<status value="draft"/> <experimental value="false"/> <date value="2020-04-09T21:10:28+00:00"/> <publisher value="Health Level Seven International"/> <contact> <telecom> <system value="url"/> <value value="http://hl7.org"/> </telecom> <telecom> <system value="email"/> <value value="hq@HL7.org"/> </telecom> </contact> <description value="The quality rating of the subcomponent of a quality of evidence rating."/> <copyright value="This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license"/> <caseSensitive value="true"/> <valueSet value="http://terminology.hl7.org/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>

This case-sensitive code system http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating defines the following codes:

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.