Release 4B Ballot #1

This page is part of the FHIR Specification (v4.1.0: Release 4B Ballot #1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B

Codesystem-certainty-rating.xml

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

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

Definition for Code System EvidenceCertaintyRating

<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="certainty-rating"/> 
  <meta> 
    <lastUpdated value="2021-03-11T17:06:20.662+11:00"/> 
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      
      
      <p> This code system http://terminology.hl7.org/CodeSystem/certainty-rating 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">high
            
            
            <a name="certainty-rating-high"> </a> 
          
          
          </td> 
          
          
          <td> High quality</td> 
          
          
          <td> High quality evidence.</td> 
        
        
        </tr> 
        
        
        <tr> 
          
          
          <td style="white-space:nowrap">moderate
            
            
            <a name="certainty-rating-moderate"> </a> 
          
          
          </td> 
          
          
          <td> Moderate quality</td> 
          
          
          <td> Moderate quality evidence.</td> 
        
        
        </tr> 
        
        
        <tr> 
          
          
          <td style="white-space:nowrap">low
            
            
            <a name="certainty-rating-low"> </a> 
          
          
          </td> 
          
          
          <td> Low quality</td> 
          
          
          <td> Low quality evidence.</td> 
        
        
        </tr> 
        
        
        <tr> 
          
          
          <td style="white-space:nowrap">very-low
            
            
            <a name="certainty-rating-very-low"> </a> 
          
          
          </td> 
          
          
          <td> Very low quality</td> 
          
          
          <td> Very low quality evidence.</td> 
        
        
        </tr> 
        
        
        <tr> 
          
          
          <td style="white-space:nowrap">no-concern
            
            
            <a name="certainty-rating-no-concern"> </a> 
          
          
          </td> 
          
          
          <td> no serious concern</td> 
          
          
          <td> no serious concern.</td> 
        
        
        </tr> 
        
        
        <tr> 
          
          
          <td style="white-space:nowrap">serious-concern
            
            
            <a name="certainty-rating-serious-concern"> </a> 
          
          
          </td> 
          
          
          <td> serious concern</td> 
          
          
          <td> serious concern.</td> 
        
        
        </tr> 
        
        
        <tr> 
          
          
          <td style="white-space:nowrap">very-serious-concern
            
            
            <a name="certainty-rating-very-serious-concern"> </a> 
          
          
          </td> 
          
          
          <td> very serious concern</td> 
          
          
          <td> very serious concern.</td> 
        
        
        </tr> 
        
        
        <tr> 
          
          
          <td style="white-space:nowrap">extremely-serious-concern
            
            
            <a name="certainty-rating-extremely-serious-concern"> </a> 
          
          
          </td> 
          
          
          <td> extremely serious concern</td> 
          
          
          <td> extremely serious concern.</td> 
        
        
        </tr> 
        
        
        <tr> 
          
          
          <td style="white-space:nowrap">present
            
            
            <a name="certainty-rating-present"> </a> 
          
          
          </td> 
          
          
          <td> present</td> 
          
          
          <td> possible reason for increasing quality rating was checked and found to be present.</td> 
        
        
        </tr> 
        
        
        <tr> 
          
          
          <td style="white-space:nowrap">absent
            
            
            <a name="certainty-rating-absent"> </a> 
          
          
          </td> 
          
          
          <td> absent</td> 
          
          
          <td> possible reason for increasing quality rating was checked and found to be absent.</td> 
        
        
        </tr> 
        
        
        <tr> 
          
          
          <td style="white-space:nowrap">no-change
            
            
            <a name="certainty-rating-no-change"> </a> 
          
          
          </td> 
          
          
          <td> no change to rating</td> 
          
          
          <td> no change to quality rating.</td> 
        
        
        </tr> 
        
        
        <tr> 
          
          
          <td style="white-space:nowrap">downcode1
            
            
            <a name="certainty-rating-downcode1"> </a> 
          
          
          </td> 
          
          
          <td> reduce rating: -1</td> 
          
          
          <td> reduce quality rating by 1.</td> 
        
        
        </tr> 
        
        
        <tr> 
          
          
          <td style="white-space:nowrap">downcode2
            
            
            <a name="certainty-rating-downcode2"> </a> 
          
          
          </td> 
          
          
          <td> reduce rating: -2</td> 
          
          
          <td> reduce quality rating by 2.</td> 
        
        
        </tr> 
        
        
        <tr> 
          
          
          <td style="white-space:nowrap">downcode3
            
            
            <a name="certainty-rating-downcode3"> </a> 
          
          
          </td> 
          
          
          <td> reduce rating: -3</td> 
          
          
          <td> reduce quality rating by 3.</td> 
        
        
        </tr> 
        
        
        <tr> 
          
          
          <td style="white-space:nowrap">upcode1
            
            
            <a name="certainty-rating-upcode1"> </a> 
          
          
          </td> 
          
          
          <td> increase rating: +1</td> 
          
          
          <td> increase quality rating by 1.</td> 
        
        
        </tr> 
        
        
        <tr> 
          
          
          <td style="white-space:nowrap">upcode2
            
            
            <a name="certainty-rating-upcode2"> </a> 
          
          
          </td> 
          
          
          <td> increase rating: +2</td> 
          
          
          <td> increase quality rating by 2.</td> 
        
        
        </tr> 
      
      
      </table> 
    
    
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="cds"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1"/> 
  </extension> 
  <url value="http://terminology.hl7.org/CodeSystem/certainty-rating"/> 
  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.4.642.1.1415"/> 
  </identifier> 
  <version value="4.1.0"/> 
  <name value="EvidenceCertaintyRating"/> 
  <title value="EvidenceCertaintyRating"/> 
  <status value="draft"/> 
  <experimental value="false"/> 
  <date value="2020-12-28T16:55:11+11:00"/> 
  <publisher value="HL7 (FHIR Project)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
    <telecom> 
      <system value="email"/> 
      <value value="fhir@lists.hl7.org"/> 
    </telecom> 
  </contact> 
  <description value="The assessment of quality, confidence, or certainty."/> 
  <caseSensitive value="true"/> 
  <valueSet value="http://hl7.org/fhir/ValueSet/certainty-rating"/> 
  <content value="complete"/> 
  <concept> 
    <code value="high"/> 
    <display value="High quality"/> 
    <definition value="High quality evidence."/> 
  </concept> 
  <concept> 
    <code value="moderate"/> 
    <display value="Moderate quality"/> 
    <definition value="Moderate quality evidence."/> 
  </concept> 
  <concept> 
    <code value="low"/> 
    <display value="Low quality"/> 
    <definition value="Low quality evidence."/> 
  </concept> 
  <concept> 
    <code value="very-low"/> 
    <display value="Very low quality"/> 
    <definition value="Very low quality evidence."/> 
  </concept> 
  <concept> 
    <code value="no-concern"/> 
    <display value="no serious concern"/> 
    <definition value="no serious concern."/> 
  </concept> 
  <concept> 
    <code value="serious-concern"/> 
    <display value="serious concern"/> 
    <definition value="serious concern."/> 
  </concept> 
  <concept> 
    <code value="very-serious-concern"/> 
    <display value="very serious concern"/> 
    <definition value="very serious concern."/> 
  </concept> 
  <concept> 
    <code value="extremely-serious-concern"/> 
    <display value="extremely serious concern"/> 
    <definition value="extremely serious concern."/> 
  </concept> 
  <concept> 
    <code value="present"/> 
    <display value="present"/> 
    <definition value="possible reason for increasing quality rating was checked and found to be present."/> 
  </concept> 
  <concept> 
    <code value="absent"/> 
    <display value="absent"/> 
    <definition value="possible reason for increasing quality rating was checked and found to be absent."/> 
  </concept> 
  <concept> 
    <code value="no-change"/> 
    <display value="no change to rating"/> 
    <definition value="no change to quality rating."/> 
  </concept> 
  <concept> 
    <code value="downcode1"/> 
    <display value="reduce rating: -1"/> 
    <definition value="reduce quality rating by 1."/> 
  </concept> 
  <concept> 
    <code value="downcode2"/> 
    <display value="reduce rating: -2"/> 
    <definition value="reduce quality rating by 2."/> 
  </concept> 
  <concept> 
    <code value="downcode3"/> 
    <display value="reduce rating: -3"/> 
    <definition value="reduce quality rating by 3."/> 
  </concept> 
  <concept> 
    <code value="upcode1"/> 
    <display value="increase rating: +1"/> 
    <definition value="increase quality rating by 1."/> 
  </concept> 
  <concept> 
    <code value="upcode2"/> 
    <display value="increase rating: +2"/> 
    <definition value="increase quality rating by 2."/> 
  </concept> 
</CodeSystem>

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.