HL7 Terminology (THO)
6.3.0 - Publication International flag

HL7 Terminology (THO), published by HL7 International - Vocabulary Work Group. This guide is not an authorized publication; it is the continuous build for version 6.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/UTG/ and changes regularly. See the Directory of published versions

: Evidence Certainty Type - XML Representation

Page standards status: Trial-use Maturity Level: 1

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="certainty-type"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem certainty-type</b></p><a name="certainty-type"> </a><a name="hccertainty-type"> </a><a name="certainty-type-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/R5/shareablecodesystem.html">Shareable CodeSystem</a></p></div><p>This case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/certainty-type</code> 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">Overall<a name="certainty-type-Overall"> </a></td><td>Overall certainty</td><td>Overall certainty of evidence (quality of evidence).</td></tr><tr><td style="white-space:nowrap">RiskOfBias<a name="certainty-type-RiskOfBias"> </a></td><td>Risk of bias</td><td>methodologic concerns reducing internal validity.</td></tr><tr><td style="white-space:nowrap">Inconsistency<a name="certainty-type-Inconsistency"> </a></td><td>Inconsistency</td><td>concerns that findings are not similar enough to support certainty.</td></tr><tr><td style="white-space:nowrap">Indirectness<a name="certainty-type-Indirectness"> </a></td><td>Indirectness</td><td>concerns reducing external validity.</td></tr><tr><td style="white-space:nowrap">Imprecision<a name="certainty-type-Imprecision"> </a></td><td>Imprecision</td><td>fuzzy or wide variability.</td></tr><tr><td style="white-space:nowrap">PublicationBias<a name="certainty-type-PublicationBias"> </a></td><td>Publication bias</td><td>likelihood that what is published misrepresents what is available to publish.</td></tr><tr><td style="white-space:nowrap">DoseResponseGradient<a name="certainty-type-DoseResponseGradient"> </a></td><td>Dose response gradient</td><td>higher certainty due to dose response relationship.</td></tr><tr><td style="white-space:nowrap">PlausibleConfounding<a name="certainty-type-PlausibleConfounding"> </a></td><td>Plausible confounding</td><td>higher certainty due to risk of bias in opposite direction.</td></tr><tr><td style="white-space:nowrap">LargeEffect<a name="certainty-type-LargeEffect"> </a></td><td>Large effect</td><td>higher certainty due to large effect size.</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-type"/>
  <version value="1.0.0"/>
  <name value="EvidenceCertaintyType"/>
  <title value="Evidence Certainty Type"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2025-01-20T16:55:11+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 aspect of quality, confidence, or certainty."/>
  <caseSensitive value="true"/>
  <valueSet value="http://terminology.hl7.org/ValueSet/certainty-type"/>
  <content value="complete"/>
  <concept>
    <code value="Overall"/>
    <display value="Overall certainty"/>
    <definition value="Overall certainty of evidence (quality of evidence)."/>
  </concept>
  <concept>
    <code value="RiskOfBias"/>
    <display value="Risk of bias"/>
    <definition value="methodologic concerns reducing internal validity."/>
  </concept>
  <concept>
    <code value="Inconsistency"/>
    <display value="Inconsistency"/>
    <definition
                value="concerns that findings are not similar enough to support certainty."/>
  </concept>
  <concept>
    <code value="Indirectness"/>
    <display value="Indirectness"/>
    <definition value="concerns reducing external validity."/>
  </concept>
  <concept>
    <code value="Imprecision"/>
    <display value="Imprecision"/>
    <definition value="fuzzy or wide variability."/>
  </concept>
  <concept>
    <code value="PublicationBias"/>
    <display value="Publication bias"/>
    <definition
                value="likelihood that what is published misrepresents what is available to publish."/>
  </concept>
  <concept>
    <code value="DoseResponseGradient"/>
    <display value="Dose response gradient"/>
    <definition value="higher certainty due to dose response relationship."/>
  </concept>
  <concept>
    <code value="PlausibleConfounding"/>
    <display value="Plausible confounding"/>
    <definition
                value="higher certainty due to risk of bias in opposite direction."/>
  </concept>
  <concept>
    <code value="LargeEffect"/>
    <display value="Large effect"/>
    <definition value="higher certainty due to large effect size."/>
  </concept>
</CodeSystem>