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
Clinical Decision Support Work Group | Maturity Level: N/A | Standards Status: Informative |
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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.
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