description: Rating of a single outcome (evidence) underlying a clinical practice guideline recommendation
package_name: de.netzwerk-universitaetsmedizin.ebm-cpg
derivation: constraint
name: CertaintyOfEvidenceRating
type: ArtifactAssessment
elements:
  meta:
    mustSupport: true
    index: 0
    elements:
      source: {mustSupport: true, index: 1}
      profile: {mustSupport: true, index: 2}
    required: [profile]
  extension:
    array: true
    min: 2
    index: 3
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: 2
      slices:
        version:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ceosys-extension-artifact-assessment-version', index: 4}
          min: 1
          max: 1
        publicationStatus:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ceosys-extension-artifact-assessment-publication-status', index: 5}
          min: 1
          max: 1
  date: {index: 6}
  artifact:
    choices: [artifactReference]
    index: 8
  artifactReference:
    type: Reference
    choiceOf: artifact
    refers: ['https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/outcome-evidence']
    index: 9
  content:
    mustSupport: true
    index: 10
    slicing:
      rules: closed
      discriminator:
      - {path: type, type: value}
      min: 1
      slices:
        riskOfBias:
          match:
            type:
              coding:
              - {code: RiskOfBias, system: 'http://hl7.org/fhir/certainty-type', display: Risk of bias}
          schema:
            mustSupport: true
            index: 19
            elements:
              informationType:
                pattern: {type: Code, value: rating}
                index: 20
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: RiskOfBias, system: 'http://hl7.org/fhir/certainty-type', display: Risk of bias}
                index: 21
              classifier:
                binding: {strength: required, valueSet: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-concern-degree'}
                index: 22
            required: [type, classifier, informationType]
        plausibleConfounding:
          match:
            type:
              coding:
              - {code: PlausibleConfounding, system: 'http://hl7.org/fhir/certainty-type', display: Plausible confounding}
          schema:
            mustSupport: true
            index: 47
            elements:
              informationType:
                pattern: {type: Code, value: rating}
                index: 48
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: PlausibleConfounding, system: 'http://hl7.org/fhir/certainty-type', display: Plausible confounding}
                index: 49
              classifier:
                binding: {strength: required, valueSet: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-uprating-one-level'}
                index: 50
            required: [type, classifier, informationType]
        certaintyOfEvidence:
          match:
            type:
              coding:
              - {code: Overall, system: 'http://hl7.org/fhir/certainty-type', display: Overall certainty}
          schema:
            mustSupport: true
            _required: true
            index: 11
            elements:
              informationType:
                pattern: {type: Code, value: rating}
                index: 12
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: Overall, system: 'http://hl7.org/fhir/certainty-type', display: Overall certainty}
                index: 13
              classifier:
                binding: {strength: required, valueSet: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-certainty-of-evidence'}
                index: 14
            required: [type, classifier, informationType]
        doseResponseGradient:
          match:
            type:
              coding:
              - {code: DoseResponseGradient, system: 'http://hl7.org/fhir/certainty-type', display: Dose response gradient}
          schema:
            mustSupport: true
            index: 43
            elements:
              informationType:
                pattern: {type: Code, value: rating}
                index: 44
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: DoseResponseGradient, system: 'http://hl7.org/fhir/certainty-type', display: Dose response gradient}
                index: 45
              classifier:
                binding: {strength: required, valueSet: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-uprating-one-level'}
                index: 46
            required: [type, classifier, informationType]
        clinicalImportance:
          match:
            type:
              coding:
              - {code: clinical-importance, system: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system', display: Clinical Importance}
          schema:
            mustSupport: true
            index: 15
            elements:
              informationType:
                pattern: {type: Code, value: rating}
                index: 16
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: clinical-importance, system: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/CodeSystem/ceosys-code-system', display: Clinical Importance}
                index: 17
              classifier:
                binding: {strength: required, valueSet: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-clinical-importance'}
                index: 18
            required: [type, classifier, informationType]
        largeEffect:
          match:
            type:
              coding:
              - {code: LargeEffect, system: 'http://hl7.org/fhir/certainty-type', display: Large effect}
          schema:
            mustSupport: true
            index: 39
            elements:
              informationType:
                pattern: {type: Code, value: rating}
                index: 40
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: LargeEffect, system: 'http://hl7.org/fhir/certainty-type', display: Large effect}
                index: 41
              classifier:
                binding: {strength: required, valueSet: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-uprating-two-levels'}
                index: 42
            required: [type, classifier, informationType]
        publicationBias:
          match:
            type:
              coding:
              - {code: PublicationBias, system: 'http://hl7.org/fhir/certainty-type', display: Publication bias}
          schema:
            mustSupport: true
            index: 35
            elements:
              informationType:
                pattern: {type: Code, value: rating}
                index: 36
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: PublicationBias, system: 'http://hl7.org/fhir/certainty-type', display: Publication bias}
                index: 37
              classifier:
                binding: {strength: required, valueSet: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-concern-degree'}
                index: 38
            required: [type, classifier, informationType]
        inconsistency:
          match:
            type:
              coding:
              - {code: Inconsistency, system: 'http://hl7.org/fhir/certainty-type', display: Inconsistency}
          schema:
            mustSupport: true
            index: 23
            elements:
              informationType:
                pattern: {type: Code, value: rating}
                index: 24
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: Inconsistency, system: 'http://hl7.org/fhir/certainty-type', display: Inconsistency}
                index: 25
              classifier:
                binding: {strength: required, valueSet: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-concern-degree'}
                index: 26
            required: [type, classifier, informationType]
        imprecision:
          match:
            type:
              coding:
              - {code: Imprecision, system: 'http://hl7.org/fhir/certainty-type', display: Imprecision}
          schema:
            mustSupport: true
            index: 31
            elements:
              informationType:
                pattern: {type: Code, value: rating}
                index: 32
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: Imprecision, system: 'http://hl7.org/fhir/certainty-type', display: Imprecision}
                index: 33
              classifier:
                binding: {strength: required, valueSet: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-concern-degree'}
                index: 34
            required: [type, classifier, informationType]
        indirectness:
          match:
            type:
              coding:
              - {code: Indirectness, system: 'http://hl7.org/fhir/certainty-type', display: Indirectness}
          schema:
            mustSupport: true
            index: 27
            elements:
              informationType:
                pattern: {type: Code, value: rating}
                index: 28
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: Indirectness, system: 'http://hl7.org/fhir/certainty-type', display: Indirectness}
                index: 29
              classifier:
                binding: {strength: required, valueSet: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/ValueSet/vs-rating-concern-degree'}
                index: 30
            required: [type, classifier, informationType]
package_version: 0.7.1-snapshot
extensions:
  version: {url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ceosys-extension-artifact-assessment-version', min: 1, max: 1, type: Extension, mustSupport: true, index: 4}
  publicationStatus: {url: 'https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/ceosys-extension-artifact-assessment-publication-status', min: 1, max: 1, type: Extension, mustSupport: true, index: 5}
class: profile
kind: resource
url: https://www.netzwerk-universitaetsmedizin.de/fhir/cpg-on-ebm-on-fhir/StructureDefinition/certainty-of-evidence-rating
base: http://hl7.org/fhir/StructureDefinition/ArtifactAssessment
version: 0.1.0
required: [content, meta, date]