{
  "resourceType" : "ValueSet",
  "id" : "R5-certainty-subcomponent-rating-for-R4B",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet R5-certainty-subcomponent-rating-for-R4B</b></p><a name=\"R5-certainty-subcomponent-rating-for-R4B\"> </a><a name=\"hcR5-certainty-subcomponent-rating-for-R4B\"> </a><p>This value set expansion contains 11 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=\"R5-certainty-subcomponent-rating-for-R4B-http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating-no-change\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-certainty-subcomponent-rating.html#certainty-subcomponent-rating-no-change\">no-change</a></td><td>http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating</td><td>no change to rating</td><td>no change to quality rating.</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-certainty-subcomponent-rating-for-R4B-http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating-downcode1\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-certainty-subcomponent-rating.html#certainty-subcomponent-rating-downcode1\">downcode1</a></td><td>http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating</td><td>reduce rating: -1</td><td>reduce quality rating by 1.</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-certainty-subcomponent-rating-for-R4B-http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating-downcode2\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-certainty-subcomponent-rating.html#certainty-subcomponent-rating-downcode2\">downcode2</a></td><td>http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating</td><td>reduce rating: -2</td><td>reduce quality rating by 2.</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-certainty-subcomponent-rating-for-R4B-http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating-downcode3\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-certainty-subcomponent-rating.html#certainty-subcomponent-rating-downcode3\">downcode3</a></td><td>http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating</td><td>reduce rating: -3</td><td>reduce quality rating by 3.</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-certainty-subcomponent-rating-for-R4B-http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating-upcode1\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-certainty-subcomponent-rating.html#certainty-subcomponent-rating-upcode1\">upcode1</a></td><td>http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating</td><td>increase rating: +1</td><td>increase quality rating by 1.</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-certainty-subcomponent-rating-for-R4B-http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating-upcode2\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-certainty-subcomponent-rating.html#certainty-subcomponent-rating-upcode2\">upcode2</a></td><td>http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating</td><td>increase rating: +2</td><td>increase quality rating by 2.</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-certainty-subcomponent-rating-for-R4B-http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating-no-concern\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-certainty-subcomponent-rating.html#certainty-subcomponent-rating-no-concern\">no-concern</a></td><td>http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating</td><td>no serious concern</td><td>no serious concern.</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-certainty-subcomponent-rating-for-R4B-http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating-serious-concern\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-certainty-subcomponent-rating.html#certainty-subcomponent-rating-serious-concern\">serious-concern</a></td><td>http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating</td><td>serious concern</td><td>serious concern.</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-certainty-subcomponent-rating-for-R4B-http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating-critical-concern\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-certainty-subcomponent-rating.html#certainty-subcomponent-rating-critical-concern\">critical-concern</a></td><td>http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating</td><td>critical concern</td><td>critical concern.</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-certainty-subcomponent-rating-for-R4B-http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating-present\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-certainty-subcomponent-rating.html#certainty-subcomponent-rating-present\">present</a></td><td>http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating</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\"><a name=\"R5-certainty-subcomponent-rating-for-R4B-http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating-absent\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-certainty-subcomponent-rating.html#certainty-subcomponent-rating-absent\">absent</a></td><td>http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating</td><td>absent</td><td>possible reason for increasing quality rating was checked and found to be absent.</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-r5.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/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4b"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/5.0/ValueSet/R5-certainty-subcomponent-rating-for-R4B",
  "version" : "0.0.1-snapshot-2",
  "name" : "R5_certainty_subcomponent_rating_for_R4B",
  "title" : "Cross-version VS for R5.StatisticCertaintySubcomponentRating for use in FHIR R4B",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-09-01T22:37:01.995991+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://terminology.hl7.org/ValueSet/certainty-subcomponent-rating|0.1.0 for use in FHIR R4B. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 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-rating",
      "version" : "0.1.0",
      "concept" : [{
        "code" : "no-change",
        "display" : "no change to rating"
      },
      {
        "code" : "downcode1",
        "display" : "reduce rating: -1"
      },
      {
        "code" : "downcode2",
        "display" : "reduce rating: -2"
      },
      {
        "code" : "downcode3",
        "display" : "reduce rating: -3"
      },
      {
        "code" : "upcode1",
        "display" : "increase rating: +1"
      },
      {
        "code" : "upcode2",
        "display" : "increase rating: +2"
      },
      {
        "code" : "no-concern",
        "display" : "no serious concern"
      },
      {
        "code" : "serious-concern",
        "display" : "serious concern"
      },
      {
        "code" : "critical-concern",
        "display" : "critical concern"
      },
      {
        "code" : "present",
        "display" : "present"
      },
      {
        "code" : "absent",
        "display" : "absent"
      }]
    }]
  },
  "expansion" : {
    "timestamp" : "2025-09-01T22:37:01.995992+10:00",
    "contains" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating",
      "version" : "0.1.0",
      "code" : "no-change",
      "display" : "no change to rating"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating",
      "version" : "0.1.0",
      "code" : "downcode1",
      "display" : "reduce rating: -1"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating",
      "version" : "0.1.0",
      "code" : "downcode2",
      "display" : "reduce rating: -2"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating",
      "version" : "0.1.0",
      "code" : "downcode3",
      "display" : "reduce rating: -3"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating",
      "version" : "0.1.0",
      "code" : "upcode1",
      "display" : "increase rating: +1"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating",
      "version" : "0.1.0",
      "code" : "upcode2",
      "display" : "increase rating: +2"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating",
      "version" : "0.1.0",
      "code" : "no-concern",
      "display" : "no serious concern"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating",
      "version" : "0.1.0",
      "code" : "serious-concern",
      "display" : "serious concern"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating",
      "version" : "0.1.0",
      "code" : "critical-concern",
      "display" : "critical concern"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating",
      "version" : "0.1.0",
      "code" : "present",
      "display" : "present"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating",
      "version" : "0.1.0",
      "code" : "absent",
      "display" : "absent"
    }]
  }
}