@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/KGGradeStrength> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "KGGradeStrength"] ;
  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 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>"
  ] ;
  fhir:CodeSystem.url [ fhir:value "http://smart.who.int/base/CodeSystem/KGGradeStrength"] ;
  fhir:CodeSystem.version [ fhir:value "0.3.0"] ;
  fhir:CodeSystem.name [ fhir:value "KGGradeStrength"] ;
  fhir:CodeSystem.title [ fhir:value "Knowledge graph: GRADE recommendation strength"] ;
  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 "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>."] ;
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
  fhir:CodeSystem.content [ fhir:value "complete"] ;
  fhir:CodeSystem.count [ fhir:value "2"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index 0 ;
     fhir:CodeSystem.concept.code [ fhir:value "strong" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Strong" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "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." ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.concept.code [ fhir:value "conditional" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Conditional" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "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'." ]
  ] .

# - ontology header ------------------------------------------------------------

<http://smart.who.int/base/CodeSystem/KGGradeStrength.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl .

# -------------------------------------------------------------------------------------

