{
  "resourceType": "CodeSystem",
  "id": "certainty-rating",
  "meta": {
    "lastUpdated": "2023-03-26T15:21:02.749+11:00",
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system <code>http://hl7.org/fhir/certainty-rating</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=\"certainty-rating-high\"> </a></td><td>High quality</td><td>High quality evidence.</td></tr><tr><td style=\"white-space:nowrap\">moderate<a name=\"certainty-rating-moderate\"> </a></td><td>Moderate quality</td><td>Moderate quality evidence.</td></tr><tr><td style=\"white-space:nowrap\">low<a name=\"certainty-rating-low\"> </a></td><td>Low quality</td><td>Low quality evidence.</td></tr><tr><td style=\"white-space:nowrap\">very-low<a name=\"certainty-rating-very-low\"> </a></td><td>Very low quality</td><td>Very low quality evidence.</td></tr><tr><td style=\"white-space:nowrap\">no-concern<a name=\"certainty-rating-no-concern\"> </a></td><td>no serious concern</td><td>no serious concern.</td></tr><tr><td style=\"white-space:nowrap\">serious-concern<a name=\"certainty-rating-serious-concern\"> </a></td><td>serious concern</td><td>serious concern.</td></tr><tr><td style=\"white-space:nowrap\">very-serious-concern<a name=\"certainty-rating-very-serious-concern\"> </a></td><td>very serious concern</td><td>very serious concern.</td></tr><tr><td style=\"white-space:nowrap\">extremely-serious-concern<a name=\"certainty-rating-extremely-serious-concern\"> </a></td><td>extremely serious concern</td><td>extremely serious concern.</td></tr><tr><td style=\"white-space:nowrap\">present<a name=\"certainty-rating-present\"> </a></td><td>present</td><td>possible reason for increasing quality rating was checked and found to be present.</td></tr><tr><td style=\"white-space:nowrap\">absent<a name=\"certainty-rating-absent\"> </a></td><td>absent</td><td>possible reason for increasing quality rating was checked and found to be absent.</td></tr><tr><td style=\"white-space:nowrap\">no-change<a name=\"certainty-rating-no-change\"> </a></td><td>no change to rating</td><td>no change to quality rating.</td></tr><tr><td style=\"white-space:nowrap\">downcode1<a name=\"certainty-rating-downcode1\"> </a></td><td>reduce rating: -1</td><td>reduce quality rating by 1.</td></tr><tr><td style=\"white-space:nowrap\">downcode2<a name=\"certainty-rating-downcode2\"> </a></td><td>reduce rating: -2</td><td>reduce quality rating by 2.</td></tr><tr><td style=\"white-space:nowrap\">downcode3<a name=\"certainty-rating-downcode3\"> </a></td><td>reduce rating: -3</td><td>reduce quality rating by 3.</td></tr><tr><td style=\"white-space:nowrap\">upcode1<a name=\"certainty-rating-upcode1\"> </a></td><td>increase rating: +1</td><td>increase quality rating by 1.</td></tr><tr><td style=\"white-space:nowrap\">upcode2<a name=\"certainty-rating-upcode2\"> </a></td><td>increase rating: +2</td><td>increase quality rating by 2.</td></tr></table></div>"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "cds"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 1
    }
  ],
  "url": "http://hl7.org/fhir/certainty-rating",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.4.642.4.1941"
    }
  ],
  "version": "5.0.0",
  "name": "EvidenceCertaintyRating",
  "title": "Evidence Certainty Rating",
  "status": "active",
  "experimental": false,
  "date": "2020-12-28T16:55:11+11:00",
  "publisher": "HL7 (FHIR Project)",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org/fhir"
        },
        {
          "system": "email",
          "value": "fhir@lists.hl7.org"
        }
      ]
    }
  ],
  "description": "The assessment of quality, confidence, or certainty.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "caseSensitive": true,
  "valueSet": "http://hl7.org/fhir/ValueSet/certainty-rating",
  "content": "complete",
  "concept": [
    {
      "code": "high",
      "display": "High quality",
      "definition": "High quality evidence."
    },
    {
      "code": "moderate",
      "display": "Moderate quality",
      "definition": "Moderate quality evidence."
    },
    {
      "code": "low",
      "display": "Low quality",
      "definition": "Low quality evidence."
    },
    {
      "code": "very-low",
      "display": "Very low quality",
      "definition": "Very low quality evidence."
    },
    {
      "code": "no-concern",
      "display": "no serious concern",
      "definition": "no serious concern."
    },
    {
      "code": "serious-concern",
      "display": "serious concern",
      "definition": "serious concern."
    },
    {
      "code": "very-serious-concern",
      "display": "very serious concern",
      "definition": "very serious concern."
    },
    {
      "code": "extremely-serious-concern",
      "display": "extremely serious concern",
      "definition": "extremely serious concern."
    },
    {
      "code": "present",
      "display": "present",
      "definition": "possible reason for increasing quality rating was checked and found to be present."
    },
    {
      "code": "absent",
      "display": "absent",
      "definition": "possible reason for increasing quality rating was checked and found to be absent."
    },
    {
      "code": "no-change",
      "display": "no change to rating",
      "definition": "no change to quality rating."
    },
    {
      "code": "downcode1",
      "display": "reduce rating: -1",
      "definition": "reduce quality rating by 1."
    },
    {
      "code": "downcode2",
      "display": "reduce rating: -2",
      "definition": "reduce quality rating by 2."
    },
    {
      "code": "downcode3",
      "display": "reduce rating: -3",
      "definition": "reduce quality rating by 3."
    },
    {
      "code": "upcode1",
      "display": "increase rating: +1",
      "definition": "increase quality rating by 1."
    },
    {
      "code": "upcode2",
      "display": "increase rating: +2",
      "definition": "increase quality rating by 2."
    }
  ]
}