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FHIR IG Statistics: ValueSet/181524

Packagehl7.fhir.uv.ebm
Resource TypeValueSet
Id181524
FHIR VersionR6
Sourcehttp://hl7.org/fhir/uv/ebm/https://build.fhir.org/ig/HL7/ebm/ValueSet-181524.html
URLhttps://fevir.net/resources/ValueSet/181524
Version1.0.0-ballot2
Statusactive
Date2025-07-25T17:41:13+00:00
NameRisk_of_bias_type
TitleRisk Of Bias Type Value Set
Realmuv
Authorityhl7
DescriptionTypes of bias for use with risk of bias assessment. This is a snapshot version from a code system in development (original source at https://fevir.net/resources/CodeSystem/27270) and is provided for example support in the EBMonFHIR Implementation Guide.
Copyrighthttps://creativecommons.org/licenses/by-nc-sa/4.0/

Resources that use this resource

StructureDefinition
risk-of-biasRiskOfBias

Resources that this resource uses

CodeSystem
sevcoScientific Evidence Code System (SEVCO)

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ValueSet 181524

version: 14; Last updated: 2025-03-03 21:01:39+0000

  • Include these codes as defined in https://fevir.net/sevco version 2.0
    CodeDisplayDefinition (core metadata concept)Synonym (core metadata concept)
    SEVCO:00002Selection BiasA bias resulting from methods used to select subjects or data, factors that influence initial study participation, or differences between the study sample and the population of interest
    SEVCO:00016Confounding Covariate BiasA situation in which the effect or association between an exposure and outcome is distorted by another variable. For confounding covariate bias to occur the distorting variable must be (1) associated with the exposure and the outcome, (2) not in the causal pathway between exposure and outcome, and (3) unequally distributed between the groups being compared.
    SEVCO:00017Performance BiasA bias resulting from differences between the received exposure and the intended exposure.Performance Adherence Bias
    SEVCO:00019Attrition BiasA bias due to absence of expected participation or data collection after selection for study inclusion.Missing data bias
    SEVCO:00020Detection BiasA bias due to distortions in any process involved in the determination of the recorded values for a variable.
    SEVCO:00021Analysis BiasA bias related to the analytic process applied to the data.
    SEVCO:00023Reporting BiasA bias due to distortions in the selection of or representation of information in study results or research findings.
    SEVCO:00026Synthesis BiasA bias in the conduct of a systematic review resulting from methods used to select, manipulate or interpret data for evidence synthesis.
    SEVCO:00028Qualitative Research BiasA bias specific to the design, conduct, analysis or reporting of qualitative research.
    SEVCO:00029Mixed Methods Research BiasA bias specific to the coordination of design, conduct, analysis or reporting of qualitative research and quantitative research.
    SEVCO:00030bias in validation assessmentA bias in the design, conduct or reporting of studies or analyses intended to evaluate the reliability and/or performance of a procedure for a specific predictive, classification, measurement, or communication purpose.validation bias
    SEVCO:00370Early Study Termination BiasA bias due to the decision to end the study earlier than planned.Bias due to early study termination
    SEVCO:00001BiasA systematic distortion in research results (estimation of effect, association, or inference). Distortions in research results means differences between the reported results (findings, conclusions, effect estimates) and the actuality (the truth, the estimand [the quantity targeted for estimation])
    SEVCO:00003Participant Selection BiasA selection bias resulting from methods used to select participating subjects, factors that influence initial study participation, or differences between the study participants and the population of interest
    SEVCO:00004Inappropriate selection criteriaA selection bias resulting from inclusion and exclusion criteria used to select participating subjects that could result in differences between the study participants and the population of interest.Selection bias due to inappropriate selection criteria
    SEVCO:00005Inappropriate sampling strategyA selection bias resulting from the sampling frame, sampling procedure, or methods used to recruit participating subjects that could result in differences between the study participants and the population of interest.Selection bias due to inappropriate sampling strategy
    SEVCO:00014Inappropriate data source for participant selectionParticipant selection bias due to inappropriate data source for sampling frame.Participant selection bias due to inappropriate data source for sampling frame
    SEVCO:00006Non-representative sampleA selection bias due to differences between the included participants and the population of interest that distorts the research results (estimation of effect, association, or inference), limiting external validity or applicability.Nonrepresentative sample
    SEVCO:00008Inadequate enrollment of eligible subjectsA selection bias in which insufficient enrollment of eligible subjects results in differences (recognized or unrecognized) between the included participants and the population of interest that distorts the research results.Non-representative sample due to inadequate enrollment
    SEVCO:00012Non-representative sample due to timing or duration of exposureA selection bias in which the timing or duration of exposure influences the outcome, and the timing or duration of exposure in the sample does not represent that of the population of interest. This selection bias may occur when the selection for study participation is not coincident with the initiation of the exposure or intervention under investigation.Mismatch in start of intervention and start of follow-up
    SEVCO:00013Depletion of susceptiblesA non-representative sample due to exclusion of susceptible participants who have already had an outcome due to prior exposure. For example, the inclusion of prevalent users of a medication misrepresents the initial adverse effects rate by excluding persons who do not tolerate the medication.Non-representative sample due to depletion of susceptibles
    SEVCO:00009Post-baseline factors influence enrollment selectionA selection bias in which factors observed after study entry, baseline, or start of follow-up influence enrollmentParticipant selection bias due to post-baseline factors
    SEVCO:00212Participant selection bias due to early study terminationA selection bias due to premature closure of study enrollment.Early termination bias affecting enrollment
    SEVCO:00010Factor associated with exposure influences enrollment selectionA selection bias in which a factor associated with the exposure under investigation influences study enrollmentParticipant selection bias due to factor associated wiith exposure
    SEVCO:00011Factor associated with outcome influences enrollment selectionA selection bias in which a factor associated with the outcome under investigation influences study enrollmentParticipant selection bias due to factor associated wiith outcome
    SEVCO:00015Study Selection BiasA selection bias resulting from factors that influence study selection, from methods used to include or exclude studies for evidence synthesis, or from differences between the study sample and the population of interest
    SEVCO:00262Bias in Study Eligibility Criteria
    SEVCO:00273Study eligibility criteria not prespecified
    SEVCO:00274Study eligibility criteria not appropriate for review question
    SEVCO:00275Study eligibility criteria ambiguous
    SEVCO:00276Study eligibility criteria limits for study characteristics not appropriate
    SEVCO:00277Study eligibility criteria limits for information sources not appropriate
    SEVCO:00263Database search sources not appropriate
    SEVCO:00264Non-database search sources inadequate
    SEVCO:00265Search strategy not sensitive
    SEVCO:00266Search strategy limits for information sources not appropriate
    SEVCO:00267Study eligibility criteria not adhered to
    SEVCO:00268Error in study selection not minimized
    SEVCO:00269Language bias
    SEVCO:00270Geography bias
    SEVCO:00271One-sided reference bias
    SEVCO:00272Publication Bias affecting study selection
    SEVCO:00032Allocation BiasA confounding covariate bias resulting from methods for assignment of the independent variable by the investigator to evaluate a response or outcome.
    SEVCO:00031Inadequate allocation concealmentAn allocation bias resulting from awareness of the assigned intervention before study enrolment and intervention assignment
    SEVCO:00278Bias due to non-randomized allocationAn allocation bias resulting from a process of assigning participants or subjects to different groups or conditions which is not random.Bias due to non-random allocation
    SEVCO:00033Comparator Selection BiasA confounding covariate bias resulting from methods used to select participating subjects, or factors that influence study participation, for the comparator group.Comparison Selection Bias
    SEVCO:00034Confounding differenceA confounding covariate bias in which the unequal distribution of a potentially distorting variable is recognized.Recognized confounding difference
    SEVCO:00280Confounding by time of observationA confounding covariate bias in which the distorting variable is the time at which the outcome is measured or observed.Confounding by follow-up time
    SEVCO:00281Lead time biasA confounding covariate bias in which the distorting variable is the length of time that the participant has had the condition of interest at study enrollment.Starting time bias
    SEVCO:00282Confounding influencing adherence to interventionA confounding covariate bias in which the distorting variable is associated with deviations from the intended intervention.
    SEVCO:00284Confounding by indicationA confounding covariate bias in which the distorting variable is the reason for receiving an exposure.
    SEVCO:00388Confounding by contraindicationA confounding covariate bias in which the distorting variable is the reason for not receiving an exposure.
    SEVCO:00390time-varying confounding affected by past exposureA confounding covariate bias in which the distorting variable is itself influenced by the exposure.
    SEVCO:00035Inadequate blinding of participantsA performance bias due to awareness of the allocated intervention by participantsLack of blinding of participants
    SEVCO:00036Inadequate blinding of intervention deliverersA performance bias due to awareness of the allocated intervention by individuals providing or delivering the interventionLack of blinding of intervention deliverers
    SEVCO:00037Deviation from study intervention protocolA performance bias in which the intervention received differs from the intervention specified in the study protocol
    SEVCO:00038Deviation from standard of careA performance bias in which the intervention or exposure received differs from the from the usual practice or expected care
    SEVCO:00039Nonadherence of implementationA performance bias in which the intervention deliverers do not completely adhere to the expected interventionNonadherence of interventionalist
    SEVCO:00040Nonadherence of participantsA performance bias in which the participants do not completely adhere to the expected intervention or exposure
    SEVCO:00041Imbalance in deviations from intended interventionA performance bias in which the degree of performance bias is unequally distributed between groups being comparedAsymmetry in adherence between groups
    SEVCO:00286Attrition bias due to participant attritionA bias due to absence of expected participation due to participant dropout, withdrawal or non-participation after selection for study inclusion.
    SEVCO:00287Attrition bias due to missing dataA bias due to data loss or absence of data collection from participants after selection for study inclusion.
    SEVCO:00386Attrition bias due to missing outcome dataAn attrition bias due to missing data specific to the dependent variable.
    SEVCO:00288Attrition bias due to missing exposure dataAn attrition bias due to missing data specific to the independent variable(s) of primary interest, such as exposure or intervention.Attrition bias due to missing intervention data
    SEVCO:00289Attrition bias due to missing modifier dataAn attrition bias due to missing data specific to a confounder or effect modifier
    SEVCO:00387Attrition bias due to missing data about attritionAn attrition bias due to missing data specific to the extent of or reasons for missing data.
    SEVCO:00290Imbalance in missing dataAn attrition bias in which the degree of missing data is unequally distributed between groups being compared.
    SEVCO:00291Inadequate response rateAn attrition bias in which the reason for absence of data collection is a low response rate to data collection surveys.
    SEVCO:00042Outcome Detection BiasA detection bias due to distortions in how an outcome is determined.
    SEVCO:00047Cognitive Interpretive Bias for outcome determinationAn outcome detection bias due to the subjective nature of human interpretation.Subjectivity bias for outcome determination
    SEVCO:00048Bias due to lack of masking for outcome determinationA cognitive interpretive bias for outcome determination due to awareness of the participant's status with respect to the exposure of interest.Awareness bias for outcome determination
    SEVCO:00049Observer bias for outcome determinationA cognitive interpretive bias for outcome determination due to subjective interpretations in the process of observing and recording information.
    SEVCO:00052Confirmation bias for outcome determinationAn observer bias for outcome determination due to previous opinions or knowledge of a subject’s prior exposures or assessments.Previous opinion bias for outcome determination
    SEVCO:00050Recall bias for outcome determinationA cognitive interpretive bias for outcome determination due to differences in accuracy or completeness of recall of past events or experiences.
    SEVCO:00051Apprehension bias for outcome determinationA cognitive interpretive bias for outcome determination due to a study participant's responding or behaving differently when aware of being observed.Hawthorne effect for outcome determination
    SEVCO:00053Hypothetical assessment bias for outcome determinationA cognitive interpretive bias for outcome determination due to a difference between an individual’s report of an imagined or hypothetical response from their actual response. The response may be a behavior or valuation.Subjunctivity bias for outcome determination
    SEVCO:00054Mimicry bias for outcome determinationA cognitive interpretive bias for outcome determination due to a misinterpretation of observations that resemble the outcome.
    SEVCO:00057Unacceptability bias for outcome determinationA cognitive interpretive bias for outcome determination due to distortions in response, response values, or recording of responses resulting from perception of the social unacceptability of an outcome.Unacceptable disease bias for outcome determination
    SEVCO:00058Outcome Ascertainment BiasAn outcome detection bias due to distortions in how the data are collected.Ascertainment Bias for outcome determination
    SEVCO:00097Nonrepresentative observation period for outcome of interestAn outcome ascertainment bias due to differences in the period used for observation of the outcome and the period for the outcome of interest.Misaligned follow up period for outcome of interest
    SEVCO:00098Nonrepresentative context for outcome ascertainmentAn outcome ascertainment bias due to differences in the context in which the outcome is observed and the intended context for the outcome of interest.
    SEVCO:00099Inconsistency in outcome ascertainmentAn outcome ascertainment bias due to differences within or between groups in how the data are collected.Imbalance in outcome ascertainment
    SEVCO:00059Outcome Measurement BiasAn outcome detection bias due to distortions in how the observed outcomes are measured.Measurement Bias for outcome determination
    SEVCO:00100Inappropriate method for outcome measurementAn outcome measurement bias due to use of an incorrect method or protocol.Inappropriate outcome measurement method
    SEVCO:00101Insensitive measure bias for outcome determinationAn outcome measurement bias due to use of a method that does not reliably detect the outcome when the outcome is present.Inadequate sensitivity for outcome measure
    SEVCO:00211Nonspecific measure bias for outcome determinationAn outcome measurement bias due to use of a method that falsely detects the outcome when the outcome is absent.Inadequate specificity for outcome measure
    SEVCO:00103Inappropriate application of method for outcome measurementAn outcome measurement bias due to inappropriate application of the method or protocol.
    SEVCO:00104Inconsistency in outcome measurementAn outcome measurement bias due to differences within groups in how the observed outcomes are measured.
    SEVCO:00243Inconsistency in instruments used for outcome measurementAn outcome measurement bias due to differences within groups in the instruments used for measurement.
    SEVCO:00244Inconsistency in processes used for outcome measurementAn outcome measurement bias due to differences within groups in the processes by which the instruments are used for measurement.
    SEVCO:00240Imbalance in outcome measurementAn outcome measurement bias due to differences between groups in how the observed outcomes are measured.
    SEVCO:00245Imbalance in instruments used for outcome measurementAn outcome measurement bias due to differences between groups in the instruments used for measurement.
    SEVCO:00246Imbalance in processes used for outcome measurementAn outcome measurement bias due to differences between groups in the processes by which the instruments are used for measurement.
    SEVCO:00060Outcome Classification BiasAn outcome detection bias due to distortions in how the observed outcomes are classified.Outcome Misclassification Bias
    SEVCO:00061Outcome Classification System BiasAn outcome classification bias resulting from the definition or threshold used for outcome classification.Outcome definition bias
    SEVCO:00105Nonrepresentative definition for outcome classificationAn outcome classification system bias due to a mismatch between the outcome of interest and the definition or threshold used for outcome measurement.
    SEVCO:00108Surrogate marker bias for outcome classificationAn outcome classification system bias due to use of a definition that is proxy for the outcome rather than direct observation of the outcome.Substitution bias for outcome classification
    SEVCO:00106Post-hoc definition of outcomeAn outcome classification system bias due to defining the outcome after interacting with the study data.No prespecified definition for outcome classification
    SEVCO:00062Outcome Classification Process BiasAn outcome classification bias resulting from the application of the method used for outcome classification.Classification Process Bias for outcome determination
    SEVCO:00063Incorporation Bias for outcome determinationAn outcome classification bias due to the inclusion of the exposure under investigation in the method or process used for outcome classification.
    SEVCO:00043Exposure Detection BiasA detection bias due to distortions in how an exposure of interest is determined.
    SEVCO:00055Cognitive Interpretive Bias for exposure determinationAn exposure detection bias due to the subjective nature of human interpretation.Subjectivity bias for exposure determination
    SEVCO:00056Bias due to lack of masking for exposure determinationA cognitive interpretive bias for exposure determination due to awareness of the participant's status with respect to the outcome of interest or other relevant exposures.Awareness bias for exposure determination
    SEVCO:00238Observer bias for exposure determinationA cognitive interpretive bias for exposure determination due to subjective interpretations in the process of observing and recording information.
    SEVCO:00239Confirmation bias for exposure determinationAn observer bias for exposure determination due to previous opinions or knowledge of a subject’s prior exposures or assessments.Previous opinion bias for exposure determination
    SEVCO:00214Recall bias for exposure determinationA cognitive interpretive bias for exposure determination due to differences in accuracy or completeness of recall of past events or experiences.
    SEVCO:00215Apprehension bias for exposure determinationA cognitive interpretive bias for exposure determination due to a study participant's responding or behaving differently when aware of being observed.Hawthorne effect for exposure determination
    SEVCO:00216Hypothetical assessment bias for exposure determinationA cognitive interpretive bias for exposure determination due to a difference between an individual’s report of an imagined or hypothetical response from their actual response.Subjunctivity bias for exposure determination
    SEVCO:00217Mimicry bias for exposure determinationA cognitive interpretive bias for exposure determination due to a misinterpretation of observations that resemble the exposure.
    SEVCO:00218Unacceptability bias for exposure determinationA cognitive interpretive bias for exposure determination due to distortions in response, response values, or recording of responses resulting from perception of the social unacceptability of an exposure.Unacceptable disease bias for exposure determination
    SEVCO:00219Exposure Ascertainment BiasAn exposure detection bias due to distortions in how the data are collected.Data collection bias for exposure determination
    SEVCO:00220Nonrepresentative observation period for exposure of interestAn exposure ascertainment bias due to differences in the time period used for observation of the exposure and the intended time period for the exposure of interest.Misaligned follow up period for exposure of interest
    SEVCO:00221Nonrepresentative context for exposure ascertainmentAn exposure ascertainment bias due to differences in the context in which the exposure is observed and the intended context for the exposure of interest.
    SEVCO:00222Inconsistency in exposure ascertainmentAn exposure ascertainment bias due to differences within or between groups in how the data are collected.Imbalance in exposure ascertainment
    SEVCO:00223Exposure Measurement BiasAn exposure detection bias due to distortions in how the observed exposures are measured.Measurement Bias for exposure determination
    SEVCO:00224Inappropriate method for exposure measurementAn exposure measurement bias due to use of an incorrect method or protocol.Inappropriate exposure measurement method
    SEVCO:00225Insensitive measure bias for exposure determinationAn exposure measurement bias due to use of a method that does not reliably detect the exposure when the exposure is present.Inadequate sensitivity for exposure determination
    SEVCO:00226Nonspecific measure bias for exposure determinationAn exposure measurement bias due to use of a method that falsely detects the exposure when the exposure is absent.Inadequate specificity for exposure measure
    SEVCO:00228Inappropriate application of method for exposure measurementAn exposure measurement bias due to inappropriate application of the method or protocol.Inappropriate exposure measurement conduct
    SEVCO:00229Inconsistency in exposure measurementAn exposure measurement bias due to differences within groups in how the observed exposures are measured.
    SEVCO:00247Inconsistency in instruments used for exposure measurementAn exposure measurement bias due to differences within groups in the instruments for measurement.
    SEVCO:00248Inconsistency in processes used for exposure measurementAn exposure measurement bias due to differences within groups in the processes by which the instruments are used for measurement.
    SEVCO:00241Imbalance in exposure measurementAn exposure measurement bias due to differences between groups in how the observed exposures are measured.
    SEVCO:00249Imbalance in instruments used for exposure measurementAn exposure measurement bias due to differences between groups in the instruments used for measurement.
    SEVCO:00250Imbalance in processes used for exposure measurementAn exposure measurement bias due to differences between groups in the processes by which the instruments are used for measurement.
    SEVCO:00230Exposure Classification BiasAn exposure detection bias due to distortions in how the observed exposures are classified.Exposure Misclassification Bias
    SEVCO:00231Exposure Definition BiasAn exposure classification bias resulting from the definition or threshold used for exposure classification.Threshold Bias for exposure determination
    SEVCO:00232Nonrepresentative definition for exposure classificationAn exposure definition bias due to a mismatch between the exposure of interest and the definition or threshold used for exposure measurement.
    SEVCO:00233Surrogate marker bias for exposure classificationAn exposure definition bias due to use of a definition that is proxy for the exposure rather than direct observation of the exposure.Proxy bias for exposure classification
    SEVCO:00234Post-hoc definition of exposureAn exposure definition bias due to definition of the exposure after interacting with the study data.No prespecified definition for exposure classification
    SEVCO:00236Classification process bias for exposure determinationAn exposure classification bias resulting from the application of the method used for exposure classification.
    SEVCO:00237Incorporation Bias for exposure determinationAn exposure classification bias due to the inclusion of the outcome or other relevant exposures under investigation in the method or process used for exposure classification.
    SEVCO:00044Confounder Detection BiasA detection bias due to distortions in how the data for a potential confounder are determined.
    SEVCO:00045Detection Bias related to the reference standardA detection bias due to distortions in how the reference standard result is determined.Bias for reference standard result determination
    SEVCO:00046Detection Bias related to the index testA detection bias due to distortions in how the index test result is determined.Bias for index test result determination
    SEVCO:00383Data Entry BiasA detection bias due to differences between measured values and recorded values.Data Recording Bias
    SEVCO:00389Inappropriate time interval between predictor assessment and outcome determinationA detection bias involving the time interval between the observation of the predictor and outcome, where the interval used by the study differs from the interval assumed by the predictive model.
    SEVCO:00022Bias related to selection of the analysisAn analysis bias due to inappropriate choice of analysis methods before the analysis is applied.Analysis Selection Bias
    SEVCO:00376Bias related to selection of the data for analysisAn analysis bias due to inappropriate choice of data included in the analysis before the analysis is applied.
    SEVCO:00213Bias due to post-baseline factors influencing selection of the data for analysisA bias related to selection of the data analysis based on participant characteristics observed after study enrollment.
    SEVCO:00312Missing or inadequate intention-to-treat analysisA bias related to selection of the data analysis in which data are not completely analyzed according to the original assignment to comparison groups in an interventional study.Inadequate as-randomized analysis
    SEVCO:00313Missing or inadequate per-protocol analysisA bias related to selection of the data analysis in which data are not completely analyzed according to the study protocol.
    SEVCO:00381Missing or inadequate as-treated analysisA bias related to selection of the data analysis in which data are not completely analyzed according to the interventions actually received.
    SEVCO:00377Bias related to selection of the variables for analysisAn analysis bias due to inappropriate choice of variables included in the analysis before the analysis is applied.
    SEVCO:00292Bias related to selection of the variables for adjustment for confoundingAn analysis bias due to inappropriate choice of the variables for adjustment for confounding before the analysis is applied.
    SEVCO:00299Bias controlling for time-varying confoundingA bias related to selection of the variables for adjustment for confounding in which the confounding is time-dependent.
    SEVCO:00301Inadequate adherence effect analysisA bias related to selection of the variables for adjustment for confounding by adherence.Bias controlling for confounding by adherence
    SEVCO:00302Predictors included in outcome definitionAn analysis bias due to inappropriate choice of the variables for estimation of association in which one variable is incorporated in the definition of the other variable.
    SEVCO:00319Bias related to selection of predictors based on univariable analysisAn analysis bias due to inappropriate choice of the predictor variables for estimation of association in which predictors are selected based on statistically significant univariable associations (without adjustment for other predictors).
    SEVCO:00378Bias related to selection of the analytic frameworkAn analysis bias due to inappropriate choice of the analytic framework before the analysis is applied.Bias related to selection of the statistical framework
    SEVCO:00297Inappropriate statistical modelA bias related to selection of the analytic framework in which the analytic model does not match the dataset characteristics or does not match the intention of the analysis.Inappropriate analytic model
    SEVCO:00375Inappropriate modeling of censoringAn inappropriate statistical model due to inappropriate accounting for ranges of potential observation in which data observation is not possible.
    SEVCO:00316Bias due to selection of the statistical significance thresholdAn analysis bias resulting from selection of an inappropriate threshold for statistical significance.Bias related to selection of the threshold for statistical significance
    SEVCO:00317Bias related to multiple comparison adjustmentAn analysis bias resulting from selection of a threshold for statistical significance which does not appropriately account for the effect of multiple comparisons on the statistical probability related to the result.
    SEVCO:00382Mismatch of significance threshold and purposeAn analysis bias resulting from selection of a threshold for statistical significance which is inappropriate due to a mismatch between (1) how the statistical probability related to the result is determined and (2) the purpose for categorizing the result as statistically significant.
    SEVCO:00304Immortal time biasA bias related to selection of the analytic framework in which an outcome variable includes an observation period during which the outcome could not have occurred.
    SEVCO:00293Inadequate sample sizeA bias related to selection of the analytic framework in which the sample size invalidates the assumptions of the analytic framework.Inadequate numbers for analysis
    SEVCO:00294Bias related to execution of the analysisAn analysis bias due to inappropriate decisions pertaining to preparation of data for analysis and/or conduct of the analysis.Bias in processing of data
    SEVCO:00305Incomplete analysisAn analysis bias due to absence of a component of the analytic process.Incomplete analysis process
    SEVCO:00306Inappropriate handling of uninterpretable dataAn analysis bias due to omission of uninterpretable values, or their replacement with inappropriate values.
    SEVCO:00307Inappropriate handling of missing dataAn analysis bias due to use of non-representative values in place of missing data.
    SEVCO:00308Inappropriate handling of variablesAn analysis bias due to processing a variable in an incorrect role or with an incorrect datatype.
    SEVCO:00300Bias in adjustment for selection biasAn analysis bias due to inappropriate application of adjustment techniques for correction of bias in the selection of participants for analysis.
    SEVCO:00309Data Transition BiasAn analysis bias due to differences between recorded data and data used for analysis.
    SEVCO:00311Inappropriate handling of missing confounder dataAn analysis bias due to use of non-representative values in place of missing data for variables in the role of confounder.
    SEVCO:00298Computational Implementation BiasAn analysis bias due to miscalculations in the processing of the data.Programming Error
    SEVCO:00324Reported analysis not following pre-specified analysis planAn analysis bias in which the reported analysis does not match the pre-specified analysis plan.
    SEVCO:00303Collider biasAn analysis bias in which an estimation of association between two variables is distorted by controlling for a third variable affected by both variables of interest (or factors causing the variables of interest).
    SEVCO:00314Preliminary analysis biasAn analysis bias related to analysis of data before the complete dataset is available.Interim analysis bias
    SEVCO:00295Data-dredging biasAn analysis bias involving use of data analyses that are not pre-specified and fully disclosed, to select analyses with desirable results.Fishing expedition bias
    SEVCO:00322final model not corresponding to multivariable analysisAn analysis bias in which the predictors and coefficients in the final model do not match the predictors and coefficients reported in the multivariable analysis.
    SEVCO:00310Cognitive Interpretive Bias affecting analysisA bias related to the analytic process due to the subjective nature of human interpretation.
    SEVCO:00379Cognitive Interpretive Bias affecting analysis selectionA bias related to selection of the analysis due to the subjective nature of human interpretation.
    SEVCO:00315Availability bias affecting analysis selectionA Cognitive Interpretive Bias due to the use of information which is most readily available, rather than information which is most representative, affecting analysis selection.
    SEVCO:00380Cognitive interpretive bias affecting execution of the analysisA bias in processing of data due to the subjective nature of human interpretation.
    SEVCO:00296Lack of blinding of data analystsA cognitive interpretive bias affecting execution of the analysis due to the analyst's awareness of the participants' status with respect to the variables defining the comparison groups.Lack of masking of data analysts
    SEVCO:00392Inappropriate weighting biasAn analysis bias in which the weights used in model construction do not align with the target of estimation or estimand.
    SEVCO:00320Inappropriate evaluation of predictive model performance measuresAn analysis bias in which the method for analysis of a performance measure (such as calibration or discrimination) is not adequate or suitable for the predictive model.
    SEVCO:00393Inappropriate evaluation of calibration of predictive modelAn analysis bias in which the method for analysis of calibration is not adequate or suitable for the predictive model.
    SEVCO:00394Inappropriate evaluation of discrimination of predictive modelAn analysis bias in which the method for analysis of discrimination is not adequate or suitable for the predictive model.
    SEVCO:00321model overfittingAn analysis bias, specific to predictive model development studies, in which strategies to mitigate overfitting are not adequately applied.
    SEVCO:00024Selective Reporting BiasA reporting bias due to inappropriate selection of the results or research findings that are reported.
    SEVCO:00330Selective Outcome ReportingA selective reporting bias due to inappropriate selection of which outcomes are reported within results or research findings.Outcome reporting bias
    SEVCO:00336Selective outcome measure reportingA selective reporting bias due to inappropriate selection of which outcome measures are reported for an outcome.Selective outcome measure reporting within outcome domain
    SEVCO:00331Selective subgroup reportingA selective reporting bias due to inappropriate selection of subsets of groups of participants for which results or research findings are reported.Selective subgroup analysis reporting
    SEVCO:00331aSelective comparison reportingA selective reporting bias due to inappropriate selection of comparison groups for which results or research findings are reported.
    SEVCO:00333Selective analysis reporting from repeated analyses at multiple timesA selective reporting bias due to inappropriate selection of which analyses are reported for an outcome that was analyzed at multiple points in time in a longitudinal study.
    SEVCO:00334Selective analysis reporting from multiple analytic modelsA selective reporting bias due to inappropriate selection of which analyses are reported for an outcome that was analyzed in multiple ways.
    SEVCO:00335Selective threshold reporting biasA selective reporting bias due to inappropriate selection of which thresholds (used for definitions of the variables) are reported.Selective cutoff reporting bias
    SEVCO:00025Cognitive interpretive bias in reportingA distortion in the representation of study results or research findings due to the subjective nature of human interpretation.Cognitive interpretive reporting bias
    SEVCO:00338Interpretation of results not addressing potential for biasA cognitive interpretive bias in reporting whereby the reported interpretation of results does not adequately address potential for bias.Interpretation of results not addressing risk of bias
    SEVCO:00328Results emphasized based on statistical significanceA cognitive interpretive bias in reporting whereby results with statistical significance are given exaggerated attention.
    SEVCO:00340Confirmation bias in reportingA cognitive interpretive bias in reporting due to the influence of an individual’s ideas, beliefs or hypotheses.
    SEVCO:00329External validity biasA cognitive interpretive bias in reporting due to a mismatch between what the observed data represent and the results that were reported.
    SEVCO:00327Early dissemination biasA reporting bias due to publication or reporting of results or research findings that change in subsequent reports.Premature dissemination bias
    SEVCO:00384Fabrication BiasA reporting bias resulting from intentional misrepresentation of any part of the study.Fraud
    SEVCO:00325Inadequate reporting of methodsA reporting bias due to insufficient reporting of methods to determine the validity of the results.Inadequate methods reporting bias
    SEVCO:00326Inadequate explanation of participant withdrawalsA reporting bias due to insufficient reporting of reasons for withdrawals of participants after study enrollment.Inadequate explanation of participant attrition
    SEVCO:00345Synthesis missing eligible studies
    SEVCO:00346Study parameters not appropriate for synthesis
    SEVCO:00347Heterogeneity not addressed
    SEVCO:00348Inconsistency within sensitivity analyses
    SEVCO:00349Biases in studies influence synthesis
    SEVCO:00351Insufficient study characteristics available for proper results interpretation
    SEVCO:00352Incomplete collection of relevant study results for synthesis
    SEVCO:00353Methodologic quality assessment inadequate
    SEVCO:00354Error in risk of bias assessment not minimized
    SEVCO:00369Error in data collection not minimized
    SEVCO:00356Inappropriate qualitative approach
    SEVCO:00357Inadequate qualitative data collection methods
    SEVCO:00358Inappropriate qualitative analysis
    SEVCO:00359Unsubstantiated interpretation of results
    SEVCO:00360Incoherence between data, analysis, and interpretation
    SEVCO:00361Inadequate rationale for mixed methods design
    SEVCO:00362Ineffective integration of study components
    SEVCO:00363Inappropriate interpretation of integration of qualitative and quantitative findings
    SEVCO:00364Inadequate handling of inconsistency
    SEVCO:00368bias in external validation assessmentA bias in validation assessment using a sample source that differs from those used in the derivation of the procedure.inadequate external validation assessment
    SEVCO:00367bias in internal validation assessmentA bias in validation assessment specific to a validation assessment that uses the same sample source that was used in the derivation of the procedure.inadequate internal validation assessment
    SEVCO:00371Early study termination bias due to competing interestsAn early study termination bias due to the decision to end the study being influenced by financial, commercial, legal, political, social, professional, or intellectual interests.
    SEVCO:00372Early study termination bias due to unplanned use of interim analysisAn early study termination bias due to awareness of study results without following a preplanned protocol for how interim results will influence the decision to terminate the study.
    SEVCO:00373Early study termination bias due to inappropriate statistical stopping ruleAn early study termination bias due to use of an inappropriate model or threshold in the analysis used for determination to end the study.
    SEVCO:00374Early study termination bias due to external factorsAn early study termination bias due to a decision to end the study based on factors other than the results of interim analysis.

Source

{
  "resourceType": "ValueSet",
  "id": "181524",
  "meta": {
    "versionId": "14",
    "lastUpdated": "2025-03-03T21:01:39.684Z"
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://fevir.net/resources/ValueSet/181524",
  "identifier": [
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "ACSN",
            "display": "Accession ID"
          }
        ],
        "text": "FEvIR Object Identifier"
      },
      "system": "urn:ietf:rfc:3986",
      "value": "https://fevir.net/FOI/181524",
      "assigner": {
        "display": "Computable Publishing LLC"
      }
    },
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.4.642.40.44.48.6"
    }
  ],
  "version": "1.0.0-ballot2",
  "name": "Risk_of_bias_type",
  "title": "Risk Of Bias Type Value Set",
  "status": "active",
  "experimental": false,
  "date": "2025-07-25T17:41:13+00:00",
  "publisher": "HL7 International / Clinical Decision Support",
  "contact": [
    {
      "name": "HL7 International / Clinical Decision Support",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/dss"
        }
      ]
    }
  ],
  "description": "Types of bias for use with risk of bias assessment. This is a snapshot version from a code system in development (original source at https://fevir.net/resources/CodeSystem/27270) and is provided for example support in the EBMonFHIR Implementation Guide.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "copyright": "https://creativecommons.org/licenses/by-nc-sa/4.0/",
  "author": [
    {
      "name": "Brian S. Alper"
    }
  ],
  "relatedArtifact": [
    {
      "type": "cite-as",
      "citation": "Risk Of Bias Type Value Set [ValueSet]. Contributors: Brian S. Alper [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 181524. Revised 2023-12-08. Available at: https://fevir.net/resources/ValueSet/181524. Computable resource at: https://fevir.net/resources/ValueSet/181524."
    }
  ],
  "compose": {
    "include": [
      {
        "system": "https://fevir.net/sevco",
        "version": "2.0",
        "concept": [
          {
            "code": "SEVCO:00002",
            "display": "Selection Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias resulting from methods used to select subjects or data, factors that influence initial study participation, or differences between the study sample and the population of interest"
              }
            ]
          },
          {
            "code": "SEVCO:00016",
            "display": "Confounding Covariate Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A situation in which the effect or association between an exposure and outcome is distorted by another variable. For confounding covariate bias to occur the distorting variable must be (1) associated with the exposure and the outcome, (2) not in the causal pathway between exposure and outcome, and (3) unequally distributed between the groups being compared."
              }
            ]
          },
          {
            "code": "SEVCO:00017",
            "display": "Performance Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias resulting from differences between the received exposure and the intended exposure."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Study Exposure Adherence Bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Intervention Adherence Bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Compliance Bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Performance Adherence Bias"
              }
            ]
          },
          {
            "code": "SEVCO:00019",
            "display": "Attrition Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias due to absence of expected participation or data collection after selection for study inclusion."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Missing data bias"
              }
            ]
          },
          {
            "code": "SEVCO:00020",
            "display": "Detection Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias due to distortions in any process involved in the determination of the recorded values for a variable."
              }
            ]
          },
          {
            "code": "SEVCO:00021",
            "display": "Analysis Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias related to the analytic process applied to the data."
              }
            ]
          },
          {
            "code": "SEVCO:00023",
            "display": "Reporting Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias due to distortions in the selection of or representation of information in study results or research findings."
              }
            ]
          },
          {
            "code": "SEVCO:00026",
            "display": "Synthesis Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias in the conduct of a systematic review resulting from methods used to select, manipulate or interpret data for evidence synthesis."
              }
            ]
          },
          {
            "code": "SEVCO:00028",
            "display": "Qualitative Research Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias specific to the design, conduct, analysis or reporting of qualitative research."
              }
            ]
          },
          {
            "code": "SEVCO:00029",
            "display": "Mixed Methods Research Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias specific to the coordination of design, conduct, analysis or reporting of qualitative research and quantitative research."
              }
            ]
          },
          {
            "code": "SEVCO:00030",
            "display": "bias in validation assessment",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias in the design, conduct or reporting of studies or analyses intended to evaluate the reliability and/or performance of a procedure for a specific predictive, classification, measurement, or communication purpose."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "validation bias"
              }
            ]
          },
          {
            "code": "SEVCO:00370",
            "display": "Early Study Termination Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias due to the decision to end the study earlier than planned."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Bias due to early study termination"
              }
            ]
          },
          {
            "code": "SEVCO:00001",
            "display": "Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A systematic distortion in research results (estimation of effect, association, or inference). Distortions in research results means differences between the reported results (findings, conclusions, effect estimates) and the actuality (the truth, the estimand [the quantity targeted for estimation])"
              }
            ]
          },
          {
            "code": "SEVCO:00003",
            "display": "Participant Selection Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A selection bias resulting from methods used to select participating subjects, factors that influence initial study participation, or differences between the study participants and the population of interest"
              }
            ]
          },
          {
            "code": "SEVCO:00004",
            "display": "Inappropriate selection criteria",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A selection bias resulting from inclusion and exclusion criteria used to select participating subjects that could result in differences between the study participants and the population of interest."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Selection bias due to inappropriate selection criteria"
              }
            ]
          },
          {
            "code": "SEVCO:00005",
            "display": "Inappropriate sampling strategy",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A selection bias resulting from the sampling frame, sampling procedure, or methods used to recruit participating subjects that could result in differences between the study participants and the population of interest."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Biased sampling strategy"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Inappropriate sample frame"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Inappropriate sampling frame"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Inappropriate sampling procedure"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Selection bias due to inappropriate sampling strategy"
              }
            ]
          },
          {
            "code": "SEVCO:00014",
            "display": "Inappropriate data source for participant selection",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "Participant selection bias due to inappropriate data source for sampling frame."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Participant selection bias due to inappropriate data source for sampling frame"
              }
            ]
          },
          {
            "code": "SEVCO:00006",
            "display": "Non-representative sample",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A selection bias due to differences between the included participants and the population of interest that distorts the research results (estimation of effect, association, or inference), limiting external validity or applicability."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Selection bias due to non-representative sample"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Unrepresentative sample"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Nonrepresentative sample"
              }
            ]
          },
          {
            "code": "SEVCO:00008",
            "display": "Inadequate enrollment of eligible subjects",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A selection bias in which insufficient enrollment of eligible subjects results in differences (recognized or unrecognized) between the included participants and the population of interest that distorts the research results."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Selection bias due to inadequate enrollment"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Non-representative sample due to inadequate enrollment"
              }
            ]
          },
          {
            "code": "SEVCO:00012",
            "display": "Non-representative sample due to timing or duration of exposure",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A selection bias in which the timing or duration of exposure influences the outcome, and the timing or duration of exposure in the sample does not represent that of the population of interest. This selection bias may occur when the selection for study participation is not coincident with the initiation of the exposure or intervention under investigation."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Mismatch in start of intervention and start of follow-up"
              }
            ]
          },
          {
            "code": "SEVCO:00013",
            "display": "Depletion of susceptibles",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A non-representative sample due to exclusion of susceptible participants who have already had an outcome due to prior exposure. For example, the inclusion of prevalent users of a medication misrepresents the initial adverse effects rate by excluding persons who do not tolerate the medication."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Prevalent user bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Non-representative sample due to depletion of susceptibles"
              }
            ]
          },
          {
            "code": "SEVCO:00009",
            "display": "Post-baseline factors influence enrollment selection",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A selection bias in which factors observed after study entry, baseline, or start of follow-up influence enrollment"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Participant selection bias due to post-baseline factors"
              }
            ]
          },
          {
            "code": "SEVCO:00212",
            "display": "Participant selection bias due to early study termination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A selection bias due to premature closure of study enrollment."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Early termination bias affecting enrollment"
              }
            ]
          },
          {
            "code": "SEVCO:00010",
            "display": "Factor associated with exposure influences enrollment selection",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A selection bias in which a factor associated with the exposure under investigation influences study enrollment"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Participant selection bias due to factor associated wiith exposure"
              }
            ]
          },
          {
            "code": "SEVCO:00011",
            "display": "Factor associated with outcome influences enrollment selection",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A selection bias in which a factor associated with the outcome under investigation influences study enrollment"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Participant selection bias due to factor associated wiith outcome"
              }
            ]
          },
          {
            "code": "SEVCO:00015",
            "display": "Study Selection Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A selection bias resulting from factors that influence study selection, from methods used to include or exclude studies for evidence synthesis, or from differences between the study sample and the population of interest"
              }
            ]
          },
          {
            "code": "SEVCO:00262",
            "display": "Bias in Study Eligibility Criteria"
          },
          {
            "code": "SEVCO:00273",
            "display": "Study eligibility criteria not prespecified"
          },
          {
            "code": "SEVCO:00274",
            "display": "Study eligibility criteria not appropriate for review question"
          },
          {
            "code": "SEVCO:00275",
            "display": "Study eligibility criteria ambiguous"
          },
          {
            "code": "SEVCO:00276",
            "display": "Study eligibility criteria limits for study characteristics not appropriate"
          },
          {
            "code": "SEVCO:00277",
            "display": "Study eligibility criteria limits for information sources not appropriate"
          },
          {
            "code": "SEVCO:00263",
            "display": "Database search sources not appropriate"
          },
          {
            "code": "SEVCO:00264",
            "display": "Non-database search sources inadequate"
          },
          {
            "code": "SEVCO:00265",
            "display": "Search strategy not sensitive"
          },
          {
            "code": "SEVCO:00266",
            "display": "Search strategy limits for information sources not appropriate"
          },
          {
            "code": "SEVCO:00267",
            "display": "Study eligibility criteria not adhered to"
          },
          {
            "code": "SEVCO:00268",
            "display": "Error in study selection not minimized"
          },
          {
            "code": "SEVCO:00269",
            "display": "Language bias"
          },
          {
            "code": "SEVCO:00270",
            "display": "Geography bias"
          },
          {
            "code": "SEVCO:00271",
            "display": "One-sided reference bias"
          },
          {
            "code": "SEVCO:00272",
            "display": "Publication Bias affecting study selection"
          },
          {
            "code": "SEVCO:00032",
            "display": "Allocation Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A confounding covariate bias resulting from methods for assignment of the independent variable by the investigator to evaluate a response or outcome."
              }
            ]
          },
          {
            "code": "SEVCO:00031",
            "display": "Inadequate allocation concealment",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An allocation bias resulting from awareness of the assigned intervention before study enrolment and intervention assignment"
              }
            ]
          },
          {
            "code": "SEVCO:00278",
            "display": "Bias due to non-randomized allocation",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An allocation bias resulting from a process of assigning participants or subjects to different groups or conditions which is not random."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Nonrandom allocation bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Non-random allocation bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Bias due to non-random allocation"
              }
            ]
          },
          {
            "code": "SEVCO:00033",
            "display": "Comparator Selection Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A confounding covariate bias resulting from methods used to select participating subjects, or factors that influence study participation, for the comparator group."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Comparison Group Selection Bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Comparator Group Selection Bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Comparison Selection Bias"
              }
            ]
          },
          {
            "code": "SEVCO:00034",
            "display": "Confounding difference",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A confounding covariate bias in which the unequal distribution of a potentially distorting variable is recognized."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Recognized Difference with Potential for Confounding"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Recognized confounding difference"
              }
            ]
          },
          {
            "code": "SEVCO:00280",
            "display": "Confounding by time of observation",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A confounding covariate bias in which the distorting variable is the time at which the outcome is measured or observed."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Confounding by follow-up time"
              }
            ]
          },
          {
            "code": "SEVCO:00281",
            "display": "Lead time bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A confounding covariate bias in which the distorting variable is the length of time that the participant has had the condition of interest at study enrollment."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Starting time bias"
              }
            ]
          },
          {
            "code": "SEVCO:00282",
            "display": "Confounding influencing adherence to intervention",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A confounding covariate bias in which the distorting variable is associated with deviations from the intended intervention."
              }
            ]
          },
          {
            "code": "SEVCO:00284",
            "display": "Confounding by indication",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A confounding covariate bias in which the distorting variable is the reason for receiving an exposure."
              }
            ]
          },
          {
            "code": "SEVCO:00388",
            "display": "Confounding by contraindication",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A confounding covariate bias in which the distorting variable is the reason for not receiving an exposure."
              }
            ]
          },
          {
            "code": "SEVCO:00390",
            "display": "time-varying confounding affected by past exposure",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A confounding covariate bias in which the distorting variable is itself influenced by the exposure."
              }
            ]
          },
          {
            "code": "SEVCO:00035",
            "display": "Inadequate blinding of participants",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A performance bias due to awareness of the allocated intervention by participants"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Inadequate masking of participants"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Lack of blinding of participants"
              }
            ]
          },
          {
            "code": "SEVCO:00036",
            "display": "Inadequate blinding of intervention deliverers",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A performance bias due to awareness of the allocated intervention by individuals providing or delivering the intervention"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Inadequate masking of intervention deliverers"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Lack of blinding of intervention deliverers"
              }
            ]
          },
          {
            "code": "SEVCO:00037",
            "display": "Deviation from study intervention protocol",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A performance bias in which the intervention received differs from the intervention specified in the study protocol"
              }
            ]
          },
          {
            "code": "SEVCO:00038",
            "display": "Deviation from standard of care",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A performance bias in which the intervention or exposure received differs from the from the usual practice or expected care"
              }
            ]
          },
          {
            "code": "SEVCO:00039",
            "display": "Nonadherence of implementation",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A performance bias in which the intervention deliverers do not completely adhere to the expected intervention"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Nonadherence of interventionalist"
              }
            ]
          },
          {
            "code": "SEVCO:00040",
            "display": "Nonadherence of participants",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A performance bias in which the participants do not completely adhere to the expected intervention or exposure"
              }
            ]
          },
          {
            "code": "SEVCO:00041",
            "display": "Imbalance in deviations from intended intervention",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A performance bias in which the degree of performance bias is unequally distributed between groups being compared"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Asymmetry in adherence between groups"
              }
            ]
          },
          {
            "code": "SEVCO:00286",
            "display": "Attrition bias due to participant attrition",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias due to absence of expected participation due to participant dropout, withdrawal or non-participation after selection for study inclusion."
              }
            ]
          },
          {
            "code": "SEVCO:00287",
            "display": "Attrition bias due to missing data",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias due to data loss or absence of data collection from participants after selection for study inclusion."
              }
            ]
          },
          {
            "code": "SEVCO:00386",
            "display": "Attrition bias due to missing outcome data",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An attrition bias due to missing data specific to the dependent variable."
              }
            ]
          },
          {
            "code": "SEVCO:00288",
            "display": "Attrition bias due to missing exposure data",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An attrition bias due to missing data specific to the independent variable(s) of primary interest, such as exposure or intervention."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Attrition bias due to missing intervention data"
              }
            ]
          },
          {
            "code": "SEVCO:00289",
            "display": "Attrition bias due to missing modifier data",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An attrition bias due to missing data specific to a confounder or effect modifier"
              }
            ]
          },
          {
            "code": "SEVCO:00387",
            "display": "Attrition bias due to missing data about attrition",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An attrition bias due to missing data specific to the extent of or reasons for missing data."
              }
            ]
          },
          {
            "code": "SEVCO:00290",
            "display": "Imbalance in missing data",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An attrition bias in which the degree of missing data is unequally distributed between groups being compared."
              }
            ]
          },
          {
            "code": "SEVCO:00291",
            "display": "Inadequate response rate",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An attrition bias in which the reason for absence of data collection is a low response rate to data collection surveys."
              }
            ]
          },
          {
            "code": "SEVCO:00042",
            "display": "Outcome Detection Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A detection bias due to distortions in how an outcome is determined."
              }
            ]
          },
          {
            "code": "SEVCO:00047",
            "display": "Cognitive Interpretive Bias for outcome determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An outcome detection bias due to the subjective nature of human interpretation."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Perception bias for outcome determination"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Subjective interpretive bias for outcome determination"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Subjectivity bias for outcome determination"
              }
            ]
          },
          {
            "code": "SEVCO:00048",
            "display": "Bias due to lack of masking for outcome determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A cognitive interpretive bias for outcome determination due to awareness of the participant's status with respect to the exposure of interest."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Bias due to lack of blinding during outcome assessment"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Bias due to lack of masking during outcome assessment"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Awareness bias for outcome determination"
              }
            ]
          },
          {
            "code": "SEVCO:00049",
            "display": "Observer bias for outcome determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A cognitive interpretive bias for outcome determination due to subjective interpretations in the process of observing and recording information."
              }
            ]
          },
          {
            "code": "SEVCO:00052",
            "display": "Confirmation bias for outcome determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An observer bias for outcome determination due to previous opinions or knowledge of a subject’s prior exposures or assessments."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Diagnostic suspicion bias for outcome determination"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Previous opinion bias for outcome determination"
              }
            ]
          },
          {
            "code": "SEVCO:00050",
            "display": "Recall bias for outcome determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A cognitive interpretive bias for outcome determination due to differences in accuracy or completeness of recall of past events or experiences."
              }
            ]
          },
          {
            "code": "SEVCO:00051",
            "display": "Apprehension bias for outcome determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A cognitive interpretive bias for outcome determination due to a study participant's responding or behaving differently when aware of being observed."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Hawthorne effect for outcome determination"
              }
            ]
          },
          {
            "code": "SEVCO:00053",
            "display": "Hypothetical assessment bias for outcome determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A cognitive interpretive bias for outcome determination due to a difference between an individual’s report of an imagined or hypothetical response from their actual response. The response may be a behavior or valuation."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Subjunctivity bias for outcome determination"
              }
            ]
          },
          {
            "code": "SEVCO:00054",
            "display": "Mimicry bias for outcome determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A cognitive interpretive bias for outcome determination due to a misinterpretation of observations that resemble the outcome."
              }
            ]
          },
          {
            "code": "SEVCO:00057",
            "display": "Unacceptability bias for outcome determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A cognitive interpretive bias for outcome determination due to distortions in response, response values, or recording of responses resulting from perception of the social unacceptability of an outcome."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Unacceptable disease bias for outcome determination"
              }
            ]
          },
          {
            "code": "SEVCO:00058",
            "display": "Outcome Ascertainment Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An outcome detection bias due to distortions in how the data are collected."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Ascertainment Bias for outcome determination"
              }
            ]
          },
          {
            "code": "SEVCO:00097",
            "display": "Nonrepresentative observation period for outcome of interest",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An outcome ascertainment bias due to differences in the period used for observation of the outcome and the period for the outcome of interest."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Misaligned follow up period for outcome of interest"
              }
            ]
          },
          {
            "code": "SEVCO:00098",
            "display": "Nonrepresentative context for outcome ascertainment",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An outcome ascertainment bias due to differences in the context in which the outcome is observed and the intended context for the outcome of interest."
              }
            ]
          },
          {
            "code": "SEVCO:00099",
            "display": "Inconsistency in outcome ascertainment",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An outcome ascertainment bias due to differences within or between groups in how the data are collected."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Imbalance in outcome ascertainment"
              }
            ]
          },
          {
            "code": "SEVCO:00059",
            "display": "Outcome Measurement Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An outcome detection bias due to distortions in how the observed outcomes are measured."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Measurement Bias for outcome determination"
              }
            ]
          },
          {
            "code": "SEVCO:00100",
            "display": "Inappropriate method for outcome measurement",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An outcome measurement bias due to use of an incorrect method or protocol."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Incorrect outcome measurement method"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Inappropriate outcome measurement method"
              }
            ]
          },
          {
            "code": "SEVCO:00101",
            "display": "Insensitive measure bias for outcome determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An outcome measurement bias due to use of a method that does not reliably detect the outcome when the outcome is present."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Inadequate sensitivity for outcome measure"
              }
            ]
          },
          {
            "code": "SEVCO:00211",
            "display": "Nonspecific measure bias for outcome determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An outcome measurement bias due to use of a method that falsely detects the outcome when the outcome is absent."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Inadequate specificity for outcome measure"
              }
            ]
          },
          {
            "code": "SEVCO:00103",
            "display": "Inappropriate application of method for outcome measurement",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An outcome measurement bias due to inappropriate application of the method or protocol."
              }
            ]
          },
          {
            "code": "SEVCO:00104",
            "display": "Inconsistency in outcome measurement",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An outcome measurement bias due to differences within groups in how the observed outcomes are measured."
              }
            ]
          },
          {
            "code": "SEVCO:00243",
            "display": "Inconsistency in instruments used for outcome measurement",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An outcome measurement bias due to differences within groups in the instruments used for measurement."
              }
            ]
          },
          {
            "code": "SEVCO:00244",
            "display": "Inconsistency in processes used for outcome measurement",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An outcome measurement bias due to differences within groups in the processes by which the instruments are used for measurement."
              }
            ]
          },
          {
            "code": "SEVCO:00240",
            "display": "Imbalance in outcome measurement",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An outcome measurement bias due to differences between groups in how the observed outcomes are measured."
              }
            ]
          },
          {
            "code": "SEVCO:00245",
            "display": "Imbalance in instruments used for outcome measurement",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An outcome measurement bias due to differences between groups in the instruments used for measurement."
              }
            ]
          },
          {
            "code": "SEVCO:00246",
            "display": "Imbalance in processes used for outcome measurement",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An outcome measurement bias due to differences between groups in the processes by which the instruments are used for measurement."
              }
            ]
          },
          {
            "code": "SEVCO:00060",
            "display": "Outcome Classification Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An outcome detection bias due to distortions in how the observed outcomes are classified."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Misclassification Bias for outcome determination"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Outcome Misclassification Bias"
              }
            ]
          },
          {
            "code": "SEVCO:00061",
            "display": "Outcome Classification System Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An outcome classification bias resulting from the definition or threshold used for outcome classification."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Definition Bias for outcome determination"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Outcome definition bias"
              }
            ]
          },
          {
            "code": "SEVCO:00105",
            "display": "Nonrepresentative definition for outcome classification",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An outcome classification system bias due to a mismatch between the outcome of interest and the definition or threshold used for outcome measurement."
              }
            ]
          },
          {
            "code": "SEVCO:00108",
            "display": "Surrogate marker bias for outcome classification",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An outcome classification system bias due to use of a definition that is proxy for the outcome rather than direct observation of the outcome."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Substitution bias for outcome classification"
              }
            ]
          },
          {
            "code": "SEVCO:00106",
            "display": "Post-hoc definition of outcome",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An outcome classification system bias due to defining the outcome after interacting with the study data."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Post-hoc outcome definition"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Definition for outcome classification not prespecified"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "No prespecified definition for outcome classification"
              }
            ]
          },
          {
            "code": "SEVCO:00062",
            "display": "Outcome Classification Process Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An outcome classification bias resulting from the application of the method used for outcome classification."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Classification Process Bias for outcome determination"
              }
            ]
          },
          {
            "code": "SEVCO:00063",
            "display": "Incorporation Bias for outcome determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An outcome classification bias due to the inclusion of the exposure under investigation in the method or process used for outcome classification."
              }
            ]
          },
          {
            "code": "SEVCO:00043",
            "display": "Exposure Detection Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A detection bias due to distortions in how an exposure of interest is determined."
              }
            ]
          },
          {
            "code": "SEVCO:00055",
            "display": "Cognitive Interpretive Bias for exposure determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An exposure detection bias due to the subjective nature of human interpretation."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Perception bias for exposure determination"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Subjective interpretive bias for exposure  determination"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Subjectivity bias for exposure determination"
              }
            ]
          },
          {
            "code": "SEVCO:00056",
            "display": "Bias due to lack of masking for exposure determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A cognitive interpretive bias for exposure determination due to awareness of the participant's status with respect to the outcome of interest or other relevant exposures."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Bias due to lack of blinding during exposure assessment"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Bias due to lack of masking during exposure assessment"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Awareness bias for exposure determination"
              }
            ]
          },
          {
            "code": "SEVCO:00238",
            "display": "Observer bias for exposure determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A cognitive interpretive bias for exposure determination due to subjective interpretations in the process of observing and recording information."
              }
            ]
          },
          {
            "code": "SEVCO:00239",
            "display": "Confirmation bias for exposure determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An observer bias for exposure determination due to previous opinions or knowledge of a subject’s prior exposures or assessments."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Diagnostic suspicion bias for exposure determination"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Previous opinion bias for exposure  determination"
              }
            ]
          },
          {
            "code": "SEVCO:00214",
            "display": "Recall bias for exposure determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A cognitive interpretive bias for exposure determination due to differences in accuracy or completeness of recall of past events or experiences."
              }
            ]
          },
          {
            "code": "SEVCO:00215",
            "display": "Apprehension bias for exposure determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A cognitive interpretive bias for exposure determination due to a study participant's responding or behaving differently when aware of being observed."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Hawthorne effect for exposure determination"
              }
            ]
          },
          {
            "code": "SEVCO:00216",
            "display": "Hypothetical assessment bias for exposure determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A cognitive interpretive bias for exposure determination due to a difference between an individual’s report of an imagined or hypothetical response from their actual response."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Subjunctivity bias for exposure determination"
              }
            ]
          },
          {
            "code": "SEVCO:00217",
            "display": "Mimicry bias for exposure determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A cognitive interpretive bias for exposure determination due to a misinterpretation of observations that resemble the exposure."
              }
            ]
          },
          {
            "code": "SEVCO:00218",
            "display": "Unacceptability bias for exposure determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A cognitive interpretive bias for exposure determination due to distortions in response, response values, or recording of responses resulting from perception of the social unacceptability of an exposure."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Unacceptable disease bias for exposure determination"
              }
            ]
          },
          {
            "code": "SEVCO:00219",
            "display": "Exposure Ascertainment Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An exposure detection bias due to distortions in how the data are collected."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Ascertainment Bias for exposure determination"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Data collection bias for exposure determination"
              }
            ]
          },
          {
            "code": "SEVCO:00220",
            "display": "Nonrepresentative observation period for exposure of interest",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An exposure ascertainment bias due to differences in the time period used for observation of the exposure and the intended time period for the exposure of interest."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Misaligned follow up period for exposure of interest"
              }
            ]
          },
          {
            "code": "SEVCO:00221",
            "display": "Nonrepresentative context for exposure ascertainment",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An exposure ascertainment bias due to differences in the context in which the exposure is observed and the intended context for the exposure of interest."
              }
            ]
          },
          {
            "code": "SEVCO:00222",
            "display": "Inconsistency in exposure ascertainment",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An exposure ascertainment bias due to differences within or between groups in how the data are collected."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Imbalance in exposure ascertainment"
              }
            ]
          },
          {
            "code": "SEVCO:00223",
            "display": "Exposure Measurement Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An exposure detection bias due to distortions in how the observed exposures are measured."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Measurement Bias for exposure determination"
              }
            ]
          },
          {
            "code": "SEVCO:00224",
            "display": "Inappropriate method for exposure measurement",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An exposure measurement bias due to use of an incorrect method or protocol."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Incorrect exposure measurement method"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Inappropriate exposure measurement method"
              }
            ]
          },
          {
            "code": "SEVCO:00225",
            "display": "Insensitive measure bias for exposure determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An exposure measurement bias due to use of a method that does not reliably detect the exposure when the exposure is present."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Inadequate sensitivity for exposure measure"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Inadequate sensitivity for exposure determination"
              }
            ]
          },
          {
            "code": "SEVCO:00226",
            "display": "Nonspecific measure bias for exposure determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An exposure measurement bias due to use of a method that falsely detects the exposure when the exposure is absent."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Inadequate specificity for exposure measure"
              }
            ]
          },
          {
            "code": "SEVCO:00228",
            "display": "Inappropriate application of method for exposure measurement",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An exposure measurement bias due to inappropriate application of the method or protocol."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Inappropriate exposure measurement conduct"
              }
            ]
          },
          {
            "code": "SEVCO:00229",
            "display": "Inconsistency in exposure measurement",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An exposure measurement bias due to differences within groups in how the observed exposures are measured."
              }
            ]
          },
          {
            "code": "SEVCO:00247",
            "display": "Inconsistency in instruments used for exposure measurement",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An exposure measurement bias due to differences within groups in the instruments for measurement."
              }
            ]
          },
          {
            "code": "SEVCO:00248",
            "display": "Inconsistency in processes used for exposure measurement",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An exposure measurement bias due to differences within groups in the processes by which the instruments are used for measurement."
              }
            ]
          },
          {
            "code": "SEVCO:00241",
            "display": "Imbalance in exposure measurement",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An exposure measurement bias due to differences between groups in how the observed exposures are measured."
              }
            ]
          },
          {
            "code": "SEVCO:00249",
            "display": "Imbalance in instruments used for exposure measurement",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An exposure measurement bias due to differences between groups in the instruments used for measurement."
              }
            ]
          },
          {
            "code": "SEVCO:00250",
            "display": "Imbalance in processes used for exposure measurement",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An exposure measurement bias due to differences between groups in the processes by which the instruments are used for measurement."
              }
            ]
          },
          {
            "code": "SEVCO:00230",
            "display": "Exposure Classification Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An exposure detection bias due to distortions in how the observed exposures are classified."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Misclassification Bias for exposure determination"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Exposure Misclassification Bias"
              }
            ]
          },
          {
            "code": "SEVCO:00231",
            "display": "Exposure Definition Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An exposure classification bias resulting from the definition or threshold used for exposure classification."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Definition Bias for exposure determination"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Threshold Bias for exposure determination"
              }
            ]
          },
          {
            "code": "SEVCO:00232",
            "display": "Nonrepresentative definition for exposure classification",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An exposure definition bias due to a mismatch between the exposure of interest and the definition or threshold used for exposure measurement."
              }
            ]
          },
          {
            "code": "SEVCO:00233",
            "display": "Surrogate marker bias for exposure classification",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An exposure definition bias due to use of a definition that is proxy for the exposure rather than direct observation of the exposure."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Substitution bias for exposure classification"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Proxy bias for exposure classification"
              }
            ]
          },
          {
            "code": "SEVCO:00234",
            "display": "Post-hoc definition of exposure",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An exposure definition bias due to definition of the exposure after interacting with the study data."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Definition for exposure classification not prespecified"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Post-hoc exposure definition"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "No prespecified definition for exposure classification"
              }
            ]
          },
          {
            "code": "SEVCO:00236",
            "display": "Classification process bias for exposure determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An exposure classification bias resulting from the application of the method used for exposure classification."
              }
            ]
          },
          {
            "code": "SEVCO:00237",
            "display": "Incorporation Bias for exposure determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An exposure classification bias due to the inclusion of the outcome or other relevant exposures under investigation in the method or process used for exposure classification."
              }
            ]
          },
          {
            "code": "SEVCO:00044",
            "display": "Confounder Detection Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A detection bias due to distortions in how the data for a potential confounder are determined."
              }
            ]
          },
          {
            "code": "SEVCO:00045",
            "display": "Detection Bias related to the reference standard",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A detection bias due  to distortions in how the reference standard result is determined."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Bias for reference standard result determination"
              }
            ]
          },
          {
            "code": "SEVCO:00046",
            "display": "Detection Bias related to the index test",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A detection bias due to distortions in how the index test result is determined."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Bias for index test result determination"
              }
            ]
          },
          {
            "code": "SEVCO:00383",
            "display": "Data Entry Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A detection bias due to differences between measured values and recorded values."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Data Recording Bias"
              }
            ]
          },
          {
            "code": "SEVCO:00389",
            "display": "Inappropriate time interval between predictor assessment and outcome determination",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A detection bias involving the time interval between the observation of the predictor and outcome, where the interval used by the study differs from the interval assumed by the predictive model."
              }
            ]
          },
          {
            "code": "SEVCO:00022",
            "display": "Bias related to selection of the analysis",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias due to inappropriate choice of analysis methods before the analysis is applied."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Analysis Selection Bias"
              }
            ]
          },
          {
            "code": "SEVCO:00376",
            "display": "Bias related to selection of the data for analysis",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias due to inappropriate choice of data included in the analysis before the analysis is applied."
              }
            ]
          },
          {
            "code": "SEVCO:00213",
            "display": "Bias due to post-baseline factors influencing selection of the data for analysis",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias related to selection of the data analysis based on participant characteristics observed after study enrollment."
              }
            ]
          },
          {
            "code": "SEVCO:00312",
            "display": "Missing or inadequate intention-to-treat analysis",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias related to selection of the data analysis in which data are not completely analyzed according to the original assignment to comparison groups in an interventional study."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Inadequate as-randomized analysis"
              }
            ]
          },
          {
            "code": "SEVCO:00313",
            "display": "Missing or inadequate per-protocol analysis",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias related to selection of the data analysis in which data are not completely analyzed according to the study protocol."
              }
            ]
          },
          {
            "code": "SEVCO:00381",
            "display": "Missing or inadequate as-treated analysis",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias related to selection of the data analysis in which data are not completely analyzed according to the interventions actually received."
              }
            ]
          },
          {
            "code": "SEVCO:00377",
            "display": "Bias related to selection of the variables for analysis",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias due to inappropriate choice of variables included in the analysis before the analysis is applied."
              }
            ]
          },
          {
            "code": "SEVCO:00292",
            "display": "Bias related to selection of the variables for adjustment for confounding",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias due to inappropriate choice of the variables for adjustment for confounding before the analysis is applied."
              }
            ]
          },
          {
            "code": "SEVCO:00299",
            "display": "Bias controlling for time-varying confounding",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias related to selection of the variables for adjustment for confounding in which the confounding is time-dependent."
              }
            ]
          },
          {
            "code": "SEVCO:00301",
            "display": "Inadequate adherence effect analysis",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias related to selection of the variables for adjustment for confounding by adherence."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Bias controlling for adherence effect"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Bias controlling for confounding by adherence"
              }
            ]
          },
          {
            "code": "SEVCO:00302",
            "display": "Predictors included in outcome definition",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias due to inappropriate choice of the variables for estimation of association in which one variable is incorporated in the definition of the other variable."
              }
            ]
          },
          {
            "code": "SEVCO:00319",
            "display": "Bias related to selection of predictors based on univariable analysis",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias due to inappropriate choice of the predictor variables for estimation of association in which predictors are selected based on statistically significant univariable associations (without adjustment for other predictors)."
              }
            ]
          },
          {
            "code": "SEVCO:00378",
            "display": "Bias related to selection of the analytic framework",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias due to inappropriate choice of the analytic framework before the analysis is applied."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Bias related to selection of the statistical framework"
              }
            ]
          },
          {
            "code": "SEVCO:00297",
            "display": "Inappropriate statistical model",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias related to selection of the analytic framework in which the analytic model does not match the dataset characteristics or does not match the intention of the analysis."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Inappropriate analytic model"
              }
            ]
          },
          {
            "code": "SEVCO:00375",
            "display": "Inappropriate modeling of censoring",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An inappropriate statistical model due to inappropriate accounting for ranges of potential observation in which data observation is not possible."
              }
            ]
          },
          {
            "code": "SEVCO:00316",
            "display": "Bias due to selection of the statistical significance threshold",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias resulting from selection of an inappropriate threshold for statistical significance."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Significance-threshold selection bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Statistical significance threshold selection bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Bias related to selection of the threshold for statistical significance"
              }
            ]
          },
          {
            "code": "SEVCO:00317",
            "display": "Bias related to multiple comparison adjustment",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias resulting from selection of a threshold for statistical significance which does not appropriately account for the effect of multiple comparisons on the statistical probability related to the result."
              }
            ]
          },
          {
            "code": "SEVCO:00382",
            "display": "Mismatch of significance threshold and purpose",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias resulting from selection of a threshold for statistical significance which is inappropriate due to a mismatch between (1) how the statistical probability related to the result is determined and (2) the purpose for categorizing the result as statistically significant."
              }
            ]
          },
          {
            "code": "SEVCO:00304",
            "display": "Immortal time bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias related to selection of the analytic framework in which an outcome variable includes an observation period during which the outcome could not have occurred."
              }
            ]
          },
          {
            "code": "SEVCO:00293",
            "display": "Inadequate sample size",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias related to selection of the analytic framework in which the sample size invalidates the assumptions of the analytic framework."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Inadequate numbers for analysis"
              }
            ]
          },
          {
            "code": "SEVCO:00294",
            "display": "Bias related to execution of the analysis",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias due to inappropriate decisions pertaining to preparation of data for analysis and/or conduct of the analysis."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Bias in processing of data"
              }
            ]
          },
          {
            "code": "SEVCO:00305",
            "display": "Incomplete analysis",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias due to absence of a component of the analytic process."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Incomplete analysis process"
              }
            ]
          },
          {
            "code": "SEVCO:00306",
            "display": "Inappropriate handling of uninterpretable data",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias due to omission of uninterpretable values, or their replacement with inappropriate values."
              }
            ]
          },
          {
            "code": "SEVCO:00307",
            "display": "Inappropriate handling of missing data",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias due to use of non-representative values in place of missing data."
              }
            ]
          },
          {
            "code": "SEVCO:00308",
            "display": "Inappropriate handling of variables",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias due to processing a variable in an incorrect role or with an incorrect datatype."
              }
            ]
          },
          {
            "code": "SEVCO:00300",
            "display": "Bias in adjustment for selection bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias due to inappropriate application of adjustment techniques for correction of bias in the selection of participants for analysis."
              }
            ]
          },
          {
            "code": "SEVCO:00309",
            "display": "Data Transition Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias due to differences between recorded data and data used for analysis."
              }
            ]
          },
          {
            "code": "SEVCO:00311",
            "display": "Inappropriate handling of missing confounder data",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias due to use of non-representative values in place of missing data for variables in the role of confounder."
              }
            ]
          },
          {
            "code": "SEVCO:00298",
            "display": "Computational Implementation Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias due to miscalculations in the processing of the data."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Bug"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Statistical Programming Error"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Programming Error"
              }
            ]
          },
          {
            "code": "SEVCO:00324",
            "display": "Reported analysis not following pre-specified analysis plan",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias in which the reported analysis does not match the pre-specified analysis plan."
              }
            ]
          },
          {
            "code": "SEVCO:00303",
            "display": "Collider bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias in which an estimation of association between two variables is distorted by controlling for a third variable affected by both variables of interest (or factors causing the variables of interest)."
              }
            ]
          },
          {
            "code": "SEVCO:00314",
            "display": "Preliminary analysis bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias related to analysis of data before the complete dataset is available."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Interim analysis bias"
              }
            ]
          },
          {
            "code": "SEVCO:00295",
            "display": "Data-dredging bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias involving use of data analyses that are not pre-specified and fully disclosed, to select analyses with desirable results."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "p-hacking"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Fishing expedition"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Data snooping bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "p-hacking bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Fishing expedition bias"
              }
            ]
          },
          {
            "code": "SEVCO:00322",
            "display": "final model not corresponding to multivariable analysis",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias in which the predictors and coefficients in the final model do not match the predictors and coefficients reported in the multivariable analysis."
              }
            ]
          },
          {
            "code": "SEVCO:00310",
            "display": "Cognitive Interpretive Bias affecting analysis",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias related to the analytic process due to the subjective nature of human interpretation."
              }
            ]
          },
          {
            "code": "SEVCO:00379",
            "display": "Cognitive Interpretive Bias affecting analysis selection",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias related to selection of the analysis due to the subjective nature of human interpretation."
              }
            ]
          },
          {
            "code": "SEVCO:00315",
            "display": "Availability bias affecting analysis selection",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A Cognitive Interpretive Bias due to the use of information which is most readily available, rather than information which is most representative, affecting analysis selection."
              }
            ]
          },
          {
            "code": "SEVCO:00380",
            "display": "Cognitive interpretive bias affecting execution of the analysis",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias in processing of data due to the subjective nature of human interpretation."
              }
            ]
          },
          {
            "code": "SEVCO:00296",
            "display": "Lack of blinding of data analysts",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A cognitive interpretive bias affecting execution of the analysis due to the analyst's awareness of the participants' status with respect to the variables defining the comparison groups."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Lack of masking of data analysts"
              }
            ]
          },
          {
            "code": "SEVCO:00392",
            "display": "Inappropriate weighting bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias in which the weights used in model construction do not align with the target of estimation or estimand."
              }
            ]
          },
          {
            "code": "SEVCO:00320",
            "display": "Inappropriate evaluation of predictive model performance measures",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias in which the method for analysis of a performance measure (such as calibration or discrimination) is not adequate or suitable for the predictive model."
              }
            ]
          },
          {
            "code": "SEVCO:00393",
            "display": "Inappropriate evaluation of calibration of predictive model",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias in which the method for analysis of calibration is not adequate or suitable for the predictive model."
              }
            ]
          },
          {
            "code": "SEVCO:00394",
            "display": "Inappropriate evaluation of discrimination of predictive model",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias in which the method for analysis of discrimination is not adequate or suitable for the predictive model."
              }
            ]
          },
          {
            "code": "SEVCO:00321",
            "display": "model overfitting",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An analysis bias, specific to predictive model development studies, in which strategies to mitigate overfitting are not adequately applied."
              }
            ]
          },
          {
            "code": "SEVCO:00024",
            "display": "Selective Reporting Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A reporting bias due to inappropriate selection of the results or research findings that are reported."
              }
            ]
          },
          {
            "code": "SEVCO:00330",
            "display": "Selective Outcome Reporting",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A selective reporting bias due to inappropriate selection of which outcomes are reported within results or research findings."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Outcome reporting bias"
              }
            ]
          },
          {
            "code": "SEVCO:00336",
            "display": "Selective outcome measure reporting",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A selective reporting bias due to inappropriate selection of which outcome measures are reported for an outcome."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Selective outcome measure reporting within outcome domain"
              }
            ]
          },
          {
            "code": "SEVCO:00331",
            "display": "Selective subgroup reporting",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A selective reporting bias due to inappropriate selection of subsets of groups of participants for which results or research findings are reported."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Subgroup reporting bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Subgroup analysis reporting bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Selective subgroup analysis reporting"
              }
            ]
          },
          {
            "code": "SEVCO:00331a",
            "display": "Selective comparison reporting",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A selective reporting bias due to inappropriate selection of comparison groups for which results or research findings are reported."
              }
            ]
          },
          {
            "code": "SEVCO:00333",
            "display": "Selective analysis reporting from repeated analyses at multiple times",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A selective reporting bias due to inappropriate selection of which analyses are reported for an outcome that was analyzed at multiple points in time in a longitudinal study."
              }
            ]
          },
          {
            "code": "SEVCO:00334",
            "display": "Selective analysis reporting from multiple analytic models",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A selective reporting bias due to inappropriate selection of which analyses are reported for an outcome that was analyzed in multiple ways."
              }
            ]
          },
          {
            "code": "SEVCO:00335",
            "display": "Selective threshold reporting bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A selective reporting bias due to inappropriate selection of which thresholds (used for definitions of the variables) are reported."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Selective cutoff reporting bias"
              }
            ]
          },
          {
            "code": "SEVCO:00025",
            "display": "Cognitive interpretive bias in reporting",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A distortion in the representation of study results or research findings due to the subjective nature of human interpretation."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Spin bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Cognitive interpretive bias for reporting"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Selective Interpretation Reporting Bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Selective Representation Reporting Bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Cognitive interpretive reporting bias"
              }
            ]
          },
          {
            "code": "SEVCO:00338",
            "display": "Interpretation of results not addressing potential for bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A cognitive interpretive bias in reporting whereby the reported interpretation of results does not adequately address potential for bias."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Interpretation of results not addressing risk of bias"
              }
            ]
          },
          {
            "code": "SEVCO:00328",
            "display": "Results emphasized based on statistical significance",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A cognitive interpretive bias in reporting whereby results with statistical significance are given exaggerated attention."
              }
            ]
          },
          {
            "code": "SEVCO:00340",
            "display": "Confirmation bias in reporting",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A cognitive interpretive bias in reporting due to the influence of an individual’s ideas, beliefs or hypotheses."
              }
            ]
          },
          {
            "code": "SEVCO:00329",
            "display": "External validity bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A cognitive interpretive bias in reporting due to a mismatch between what the observed data represent and the results that were reported."
              }
            ]
          },
          {
            "code": "SEVCO:00327",
            "display": "Early dissemination bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A reporting bias due to publication or reporting of results or research findings that change in subsequent reports."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Preliminary reporting bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Early reporting bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Interim reporting bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Early publication bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Interim publication bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Premature publication bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Preliminary publication bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Premature reporting bias"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Premature dissemination bias"
              }
            ]
          },
          {
            "code": "SEVCO:00384",
            "display": "Fabrication Bias",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A reporting bias resulting from intentional misrepresentation of any part of the study."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Fraud"
              }
            ]
          },
          {
            "code": "SEVCO:00325",
            "display": "Inadequate reporting of methods",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A reporting bias due to insufficient reporting of methods to determine the validity of the results."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Inadequate reporting to assess analytic strategy"
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Inadequate methods reporting bias"
              }
            ]
          },
          {
            "code": "SEVCO:00326",
            "display": "Inadequate explanation of participant withdrawals",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A reporting bias due to insufficient reporting of reasons for withdrawals of participants after study enrollment."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "Inadequate explanation of participant attrition"
              }
            ]
          },
          {
            "code": "SEVCO:00345",
            "display": "Synthesis missing eligible studies"
          },
          {
            "code": "SEVCO:00346",
            "display": "Study parameters not appropriate for synthesis"
          },
          {
            "code": "SEVCO:00347",
            "display": "Heterogeneity not addressed"
          },
          {
            "code": "SEVCO:00348",
            "display": "Inconsistency within sensitivity analyses"
          },
          {
            "code": "SEVCO:00349",
            "display": "Biases in studies influence synthesis"
          },
          {
            "code": "SEVCO:00351",
            "display": "Insufficient study characteristics available for proper results interpretation"
          },
          {
            "code": "SEVCO:00352",
            "display": "Incomplete collection of relevant study results for synthesis"
          },
          {
            "code": "SEVCO:00353",
            "display": "Methodologic quality assessment inadequate"
          },
          {
            "code": "SEVCO:00354",
            "display": "Error in risk of bias assessment not minimized"
          },
          {
            "code": "SEVCO:00369",
            "display": "Error in data collection not minimized"
          },
          {
            "code": "SEVCO:00356",
            "display": "Inappropriate qualitative approach"
          },
          {
            "code": "SEVCO:00357",
            "display": "Inadequate qualitative data collection methods"
          },
          {
            "code": "SEVCO:00358",
            "display": "Inappropriate qualitative analysis"
          },
          {
            "code": "SEVCO:00359",
            "display": "Unsubstantiated interpretation of results"
          },
          {
            "code": "SEVCO:00360",
            "display": "Incoherence between data, analysis, and interpretation"
          },
          {
            "code": "SEVCO:00361",
            "display": "Inadequate rationale for mixed methods design"
          },
          {
            "code": "SEVCO:00362",
            "display": "Ineffective integration of study components"
          },
          {
            "code": "SEVCO:00363",
            "display": "Inappropriate interpretation of integration of qualitative and quantitative findings"
          },
          {
            "code": "SEVCO:00364",
            "display": "Inadequate handling of inconsistency"
          },
          {
            "code": "SEVCO:00368",
            "display": "bias in external validation assessment",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias in validation assessment using a sample source that differs from those used in the derivation of the procedure."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "inadequate external validation assessment"
              }
            ]
          },
          {
            "code": "SEVCO:00367",
            "display": "bias in internal validation assessment",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "A bias in validation assessment specific to a validation assessment that uses the same sample source that was used in the derivation of the procedure."
              },
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000013009",
                  "display": "Synonym (core metadata concept)"
                },
                "value": "inadequate internal validation assessment"
              }
            ]
          },
          {
            "code": "SEVCO:00371",
            "display": "Early study termination bias due to competing interests",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An early study termination bias due to the decision to end the study being influenced by financial, commercial, legal, political, social, professional, or intellectual  interests."
              }
            ]
          },
          {
            "code": "SEVCO:00372",
            "display": "Early study termination bias due to unplanned use of interim analysis",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An early study termination bias due to awareness of study results without following a preplanned protocol for how interim results will influence the decision to terminate the study."
              }
            ]
          },
          {
            "code": "SEVCO:00373",
            "display": "Early study termination bias due to inappropriate statistical stopping rule",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An early study termination bias due to use of an inappropriate model or threshold in the analysis used for determination to end the study."
              }
            ]
          },
          {
            "code": "SEVCO:00374",
            "display": "Early study termination bias due to external factors",
            "designation": [
              {
                "use": {
                  "system": "http://snomed.info/sct",
                  "code": "900000000000550004",
                  "display": "Definition (core metadata concept)"
                },
                "value": "An early study termination bias due to a decision to end the study based on factors other than the results of interim analysis."
              }
            ]
          }
        ]
      }
    ]
  }
}