Evidence Based Medicine on FHIR Implementation Guide, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ebm/ and changes regularly. See the Directory of published versions
Active as of 2022-02-16 |
{
"resourceType" : "CodeSystem",
"id" : "27834",
"meta" : {
"versionId" : "80",
"lastUpdated" : "2024-07-08T12:36:53.513Z"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem 27834</b></p><a name=\"27834\"> </a><a name=\"hc27834\"> </a><a name=\"27834-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\">version: 80; Last updated: 2024-07-08 12:36:53+0000</p></div><p>This case-insensitive code system <code>https://fevir.net/resources/CodeSystem/27834</code> defines the following codes in a Grouped By hierarchy:</p><table class=\"codes\"><tr><td><b>Lvl</b></td><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RJCS-Domain1<a name=\"27834-RJCS-Domain1\"> </a></td><td>Domain</td><td>This is a group of terms to define the concept being rated or classified</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-1001<a name=\"27834-RJCS-1001\"> </a></td><td>Certainty of Evidence</td><td>Certainty of Evidence</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-1002<a name=\"27834-RJCS-1002\"> </a></td><td>Competing Interests</td><td>Competing Interests</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-1003<a name=\"27834-RJCS-1003\"> </a></td><td>Problem Importance</td><td>Problem Importance</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-1004<a name=\"27834-RJCS-1004\"> </a></td><td>Desirable Effects</td><td>Desirable Effects</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-1005<a name=\"27834-RJCS-1005\"> </a></td><td>Undesirable Effects</td><td>Undesirable Effects</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-1006<a name=\"27834-RJCS-1006\"> </a></td><td>Values/Preferences</td><td>Values/Preferences</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-1007<a name=\"27834-RJCS-1007\"> </a></td><td>Net Effect</td><td>Net Effect</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-1008<a name=\"27834-RJCS-1008\"> </a></td><td>Resources/Costs</td><td>Resources/Costs</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-1009<a name=\"27834-RJCS-1009\"> </a></td><td>Cost-effectiveness</td><td>Cost-effectiveness</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-1010<a name=\"27834-RJCS-1010\"> </a></td><td>Equity</td><td>Equity</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-1011<a name=\"27834-RJCS-1011\"> </a></td><td>Acceptability</td><td>Acceptability</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-1012<a name=\"27834-RJCS-1012\"> </a></td><td>Feasibility</td><td>Feasibility</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-1000<a name=\"27834-RJCS-1000\"> </a></td><td>Strength of Recommendation</td><td>Strength of Recommendation</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-1013<a name=\"27834-RJCS-1013\"> </a></td><td>Justification</td><td>Justification</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-1014<a name=\"27834-RJCS-1014\"> </a></td><td>Direction of Recommendation</td><td>Direction of Recommendation</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-1015<a name=\"27834-RJCS-1015\"> </a></td><td>Population</td><td>Population</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-1016<a name=\"27834-RJCS-1016\"> </a></td><td>Action</td><td>Action</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-1017<a name=\"27834-RJCS-1017\"> </a></td><td>Opposite Action</td><td>Opposite Action</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-1018<a name=\"27834-RJCS-1018\"> </a></td><td>Application Detail</td><td>Application Detail</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-1019<a name=\"27834-RJCS-1019\"> </a></td><td>Subgroup Considerations</td><td>Subgroup Considerations</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-1020<a name=\"27834-RJCS-1020\"> </a></td><td>Implementation Considerations</td><td>Implementation Considerations</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-1021<a name=\"27834-RJCS-1021\"> </a></td><td>Monitoring Considerations</td><td>Monitoring Considerations</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-1022<a name=\"27834-RJCS-1022\"> </a></td><td>Research Priorities</td><td>Research Priorities</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-content0<a name=\"27834-RJCS-content0\"> </a></td><td>Recommendation Specification</td><td>Recommendation Specification as content.type</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-content1<a name=\"27834-RJCS-content1\"> </a></td><td>Evidence</td><td>Evidence as content.type</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-content2old<a name=\"27834-RJCS-content2old\"> </a></td><td>Justification</td><td>Justification as content.type</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-content3<a name=\"27834-RJCS-content3\"> </a></td><td>Considerations</td><td>Considerations as content.type</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-content2<a name=\"27834-RJCS-content2\"> </a></td><td>Judgments</td><td>Judgments as content.type</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">RJCS-Domain2<a name=\"27834-RJCS-Domain2\"> </a></td><td>Rating</td><td>This is a group of terms to define qualities (ratings, classifier values) of the concept being rated or classified</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2001<a name=\"27834-RJCS-2001\"> </a></td><td>Strong expectation</td><td>Strong expectation for strength of recommendation</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2002<a name=\"27834-RJCS-2002\"> </a></td><td>Weak expectation</td><td>Weak expectation for strength of recommendation</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2003<a name=\"27834-RJCS-2003\"> </a></td><td>High certainty</td><td>High certainty or quality of or confidence in the evidence for</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2004<a name=\"27834-RJCS-2004\"> </a></td><td>Moderate certainty</td><td>Moderate certainty or quality of or confidence in the evidence for</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2005<a name=\"27834-RJCS-2005\"> </a></td><td>Low certainty</td><td>Low certainty or quality of or confidence in the evidence for</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2006<a name=\"27834-RJCS-2006\"> </a></td><td>Very low certainty</td><td>Very low certainty or quality of or confidence in the evidence for</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2007<a name=\"27834-RJCS-2007\"> </a></td><td>Yes</td><td>Yes</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2008<a name=\"27834-RJCS-2008\"> </a></td><td>Probably yes</td><td>Probably yes</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2009<a name=\"27834-RJCS-2009\"> </a></td><td>Probably no</td><td>Probably no</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2010<a name=\"27834-RJCS-2010\"> </a></td><td>No</td><td>No</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2011<a name=\"27834-RJCS-2011\"> </a></td><td>Varies</td><td>Varies</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2012<a name=\"27834-RJCS-2012\"> </a></td><td>Unknown</td><td>Unknown</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2013<a name=\"27834-RJCS-2013\"> </a></td><td>Large size</td><td>Large size</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2014<a name=\"27834-RJCS-2014\"> </a></td><td>Moderate size</td><td>Moderate size</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2015<a name=\"27834-RJCS-2015\"> </a></td><td>Small size</td><td>Small size</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2016<a name=\"27834-RJCS-2016\"> </a></td><td>Trivial size</td><td>Trivial size</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2006.0<a name=\"27834-RJCS-2006.460\"> </a></td><td>No evidence</td><td>No evidence</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2017<a name=\"27834-RJCS-2017\"> </a></td><td>Important uncertainty or variability</td><td>Important uncertainty or variability</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2018<a name=\"27834-RJCS-2018\"> </a></td><td>Possibly important uncertainty or variability</td><td>Possibly important uncertainty or variability</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2019<a name=\"27834-RJCS-2019\"> </a></td><td>Possibly no important uncertainty or variability</td><td>Possibly no important uncertainty or variability</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2020<a name=\"27834-RJCS-2020\"> </a></td><td>No important uncertainty or variability</td><td>No important uncertainty or variability</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2021<a name=\"27834-RJCS-2021\"> </a></td><td>Favors intervention</td><td>Favors intervention</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2022<a name=\"27834-RJCS-2022\"> </a></td><td>Possibly favors intervention</td><td>Possibly favors intervention</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2023<a name=\"27834-RJCS-2023\"> </a></td><td>Does not favor intervention or comparison</td><td>Does not favor intervention or comparison</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2024<a name=\"27834-RJCS-2024\"> </a></td><td>Possibly favors comparison</td><td>Possibly favors comparison</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2025<a name=\"27834-RJCS-2025\"> </a></td><td>Favors comparison</td><td>Favors comparison</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2026<a name=\"27834-RJCS-2026\"> </a></td><td>Large costs</td><td>Large costs</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2027<a name=\"27834-RJCS-2027\"> </a></td><td>Moderate costs</td><td>Moderate costs</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2028<a name=\"27834-RJCS-2028\"> </a></td><td>Negligible costs or savings</td><td>Negligible costs or savings</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2029<a name=\"27834-RJCS-2029\"> </a></td><td>Moderate savings</td><td>Moderate savings</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0RJCS-2030<a name=\"27834-RJCS-2030\"> </a></td><td>Large savings</td><td>Large savings</td></tr></table></div>"
},
"url" : "https://fevir.net/resources/CodeSystem/27834",
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "ACSN",
"display" : "Accession ID"
}
],
"text" : "FEvIR Object Identifier"
},
"system" : "https://fevir.net",
"value" : "27834",
"assigner" : {
"display" : "Computable Publishing LLC"
}
},
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.40.44.16.2"
}
],
"version" : "2.0.0-ballot",
"name" : "CodeSystemRecommendationJustification",
"title" : "Recommendation Justification Code System",
"status" : "active",
"experimental" : false,
"date" : "2022-02-16T21:17:05.057Z",
"publisher" : "HL7 International / Clinical Decision Support",
"contact" : [
{
"name" : "HL7 International / Clinical Decision Support",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/dss"
}
]
}
],
"description" : "This resource (this entire set of content) is being used for active development of a code system to support a RecommendationJustification Profile of ArtifactAssessment Resource. This code system is not yet released for expected use and may not be stable. This resource may be used for the continuous development of the code system, and published versions of the code system (when ready) may be published as separate resources with stable identifiers.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001",
"display" : "World"
}
]
}
],
"copyright" : "https://creativecommons.org/licenses/by-sa/4.0/",
"author" : [
{
"name" : "Brian S. Alper"
}
],
"relatedArtifact" : [
{
"type" : "cite-as",
"citation" : "Recommendation Justification Code System [Database Entry: FHIR CodeSystem Resource]. Contributors: Brian S. Alper [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 27834. Revised 2022-02-16. Available at: https://fevir.net/resources/CodeSystem/27834. Computable resource at: https://fevir.net/resources/CodeSystem/27834."
}
],
"caseSensitive" : false,
"hierarchyMeaning" : "grouped-by",
"versionNeeded" : true,
"content" : "complete",
"concept" : [
{
"code" : "RJCS-Domain1",
"display" : "Domain",
"definition" : "This is a group of terms to define the concept being rated or classified",
"concept" : [
{
"code" : "RJCS-1001",
"display" : "Certainty of Evidence",
"definition" : "Certainty of Evidence"
},
{
"code" : "RJCS-1002",
"display" : "Competing Interests",
"definition" : "Competing Interests"
},
{
"code" : "RJCS-1003",
"display" : "Problem Importance",
"definition" : "Problem Importance"
},
{
"code" : "RJCS-1004",
"display" : "Desirable Effects",
"definition" : "Desirable Effects"
},
{
"code" : "RJCS-1005",
"display" : "Undesirable Effects",
"definition" : "Undesirable Effects"
},
{
"code" : "RJCS-1006",
"display" : "Values/Preferences",
"definition" : "Values/Preferences"
},
{
"code" : "RJCS-1007",
"display" : "Net Effect",
"definition" : "Net Effect"
},
{
"code" : "RJCS-1008",
"display" : "Resources/Costs",
"definition" : "Resources/Costs"
},
{
"code" : "RJCS-1009",
"display" : "Cost-effectiveness",
"definition" : "Cost-effectiveness"
},
{
"code" : "RJCS-1010",
"display" : "Equity",
"definition" : "Equity"
},
{
"code" : "RJCS-1011",
"display" : "Acceptability",
"definition" : "Acceptability"
},
{
"code" : "RJCS-1012",
"display" : "Feasibility",
"definition" : "Feasibility"
},
{
"code" : "RJCS-1000",
"display" : "Strength of Recommendation",
"definition" : "Strength of Recommendation"
},
{
"code" : "RJCS-1013",
"display" : "Justification",
"definition" : "Justification"
},
{
"code" : "RJCS-1014",
"display" : "Direction of Recommendation",
"definition" : "Direction of Recommendation"
},
{
"code" : "RJCS-1015",
"display" : "Population",
"definition" : "Population"
},
{
"code" : "RJCS-1016",
"display" : "Action",
"definition" : "Action"
},
{
"code" : "RJCS-1017",
"display" : "Opposite Action",
"definition" : "Opposite Action"
},
{
"code" : "RJCS-1018",
"display" : "Application Detail",
"definition" : "Application Detail"
},
{
"code" : "RJCS-1019",
"display" : "Subgroup Considerations",
"definition" : "Subgroup Considerations"
},
{
"code" : "RJCS-1020",
"display" : "Implementation Considerations",
"definition" : "Implementation Considerations"
},
{
"code" : "RJCS-1021",
"display" : "Monitoring Considerations",
"definition" : "Monitoring Considerations"
},
{
"code" : "RJCS-1022",
"display" : "Research Priorities",
"definition" : "Research Priorities"
},
{
"code" : "RJCS-content0",
"display" : "Recommendation Specification",
"definition" : "Recommendation Specification as content.type"
},
{
"code" : "RJCS-content1",
"display" : "Evidence",
"definition" : "Evidence as content.type"
},
{
"code" : "RJCS-content2old",
"display" : "Justification",
"definition" : "Justification as content.type"
},
{
"code" : "RJCS-content3",
"display" : "Considerations",
"definition" : "Considerations as content.type"
},
{
"code" : "RJCS-content2",
"display" : "Judgments",
"definition" : "Judgments as content.type"
}
]
},
{
"code" : "RJCS-Domain2",
"display" : "Rating",
"definition" : "This is a group of terms to define qualities (ratings, classifier values) of the concept being rated or classified",
"concept" : [
{
"code" : "RJCS-2001",
"display" : "Strong expectation",
"definition" : "Strong expectation for strength of recommendation"
},
{
"code" : "RJCS-2002",
"display" : "Weak expectation",
"definition" : "Weak expectation for strength of recommendation"
},
{
"code" : "RJCS-2003",
"display" : "High certainty",
"definition" : "High certainty or quality of or confidence in the evidence for"
},
{
"code" : "RJCS-2004",
"display" : "Moderate certainty",
"definition" : "Moderate certainty or quality of or confidence in the evidence for"
},
{
"code" : "RJCS-2005",
"display" : "Low certainty",
"definition" : "Low certainty or quality of or confidence in the evidence for"
},
{
"code" : "RJCS-2006",
"display" : "Very low certainty",
"definition" : "Very low certainty or quality of or confidence in the evidence for"
},
{
"code" : "RJCS-2007",
"display" : "Yes",
"definition" : "Yes"
},
{
"code" : "RJCS-2008",
"display" : "Probably yes",
"definition" : "Probably yes"
},
{
"code" : "RJCS-2009",
"display" : "Probably no",
"definition" : "Probably no"
},
{
"code" : "RJCS-2010",
"display" : "No",
"definition" : "No"
},
{
"code" : "RJCS-2011",
"display" : "Varies",
"definition" : "Varies"
},
{
"code" : "RJCS-2012",
"display" : "Unknown",
"definition" : "Unknown"
},
{
"code" : "RJCS-2013",
"display" : "Large size",
"definition" : "Large size"
},
{
"code" : "RJCS-2014",
"display" : "Moderate size",
"definition" : "Moderate size"
},
{
"code" : "RJCS-2015",
"display" : "Small size",
"definition" : "Small size"
},
{
"code" : "RJCS-2016",
"display" : "Trivial size",
"definition" : "Trivial size"
},
{
"code" : "RJCS-2006.0",
"display" : "No evidence",
"definition" : "No evidence"
},
{
"code" : "RJCS-2017",
"display" : "Important uncertainty or variability",
"definition" : "Important uncertainty or variability"
},
{
"code" : "RJCS-2018",
"display" : "Possibly important uncertainty or variability",
"definition" : "Possibly important uncertainty or variability"
},
{
"code" : "RJCS-2019",
"display" : "Possibly no important uncertainty or variability",
"definition" : "Possibly no important uncertainty or variability"
},
{
"code" : "RJCS-2020",
"display" : "No important uncertainty or variability",
"definition" : "No important uncertainty or variability"
},
{
"code" : "RJCS-2021",
"display" : "Favors intervention",
"definition" : "Favors intervention"
},
{
"code" : "RJCS-2022",
"display" : "Possibly favors intervention",
"definition" : "Possibly favors intervention"
},
{
"code" : "RJCS-2023",
"display" : "Does not favor intervention or comparison",
"definition" : "Does not favor intervention or comparison"
},
{
"code" : "RJCS-2024",
"display" : "Possibly favors comparison",
"definition" : "Possibly favors comparison"
},
{
"code" : "RJCS-2025",
"display" : "Favors comparison",
"definition" : "Favors comparison"
},
{
"code" : "RJCS-2026",
"display" : "Large costs",
"definition" : "Large costs"
},
{
"code" : "RJCS-2027",
"display" : "Moderate costs",
"definition" : "Moderate costs"
},
{
"code" : "RJCS-2028",
"display" : "Negligible costs or savings",
"definition" : "Negligible costs or savings"
},
{
"code" : "RJCS-2029",
"display" : "Moderate savings",
"definition" : "Moderate savings"
},
{
"code" : "RJCS-2030",
"display" : "Large savings",
"definition" : "Large savings"
}
]
}
]
}