{

"resourceType": "CodeSystem",
"id": "certainty-subcomponent-type",
"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-type",
"identifier": [
  {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:oid:2.16.840.1.113883.4.642.4.1360"
  }
],
"version": "4.0.1",
"name": "CertaintySubcomponentType",
"title": "CertaintySubcomponentType",
"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 subcomponent classification of quality of evidence rating systems.",
"caseSensitive": true,
"valueSet": "http://hl7.org/fhir/ValueSet/certainty-subcomponent-type",
"content": "complete",
"concept": [
  {
    "code": "RiskOfBias",
    "display": "Risk of bias",
    "definition": "methodologic concerns reducing internal validity."
  },
  {
    "code": "Inconsistency",
    "display": "Inconsistency",
    "definition": "concerns that findings are not similar enough to support certainty."
  },
  {
    "code": "Indirectness",
    "display": "Indirectness",
    "definition": "concerns reducing external validity."
  },
  {
    "code": "Imprecision",
    "display": "Imprecision",
    "definition": "High quality evidence."
  },
  {
    "code": "PublicationBias",
    "display": "Publication bias",
    "definition": "likelihood that what is published misrepresents what is available to publish."
  },
  {
    "code": "DoseResponseGradient",
    "display": "Dose response gradient",
    "definition": "higher certainty due to dose response relationship."
  },
  {
    "code": "PlausibleConfounding",
    "display": "Plausible confounding",
    "definition": "higher certainty due to risk of bias in opposite direction."
  },
  {
    "code": "LargeEffect",
    "display": "Large effect",
    "definition": "higher certainty due to large effect size."
  }
]

}