Release 5

This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B

Example CodeSystem/certainty-type (JSON)

Clinical Decision Support Work GroupMaturity Level: N/AStandards Status: Informative

Raw JSON (canonical form + also see JSON Format Specification)

Definition for Code SystemEvidenceCertaintyType

{
  "resourceType" : "CodeSystem",
  "id" : "certainty-type",
  "meta" : {
    "lastUpdated" : "2023-03-26T15:21:02.749+11:00",
    "profile" : ["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system <code>http://hl7.org/fhir/certainty-type</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">Overall<a name=\"certainty-type-Overall\"> </a></td><td>Overall certainty</td><td>Overall certainty of evidence (quality of evidence).</td></tr><tr><td style=\"white-space:nowrap\">RiskOfBias<a name=\"certainty-type-RiskOfBias\"> </a></td><td>Risk of bias</td><td>methodologic concerns reducing internal validity.</td></tr><tr><td style=\"white-space:nowrap\">Inconsistency<a name=\"certainty-type-Inconsistency\"> </a></td><td>Inconsistency</td><td>concerns that findings are not similar enough to support certainty.</td></tr><tr><td style=\"white-space:nowrap\">Indirectness<a name=\"certainty-type-Indirectness\"> </a></td><td>Indirectness</td><td>concerns reducing external validity.</td></tr><tr><td style=\"white-space:nowrap\">Imprecision<a name=\"certainty-type-Imprecision\"> </a></td><td>Imprecision</td><td>fuzzy or wide variability.</td></tr><tr><td style=\"white-space:nowrap\">PublicationBias<a name=\"certainty-type-PublicationBias\"> </a></td><td>Publication bias</td><td>likelihood that what is published misrepresents what is available to publish.</td></tr><tr><td style=\"white-space:nowrap\">DoseResponseGradient<a name=\"certainty-type-DoseResponseGradient\"> </a></td><td>Dose response gradient</td><td>higher certainty due to dose response relationship.</td></tr><tr><td style=\"white-space:nowrap\">PlausibleConfounding<a name=\"certainty-type-PlausibleConfounding\"> </a></td><td>Plausible confounding</td><td>higher certainty due to risk of bias in opposite direction.</td></tr><tr><td style=\"white-space:nowrap\">LargeEffect<a name=\"certainty-type-LargeEffect\"> </a></td><td>Large effect</td><td>higher certainty due to large effect size.</td></tr></table></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "cds"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 1
  }],
  "url" : "http://hl7.org/fhir/certainty-type",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.4.1939"
  }],
  "version" : "5.0.0",
  "name" : "EvidenceCertaintyType",
  "title" : "Evidence Certainty Type",
  "status" : "active",
  "experimental" : false,
  "date" : "2020-12-28T16:55:11+11:00",
  "publisher" : "HL7 (FHIR Project)",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    },
    {
      "system" : "email",
      "value" : "fhir@lists.hl7.org"
    }]
  }],
  "description" : "The aspect of quality, confidence, or certainty.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"
    }]
  }],
  "caseSensitive" : true,
  "valueSet" : "http://hl7.org/fhir/ValueSet/certainty-type",
  "content" : "complete",
  "concept" : [{
    "code" : "Overall",
    "display" : "Overall certainty",
    "definition" : "Overall certainty of evidence (quality of evidence)."
  },
  {
    "code" : "RiskOfBias",
    "display" : "Risk of bias",
    "definition" : "methodologic concerns reducing internal validity."
  },
  {
    "code" : "Inconsistency",
    "display" : "Inconsistency",
    "definition" : "concerns that findings are not similar enough to support certainty."
  },
  {
    "code" : "Indirectness",
    "display" : "Indirectness",
    "definition" : "concerns reducing external validity."
  },
  {
    "code" : "Imprecision",
    "display" : "Imprecision",
    "definition" : "fuzzy or wide variability."
  },
  {
    "code" : "PublicationBias",
    "display" : "Publication bias",
    "definition" : "likelihood that what is published misrepresents what is available to publish."
  },
  {
    "code" : "DoseResponseGradient",
    "display" : "Dose response gradient",
    "definition" : "higher certainty due to dose response relationship."
  },
  {
    "code" : "PlausibleConfounding",
    "display" : "Plausible confounding",
    "definition" : "higher certainty due to risk of bias in opposite direction."
  },
  {
    "code" : "LargeEffect",
    "display" : "Large effect",
    "definition" : "higher certainty due to large effect size."
  }]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.