<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-type|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-type|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.type` as Example * `Evidence.certainty.type` as Extensible Across FHIR versions, the value set has been mapped as: * `http://hl7.org/fhir/ValueSet/certainty-type|5.0.0` * `http://hl7.org/fhir/ValueSet/certainty-type|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 (9). FHIR 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 value="http://hl7.org/fhir/certainty-type"/> <version value="5.0.0"/> <concept> <code value="DoseResponseGradient"/> <display value="Dose response gradient"/> </concept> <concept> <code value="Imprecision"/> <display value="Imprecision"/> </concept> <concept> <code value="Inconsistency"/> <display value="Inconsistency"/> </concept> <concept> <code value="Indirectness"/> <display value="Indirectness"/> </concept> <concept> <code value="LargeEffect"/> <display value="Large effect"/> </concept> <concept> <code value="Overall"/> <display value="Overall certainty"/> </concept> <concept> <code value="PlausibleConfounding"/> <display value="Plausible confounding"/> </concept> <concept> <code value="PublicationBias"/> <display value="Publication bias"/> </concept> <concept> <code value="RiskOfBias"/> <display value="Risk of bias"/> </concept> </include> </compose> <expansion> <timestamp value="2026-03-17T21:02:03.8104715+00:00"/> <contains> <system value="http://hl7.org/fhir/certainty-type"/> <version value="5.0.0"/> <code value="DoseResponseGradient"/> <display value="Dose response gradient"/> </contains> <contains> <system value="http://hl7.org/fhir/certainty-type"/> <version value="5.0.0"/> <code value="Imprecision"/> <display value="Imprecision"/> </contains> <contains> <system value="http://hl7.org/fhir/certainty-type"/> <version value="5.0.0"/> <code value="Inconsistency"/> <display value="Inconsistency"/> </contains> <contains> <system value="http://hl7.org/fhir/certainty-type"/> <version value="5.0.0"/> <code value="Indirectness"/> <display value="Indirectness"/> </contains> <contains> <system value="http://hl7.org/fhir/certainty-type"/> <version value="5.0.0"/> <code value="LargeEffect"/> <display value="Large effect"/> </contains> <contains> <system value="http://hl7.org/fhir/certainty-type"/> <version value="5.0.0"/> <code value="Overall"/> <display value="Overall certainty"/> </contains> <contains> <system value="http://hl7.org/fhir/certainty-type"/> <version value="5.0.0"/> <code value="PlausibleConfounding"/> <display value="Plausible confounding"/> </contains> <contains> <system value="http://hl7.org/fhir/certainty-type"/> <version value="5.0.0"/> <code value="PublicationBias"/> <display value="Publication bias"/> </contains> <contains> <system value="http://hl7.org/fhir/certainty-type"/> <version value="5.0.0"/> <code value="RiskOfBias"/> <display value="Risk of bias"/> </contains> </expansion> </ValueSet>

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

This value set expansion contains 9 concepts.

System	Version	Code	Display	Definition
`http://hl7.org/fhir/certainty-type`	5.0.0	DoseResponseGradient	Dose response gradient	higher certainty due to dose response relationship.
`http://hl7.org/fhir/certainty-type`	5.0.0	Imprecision	Imprecision	fuzzy or wide variability.
`http://hl7.org/fhir/certainty-type`	5.0.0	Inconsistency	Inconsistency	concerns that findings are not similar enough to support certainty.
`http://hl7.org/fhir/certainty-type`	5.0.0	Indirectness	Indirectness	concerns reducing external validity.
`http://hl7.org/fhir/certainty-type`	5.0.0	LargeEffect	Large effect	higher certainty due to large effect size.
`http://hl7.org/fhir/certainty-type`	5.0.0	Overall	Overall certainty	Overall certainty of evidence (quality of evidence).
`http://hl7.org/fhir/certainty-type`	5.0.0	PlausibleConfounding	Plausible confounding	higher certainty due to risk of bias in opposite direction.
`http://hl7.org/fhir/certainty-type`	5.0.0	PublicationBias	Publication bias	likelihood that what is published misrepresents what is available to publish.
`http://hl7.org/fhir/certainty-type`	5.0.0	RiskOfBias	Risk of bias	methodologic concerns reducing internal validity.