<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="certainty-subcomponent-rating"/>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem certainty-subcomponent-rating</b></p><a name="certainty-subcomponent-rating"> </a><a name="hccertainty-subcomponent-rating"> </a><p>This case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/certainty-subcomponent-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></tr><tr><td style="white-space:nowrap">no-change<a name="certainty-subcomponent-rating-no-change"> </a></td><td>no change to rating</td><td>no change to quality rating.</td></tr><tr><td style="white-space:nowrap">downcode1<a name="certainty-subcomponent-rating-downcode1"> </a></td><td>reduce rating: -1</td><td>reduce quality rating by 1.</td></tr><tr><td style="white-space:nowrap">downcode2<a name="certainty-subcomponent-rating-downcode2"> </a></td><td>reduce rating: -2</td><td>reduce quality rating by 2.</td></tr><tr><td style="white-space:nowrap">downcode3<a name="certainty-subcomponent-rating-downcode3"> </a></td><td>reduce rating: -3</td><td>reduce quality rating by 3.</td></tr><tr><td style="white-space:nowrap">upcode1<a name="certainty-subcomponent-rating-upcode1"> </a></td><td>increase rating: +1</td><td>increase quality rating by 1.</td></tr><tr><td style="white-space:nowrap">upcode2<a name="certainty-subcomponent-rating-upcode2"> </a></td><td>increase rating: +2</td><td>increase quality rating by 2.</td></tr><tr><td style="white-space:nowrap">no-concern<a name="certainty-subcomponent-rating-no-concern"> </a></td><td>no serious concern</td><td>no serious concern.</td></tr><tr><td style="white-space:nowrap">serious-concern<a name="certainty-subcomponent-rating-serious-concern"> </a></td><td>serious concern</td><td>serious concern.</td></tr><tr><td style="white-space:nowrap">critical-concern<a name="certainty-subcomponent-rating-critical-concern"> </a></td><td>critical concern</td><td>critical concern.</td></tr><tr><td style="white-space:nowrap">present<a name="certainty-subcomponent-rating-present"> </a></td><td>present</td><td>possible reason for increasing quality rating was checked and found to bepresent.</td></tr><tr><td style="white-space:nowrap">absent<a name="certainty-subcomponent-rating-absent"> </a></td><td>absent</td><td>possible reason for increasing quality rating was checked and found to be absent.</td></tr></table></div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/package-source">
    <extension url="packageId">
      <valueId value="hl7.fhir.uv.xver-r4.r4b"/>
    </extension>
    <extension url="version">
      <valueString value="0.0.1-snapshot-2"/>
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="cds"/>
  </extension>
  <url value="http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating"/>
  <version value="4.0.1"/>
  <name value="CertaintySubcomponentRating"/>
  <title value="CertaintySubcomponentRating"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2019-11-01T08:29:23+10:00"/>
  <publisher value="Clinical Decision Support"/>
  <contact>
    <name value="Clinical Decision Support"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/dss"/>
    </telecom>
  </contact>
  <description value="The quality rating of the subcomponent of a quality of evidence rating."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <valueSet value="http://hl7.org/fhir/ValueSet/certainty-subcomponent-rating"/>
  <content value="complete"/>
  <concept>
    <code value="no-change"/>
    <display value="no change to rating"/>
    <definition value="no change to quality rating."/>
  </concept>
  <concept>
    <code value="downcode1"/>
    <display value="reduce rating: -1"/>
    <definition value="reduce quality rating by 1."/>
  </concept>
  <concept>
    <code value="downcode2"/>
    <display value="reduce rating: -2"/>
    <definition value="reduce quality rating by 2."/>
  </concept>
  <concept>
    <code value="downcode3"/>
    <display value="reduce rating: -3"/>
    <definition value="reduce quality rating by 3."/>
  </concept>
  <concept>
    <code value="upcode1"/>
    <display value="increase rating: +1"/>
    <definition value="increase quality rating by 1."/>
  </concept>
  <concept>
    <code value="upcode2"/>
    <display value="increase rating: +2"/>
    <definition value="increase quality rating by 2."/>
  </concept>
  <concept>
    <code value="no-concern"/>
    <display value="no serious concern"/>
    <definition value="no serious concern."/>
  </concept>
  <concept>
    <code value="serious-concern"/>
    <display value="serious concern"/>
    <definition value="serious concern."/>
  </concept>
  <concept>
    <code value="critical-concern"/>
    <display value="critical concern"/>
    <definition value="critical concern."/>
  </concept>
  <concept>
    <code value="present"/>
    <display value="present"/>
    <definition value="possible reason for increasing quality rating was checked and found to bepresent."/>
  </concept>
  <concept>
    <code value="absent"/>
    <display value="absent"/>
    <definition value="possible reason for increasing quality rating was checked and found to be absent."/>
  </concept>
</CodeSystem>