b></td><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a name=\"R5-certainty-rating-for-R4-http://hl7.org/fhir/certainty-rating-absent\"> </a><code>http://hl7.org/fhir/certainty-rating</code></td><td>5.0.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-certainty-rating.html#certainty-rating-absent\">absent</a></td><td>absent</td><td>possible reason for increasing quality rating was checked and found to be absent.</td></tr><tr><td><a name=\"R5-certainty-rating-for-R4-http://hl7.org/fhir/certainty-rating-downcode1\"> </a><code>http://hl7.org/fhir/certainty-rating</code></td><td>5.0.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-certainty-rating.html#certainty-rating-downcode1\">downcode1</a></td><td>reduce rating: -1</td><td>reduce quality rating by 1.</td></tr><tr><td><a name=\"R5-certainty-rating-for-R4-http://hl7.org/fhir/certainty-rating-downcode2\"> </a><code>http://hl7.org/fhir/certainty-rating</code></td><td>5.0.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-certainty-rating.html#certainty-rating-downcode2\">downcode2</a></td><td>reduce rating: -2</td><td>reduce quality rating by 2.</td></tr><tr><td><a name=\"R5-certainty-rating-for-R4-http://hl7.org/fhir/certainty-rating-downcode3\"> </a><code>http://hl7.org/fhir/certainty-rating</code></td><td>5.0.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-certainty-rating.html#certainty-rating-downcode3\">downcode3</a></td><td>reduce rating: -3</td><td>reduce quality rating by 3.</td></tr><tr><td><a name=\"R5-certainty-rating-for-R4-http://hl7.org/fhir/certainty-rating-extremely-serious-concern\"> </a><code>http://hl7.org/fhir/certainty-rating</code></td><td>5.0.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-certainty-rating.html#certainty-rating-extremely-serious-concern\">extremely-serious-concern</a></td><td>extremely serious concern</td><td>extremely serious concern.</td></tr><tr><td><a name=\"R5-certainty-rating-for-R4-http://hl7.org/fhir/certainty-rating-high\"> </a><code>http://hl7.org/fhir/certainty-rating</code></td><td>5.0.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-certainty-rating.html#certainty-rating-high\">high</a></td><td>High quality</td><td>High quality evidence.</td></tr><tr><td><a name=\"R5-certainty-rating-for-R4-http://hl7.org/fhir/certainty-rating-low\"> </a><code>http://hl7.org/fhir/certainty-rating</code></td><td>5.0.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-certainty-rating.html#certainty-rating-low\">low</a></td><td>Low quality</td><td>Low quality evidence.</td></tr><tr><td><a name=\"R5-certainty-rating-for-R4-http://hl7.org/fhir/certainty-rating-moderate\"> </a><code>http://hl7.org/fhir/certainty-rating</code></td><td>5.0.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-certainty-rating.html#certainty-rating-moderate\">moderate</a></td><td>Moderate quality</td><td>Moderate quality evidence.</td></tr><tr><td><a name=\"R5-certainty-rating-for-R4-http://hl7.org/fhir/certainty-rating-no-change\"> </a><code>http://hl7.org/fhir/certainty-rating</code></td><td>5.0.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-certainty-rating.html#certainty-rating-no-change\">no-change</a></td><td>no change to rating</td><td>no change to quality rating.</td></tr><tr><td><a name=\"R5-certainty-rating-for-R4-http://hl7.org/fhir/certainty-rating-no-concern\"> </a><code>http://hl7.org/fhir/certainty-rating</code></td><td>5.0.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-certainty-rating.html#certainty-rating-no-concern\">no-concern</a></td><td>no serious concern</td><td>no serious concern.</td></tr><tr><td><a name=\"R5-certainty-rating-for-R4-http://hl7.org/fhir/certainty-rating-present\"> </a><code>http://hl7.org/fhir/certainty-rating</code></td><td>5.0.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-certainty-rating.html#certainty-rating-present\">present</a></td><td>present</td><td>possible reason for increasing quality rating was checked and found to be present.</td></tr><tr><td><a name=\"R5-certainty-rating-for-R4-http://hl7.org/fhir/certainty-rating-serious-concern\"> </a><code>http://hl7.org/fhir/certainty-rating</code></td><td>5.0.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-certainty-rating.html#certainty-rating-serious-concern\">serious-concern</a></td><td>serious concern</td><td>serious concern.</td></tr><tr><td><a name=\"R5-certainty-rating-for-R4-http://hl7.org/fhir/certainty-rating-upcode1\"> </a><code>http://hl7.org/fhir/certainty-rating</code></td><td>5.0.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-certainty-rating.html#certainty-rating-upcode1\">upcode1</a></td><td>increase rating: +1</td><td>increase quality rating by 1.</td></tr><tr><td><a name=\"R5-certainty-rating-for-R4-http://hl7.org/fhir/certainty-rating-upcode2\"> </a><code>http://hl7.org/fhir/certainty-rating</code></td><td>5.0.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-certainty-rating.html#certainty-rating-upcode2\">upcode2</a></td><td>increase rating: +2</td><td>increase quality rating by 2.</td></tr><tr><td><a name=\"R5-certainty-rating-for-R4-http://hl7.org/fhir/certainty-rating-very-low\"> </a><code>http://hl7.org/fhir/certainty-rating</code></td><td>5.0.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-certainty-rating.html#certainty-rating-very-low\">very-low</a></td><td>Very low quality</td><td>Very low quality evidence.</td></tr><tr><td><a name=\"R5-certainty-rating-for-R4-http://hl7.org/fhir/certainty-rating-very-serious-concern\"> </a><code>http://hl7.org/fhir/certainty-rating</code></td><td>5.0.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-certainty-rating.html#certainty-rating-very-serious-concern\">very-serious-concern</a></td><td>very serious concern</td><td>very serious concern.</td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 1
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "cds"
},
{
"extension" : [
{
"url" : "packageId",
"valueId" : "hl7.fhir.uv.xver-r5.r4"
},
{
"url" : "version",
"valueString" : "0.1.0"
},
{
"url" : "uri",
"valueUri" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/package-source"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "trial-use",
"_valueCode" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
}
]
}
}
],
"url" : "http://hl7.org/fhir/uv/xver/ValueSet/R5-certainty-rating-for-R4",
"version" : "0.1.0",
"name" : "R5CertaintyRatingForR4",
"title" : "Cross-version ValueSet R5.EvidenceCertaintyRating for use in FHIR R4",
"status" : "active",
"experimental" : false,
"date" : "2026-03-17T21:02:03.8104715+00:00",
"publisher" : "Clinical Decision Support",
"contact" : [
{
"name" : "Clinical Decision Support",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/dss"
}
]
}
],
"description" : "This cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/certainty-rating|5.0.0` for use in FHIR R4.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001",
"display" : "World"
}
]
}
],
"purpose" : "This value set is part of the cross-version definitions generated to enable use of the\r\nvalue set `http://hl7.org/fhir/ValueSet/certainty-rating|5.0.0` as defined in FHIR R5\r\nin FHIR R4.\r\n\r\nThe source value set is bound to the following FHIR R5 elements:\r\n* `ArtifactAssessment.content.classifier` as Example\n* `Evidence.certainty.rating` as Extensible\r\n\r\nAcross FHIR versions, the value set has been mapped as:\r\n* `http://hl7.org/fhir/ValueSet/certainty-rating|5.0.0`\n* `http://hl7.org/fhir/ValueSet/certainty-rating|4.3.0`\r\n\r\nNote that all concepts are included in this cross-version definition because no concepts have compatible representations\r\n\r\nFollowing are the generation technical comments:\r\nAll concepts in the comparison are listed as identical.\nThe source and target value sets have the same number of active concepts (16).\nFHIR ValueSet `http://hl7.org/fhir/ValueSet/certainty-rating|5.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4",
"compose" : {
"include" : [
{
"system" : "http://hl7.org/fhir/certainty-rating",
"version" : "5.0.0",
"concept" : [
{
"code" : "absent",
"display" : "absent"
},
{
"code" : "downcode1",
"display" : "reduce rating: -1"
},
{
"code" : "downcode2",
"display" : "reduce rating: -2"
},
{
"code" : "downcode3",
"display" : "reduce rating: -3"
},
{
"code" : "extremely-serious-concern",
"display" : "extremely serious concern"
},
{
"code" : "high",
"display" : "High quality"
},
{
"code" : "low",
"display" : "Low quality"
},
{
"code" : "moderate",
"display" : "Moderate quality"
},
{
"code" : "no-change",
"display" : "no change to rating"
},
{
"code" : "no-concern",
"display" : "no serious concern"
},
{
"code" : "present",
"display" : "present"
},
{
"code" : "serious-concern",
"display" : "serious concern"
},
{
"code" : "upcode1",
"display" : "increase rating: +1"
},
{
"code" : "upcode2",
"display" : "increase rating: +2"
},
{
"code" : "very-low",
"display" : "Very low quality"
},
{
"code" : "very-serious-concern",
"display" : "very serious concern"
}
]
}
]
},
"expansion" : {
"timestamp" : "2026-03-17T21:02:03.8104715+00:00",
"contains" : [
{
"system" : "http://hl7.org/fhir/certainty-rating",
"version" : "5.0.0",
"code" : "absent",
"display" : "absent"
},
{
"system" : "http://hl7.org/fhir/certainty-rating",
"version" : "5.0.0",
"code" : "downcode1",
"display" : "reduce rating: -1"
},
{
"system" : "http://hl7.org/fhir/certainty-rating",
"version" : "5.0.0",
"code" : "downcode2",
"display" : "reduce rating: -2"
},
{
"system" : "http://hl7.org/fhir/certainty-rating",
"version" : "5.0.0",
"code" : "downcode3",
"display" : "reduce rating: -3"
},
{
"system" : "http://hl7.org/fhir/certainty-rating",
"version" : "5.0.0",
"code" : "extremely-serious-concern",
"display" : "extremely serious concern"
},
{
"system" : "http://hl7.org/fhir/certainty-rating",
"version" : "5.0.0",
"code" : "high",
"display" : "High quality"
},
{
"system" : "http://hl7.org/fhir/certainty-rating",
"version" : "5.0.0",
"code" : "low",
"display" : "Low quality"
},
{
"system" : "http://hl7.org/fhir/certainty-rating",
"version" : "5.0.0",
"code" : "moderate",
"display" : "Moderate quality"
},
{
"system" : "http://hl7.org/fhir/certainty-rating",
"version" : "5.0.0",
"code" : "no-change",
"display" : "no change to rating"
},
{
"system" : "http://hl7.org/fhir/certainty-rating",
"version" : "5.0.0",
"code" : "no-concern",
"display" : "no serious concern"
},
{
"system" : "http://hl7.org/fhir/certainty-rating",
"version" : "5.0.0",
"code" : "present",
"display" : "present"
},
{
"system" : "http://hl7.org/fhir/certainty-rating",
"version" : "5.0.0",
"code" : "serious-concern",
"display" : "serious concern"
},
{
"system" : "http://hl7.org/fhir/certainty-rating",
"version" : "5.0.0",
"code" : "upcode1",
"display" : "increase rating: +1"
},
{
"system" : "http://hl7.org/fhir/certainty-rating",
"version" : "5.0.0",
"code" : "upcode2",
"display" : "increase rating: +2"
},
{
"system" : "http://hl7.org/fhir/certainty-rating",
"version" : "5.0.0",
"code" : "very-low",
"display" : "Very low quality"
},
{
"system" : "http://hl7.org/fhir/certainty-rating",
"version" : "5.0.0",
"code" : "very-serious-concern",
"display" : "very serious concern"
}
]
}
}
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r5.r4#0.1.0 based on FHIR 4.0.1. Generated 2026-03-20
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