{
  "resourceType" : "ValueSet",
  "id" : "R4-certainty-subcomponent-type-for-R4B",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet R4-certainty-subcomponent-type-for-R4B</b></p><a name=\"R4-certainty-subcomponent-type-for-R4B\"> </a><a name=\"hcR4-certainty-subcomponent-type-for-R4B\"> </a><p>This value set expansion contains 8 concepts.</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>System</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-certainty-subcomponent-type-for-R4B-http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type-RiskOfBias\"> </a>\u00a0\u00a0<a href=\"CodeSystem-certainty-subcomponent-type.html#certainty-subcomponent-type-RiskOfBias\">RiskOfBias</a></td><td>http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type</td><td>Risk of bias</td><td>methodologic concerns reducing internal validity.</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-certainty-subcomponent-type-for-R4B-http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type-Inconsistency\"> </a>\u00a0\u00a0<a href=\"CodeSystem-certainty-subcomponent-type.html#certainty-subcomponent-type-Inconsistency\">Inconsistency</a></td><td>http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type</td><td>Inconsistency</td><td>concerns that findings are not similar enough to support certainty.</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-certainty-subcomponent-type-for-R4B-http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type-Indirectness\"> </a>\u00a0\u00a0<a href=\"CodeSystem-certainty-subcomponent-type.html#certainty-subcomponent-type-Indirectness\">Indirectness</a></td><td>http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type</td><td>Indirectness</td><td>concerns reducing external validity.</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-certainty-subcomponent-type-for-R4B-http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type-Imprecision\"> </a>\u00a0\u00a0<a href=\"CodeSystem-certainty-subcomponent-type.html#certainty-subcomponent-type-Imprecision\">Imprecision</a></td><td>http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type</td><td>Imprecision</td><td>High quality evidence.</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-certainty-subcomponent-type-for-R4B-http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type-PublicationBias\"> </a>\u00a0\u00a0<a href=\"CodeSystem-certainty-subcomponent-type.html#certainty-subcomponent-type-PublicationBias\">PublicationBias</a></td><td>http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type</td><td>Publication bias</td><td>likelihood that what is published misrepresents what is available to publish.</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-certainty-subcomponent-type-for-R4B-http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type-DoseResponseGradient\"> </a>\u00a0\u00a0<a href=\"CodeSystem-certainty-subcomponent-type.html#certainty-subcomponent-type-DoseResponseGradient\">DoseResponseGradient</a></td><td>http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type</td><td>Dose response gradient</td><td>higher certainty due to dose response relationship.</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-certainty-subcomponent-type-for-R4B-http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type-PlausibleConfounding\"> </a>\u00a0\u00a0<a href=\"CodeSystem-certainty-subcomponent-type.html#certainty-subcomponent-type-PlausibleConfounding\">PlausibleConfounding</a></td><td>http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type</td><td>Plausible confounding</td><td>higher certainty due to risk of bias in opposite direction.</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R4-certainty-subcomponent-type-for-R4B-http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type-LargeEffect\"> </a>\u00a0\u00a0<a href=\"CodeSystem-certainty-subcomponent-type.html#certainty-subcomponent-type-LargeEffect\">LargeEffect</a></td><td>http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type</td><td>Large effect</td><td>higher certainty due to large effect size.</td></tr></table></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 0
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "cds"
  },
  {
    "extension" : [{
      "url" : "packageId",
      "valueId" : "hl7.fhir.uv.xver-r4.r4b"
    },
    {
      "url" : "version",
      "valueString" : "0.0.1-snapshot-2"
    }],
    "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/4.0/ImplementationGuide/hl7.fhir.uv.xver-r4.r4b"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/4.0/ValueSet/R4-certainty-subcomponent-type-for-R4B",
  "version" : "0.0.1-snapshot-2",
  "name" : "R4_certainty_subcomponent_type_for_R4B",
  "title" : "Cross-version VS for R4.CertaintySubcomponentType for use in FHIR R4B",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-09-01T22:36:16.004268+10:00",
  "publisher" : "Clinical Decision Support",
  "contact" : [{
    "name" : "Clinical Decision Support",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/dss"
    }]
  }],
  "description" : "This cross-version ValueSet represents concepts from http://hl7.org/fhir/ValueSet/certainty-subcomponent-type|4.0.1 for use in FHIR R4B. Concepts not present here have direct `equivalent` mappings crossing all versions from R4 to R4B.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"
    }]
  }],
  "compose" : {
    "include" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type",
      "version" : "4.0.1",
      "concept" : [{
        "code" : "RiskOfBias",
        "display" : "Risk of bias"
      },
      {
        "code" : "Inconsistency",
        "display" : "Inconsistency"
      },
      {
        "code" : "Indirectness",
        "display" : "Indirectness"
      },
      {
        "code" : "Imprecision",
        "display" : "Imprecision"
      },
      {
        "code" : "PublicationBias",
        "display" : "Publication bias"
      },
      {
        "code" : "DoseResponseGradient",
        "display" : "Dose response gradient"
      },
      {
        "code" : "PlausibleConfounding",
        "display" : "Plausible confounding"
      },
      {
        "code" : "LargeEffect",
        "display" : "Large effect"
      }]
    }]
  },
  "expansion" : {
    "timestamp" : "2025-09-01T22:36:16.004269+10:00",
    "contains" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type",
      "version" : "4.0.1",
      "code" : "RiskOfBias",
      "display" : "Risk of bias"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type",
      "version" : "4.0.1",
      "code" : "Inconsistency",
      "display" : "Inconsistency"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type",
      "version" : "4.0.1",
      "code" : "Indirectness",
      "display" : "Indirectness"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type",
      "version" : "4.0.1",
      "code" : "Imprecision",
      "display" : "Imprecision"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type",
      "version" : "4.0.1",
      "code" : "PublicationBias",
      "display" : "Publication bias"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type",
      "version" : "4.0.1",
      "code" : "DoseResponseGradient",
      "display" : "Dose response gradient"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type",
      "version" : "4.0.1",
      "code" : "PlausibleConfounding",
      "display" : "Plausible confounding"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-type",
      "version" : "4.0.1",
      "code" : "LargeEffect",
      "display" : "Large effect"
    }]
  }
}