Release 5 Draft Ballot

This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions Value Set

Clinical Decision Support Work Group Maturity Level: 1Trial Use Use Context: Not yet ready for Production use

This is a value set defined by the FHIR project.


Defining URL:

The assessment of quality, confidence, or certainty.

Committee:Clinical Decision Support Work Group
OID:2.16.840.1.113883.4.642.3.1414 (for OID based terminology systems)
Source ResourceXML / JSON

This value set is used in the following places:


This expansion generated 23 Jun 2022

This value set contains 16 concepts

Expansion based on EvidenceCertaintyRating v4.6.0 (CodeSystem)

All codes in this table are from the system

highHigh qualityHigh quality evidence.
moderateModerate qualityModerate quality evidence.
lowLow qualityLow quality evidence.
very-lowVery low qualityVery low quality evidence.
no-concernno serious concernno serious concern.
serious-concernserious concernserious concern.
very-serious-concernvery serious concernvery serious concern.
extremely-serious-concernextremely serious concernextremely serious concern.
presentpresentpossible reason for increasing quality rating was checked and found to be present.
absentabsentpossible reason for increasing quality rating was checked and found to be absent.
no-changeno change to ratingno change to quality rating.
downcode1reduce rating: -1reduce quality rating by 1.
downcode2reduce rating: -2reduce quality rating by 2.
downcode3reduce rating: -3reduce quality rating by 3.
upcode1increase rating: +1increase quality rating by 1.
upcode2increase rating: +2increase quality rating by 2.


See the full registry of value sets defined as part of FHIR.

Explanation of the columns that may appear on this page:

LvlA few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information
SourceThe source of the definition of the code (when the value set draws in codes defined elsewhere)
CodeThe code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
DisplayThe display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
DefinitionAn explanation of the meaning of the concept
CommentsAdditional notes about how to use the code