diff --git a/atlas/forms.py b/atlas/forms.py
index 51a60279..3c24d386 100755
--- a/atlas/forms.py
+++ b/atlas/forms.py
@@ -308,6 +308,7 @@ class CaseForm(ModelForm):
             "report",
             "open_access",
             "previous_case",
+            "diagnostic_certainty",
         ]
         # fields = ['question', 'findings', 'subspecialty', 'references']
         widgets = {
diff --git a/atlas/migrations/0025_case_diagnostic_certainty.py b/atlas/migrations/0025_case_diagnostic_certainty.py
new file mode 100644
index 00000000..6dce882b
--- /dev/null
+++ b/atlas/migrations/0025_case_diagnostic_certainty.py
@@ -0,0 +1,18 @@
+# Generated by Django 4.1.4 on 2023-11-01 22:44
+
+from django.db import migrations, models
+
+
+class Migration(migrations.Migration):
+
+    dependencies = [
+        ('atlas', '0024_uncategoriseddicom_created_date'),
+    ]
+
+    operations = [
+        migrations.AddField(
+            model_name='case',
+            name='diagnostic_certainty',
+            field=models.IntegerField(choices=[(0, 'None'), (1, 'Possible'), (2, 'Likely'), (3, 'Almost Certain'), (4, 'Certain')], default=0),
+        ),
+    ]
diff --git a/atlas/models.py b/atlas/models.py
index 1232eb8a..ddb77bb4 100644
--- a/atlas/models.py
+++ b/atlas/models.py
@@ -237,6 +237,14 @@ class Case(models.Model):
     #    VASC = "VA", _("Vascular")
     #    HAEMONC = "HA", _("Haemotology and Oncology")
 
+    class CertaintyChoices(models.IntegerChoices):
+        NONE = 0
+        POSSIBLE = 1
+        LIKELY = 2
+        ALMOST_CERTAIN = 3
+        CERTAIN = 4
+
+
     title = models.CharField(max_length=255, help_text="Title of the case", default="")
     description = models.TextField(
         blank=True,
@@ -266,6 +274,8 @@ class Case(models.Model):
         Condition, through=Differential, related_name="casedifferential"
     )
 
+    diagnostic_certainty = models.IntegerField(choices=CertaintyChoices.choices, default=CertaintyChoices.NONE)
+
     verified = models.BooleanField(default=False)
     created_date = models.DateTimeField(default=timezone.now)
     published_date = models.DateTimeField(blank=True, null=True)
diff --git a/atlas/templates/atlas/case_display_block.html b/atlas/templates/atlas/case_display_block.html
index eaa33741..efcfa7f8 100755
--- a/atlas/templates/atlas/case_display_block.html
+++ b/atlas/templates/atlas/case_display_block.html
@@ -119,6 +119,7 @@
             <li>{{p.get_link}}</li>
         {% endfor %}
     </ul>
+    <b>Diagnostic certainty:</b> {{case.get_diagnostic_certainty_display}}<br />
     <b>Collections:</b>
     <button
         hx-get="{% url 'atlas:case_collection_form' case.pk %}"
diff --git a/atlas/templates/atlas/condition_detail.html b/atlas/templates/atlas/condition_detail.html
index 6c1630de..f5f21399 100755
--- a/atlas/templates/atlas/condition_detail.html
+++ b/atlas/templates/atlas/condition_detail.html
@@ -15,6 +15,9 @@
     <div>
         <h3>Name: {{condition.name}}</h3>
         Primary name: {{condition.primary}}<br />
+        Subspecialty: {% for sub in condition.subspecialty.all  %}
+            <a href="{{sub.get_absolute_url}}">{{sub}}</a>
+        {% endfor %}<br />
         Synonyms:
         {% for syn in condition.synonym.all  %}
             <a href="{{syn.get_absolute_url}}">{{syn}}</a>