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Working from LogicaHealth IG

Modifier extension adding certainty of absence.   See https://covid-19-ig.logicahealth.org/StructureDefinition-covid19-symptoms-present.htmlabsent.html ('Refuted' as a value is being discussed by the HL7 Patient Care Workgroup - steward of the Condition Resource).   LBI: Clinical Assessment 2.3 contains some verification values.

See analysis spreadsheet by Linda Bird

FHIR elementBindingComments
Condition.codeCOVID 19 Signs and Symptoms Value Set
Condition.modifierExtension:certaintyOfAbsenceCertaintyOfAbsenceVSDoes the existence of the modifier change the interpretation of the Condition instance? See https://www.hl7.org/fhir/extensibility.html#modifierExtension http://hl7.org/fhir/R4/condition.html#9.2.3.4 and http://hl7.org/fhir/R4/condition.html#9.2.3.5