Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions

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: R5CertaintyRatingForR4 - XML Representation

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="R5-certainty-rating-for-R4"/>
  <text>
    <status value="generated"/>
    <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">  <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">  <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">  <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">  <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">  <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">  <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">  <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">  <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">  <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">  <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">  <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">  <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">  <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">  <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">  <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">  <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>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="cds"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/package-source">
    <extension url="packageId">
      <valueId value="hl7.fhir.uv.xver-r5.r4"/>
    </extension>
    <extension url="version">
      <valueString value="0.1.0"/>
    </extension>
    <extension url="uri">
      <valueUri
                value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/uv/xver/ValueSet/R5-certainty-rating-for-R4"/>
  <version value="0.1.0"/>
  <name value="R5CertaintyRatingForR4"/>
  <title
         value="Cross-version ValueSet R5.EvidenceCertaintyRating for use in FHIR R4"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-03-17T21:02:03.8104715+00:00"/>
  <publisher value="Clinical Decision Support"/>
  <contact>
    <name value="Clinical Decision Support"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/dss"/>
    </telecom>
  </contact>
  <description
               value="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 value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <purpose
           value="This value set is part of the cross-version definitions generated to enable use of the
value set `http://hl7.org/fhir/ValueSet/certainty-rating|5.0.0` as defined in FHIR R5
in FHIR R4.

The source value set is bound to the following FHIR R5 elements:
* `ArtifactAssessment.content.classifier` as Example
* `Evidence.certainty.rating` as Extensible

Across FHIR versions, the value set has been mapped as:
* `http://hl7.org/fhir/ValueSet/certainty-rating|5.0.0`
* `http://hl7.org/fhir/ValueSet/certainty-rating|4.3.0`

Note that all concepts are included in this cross-version definition because no concepts have compatible representations

Following are the generation technical comments:
All concepts in the comparison are listed as identical.
The source and target value sets have the same number of active concepts (16).
FHIR 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 value="http://hl7.org/fhir/certainty-rating"/>
      <version value="5.0.0"/>
      <concept>
        <code value="absent"/>
        <display value="absent"/>
      </concept>
      <concept>
        <code value="downcode1"/>
        <display value="reduce rating: -1"/>
      </concept>
      <concept>
        <code value="downcode2"/>
        <display value="reduce rating: -2"/>
      </concept>
      <concept>
        <code value="downcode3"/>
        <display value="reduce rating: -3"/>
      </concept>
      <concept>
        <code value="extremely-serious-concern"/>
        <display value="extremely serious concern"/>
      </concept>
      <concept>
        <code value="high"/>
        <display value="High quality"/>
      </concept>
      <concept>
        <code value="low"/>
        <display value="Low quality"/>
      </concept>
      <concept>
        <code value="moderate"/>
        <display value="Moderate quality"/>
      </concept>
      <concept>
        <code value="no-change"/>
        <display value="no change to rating"/>
      </concept>
      <concept>
        <code value="no-concern"/>
        <display value="no serious concern"/>
      </concept>
      <concept>
        <code value="present"/>
        <display value="present"/>
      </concept>
      <concept>
        <code value="serious-concern"/>
        <display value="serious concern"/>
      </concept>
      <concept>
        <code value="upcode1"/>
        <display value="increase rating: +1"/>
      </concept>
      <concept>
        <code value="upcode2"/>
        <display value="increase rating: +2"/>
      </concept>
      <concept>
        <code value="very-low"/>
        <display value="Very low quality"/>
      </concept>
      <concept>
        <code value="very-serious-concern"/>
        <display value="very serious concern"/>
      </concept>
    </include>
  </compose>
  <expansion>
    <timestamp value="2026-03-17T21:02:03.8104715+00:00"/>
    <contains>
      <system value="http://hl7.org/fhir/certainty-rating"/>
      <version value="5.0.0"/>
      <code value="absent"/>
      <display value="absent"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/certainty-rating"/>
      <version value="5.0.0"/>
      <code value="downcode1"/>
      <display value="reduce rating: -1"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/certainty-rating"/>
      <version value="5.0.0"/>
      <code value="downcode2"/>
      <display value="reduce rating: -2"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/certainty-rating"/>
      <version value="5.0.0"/>
      <code value="downcode3"/>
      <display value="reduce rating: -3"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/certainty-rating"/>
      <version value="5.0.0"/>
      <code value="extremely-serious-concern"/>
      <display value="extremely serious concern"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/certainty-rating"/>
      <version value="5.0.0"/>
      <code value="high"/>
      <display value="High quality"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/certainty-rating"/>
      <version value="5.0.0"/>
      <code value="low"/>
      <display value="Low quality"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/certainty-rating"/>
      <version value="5.0.0"/>
      <code value="moderate"/>
      <display value="Moderate quality"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/certainty-rating"/>
      <version value="5.0.0"/>
      <code value="no-change"/>
      <display value="no change to rating"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/certainty-rating"/>
      <version value="5.0.0"/>
      <code value="no-concern"/>
      <display value="no serious concern"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/certainty-rating"/>
      <version value="5.0.0"/>
      <code value="present"/>
      <display value="present"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/certainty-rating"/>
      <version value="5.0.0"/>
      <code value="serious-concern"/>
      <display value="serious concern"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/certainty-rating"/>
      <version value="5.0.0"/>
      <code value="upcode1"/>
      <display value="increase rating: +1"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/certainty-rating"/>
      <version value="5.0.0"/>
      <code value="upcode2"/>
      <display value="increase rating: +2"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/certainty-rating"/>
      <version value="5.0.0"/>
      <code value="very-low"/>
      <display value="Very low quality"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/certainty-rating"/>
      <version value="5.0.0"/>
      <code value="very-serious-concern"/>
      <display value="very serious concern"/>
    </contains>
  </expansion>
</ValueSet>