Evidence Based Medicine on FHIR Implementation Guide
2.0.0-ballot - ballot International flag

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

: Recommendation Justification Code System - XML Representation

Active as of 2022-02-16

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="27834"/>
  <meta>
    <versionId value="80"/>
    <lastUpdated value="2024-07-08T12:36:53.513Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-1010<a name="27834-RJCS-1010"> </a></td><td>Equity</td><td>Equity</td></tr><tr><td>2</td><td style="white-space:nowrap">  RJCS-1011<a name="27834-RJCS-1011"> </a></td><td>Acceptability</td><td>Acceptability</td></tr><tr><td>2</td><td style="white-space:nowrap">  RJCS-1012<a name="27834-RJCS-1012"> </a></td><td>Feasibility</td><td>Feasibility</td></tr><tr><td>2</td><td style="white-space:nowrap">  RJCS-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">  RJCS-1013<a name="27834-RJCS-1013"> </a></td><td>Justification</td><td>Justification</td></tr><tr><td>2</td><td style="white-space:nowrap">  RJCS-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">  RJCS-1015<a name="27834-RJCS-1015"> </a></td><td>Population</td><td>Population</td></tr><tr><td>2</td><td style="white-space:nowrap">  RJCS-1016<a name="27834-RJCS-1016"> </a></td><td>Action</td><td>Action</td></tr><tr><td>2</td><td style="white-space:nowrap">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-2007<a name="27834-RJCS-2007"> </a></td><td>Yes</td><td>Yes</td></tr><tr><td>2</td><td style="white-space:nowrap">  RJCS-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">  RJCS-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">  RJCS-2010<a name="27834-RJCS-2010"> </a></td><td>No</td><td>No</td></tr><tr><td>2</td><td style="white-space:nowrap">  RJCS-2011<a name="27834-RJCS-2011"> </a></td><td>Varies</td><td>Varies</td></tr><tr><td>2</td><td style="white-space:nowrap">  RJCS-2012<a name="27834-RJCS-2012"> </a></td><td>Unknown</td><td>Unknown</td></tr><tr><td>2</td><td style="white-space:nowrap">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-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">  RJCS-2030<a name="27834-RJCS-2030"> </a></td><td>Large savings</td><td>Large savings</td></tr></table></div>
  </text>
  <url value="https://fevir.net/resources/CodeSystem/27834"/>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="ACSN"/>
        <display value="Accession ID"/>
      </coding>
      <text value="FEvIR Object Identifier"/>
    </type>
    <system value="https://fevir.net"/>
    <value value="27834"/>
    <assigner>
      <display value="Computable Publishing LLC"/>
    </assigner>
  </identifier>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.40.44.16.2"/>
  </identifier>
  <version value="2.0.0-ballot"/>
  <name value="CodeSystemRecommendationJustification"/>
  <title value="Recommendation Justification Code System"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2022-02-16T21:17:05.057Z"/>
  <publisher value="HL7 International / Clinical Decision Support"/>
  <contact>
    <name value="HL7 International / Clinical Decision Support"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/dss"/>
    </telecom>
  </contact>
  <description
               value="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 value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <copyright value="https://creativecommons.org/licenses/by-sa/4.0/"/>
  <author>
    <name value="Brian S. Alper"/>
  </author>
  <relatedArtifact>
    <type value="cite-as"/>
    <citation
              value="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."/>
  </relatedArtifact>
  <caseSensitive value="false"/>
  <hierarchyMeaning value="grouped-by"/>
  <versionNeeded value="true"/>
  <content value="complete"/>
  <concept>
    <code value="RJCS-Domain1"/>
    <display value="Domain"/>
    <definition
                value="This is a group of terms to define the concept being rated or classified"/>
    <concept>
      <code value="RJCS-1001"/>
      <display value="Certainty of Evidence"/>
      <definition value="Certainty of Evidence"/>
    </concept>
    <concept>
      <code value="RJCS-1002"/>
      <display value="Competing Interests"/>
      <definition value="Competing Interests"/>
    </concept>
    <concept>
      <code value="RJCS-1003"/>
      <display value="Problem Importance"/>
      <definition value="Problem Importance"/>
    </concept>
    <concept>
      <code value="RJCS-1004"/>
      <display value="Desirable Effects"/>
      <definition value="Desirable Effects"/>
    </concept>
    <concept>
      <code value="RJCS-1005"/>
      <display value="Undesirable Effects"/>
      <definition value="Undesirable Effects"/>
    </concept>
    <concept>
      <code value="RJCS-1006"/>
      <display value="Values/Preferences"/>
      <definition value="Values/Preferences"/>
    </concept>
    <concept>
      <code value="RJCS-1007"/>
      <display value="Net Effect"/>
      <definition value="Net Effect"/>
    </concept>
    <concept>
      <code value="RJCS-1008"/>
      <display value="Resources/Costs"/>
      <definition value="Resources/Costs"/>
    </concept>
    <concept>
      <code value="RJCS-1009"/>
      <display value="Cost-effectiveness"/>
      <definition value="Cost-effectiveness"/>
    </concept>
    <concept>
      <code value="RJCS-1010"/>
      <display value="Equity"/>
      <definition value="Equity"/>
    </concept>
    <concept>
      <code value="RJCS-1011"/>
      <display value="Acceptability"/>
      <definition value="Acceptability"/>
    </concept>
    <concept>
      <code value="RJCS-1012"/>
      <display value="Feasibility"/>
      <definition value="Feasibility"/>
    </concept>
    <concept>
      <code value="RJCS-1000"/>
      <display value="Strength of Recommendation"/>
      <definition value="Strength of Recommendation"/>
    </concept>
    <concept>
      <code value="RJCS-1013"/>
      <display value="Justification"/>
      <definition value="Justification"/>
    </concept>
    <concept>
      <code value="RJCS-1014"/>
      <display value="Direction of Recommendation"/>
      <definition value="Direction of Recommendation"/>
    </concept>
    <concept>
      <code value="RJCS-1015"/>
      <display value="Population"/>
      <definition value="Population"/>
    </concept>
    <concept>
      <code value="RJCS-1016"/>
      <display value="Action"/>
      <definition value="Action"/>
    </concept>
    <concept>
      <code value="RJCS-1017"/>
      <display value="Opposite Action"/>
      <definition value="Opposite Action"/>
    </concept>
    <concept>
      <code value="RJCS-1018"/>
      <display value="Application Detail"/>
      <definition value="Application Detail"/>
    </concept>
    <concept>
      <code value="RJCS-1019"/>
      <display value="Subgroup Considerations"/>
      <definition value="Subgroup Considerations"/>
    </concept>
    <concept>
      <code value="RJCS-1020"/>
      <display value="Implementation Considerations"/>
      <definition value="Implementation Considerations"/>
    </concept>
    <concept>
      <code value="RJCS-1021"/>
      <display value="Monitoring Considerations"/>
      <definition value="Monitoring Considerations"/>
    </concept>
    <concept>
      <code value="RJCS-1022"/>
      <display value="Research Priorities"/>
      <definition value="Research Priorities"/>
    </concept>
    <concept>
      <code value="RJCS-content0"/>
      <display value="Recommendation Specification"/>
      <definition value="Recommendation Specification as content.type"/>
    </concept>
    <concept>
      <code value="RJCS-content1"/>
      <display value="Evidence"/>
      <definition value="Evidence as content.type"/>
    </concept>
    <concept>
      <code value="RJCS-content2old"/>
      <display value="Justification"/>
      <definition value="Justification as content.type"/>
    </concept>
    <concept>
      <code value="RJCS-content3"/>
      <display value="Considerations"/>
      <definition value="Considerations as content.type"/>
    </concept>
    <concept>
      <code value="RJCS-content2"/>
      <display value="Judgments"/>
      <definition value="Judgments as content.type"/>
    </concept>
  </concept>
  <concept>
    <code value="RJCS-Domain2"/>
    <display value="Rating"/>
    <definition
                value="This is a group of terms to define qualities (ratings, classifier values) of the concept being rated or classified"/>
    <concept>
      <code value="RJCS-2001"/>
      <display value="Strong expectation"/>
      <definition value="Strong expectation for strength of recommendation"/>
    </concept>
    <concept>
      <code value="RJCS-2002"/>
      <display value="Weak expectation"/>
      <definition value="Weak expectation for strength of recommendation"/>
    </concept>
    <concept>
      <code value="RJCS-2003"/>
      <display value="High certainty"/>
      <definition
                  value="High certainty or quality of or confidence in the evidence for"/>
    </concept>
    <concept>
      <code value="RJCS-2004"/>
      <display value="Moderate certainty"/>
      <definition
                  value="Moderate certainty or quality of or confidence in the evidence for"/>
    </concept>
    <concept>
      <code value="RJCS-2005"/>
      <display value="Low certainty"/>
      <definition
                  value="Low certainty or quality of or confidence in the evidence for"/>
    </concept>
    <concept>
      <code value="RJCS-2006"/>
      <display value="Very low certainty"/>
      <definition
                  value="Very low certainty or quality of or confidence in the evidence for"/>
    </concept>
    <concept>
      <code value="RJCS-2007"/>
      <display value="Yes"/>
      <definition value="Yes"/>
    </concept>
    <concept>
      <code value="RJCS-2008"/>
      <display value="Probably yes"/>
      <definition value="Probably yes"/>
    </concept>
    <concept>
      <code value="RJCS-2009"/>
      <display value="Probably no"/>
      <definition value="Probably no"/>
    </concept>
    <concept>
      <code value="RJCS-2010"/>
      <display value="No"/>
      <definition value="No"/>
    </concept>
    <concept>
      <code value="RJCS-2011"/>
      <display value="Varies"/>
      <definition value="Varies"/>
    </concept>
    <concept>
      <code value="RJCS-2012"/>
      <display value="Unknown"/>
      <definition value="Unknown"/>
    </concept>
    <concept>
      <code value="RJCS-2013"/>
      <display value="Large size"/>
      <definition value="Large size"/>
    </concept>
    <concept>
      <code value="RJCS-2014"/>
      <display value="Moderate size"/>
      <definition value="Moderate size"/>
    </concept>
    <concept>
      <code value="RJCS-2015"/>
      <display value="Small size"/>
      <definition value="Small size"/>
    </concept>
    <concept>
      <code value="RJCS-2016"/>
      <display value="Trivial size"/>
      <definition value="Trivial size"/>
    </concept>
    <concept>
      <code value="RJCS-2006.0"/>
      <display value="No evidence"/>
      <definition value="No evidence"/>
    </concept>
    <concept>
      <code value="RJCS-2017"/>
      <display value="Important uncertainty or variability"/>
      <definition value="Important uncertainty or variability"/>
    </concept>
    <concept>
      <code value="RJCS-2018"/>
      <display value="Possibly important uncertainty or variability"/>
      <definition value="Possibly important uncertainty or variability"/>
    </concept>
    <concept>
      <code value="RJCS-2019"/>
      <display value="Possibly no important uncertainty or variability"/>
      <definition value="Possibly no important uncertainty or variability"/>
    </concept>
    <concept>
      <code value="RJCS-2020"/>
      <display value="No important uncertainty or variability"/>
      <definition value="No important uncertainty or variability"/>
    </concept>
    <concept>
      <code value="RJCS-2021"/>
      <display value="Favors intervention"/>
      <definition value="Favors intervention"/>
    </concept>
    <concept>
      <code value="RJCS-2022"/>
      <display value="Possibly favors intervention"/>
      <definition value="Possibly favors intervention"/>
    </concept>
    <concept>
      <code value="RJCS-2023"/>
      <display value="Does not favor intervention or comparison"/>
      <definition value="Does not favor intervention or comparison"/>
    </concept>
    <concept>
      <code value="RJCS-2024"/>
      <display value="Possibly favors comparison"/>
      <definition value="Possibly favors comparison"/>
    </concept>
    <concept>
      <code value="RJCS-2025"/>
      <display value="Favors comparison"/>
      <definition value="Favors comparison"/>
    </concept>
    <concept>
      <code value="RJCS-2026"/>
      <display value="Large costs"/>
      <definition value="Large costs"/>
    </concept>
    <concept>
      <code value="RJCS-2027"/>
      <display value="Moderate costs"/>
      <definition value="Moderate costs"/>
    </concept>
    <concept>
      <code value="RJCS-2028"/>
      <display value="Negligible costs or savings"/>
      <definition value="Negligible costs or savings"/>
    </concept>
    <concept>
      <code value="RJCS-2029"/>
      <display value="Moderate savings"/>
      <definition value="Moderate savings"/>
    </concept>
    <concept>
      <code value="RJCS-2030"/>
      <display value="Large savings"/>
      <definition value="Large savings"/>
    </concept>
  </concept>
</CodeSystem>