{
  "description": "The aspect of quality, confidence, or certainty.",
  "_filename": "CodeSystem-certainty-type.json",
  "package_name": "hl7.fhir.uv.xver-r5.r4",
  "date": "2020-12-28T15:55:11+10:00",
  "publisher": "Clinical Decision Support",
  "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": "0.0.1-snapshot-2",
  "extension": [ {
    "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/package-source",
    "extension": [ {
      "url": "packageId",
      "valueId": "hl7.fhir.uv.xver-r5.r4"
    }, {
      "url": "version",
      "valueString": "0.0.1-snapshot-2"
    } ]
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode": "cds"
  } ],
  "status": "active",
  "id": "41d9207d-c0ce-4ddf-b27a-4e2b1fe4f312",
  "valueSet": "http://hl7.org/fhir/ValueSet/certainty-type",
  "kind": null,
  "url": "http://hl7.org/fhir/certainty-type",
  "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": [ {
    "name": "Clinical Decision Support",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/dss",
      "system": "url"
    } ]
  } ]
}