{
  "description": "The aspect of quality, confidence, or certainty.",
  "_filename": "CodeSystem-certainty-type.json",
  "package_name": "hl7.fhir.uv.extensions.r3",
  "date": "2020-12-28T16:55:11+11:00",
  "meta": {
    "profile": [ "http://hl7.org/fhir/StructureDefinition/shareablecodesystem" ],
    "lastUpdated": "2023-03-26T15:21:02.749+11:00"
  },
  "publisher": "HL7 (FHIR Project)",
  "jurisdiction": [ {
    "coding": [ {
      "code": "001",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "display": "World"
    } ]
  } ],
  "content": "complete",
  "name": "EvidenceCertaintyType",
  "type": null,
  "experimental": "false",
  "resourceType": "CodeSystem",
  "title": "Evidence Certainty Type",
  "package_version": "5.3.0-ballot",
  "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/StructureDefinition/web-source",
    "valueUri": "http://hl7.org/fhir/R5/codesystem-certainty-type.html"
  } ],
  "status": "active",
  "id": "185e60f0-bc9d-41f6-9830-c73e5abf471b",
  "valueSet": "http://hl7.org/fhir/ValueSet/certainty-type",
  "kind": null,
  "url": "http://hl7.org/fhir/certainty-type",
  "identifier": {
    "value": "urn:oid:2.16.840.1.113883.4.642.4.1939",
    "system": "urn:ietf:rfc:3986"
  },
  "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."
  } ],
  "caseSensitive": true,
  "version": "5.0.0",
  "contact": [ {
    "telecom": [ {
      "value": "http://hl7.org/fhir",
      "system": "url"
    }, {
      "value": "fhir@lists.hl7.org",
      "system": "email"
    } ]
  } ]
}