{
  "resourceType" : "CodeSystem",
  "id" : "KGGradeCertainty",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem KGGradeCertainty</b></p><a name=\"KGGradeCertainty\"> </a><a name=\"hcKGGradeCertainty\"> </a><p>This case-sensitive code system <code>http://smart.who.int/base/CodeSystem/KGGradeCertainty</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\">high<a name=\"KGGradeCertainty-high\"> </a></td><td>High</td><td>We are very confident that the true effect lies close to the estimate of the effect.</td></tr><tr><td style=\"white-space:nowrap\">moderate<a name=\"KGGradeCertainty-moderate\"> </a></td><td>Moderate</td><td>We are moderately confident in the effect estimate: the true effect is likely to be close to it, but there is a possibility that it is substantially different.</td></tr><tr><td style=\"white-space:nowrap\">low<a name=\"KGGradeCertainty-low\"> </a></td><td>Low</td><td>Our confidence in the effect estimate is limited: the true effect may be substantially different from it.</td></tr><tr><td style=\"white-space:nowrap\">very-low<a name=\"KGGradeCertainty-very-low\"> </a></td><td>Very low</td><td>We have very little confidence in the effect estimate: the true effect is likely to be substantially different from it. Not the same finding as 'could not determine' — absent evidence is a gap, not a grade.</td></tr></table></div><div xml:lang=\"fr\" lang=\"fr\"><hr/><p><b>French</b></p><hr/><p class=\"res-header-id\"><b>Narratif généré : CodeSystem KGGradeCertainty</b></p><a name=\"fr-KGGradeCertainty\"> </a><a name=\"fr-hcKGGradeCertainty\"> </a><p>This case-sensitive code system <code>http://smart.who.int/base/CodeSystem/KGGradeCertainty</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Affichage</b></td><td><b>Définition</b></td></tr><tr><td style=\"white-space:nowrap\">high<a name=\"fr-KGGradeCertainty-high\"> </a></td><td>High</td><td>We are very confident that the true effect lies close to the estimate of the effect.</td></tr><tr><td style=\"white-space:nowrap\">moderate<a name=\"fr-KGGradeCertainty-moderate\"> </a></td><td>Moderate</td><td>We are moderately confident in the effect estimate: the true effect is likely to be close to it, but there is a possibility that it is substantially different.</td></tr><tr><td style=\"white-space:nowrap\">low<a name=\"fr-KGGradeCertainty-low\"> </a></td><td>Low</td><td>Our confidence in the effect estimate is limited: the true effect may be substantially different from it.</td></tr><tr><td style=\"white-space:nowrap\">very-low<a name=\"fr-KGGradeCertainty-very-low\"> </a></td><td>Very low</td><td>We have very little confidence in the effect estimate: the true effect is likely to be substantially different from it. Not the same finding as 'could not determine' — absent evidence is a gap, not a grade.</td></tr></table></div><div xml:lang=\"ar\" lang=\"ar\"><hr/><p><b>Arabic</b></p><hr/><p class=\"res-header-id\"><b>السرد المُنشأ: CodeSystem KGGradeCertainty</b></p><a name=\"ar-KGGradeCertainty\"> </a><a name=\"ar-hcKGGradeCertainty\"> </a><p>يُعرّف هذا case-sensitive نظام الشيفرة <code>http://smart.who.int/base/CodeSystem/KGGradeCertainty</code> الرمز التالي<f test=\"code-count != 1\">s</f>:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>الكود</b></td><td><b>العرض</b></td><td><b>التعريف</b></td></tr><tr><td style=\"white-space:nowrap\">high<a name=\"ar-KGGradeCertainty-high\"> </a></td><td>High</td><td>We are very confident that the true effect lies close to the estimate of the effect.</td></tr><tr><td style=\"white-space:nowrap\">moderate<a name=\"ar-KGGradeCertainty-moderate\"> </a></td><td>Moderate</td><td>We are moderately confident in the effect estimate: the true effect is likely to be close to it, but there is a possibility that it is substantially different.</td></tr><tr><td style=\"white-space:nowrap\">low<a name=\"ar-KGGradeCertainty-low\"> </a></td><td>Low</td><td>Our confidence in the effect estimate is limited: the true effect may be substantially different from it.</td></tr><tr><td style=\"white-space:nowrap\">very-low<a name=\"ar-KGGradeCertainty-very-low\"> </a></td><td>Very low</td><td>We have very little confidence in the effect estimate: the true effect is likely to be substantially different from it. Not the same finding as 'could not determine' — absent evidence is a gap, not a grade.</td></tr></table></div><div xml:lang=\"zh\" lang=\"zh\"><hr/><p><b>Chinese</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: 代码系统 KGGradeCertainty</b></p><a name=\"zh-KGGradeCertainty\"> </a><a name=\"zh-hcKGGradeCertainty\"> </a><p>This case-sensitive code system <code>http://smart.who.int/base/CodeSystem/KGGradeCertainty</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\">high<a name=\"zh-KGGradeCertainty-high\"> </a></td><td>High</td><td>We are very confident that the true effect lies close to the estimate of the effect.</td></tr><tr><td style=\"white-space:nowrap\">moderate<a name=\"zh-KGGradeCertainty-moderate\"> </a></td><td>Moderate</td><td>We are moderately confident in the effect estimate: the true effect is likely to be close to it, but there is a possibility that it is substantially different.</td></tr><tr><td style=\"white-space:nowrap\">low<a name=\"zh-KGGradeCertainty-low\"> </a></td><td>Low</td><td>Our confidence in the effect estimate is limited: the true effect may be substantially different from it.</td></tr><tr><td style=\"white-space:nowrap\">very-low<a name=\"zh-KGGradeCertainty-very-low\"> </a></td><td>Very low</td><td>We have very little confidence in the effect estimate: the true effect is likely to be substantially different from it. Not the same finding as 'could not determine' — absent evidence is a gap, not a grade.</td></tr></table></div><div xml:lang=\"ru\" lang=\"ru\"><hr/><p><b>Russian</b></p><hr/><p class=\"res-header-id\"><b>Сгенерированный нарратив: CodeSystem KGGradeCertainty</b></p><a name=\"ru-KGGradeCertainty\"> </a><a name=\"ru-hcKGGradeCertainty\"> </a><p>Данная система кодов <code>http://smart.who.int/base/CodeSystem/KGGradeCertainty</code> case-sensitive определяет следующие коды:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Код</b></td><td><b>Отображение</b></td><td><b>Определение</b></td></tr><tr><td style=\"white-space:nowrap\">high<a name=\"ru-KGGradeCertainty-high\"> </a></td><td>High</td><td>We are very confident that the true effect lies close to the estimate of the effect.</td></tr><tr><td style=\"white-space:nowrap\">moderate<a name=\"ru-KGGradeCertainty-moderate\"> </a></td><td>Moderate</td><td>We are moderately confident in the effect estimate: the true effect is likely to be close to it, but there is a possibility that it is substantially different.</td></tr><tr><td style=\"white-space:nowrap\">low<a name=\"ru-KGGradeCertainty-low\"> </a></td><td>Low</td><td>Our confidence in the effect estimate is limited: the true effect may be substantially different from it.</td></tr><tr><td style=\"white-space:nowrap\">very-low<a name=\"ru-KGGradeCertainty-very-low\"> </a></td><td>Very low</td><td>We have very little confidence in the effect estimate: the true effect is likely to be substantially different from it. Not the same finding as 'could not determine' — absent evidence is a gap, not a grade.</td></tr></table></div><div xml:lang=\"es\" lang=\"es\"><hr/><p><b>Spanish</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: SistemaDeCodigos KGGradeCertainty</b></p><a name=\"es-KGGradeCertainty\"> </a><a name=\"es-hcKGGradeCertainty\"> </a><p>This case-sensitive code system <code>http://smart.who.int/base/CodeSystem/KGGradeCertainty</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\">high<a name=\"es-KGGradeCertainty-high\"> </a></td><td>High</td><td>We are very confident that the true effect lies close to the estimate of the effect.</td></tr><tr><td style=\"white-space:nowrap\">moderate<a name=\"es-KGGradeCertainty-moderate\"> </a></td><td>Moderate</td><td>We are moderately confident in the effect estimate: the true effect is likely to be close to it, but there is a possibility that it is substantially different.</td></tr><tr><td style=\"white-space:nowrap\">low<a name=\"es-KGGradeCertainty-low\"> </a></td><td>Low</td><td>Our confidence in the effect estimate is limited: the true effect may be substantially different from it.</td></tr><tr><td style=\"white-space:nowrap\">very-low<a name=\"es-KGGradeCertainty-very-low\"> </a></td><td>Very low</td><td>We have very little confidence in the effect estimate: the true effect is likely to be substantially different from it. Not the same finding as 'could not determine' — absent evidence is a gap, not a grade.</td></tr></table></div></div>"
  },
  "url" : "http://smart.who.int/base/CodeSystem/KGGradeCertainty",
  "version" : "0.3.0",
  "name" : "KGGradeCertainty",
  "title" : "Knowledge graph: GRADE certainty of evidence",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-10-06T14:15:03+00:00",
  "publisher" : "WHO",
  "contact" : [{
    "name" : "WHO",
    "telecom" : [{
      "system" : "url",
      "value" : "http://who.int"
    }]
  }],
  "description" : "The four levels of certainty GRADE assigns to a BODY of evidence for one outcome — never to a single citation. Randomised trials start at high and observational studies at low, before rating down or up. Moved from smart-kg/methodologies/grade.md by bean wg7r, 2026-09-24 (owner: 'needs to be part of skill/SKOS'). Read with the `grade` skill. Source: folio-assistant cat-harness/code-lists/grade-certainty.json (bean wg7r), codes and definitions verbatim; Balshem H, et al. GRADE guidelines: 3. Rating the quality of evidence. J Clin Epidemiol 2011;64(4):401-406 <https://doi.org/10.1016/j.jclinepi.2010.07.015>.",
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 4,
  "concept" : [{
    "code" : "high",
    "display" : "High",
    "definition" : "We are very confident that the true effect lies close to the estimate of the effect."
  },
  {
    "code" : "moderate",
    "display" : "Moderate",
    "definition" : "We are moderately confident in the effect estimate: the true effect is likely to be close to it, but there is a possibility that it is substantially different."
  },
  {
    "code" : "low",
    "display" : "Low",
    "definition" : "Our confidence in the effect estimate is limited: the true effect may be substantially different from it."
  },
  {
    "code" : "very-low",
    "display" : "Very low",
    "definition" : "We have very little confidence in the effect estimate: the true effect is likely to be substantially different from it. Not the same finding as 'could not determine' — absent evidence is a gap, not a grade."
  }]
}