FHIRsmith: CodeSystem/CodeSystem-KGGradeCertainty.json

FHIR IG analytics

Package	smart.who.int.base
Resource Type	CodeSystem
Id	CodeSystem-KGGradeCertainty.json
FHIR Version	R4
Source	https://build.fhir.org/ig/litlfred/smart-base/CodeSystem-KGGradeCertainty.html
URL	http://smart.who.int/base/CodeSystem/KGGradeCertainty
Version	0.3.0
Status	active
Date	2026-10-06T14:15:03+00:00
Name	KGGradeCertainty
Title	Knowledge graph: GRADE certainty of evidence
Authority	who
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>.
Content	complete

Resources that use this resource

ValueSet
smart.who.int.base#current	KGGradeCertaintyVS	Knowledge graph: GRADE certainty of evidence

Resources that this resource uses

No resources found

Narrative

Note: links and images are rebased to the (stated) source

English

Generated Narrative: CodeSystem KGGradeCertainty

This case-sensitive code system http://smart.who.int/base/CodeSystem/KGGradeCertainty defines the following codes:

Code	Display	Definition
high	High	We are very confident that the true effect lies close to the estimate of the effect.
moderate	Moderate	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.
low	Low	Our confidence in the effect estimate is limited: the true effect may be substantially different from it.
very-low	Very low	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.

French

Narratif généré : CodeSystem KGGradeCertainty

This case-sensitive code system http://smart.who.int/base/CodeSystem/KGGradeCertainty defines the following codes:

Code	Affichage	Définition
high	High	We are very confident that the true effect lies close to the estimate of the effect.
moderate	Moderate	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.
low	Low	Our confidence in the effect estimate is limited: the true effect may be substantially different from it.
very-low	Very low	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.

Arabic

السرد المُنشأ: CodeSystem KGGradeCertainty

يُعرّف هذا case-sensitive نظام الشيفرة http://smart.who.int/base/CodeSystem/KGGradeCertainty الرمز التاليs:

الكود	العرض	التعريف
high	High	We are very confident that the true effect lies close to the estimate of the effect.
moderate	Moderate	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.
low	Low	Our confidence in the effect estimate is limited: the true effect may be substantially different from it.
very-low	Very low	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.

Chinese

Generated Narrative: 代码系统 KGGradeCertainty

This case-sensitive code system http://smart.who.int/base/CodeSystem/KGGradeCertainty defines the following codes:

Code	Display	Definition
high	High	We are very confident that the true effect lies close to the estimate of the effect.
moderate	Moderate	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.
low	Low	Our confidence in the effect estimate is limited: the true effect may be substantially different from it.
very-low	Very low	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.

Russian

Сгенерированный нарратив: CodeSystem KGGradeCertainty

Данная система кодов http://smart.who.int/base/CodeSystem/KGGradeCertainty case-sensitive определяет следующие коды:

Код	Отображение	Определение
high	High	We are very confident that the true effect lies close to the estimate of the effect.
moderate	Moderate	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.
low	Low	Our confidence in the effect estimate is limited: the true effect may be substantially different from it.
very-low	Very low	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.

Spanish

Generated Narrative: SistemaDeCodigos KGGradeCertainty

This case-sensitive code system http://smart.who.int/base/CodeSystem/KGGradeCertainty defines the following codes:

Code	Display	Definition
high	High	We are very confident that the true effect lies close to the estimate of the effect.
moderate	Moderate	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.
low	Low	Our confidence in the effect estimate is limited: the true effect may be substantially different from it.
very-low	Very low	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.

Source1

{
  "resourceType": "CodeSystem",
  "id": "KGGradeCertainty",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "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."
    }
  ]
}