@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://smart.who.int/base/CodeSystem/KGGradeCertainty> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "KGGradeCertainty"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:CodeSystem.url [ fhir:value "http://smart.who.int/base/CodeSystem/KGGradeCertainty"] ;
  fhir:CodeSystem.version [ fhir:value "0.3.0"] ;
  fhir:CodeSystem.name [ fhir:value "KGGradeCertainty"] ;
  fhir:CodeSystem.title [ fhir:value "Knowledge graph: GRADE certainty of evidence"] ;
  fhir:CodeSystem.status [ fhir:value "active"] ;
  fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:CodeSystem.date [ fhir:value "2026-10-06T14:15:03+00:00"^^xsd:dateTime] ;
  fhir:CodeSystem.publisher [ fhir:value "WHO"] ;
  fhir:CodeSystem.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "WHO" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "http://who.int" ]
     ]
  ] ;
  fhir:CodeSystem.description [ fhir:value "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>."] ;
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
  fhir:CodeSystem.content [ fhir:value "complete"] ;
  fhir:CodeSystem.count [ fhir:value "4"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index 0 ;
     fhir:CodeSystem.concept.code [ fhir:value "high" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "High" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "We are very confident that the true effect lies close to the estimate of the effect." ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.concept.code [ fhir:value "moderate" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Moderate" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "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." ]
  ], [
     fhir:index 2 ;
     fhir:CodeSystem.concept.code [ fhir:value "low" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Low" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Our confidence in the effect estimate is limited: the true effect may be substantially different from it." ]
  ], [
     fhir:index 3 ;
     fhir:CodeSystem.concept.code [ fhir:value "very-low" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Very low" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "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." ]
  ] .

# - ontology header ------------------------------------------------------------

<http://smart.who.int/base/CodeSystem/KGGradeCertainty.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl .

# -------------------------------------------------------------------------------------

