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 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="R5-certainty-type-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-type-for-R4</b></p><a name="R5-certainty-type-for-R4"> </a><a name="hcR5-certainty-type-for-R4"> </a><p>This value set expansion contains 9 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-type-for-R4-http://hl7.org/fhir/certainty-type-DoseResponseGradient"> </a><code>http://hl7.org/fhir/certainty-type</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-certainty-type.html#certainty-type-DoseResponseGradient">DoseResponseGradient</a></td><td>Dose response gradient</td><td>higher certainty due to dose response relationship.</td></tr><tr><td><a name="R5-certainty-type-for-R4-http://hl7.org/fhir/certainty-type-Imprecision"> </a><code>http://hl7.org/fhir/certainty-type</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-certainty-type.html#certainty-type-Imprecision">Imprecision</a></td><td>Imprecision</td><td>fuzzy or wide variability.</td></tr><tr><td><a name="R5-certainty-type-for-R4-http://hl7.org/fhir/certainty-type-Inconsistency"> </a><code>http://hl7.org/fhir/certainty-type</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-certainty-type.html#certainty-type-Inconsistency">Inconsistency</a></td><td>Inconsistency</td><td>concerns that findings are not similar enough to support certainty.</td></tr><tr><td><a name="R5-certainty-type-for-R4-http://hl7.org/fhir/certainty-type-Indirectness"> </a><code>http://hl7.org/fhir/certainty-type</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-certainty-type.html#certainty-type-Indirectness">Indirectness</a></td><td>Indirectness</td><td>concerns reducing external validity.</td></tr><tr><td><a name="R5-certainty-type-for-R4-http://hl7.org/fhir/certainty-type-LargeEffect"> </a><code>http://hl7.org/fhir/certainty-type</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-certainty-type.html#certainty-type-LargeEffect">LargeEffect</a></td><td>Large effect</td><td>higher certainty due to large effect size.</td></tr><tr><td><a name="R5-certainty-type-for-R4-http://hl7.org/fhir/certainty-type-Overall"> </a><code>http://hl7.org/fhir/certainty-type</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-certainty-type.html#certainty-type-Overall">Overall</a></td><td>Overall certainty</td><td>Overall certainty of evidence (quality of evidence).</td></tr><tr><td><a name="R5-certainty-type-for-R4-http://hl7.org/fhir/certainty-type-PlausibleConfounding"> </a><code>http://hl7.org/fhir/certainty-type</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-certainty-type.html#certainty-type-PlausibleConfounding">PlausibleConfounding</a></td><td>Plausible confounding</td><td>higher certainty due to risk of bias in opposite direction.</td></tr><tr><td><a name="R5-certainty-type-for-R4-http://hl7.org/fhir/certainty-type-PublicationBias"> </a><code>http://hl7.org/fhir/certainty-type</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-certainty-type.html#certainty-type-PublicationBias">PublicationBias</a></td><td>Publication bias</td><td>likelihood that what is published misrepresents what is available to publish.</td></tr><tr><td><a name="R5-certainty-type-for-R4-http://hl7.org/fhir/certainty-type-RiskOfBias"> </a><code>http://hl7.org/fhir/certainty-type</code></td><td>5.0.0</td><td style="white-space:nowrap"> <a href="CodeSystem-certainty-type.html#certainty-type-RiskOfBias">RiskOfBias</a></td><td>Risk of bias</td><td>methodologic concerns reducing internal validity.</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-type-for-R4"/>
<version value="0.1.0"/>
<name value="R5CertaintyTypeForR4"/>
<title
value="Cross-version ValueSet R5.EvidenceCertaintyType 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-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>
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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