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. 2019 Dec 10;37(52):7623–7641. doi: 10.1016/j.vaccine.2019.05.027

Table 5.

Levels of diagnostic certainty for NDD.

Personnel Assessment
Level 1
 Gold standard Gold standard
Level 2
 Gold standard Below gold standard
 Below gold standard Gold standard
Level 3A
 Below gold standard Below gold standard
 Gold standard Well below gold standard
 Well below gold standard Gold standard
 Well below gold standard Below gold standard
 Below gold standard Well below gold standard
Level 3B
 Well below gold standard Well below gold standard
Level 4
 Reported NDD with insufficient evidence to meet the case definition
Level 5
 Not a case of NDD