Dissolve-E: AWMF Guideline Registry
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## : Evidence To Decision Certainty Rating - JSON Representation

Active as of 2026-01-29

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    {
      "resourceType" : "CodeSystem",
      "id" : "cs-evidence-to-decision-certainty-rating",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem cs-evidence-to-decision-certainty-rating</b></p><a name=\"cs-evidence-to-decision-certainty-rating\"> </a><a name=\"hccs-evidence-to-decision-certainty-rating\"> </a><p>This case-insensitive code system <code>http://fhir.awmf.org/awmf.ig/CodeSystem/cs-evidence-to-decision-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><td><b>Deutsch (German, de)</b></td></tr><tr><td style=\"white-space:nowrap\">small-net-benefit<a name=\"cs-evidence-to-decision-certainty-rating-small-net-benefit\"> </a></td><td>Small net benefit</td><td>Small net benefit, or little difference between alternatives</td><td>Geringer Netto-Nutzen</td></tr><tr><td style=\"white-space:nowrap\">substantial-net-benefit<a name=\"cs-evidence-to-decision-certainty-rating-substantial-net-benefit\"> </a></td><td>Substantial net benefit</td><td>Substantial net benefits of the recommended alternative</td><td>Erheblicher Netto-Nutzen</td></tr><tr><td style=\"white-space:nowrap\">important-harms<a name=\"cs-evidence-to-decision-certainty-rating-important-harms\"> </a></td><td>Important harms</td><td>Important harms</td><td>Wesentliche Schäden</td></tr><tr><td style=\"white-space:nowrap\">substantial-variability<a name=\"cs-evidence-to-decision-certainty-rating-substantial-variability\"> </a></td><td>Substantial variability</td><td>Substantial variability is expected or uncertain</td><td>Erhebliche Variabilität</td></tr><tr><td style=\"white-space:nowrap\">no-substantial-variability<a name=\"cs-evidence-to-decision-certainty-rating-no-substantial-variability\"> </a></td><td>No substantial variability</td><td>No substantial variability expected</td><td>Keine erhebliche Variabilität</td></tr><tr><td style=\"white-space:nowrap\">few-want-intervention<a name=\"cs-evidence-to-decision-certainty-rating-few-want-intervention\"> </a></td><td>Few want intervention</td><td>We expect few to want the intervention</td><td>Wenige wünschen Intervention</td></tr><tr><td style=\"white-space:nowrap\">factor-not-considered<a name=\"cs-evidence-to-decision-certainty-rating-factor-not-considered\"> </a></td><td>Factor not considered</td><td>Factor not considered</td><td>Unberücksichtigter Faktor</td></tr><tr><td style=\"white-space:nowrap\">important-issues-or-not-investigated<a name=\"cs-evidence-to-decision-certainty-rating-important-issues-or-not-investigated\"> </a></td><td>Important issues</td><td>Important issues, or potential issues not investigated</td><td>Wesentliche Probleme</td></tr><tr><td style=\"white-space:nowrap\">no-important-issues<a name=\"cs-evidence-to-decision-certainty-rating-no-important-issues\"> </a></td><td>No important issues</td><td>No important issues with the recommended alternative</td><td>Keine wesentlichen Probleme</td></tr><tr><td style=\"white-space:nowrap\">important-negative-issues<a name=\"cs-evidence-to-decision-certainty-rating-important-negative-issues\"> </a></td><td>Important negative issues</td><td>Important negative issues</td><td>Wesentliche negative Aspekte</td></tr><tr><td style=\"white-space:nowrap\">intervention-increases-inequity<a name=\"cs-evidence-to-decision-certainty-rating-intervention-increases-inequity\"> </a></td><td>Intervention increases inequity</td><td>Intervention likely increases inequity</td><td>Intervention erhöht Ungerechtigkeit</td></tr><tr><td style=\"white-space:nowrap\">intervention-poorly-accepted<a name=\"cs-evidence-to-decision-certainty-rating-intervention-poorly-accepted\"> </a></td><td>Intervention poorly accepted</td><td>Intervention is likely poorly accepted</td><td>Intervention schlecht angenommen</td></tr><tr><td style=\"white-space:nowrap\">intervention-difficult-to-implement<a name=\"cs-evidence-to-decision-certainty-rating-intervention-difficult-to-implement\"> </a></td><td>Intervention difficult to implement</td><td>Intervention is likely difficult to implement</td><td>Internvention schwer umzusetzen</td></tr></table></div>"
      },
      "url" : "http://fhir.awmf.org/awmf.ig/CodeSystem/cs-evidence-to-decision-certainty-rating",
      "version" : "0.2.0",
      "name" : "EvidenceToDecisionCertaintyRating",
      "title" : "Evidence To Decision Certainty Rating",
      "status" : "active",
      "experimental" : false,
      "date" : "2026-01-29T18:27:10+00:00",
      "publisher" : "AWMF e.V.",
      "contact" : [
        {
          "name" : "AWMF e.V.",
          "telecom" : [
            {
              "system" : "url",
              "value" : "https://www.awmf.org"
            }
          ]
        }
      ],
      "description" : "CodeSystem defining GRADE Evidence to Decision (EtD) Framework Certainty Ratings",
      "caseSensitive" : false,
      "content" : "complete",
      "count" : 13,
      "concept" : [
        {
          "code" : "small-net-benefit",
          "display" : "Small net benefit",
          "definition" : "Small net benefit, or little difference between alternatives",
          "_definition" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Geringer Netto-Nutzen, oder geringer Unterschied zwischen den Alternativen."
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "designation" : [
            {
              "language" : "de",
              "value" : "Geringer Netto-Nutzen"
            }
          ]
        },
        {
          "code" : "substantial-net-benefit",
          "display" : "Substantial net benefit",
          "definition" : "Substantial net benefits of the recommended alternative",
          "_definition" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Erheblicher Netto-Nutzen der empfohlenen Alternative."
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "designation" : [
            {
              "language" : "de",
              "value" : "Erheblicher Netto-Nutzen"
            }
          ]
        },
        {
          "code" : "important-harms",
          "display" : "Important harms",
          "definition" : "Important harms",
          "_definition" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Wesentliche Schäden"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "designation" : [
            {
              "language" : "de",
              "value" : "Wesentliche Schäden"
            }
          ]
        },
        {
          "code" : "substantial-variability",
          "display" : "Substantial variability",
          "definition" : "Substantial variability is expected or uncertain",
          "_definition" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Erhebliche Variabilität ist zu erwarten oder ungewiss."
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "designation" : [
            {
              "language" : "de",
              "value" : "Erhebliche Variabilität"
            }
          ]
        },
        {
          "code" : "no-substantial-variability",
          "display" : "No substantial variability",
          "definition" : "No substantial variability expected",
          "_definition" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Keine erhebliche Variabilität erwartet."
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "designation" : [
            {
              "language" : "de",
              "value" : "Keine erhebliche Variabilität"
            }
          ]
        },
        {
          "code" : "few-want-intervention",
          "display" : "Few want intervention",
          "definition" : "We expect few to want the intervention",
          "_definition" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Wir erwarten, dass nur wenige die Intervention wünschen."
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "designation" : [
            {
              "language" : "de",
              "value" : "Wenige wünschen Intervention"
            }
          ]
        },
        {
          "code" : "factor-not-considered",
          "display" : "Factor not considered",
          "definition" : "Factor not considered",
          "_definition" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Unberücksichtigter Faktor"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "designation" : [
            {
              "language" : "de",
              "value" : "Unberücksichtigter Faktor"
            }
          ]
        },
        {
          "code" : "important-issues-or-not-investigated",
          "display" : "Important issues",
          "definition" : "Important issues, or potential issues not investigated",
          "_definition" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Wesentliche Probleme oder potenzielle Probleme, die nicht untersucht worden sind."
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "designation" : [
            {
              "language" : "de",
              "value" : "Wesentliche Probleme"
            }
          ]
        },
        {
          "code" : "no-important-issues",
          "display" : "No important issues",
          "definition" : "No important issues with the recommended alternative",
          "_definition" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Keine wesentlichen Probleme mit der empfohlenen Alternative"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "designation" : [
            {
              "language" : "de",
              "value" : "Keine wesentlichen Probleme"
            }
          ]
        },
        {
          "code" : "important-negative-issues",
          "display" : "Important negative issues",
          "definition" : "Important negative issues",
          "_definition" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Wesentliche negative Aspekte"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "designation" : [
            {
              "language" : "de",
              "value" : "Wesentliche negative Aspekte"
            }
          ]
        },
        {
          "code" : "intervention-increases-inequity",
          "display" : "Intervention increases inequity",
          "definition" : "Intervention likely increases inequity",
          "_definition" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Die Intervention erhöht wahrscheinlich die Ungerechtigkeit."
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "designation" : [
            {
              "language" : "de",
              "value" : "Intervention erhöht Ungerechtigkeit"
            }
          ]
        },
        {
          "code" : "intervention-poorly-accepted",
          "display" : "Intervention poorly accepted",
          "definition" : "Intervention is likely poorly accepted",
          "_definition" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Die Intervention wird voraussichtlich schlecht angenommen."
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "designation" : [
            {
              "language" : "de",
              "value" : "Intervention schlecht angenommen"
            }
          ]
        },
        {
          "code" : "intervention-difficult-to-implement",
          "display" : "Intervention difficult to implement",
          "definition" : "Intervention is likely difficult to implement",
          "_definition" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Die Intervention ist voraussichtlich schwer umzusetzen."
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "designation" : [
            {
              "language" : "de",
              "value" : "Internvention schwer umzusetzen"
            }
          ]
        }
      ]
    }