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: Knowledge graph: GRADE recommendation strength - JSON Representation

Active as of 2026-10-06

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{
  "resourceType" : "CodeSystem",
  "id" : "KGGradeStrength",
  "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 KGGradeStrength</b></p><a name=\"KGGradeStrength\"> </a><a name=\"hcKGGradeStrength\"> </a><p>This case-sensitive code system <code>http://smart.who.int/base/CodeSystem/KGGradeStrength</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\">strong<a name=\"KGGradeStrength-strong\"> </a></td><td>Strong</td><td>The guideline panel is confident that the desirable effects of following the recommendation clearly outweigh the undesirable effects — or clearly do not, for a recommendation against — so most informed people would choose the recommended course.</td></tr><tr><td style=\"white-space:nowrap\">conditional<a name=\"KGGradeStrength-conditional\"> </a></td><td>Conditional</td><td>The desirable effects probably outweigh the undesirable effects, but the panel is less confident: the balance is close, the evidence uncertain, or values and preferences vary, so different choices will suit different people or settings. GRADE's 'weak'; WHO uses 'conditional'.</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 KGGradeStrength</b></p><a name=\"fr-KGGradeStrength\"> </a><a name=\"fr-hcKGGradeStrength\"> </a><p>This case-sensitive code system <code>http://smart.who.int/base/CodeSystem/KGGradeStrength</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\">strong<a name=\"fr-KGGradeStrength-strong\"> </a></td><td>Strong</td><td>The guideline panel is confident that the desirable effects of following the recommendation clearly outweigh the undesirable effects — or clearly do not, for a recommendation against — so most informed people would choose the recommended course.</td></tr><tr><td style=\"white-space:nowrap\">conditional<a name=\"fr-KGGradeStrength-conditional\"> </a></td><td>Conditional</td><td>The desirable effects probably outweigh the undesirable effects, but the panel is less confident: the balance is close, the evidence uncertain, or values and preferences vary, so different choices will suit different people or settings. GRADE's 'weak'; WHO uses 'conditional'.</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 KGGradeStrength</b></p><a name=\"ar-KGGradeStrength\"> </a><a name=\"ar-hcKGGradeStrength\"> </a><p>يُعرّف هذا case-sensitive نظام الشيفرة <code>http://smart.who.int/base/CodeSystem/KGGradeStrength</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\">strong<a name=\"ar-KGGradeStrength-strong\"> </a></td><td>Strong</td><td>The guideline panel is confident that the desirable effects of following the recommendation clearly outweigh the undesirable effects — or clearly do not, for a recommendation against — so most informed people would choose the recommended course.</td></tr><tr><td style=\"white-space:nowrap\">conditional<a name=\"ar-KGGradeStrength-conditional\"> </a></td><td>Conditional</td><td>The desirable effects probably outweigh the undesirable effects, but the panel is less confident: the balance is close, the evidence uncertain, or values and preferences vary, so different choices will suit different people or settings. GRADE's 'weak'; WHO uses 'conditional'.</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 KGGradeStrength</b></p><a name=\"zh-KGGradeStrength\"> </a><a name=\"zh-hcKGGradeStrength\"> </a><p>This case-sensitive code system <code>http://smart.who.int/base/CodeSystem/KGGradeStrength</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\">strong<a name=\"zh-KGGradeStrength-strong\"> </a></td><td>Strong</td><td>The guideline panel is confident that the desirable effects of following the recommendation clearly outweigh the undesirable effects — or clearly do not, for a recommendation against — so most informed people would choose the recommended course.</td></tr><tr><td style=\"white-space:nowrap\">conditional<a name=\"zh-KGGradeStrength-conditional\"> </a></td><td>Conditional</td><td>The desirable effects probably outweigh the undesirable effects, but the panel is less confident: the balance is close, the evidence uncertain, or values and preferences vary, so different choices will suit different people or settings. GRADE's 'weak'; WHO uses 'conditional'.</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 KGGradeStrength</b></p><a name=\"ru-KGGradeStrength\"> </a><a name=\"ru-hcKGGradeStrength\"> </a><p>Данная система кодов <code>http://smart.who.int/base/CodeSystem/KGGradeStrength</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\">strong<a name=\"ru-KGGradeStrength-strong\"> </a></td><td>Strong</td><td>The guideline panel is confident that the desirable effects of following the recommendation clearly outweigh the undesirable effects — or clearly do not, for a recommendation against — so most informed people would choose the recommended course.</td></tr><tr><td style=\"white-space:nowrap\">conditional<a name=\"ru-KGGradeStrength-conditional\"> </a></td><td>Conditional</td><td>The desirable effects probably outweigh the undesirable effects, but the panel is less confident: the balance is close, the evidence uncertain, or values and preferences vary, so different choices will suit different people or settings. GRADE's 'weak'; WHO uses 'conditional'.</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 KGGradeStrength</b></p><a name=\"es-KGGradeStrength\"> </a><a name=\"es-hcKGGradeStrength\"> </a><p>This case-sensitive code system <code>http://smart.who.int/base/CodeSystem/KGGradeStrength</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\">strong<a name=\"es-KGGradeStrength-strong\"> </a></td><td>Strong</td><td>The guideline panel is confident that the desirable effects of following the recommendation clearly outweigh the undesirable effects — or clearly do not, for a recommendation against — so most informed people would choose the recommended course.</td></tr><tr><td style=\"white-space:nowrap\">conditional<a name=\"es-KGGradeStrength-conditional\"> </a></td><td>Conditional</td><td>The desirable effects probably outweigh the undesirable effects, but the panel is less confident: the balance is close, the evidence uncertain, or values and preferences vary, so different choices will suit different people or settings. GRADE's 'weak'; WHO uses 'conditional'.</td></tr></table></div></div>"
  },
  "url" : "http://smart.who.int/base/CodeSystem/KGGradeStrength",
  "version" : "0.3.0",
  "name" : "KGGradeStrength",
  "title" : "Knowledge graph: GRADE recommendation strength",
  "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" : "How strongly a recommendation is made. Strength is NOT certainty: a strong recommendation can rest on low-certainty evidence and a conditional one on high certainty. 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-recommendation-strength.json (bean wg7r), codes and definitions verbatim; Andrews JC, et al. GRADE guidelines: 15. Going from evidence to recommendation — determinants of a recommendation's direction and strength. J Clin Epidemiol 2013;66(7):726-735; WHO Handbook for Guideline Development, 2nd ed. (2014), which uses 'conditional' for GRADE's 'weak' <https://doi.org/10.1016/j.jclinepi.2013.02.003>.",
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 2,
  "concept" : [
    {
      "code" : "strong",
      "display" : "Strong",
      "definition" : "The guideline panel is confident that the desirable effects of following the recommendation clearly outweigh the undesirable effects — or clearly do not, for a recommendation against — so most informed people would choose the recommended course."
    },
    {
      "code" : "conditional",
      "display" : "Conditional",
      "definition" : "The desirable effects probably outweigh the undesirable effects, but the panel is less confident: the balance is close, the evidence uncertain, or values and preferences vary, so different choices will suit different people or settings. GRADE's 'weak'; WHO uses 'conditional'."
    }
  ]
}