{

"resourceType": "CodeSystem",
"id": "certainty-subcomponent-rating",
"meta": {
  "lastUpdated": "2019-11-01T09:29:23.356+11:00"
},
"extension": [
  {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode": "cds"
  },
  {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode": "trial-use"
  },
  {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger": 0
  }
],
"url": "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating",
"identifier": [
  {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:oid:2.16.840.1.113883.4.642.4.1362"
  }
],
"version": "4.0.1",
"name": "CertaintySubcomponentRating",
"title": "CertaintySubcomponentRating",
"status": "draft",
"experimental": false,
"date": "2019-11-01T09:29:23+11:00",
"publisher": "HL7 (FHIR Project)",
"contact": [
  {
    "telecom": [
      {
        "system": "url",
        "value": "http://hl7.org/fhir"
      },
      {
        "system": "email",
        "value": "fhir@lists.hl7.org"
      }
    ]
  }
],
"description": "The quality rating of the subcomponent of a quality of evidence rating.",
"caseSensitive": true,
"valueSet": "http://hl7.org/fhir/ValueSet/certainty-subcomponent-rating",
"content": "complete",
"concept": [
  {
    "code": "no-change",
    "display": "no change to rating",
    "definition": "no change to quality rating."
  },
  {
    "code": "downcode1",
    "display": "reduce rating: -1",
    "definition": "reduce quality rating by 1."
  },
  {
    "code": "downcode2",
    "display": "reduce rating: -2",
    "definition": "reduce quality rating by 2."
  },
  {
    "code": "downcode3",
    "display": "reduce rating: -3",
    "definition": "reduce quality rating by 3."
  },
  {
    "code": "upcode1",
    "display": "increase rating: +1",
    "definition": "increase quality rating by 1."
  },
  {
    "code": "upcode2",
    "display": "increase rating: +2",
    "definition": "increase quality rating by 2."
  },
  {
    "code": "no-concern",
    "display": "no serious concern",
    "definition": "no serious concern."
  },
  {
    "code": "serious-concern",
    "display": "serious concern",
    "definition": "serious concern."
  },
  {
    "code": "critical-concern",
    "display": "critical concern",
    "definition": "critical concern."
  },
  {
    "code": "present",
    "display": "present",
    "definition": "possible reason for increasing quality rating was checked and found to bepresent."
  },
  {
    "code": "absent",
    "display": "absent",
    "definition": "possible reason for increasing quality rating was checked and found to be absent."
  }
]

}