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Packagesmart.who.int.base
Resource TypeCodeSystem
IdCodeSystem-KGGradeStrength.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/litlfred/smart-base/CodeSystem-KGGradeStrength.html
URLhttp://smart.who.int/base/CodeSystem/KGGradeStrength
Version0.3.0
Statusactive
Date2026-10-06T14:15:03+00:00
NameKGGradeStrength
TitleKnowledge graph: GRADE recommendation strength
Authoritywho
DescriptionHow 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>.
Contentcomplete

Resources that use this resource

ValueSet
smart.who.int.base#currentKGGradeStrengthVSKnowledge graph: GRADE recommendation strength

Resources that this resource uses

No resources found


Narrative

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


English


Generated Narrative: CodeSystem KGGradeStrength

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

CodeDisplayDefinition
strong StrongThe 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.
conditional ConditionalThe 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'.

French


Narratif généré : CodeSystem KGGradeStrength

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

CodeAffichageDéfinition
strong StrongThe 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.
conditional ConditionalThe 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'.

Arabic


السرد المُنشأ: CodeSystem KGGradeStrength

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

الكودالعرضالتعريف
strong StrongThe 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.
conditional ConditionalThe 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'.

Chinese


Generated Narrative: 代码系统 KGGradeStrength

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

CodeDisplayDefinition
strong StrongThe 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.
conditional ConditionalThe 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'.

Russian


Сгенерированный нарратив: CodeSystem KGGradeStrength

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

КодОтображениеОпределение
strong StrongThe 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.
conditional ConditionalThe 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'.

Spanish


Generated Narrative: SistemaDeCodigos KGGradeStrength

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

CodeDisplayDefinition
strong StrongThe 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.
conditional ConditionalThe 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'.

Source1

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