• Include these codes as defined in http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating version 0.1.0

  Code	Display	Definition
  no-change	no change to rating	no change to quality rating.
  downcode1	reduce rating: -1	reduce quality rating by 1.
  downcode2	reduce rating: -2	reduce quality rating by 2.
  downcode3	reduce rating: -3	reduce quality rating by 3.
  upcode1	increase rating: +1	increase quality rating by 1.
  upcode2	increase rating: +2	increase quality rating by 2.
  no-concern	no serious concern	no serious concern.
  serious-concern	serious concern	serious concern.
  critical-concern	critical concern	critical concern.
  present	present	possible reason for increasing quality rating was checked and found to bepresent.
  absent	absent	possible reason for increasing quality rating was checked and found to be absent.

This value set expansion contains 11 concepts.