{ "resourceType" : "ValueSet", "id" : "R5-certainty-type-for-R4", "text" : { "status" : "generated", "div" : "

Generated Narrative: ValueSet R5-certainty-type-for-R4

This value set expansion contains 9 concepts.

SystemVersionCodeDisplayDefinition
http://hl7.org/fhir/certainty-type5.0.0\u00a0\u00a0DoseResponseGradientDose response gradienthigher certainty due to dose response relationship.
http://hl7.org/fhir/certainty-type5.0.0\u00a0\u00a0ImprecisionImprecisionfuzzy or wide variability.
http://hl7.org/fhir/certainty-type5.0.0\u00a0\u00a0InconsistencyInconsistencyconcerns that findings are not similar enough to support certainty.
http://hl7.org/fhir/certainty-type5.0.0\u00a0\u00a0IndirectnessIndirectnessconcerns reducing external validity.
http://hl7.org/fhir/certainty-type5.0.0\u00a0\u00a0LargeEffectLarge effecthigher certainty due to large effect size.
http://hl7.org/fhir/certainty-type5.0.0\u00a0\u00a0OverallOverall certaintyOverall certainty of evidence (quality of evidence).
http://hl7.org/fhir/certainty-type5.0.0\u00a0\u00a0PlausibleConfoundingPlausible confoundinghigher certainty due to risk of bias in opposite direction.
http://hl7.org/fhir/certainty-type5.0.0\u00a0\u00a0PublicationBiasPublication biaslikelihood that what is published misrepresents what is available to publish.
http://hl7.org/fhir/certainty-type5.0.0\u00a0\u00a0RiskOfBiasRisk of biasmethodologic concerns reducing internal validity.
" }, "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-type-for-R4", "version" : "0.1.0", "name" : "R5CertaintyTypeForR4", "title" : "Cross-version ValueSet R5.EvidenceCertaintyType 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-type|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-type|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.type` as Example\n* `Evidence.certainty.type` as Extensible\r\n\r\nAcross FHIR versions, the value set has been mapped as:\r\n* `http://hl7.org/fhir/ValueSet/certainty-type|5.0.0`\n* `http://hl7.org/fhir/ValueSet/certainty-type|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 (9).\nFHIR ValueSet `http://hl7.org/fhir/ValueSet/certainty-type|5.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4", "compose" : { "include" : [{ "system" : "http://hl7.org/fhir/certainty-type", "version" : "5.0.0", "concept" : [{ "code" : "DoseResponseGradient", "display" : "Dose response gradient" }, { "code" : "Imprecision", "display" : "Imprecision" }, { "code" : "Inconsistency", "display" : "Inconsistency" }, { "code" : "Indirectness", "display" : "Indirectness" }, { "code" : "LargeEffect", "display" : "Large effect" }, { "code" : "Overall", "display" : "Overall certainty" }, { "code" : "PlausibleConfounding", "display" : "Plausible confounding" }, { "code" : "PublicationBias", "display" : "Publication bias" }, { "code" : "RiskOfBias", "display" : "Risk of bias" }] }] }, "expansion" : { "timestamp" : "2026-03-17T21:02:03.8104715+00:00", "contains" : [{ "system" : "http://hl7.org/fhir/certainty-type", "version" : "5.0.0", "code" : "DoseResponseGradient", "display" : "Dose response gradient" }, { "system" : "http://hl7.org/fhir/certainty-type", "version" : "5.0.0", "code" : "Imprecision", "display" : "Imprecision" }, { "system" : "http://hl7.org/fhir/certainty-type", "version" : "5.0.0", "code" : "Inconsistency", "display" : "Inconsistency" }, { "system" : "http://hl7.org/fhir/certainty-type", "version" : "5.0.0", "code" : "Indirectness", "display" : "Indirectness" }, { "system" : "http://hl7.org/fhir/certainty-type", "version" : "5.0.0", "code" : "LargeEffect", "display" : "Large effect" }, { "system" : "http://hl7.org/fhir/certainty-type", "version" : "5.0.0", "code" : "Overall", "display" : "Overall certainty" }, { "system" : "http://hl7.org/fhir/certainty-type", "version" : "5.0.0", "code" : "PlausibleConfounding", "display" : "Plausible confounding" }, { "system" : "http://hl7.org/fhir/certainty-type", "version" : "5.0.0", "code" : "PublicationBias", "display" : "Publication bias" }, { "system" : "http://hl7.org/fhir/certainty-type", "version" : "5.0.0", "code" : "RiskOfBias", "display" : "Risk of bias" }] } }