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Source1

{
  "resourceType": "ValueSet",
  "id": "SHIFTSEXSHIFTFERTILITY",
  "meta": {
    "profile": [
      "http://SHIFT-Task-Force.github.io/SLS-ValueSets/StructureDefinition/ShiftSlsValueSet"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://SHIFT-Task-Force.github.io/SLS-ValueSets/ValueSet/SHIFTSEXSHIFTFERTILITY",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:1.3.6.1.4.1.66281.3.1.48.63"
    }
  ],
  "version": "0.2.0",
  "name": "SHIFTSEXSHIFTFERTILITY",
  "title": "SHIFT SEX | SHIFT FERTILITY",
  "status": "active",
  "experimental": false,
  "date": "2026-08-01",
  "publisher": "SHIFT-Task-Force",
  "contact": [
    {
      "name": "SHIFT-Task-Force",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.shiftinterop.org/"
        }
      ]
    }
  ],
  "description": "SHIFT SEX: A patient's sexuality and sexual history, including sexual orientation, sexual practices, and sexual partners. Female sexual dysfunction is classified here. Male sexual dysfunction is classified here AND ALSO under SHIFT FERTILITY.; SHIFT FERTILITY: Infertility issues and fertility treatments, including assisted reproductive technology (ART) and in vitro fertilization (IVF).\n\nIdentified as: v3-ActCode#SEX, ShiftCustomActSensitivityCodes#FERTILITY",
  "useContext": [
    {
      "code": {
        "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code": "focus"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code": "SEX"
          }
        ]
      }
    },
    {
      "code": {
        "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code": "focus"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://SHIFT-Task-Force.github.io/SLS-ValueSets/CodeSystem/ShiftCustomActSensitivityCodes",
            "code": "FERTILITY"
          }
        ]
      }
    }
  ],
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001"
        }
      ]
    }
  ],
  "compose": {
    "inactive": true,
    "include": [
      {
        "system": "http://hl7.org/fhir/sid/icd-10-cm",
        "concept": [
          {
            "code": "F52.4",
            "display": "Premature ejaculation"
          },
          {
            "code": "F52.21",
            "display": "Male erectile disorder"
          },
          {
            "code": "F52.22",
            "display": "Female sexual arousal disorder"
          },
          {
            "code": "F52.31",
            "display": "Female orgasmic disorder"
          },
          {
            "code": "F52.32",
            "display": "Male orgasmic disorder"
          },
          {
            "code": "N52",
            "display": "Male erectile dysfunction"
          },
          {
            "code": "N52.0",
            "display": "Vasculogenic erectile dysfunction"
          },
          {
            "code": "N52.01",
            "display": "Erectile dysfunction due to arterial insufficiency"
          },
          {
            "code": "N52.1",
            "display": "Erectile dysfunction due to diseases classified elsewhere"
          },
          {
            "code": "N52.02",
            "display": "Corporo-venous occlusive erectile dysfunction"
          },
          {
            "code": "N52.2",
            "display": "Drug-induced erectile dysfunction"
          },
          {
            "code": "N52.03",
            "display": "Combined arterial insufficiency and corporo-venous occlusive erectile dysfunction"
          },
          {
            "code": "N52.3",
            "display": "Postprocedural erectile dysfunction"
          },
          {
            "code": "N52.8",
            "display": "Other male erectile dysfunction"
          },
          {
            "code": "N52.9",
            "display": "Male erectile dysfunction, unspecified"
          },
          {
            "code": "N52.31",
            "display": "Erectile dysfunction following radical prostatectomy"
          },
          {
            "code": "N52.32",
            "display": "Erectile dysfunction following radical cystectomy"
          },
          {
            "code": "N52.33",
            "display": "Erectile dysfunction following urethral surgery"
          },
          {
            "code": "N52.34",
            "display": "Erectile dysfunction following simple prostatectomy"
          },
          {
            "code": "N52.35",
            "display": "Erectile dysfunction following radiation therapy"
          },
          {
            "code": "N52.36",
            "display": "Erectile dysfunction following interstitial seed therapy"
          },
          {
            "code": "N52.37",
            "display": "Erectile dysfunction following prostate ablative therapy"
          },
          {
            "code": "N52.39",
            "display": "Other and unspecified postprocedural erectile dysfunction"
          },
          {
            "code": "N53",
            "display": "Other male sexual dysfunction"
          },
          {
            "code": "N53.1",
            "display": "Ejaculatory dysfunction"
          },
          {
            "code": "N53.8",
            "display": "Other male sexual dysfunction"
          },
          {
            "code": "N53.9",
            "display": "Unspecified male sexual dysfunction"
          },
          {
            "code": "N53.11",
            "display": "Retarded ejaculation"
          },
          {
            "code": "N53.12",
            "display": "Painful ejaculation"
          },
          {
            "code": "N53.13",
            "display": "Anejaculatory orgasm"
          },
          {
            "code": "N53.14",
            "display": "Retrograde ejaculation"
          },
          {
            "code": "N53.19",
            "display": "Other ejaculatory dysfunction"
          }
        ]
      },
      {
        "system": "http://hl7.org/fhir/sid/icd-9-cm",
        "concept": [
          {
            "code": "302.75",
            "display": "Premature ejaculation"
          },
          {
            "code": "607.84",
            "display": "Impotence of organic origin"
          }
        ]
      },
      {
        "system": "http://snomed.info/sct",
        "concept": [
          {
            "code": "44001008"
          },
          {
            "code": "81903006"
          },
          {
            "code": "135885005"
          },
          {
            "code": "175881006"
          },
          {
            "code": "175886001"
          },
          {
            "code": "236359005"
          },
          {
            "code": "243080004"
          },
          {
            "code": "243083002"
          },
          {
            "code": "243754005"
          },
          {
            "code": "248785004"
          },
          {
            "code": "248788002"
          },
          {
            "code": "252918002"
          },
          {
            "code": "252919005"
          },
          {
            "code": "428007007"
          },
          {
            "code": "473020005"
          },
          {
            "code": "473021009"
          },
          {
            "code": "473208009"
          },
          {
            "code": "473209001"
          },
          {
            "code": "704048004"
          },
          {
            "code": "704049007"
          },
          {
            "code": "707300000"
          },
          {
            "code": "770096002"
          },
          {
            "code": "860914002"
          },
          {
            "code": "860915001"
          },
          {
            "code": "860916000"
          },
          {
            "code": "860917009"
          },
          {
            "code": "860918004"
          },
          {
            "code": "860920001"
          },
          {
            "code": "860921002"
          },
          {
            "code": "860922009"
          },
          {
            "code": "890316000"
          },
          {
            "code": "1144949006"
          },
          {
            "code": "1144952003"
          },
          {
            "code": "1144954002"
          },
          {
            "code": "691000119103"
          },
          {
            "code": "8061000119107"
          },
          {
            "code": "128201000119100"
          },
          {
            "code": "367431000119107"
          },
          {
            "code": "367441000119103"
          },
          {
            "code": "367451000119101"
          },
          {
            "code": "367461000119104"
          },
          {
            "code": "367471000119105"
          },
          {
            "code": "369051000119101"
          },
          {
            "code": "16715331000119109"
          },
          {
            "code": "16715371000119107"
          },
          {
            "code": "16715411000119108"
          }
        ]
      },
      {
        "system": "http://www.ama-assn.org/go/cpt",
        "concept": [
          {
            "code": "55870"
          }
        ]
      },
      {
        "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
        "concept": [
          {
            "code": "763470",
            "display": "0.5 ML alprostadil 0.02 MG/ML Prefilled Syringe"
          },
          {
            "code": "763472",
            "display": "0.5 ML alprostadil 0.02 MG/ML Prefilled Syringe [Caverject]"
          },
          {
            "code": "763473",
            "display": "0.5 ML alprostadil 0.04 MG/ML Prefilled Syringe"
          },
          {
            "code": "763474",
            "display": "0.5 ML alprostadil 0.04 MG/ML Prefilled Syringe [Caverject]"
          },
          {
            "code": "1234236",
            "display": "1 ML alprostadil 0.01 MG/ML Cartridge"
          },
          {
            "code": "1234238",
            "display": "1 ML alprostadil 0.01 MG/ML Cartridge [Edex]"
          },
          {
            "code": "1234239",
            "display": "1 ML alprostadil 0.02 MG/ML Cartridge"
          },
          {
            "code": "1234240",
            "display": "1 ML alprostadil 0.02 MG/ML Cartridge [Edex]"
          },
          {
            "code": "1234241",
            "display": "1 ML alprostadil 0.04 MG/ML Cartridge"
          },
          {
            "code": "1234242",
            "display": "1 ML alprostadil 0.04 MG/ML Cartridge [Edex]"
          },
          {
            "code": "598",
            "display": "alprostadil"
          },
          {
            "code": "1668146",
            "display": "alprostadil 0.005 MG"
          },
          {
            "code": "199596",
            "display": "alprostadil 0.005 MG Injection"
          },
          {
            "code": "1668142",
            "display": "alprostadil 0.01 MG"
          },
          {
            "code": "242690",
            "display": "alprostadil 0.01 MG Injection"
          },
          {
            "code": "329016",
            "display": "alprostadil 0.01 MG/ML"
          },
          {
            "code": "571333",
            "display": "alprostadil 0.01 MG/ML [Edex]"
          },
          {
            "code": "1360525",
            "display": "alprostadil 0.01 MG/ML Cartridge"
          },
          {
            "code": "1359710",
            "display": "alprostadil 0.01 MG/ML Cartridge [Edex]"
          },
          {
            "code": "1668061",
            "display": "alprostadil 0.02 MG"
          },
          {
            "code": "1668063",
            "display": "alprostadil 0.02 MG [Caverject]"
          },
          {
            "code": "242691",
            "display": "alprostadil 0.02 MG Injection"
          },
          {
            "code": "103956",
            "display": "alprostadil 0.02 MG Injection [Caverject]"
          },
          {
            "code": "329020",
            "display": "alprostadil 0.02 MG/ML"
          },
          {
            "code": "563465",
            "display": "alprostadil 0.02 MG/ML [Caverject]"
          },
          {
            "code": "571341",
            "display": "alprostadil 0.02 MG/ML [Edex]"
          },
          {
            "code": "1668043",
            "display": "alprostadil 0.02 MG/ML Cartridge"
          },
          {
            "code": "1360451",
            "display": "alprostadil 0.02 MG/ML Cartridge [Edex]"
          },
          {
            "code": "1359851",
            "display": "alprostadil 0.02 MG/ML Prefilled Syringe"
          },
          {
            "code": "1359476",
            "display": "alprostadil 0.02 MG/ML Prefilled Syringe [Caverject]"
          },
          {
            "code": "1668056",
            "display": "alprostadil 0.04 MG"
          },
          {
            "code": "1668058",
            "display": "alprostadil 0.04 MG [Caverject]"
          },
          {
            "code": "226921",
            "display": "alprostadil 0.04 MG Injection"
          },
          {
            "code": "226922",
            "display": "alprostadil 0.04 MG Injection [Caverject]"
          },
          {
            "code": "346193",
            "display": "alprostadil 0.04 MG/ML"
          },
          {
            "code": "574046",
            "display": "alprostadil 0.04 MG/ML [Caverject]"
          },
          {
            "code": "572634",
            "display": "alprostadil 0.04 MG/ML [Edex]"
          },
          {
            "code": "1668047",
            "display": "alprostadil 0.04 MG/ML Cartridge"
          },
          {
            "code": "1360186",
            "display": "alprostadil 0.04 MG/ML Cartridge [Edex]"
          },
          {
            "code": "1359481",
            "display": "alprostadil 0.04 MG/ML Prefilled Syringe"
          },
          {
            "code": "1360005",
            "display": "alprostadil 0.04 MG/ML Prefilled Syringe [Caverject]"
          },
          {
            "code": "317290",
            "display": "alprostadil 0.125 MG"
          },
          {
            "code": "313829",
            "display": "alprostadil 0.125 MG Urethral Suppository"
          },
          {
            "code": "315318",
            "display": "alprostadil 0.25 MG"
          },
          {
            "code": "859129",
            "display": "alprostadil 0.25 MG [Muse]"
          },
          {
            "code": "308052",
            "display": "alprostadil 0.25 MG Urethral Suppository"
          },
          {
            "code": "859130",
            "display": "alprostadil 0.25 MG Urethral Suppository [Muse]"
          },
          {
            "code": "315319",
            "display": "alprostadil 0.5 MG"
          },
          {
            "code": "859131",
            "display": "alprostadil 0.5 MG [Muse]"
          },
          {
            "code": "308054",
            "display": "alprostadil 0.5 MG Urethral Suppository"
          },
          {
            "code": "859132",
            "display": "alprostadil 0.5 MG Urethral Suppository [Muse]"
          },
          {
            "code": "317291",
            "display": "alprostadil 1 MG"
          },
          {
            "code": "859127",
            "display": "alprostadil 1 MG [Muse]"
          },
          {
            "code": "308051",
            "display": "alprostadil 1 MG Urethral Suppository"
          },
          {
            "code": "859128",
            "display": "alprostadil 1 MG Urethral Suppository [Muse]"
          },
          {
            "code": "1668035",
            "display": "alprostadil Cartridge"
          },
          {
            "code": "1668037",
            "display": "alprostadil Cartridge [Edex]"
          },
          {
            "code": "1155288",
            "display": "alprostadil Injectable Product"
          },
          {
            "code": "1668050",
            "display": "alprostadil Injection"
          },
          {
            "code": "1668059",
            "display": "alprostadil Injection [Caverject]"
          },
          {
            "code": "762399",
            "display": "alprostadil Prefilled Syringe"
          },
          {
            "code": "763471",
            "display": "alprostadil Prefilled Syringe [Caverject]"
          },
          {
            "code": "1155289",
            "display": "alprostadil Urethral Product"
          },
          {
            "code": "370549",
            "display": "alprostadil Urethral Suppository"
          },
          {
            "code": "859125",
            "display": "alprostadil Urethral Suppository [Muse]"
          },
          {
            "code": "1291301",
            "display": "avanafil"
          },
          {
            "code": "1291302",
            "display": "avanafil 100 MG"
          },
          {
            "code": "1291308",
            "display": "avanafil 100 MG [Stendra]"
          },
          {
            "code": "1291306",
            "display": "avanafil 100 MG Oral Tablet"
          },
          {
            "code": "1291312",
            "display": "avanafil 100 MG Oral Tablet [Stendra]"
          },
          {
            "code": "1291364",
            "display": "avanafil 200 MG"
          },
          {
            "code": "1291366",
            "display": "avanafil 200 MG [Stendra]"
          },
          {
            "code": "1291365",
            "display": "avanafil 200 MG Oral Tablet"
          },
          {
            "code": "1291367",
            "display": "avanafil 200 MG Oral Tablet [Stendra]"
          },
          {
            "code": "1291368",
            "display": "avanafil 50 MG"
          },
          {
            "code": "1291370",
            "display": "avanafil 50 MG [Stendra]"
          },
          {
            "code": "1291369",
            "display": "avanafil 50 MG Oral Tablet"
          },
          {
            "code": "1291371",
            "display": "avanafil 50 MG Oral Tablet [Stendra]"
          },
          {
            "code": "1291303",
            "display": "avanafil Oral Product"
          },
          {
            "code": "1291305",
            "display": "avanafil Oral Tablet"
          },
          {
            "code": "1291309",
            "display": "avanafil Oral Tablet [Stendra]"
          },
          {
            "code": "1291304",
            "display": "avanafil Pill"
          },
          {
            "code": "477639",
            "display": "Caverject"
          },
          {
            "code": "1176398",
            "display": "Caverject Injectable Product"
          },
          {
            "code": "303263",
            "display": "Cialis"
          },
          {
            "code": "1170243",
            "display": "Cialis Oral Product"
          },
          {
            "code": "1170244",
            "display": "Cialis Pill"
          },
          {
            "code": "153020",
            "display": "Edex"
          },
          {
            "code": "1173196",
            "display": "Edex Injectable Product"
          },
          {
            "code": "356884",
            "display": "Levitra"
          },
          {
            "code": "1167937",
            "display": "Levitra Oral Product"
          },
          {
            "code": "1167938",
            "display": "Levitra Pill"
          },
          {
            "code": "844227",
            "display": "Muse"
          },
          {
            "code": "1183891",
            "display": "Muse Urethral Product"
          },
          {
            "code": "136411",
            "display": "sildenafil"
          },
          {
            "code": "316663",
            "display": "sildenafil 100 MG"
          },
          {
            "code": "573185",
            "display": "sildenafil 100 MG [Viagra]"
          },
          {
            "code": "2735817",
            "display": "sildenafil 100 MG [Vybrique]"
          },
          {
            "code": "2735815",
            "display": "sildenafil 100 MG Oral Film"
          },
          {
            "code": "314229",
            "display": "sildenafil 100 MG Oral Tablet"
          },
          {
            "code": "577032",
            "display": "sildenafil 20 MG"
          },
          {
            "code": "577033",
            "display": "sildenafil 20 MG Oral Tablet"
          },
          {
            "code": "258300",
            "display": "sildenafil 25 MG"
          },
          {
            "code": "573183",
            "display": "sildenafil 25 MG [Viagra]"
          },
          {
            "code": "2735823",
            "display": "sildenafil 25 MG [Vybrique]"
          },
          {
            "code": "2735822",
            "display": "sildenafil 25 MG Oral Film"
          },
          {
            "code": "314228",
            "display": "sildenafil 25 MG Oral Tablet"
          },
          {
            "code": "316664",
            "display": "sildenafil 50 MG"
          },
          {
            "code": "573184",
            "display": "sildenafil 50 MG [Viagra]"
          },
          {
            "code": "2735826",
            "display": "sildenafil 50 MG [Vybrique]"
          },
          {
            "code": "2735825",
            "display": "sildenafil 50 MG Oral Film"
          },
          {
            "code": "312950",
            "display": "sildenafil 50 MG Oral Tablet"
          },
          {
            "code": "2735828",
            "display": "sildenafil 75 MG"
          },
          {
            "code": "2735830",
            "display": "sildenafil 75 MG [Vybrique]"
          },
          {
            "code": "2735829",
            "display": "sildenafil 75 MG Oral Film"
          },
          {
            "code": "221161",
            "display": "sildenafil citrate"
          },
          {
            "code": "2735814",
            "display": "sildenafil Oral Film"
          },
          {
            "code": "2735820",
            "display": "sildenafil Oral Film [Vybrique]"
          },
          {
            "code": "373871",
            "display": "sildenafil Oral Tablet"
          },
          {
            "code": "368283",
            "display": "sildenafil Oral Tablet [Viagra]"
          },
          {
            "code": "996180",
            "display": "Staxyn"
          },
          {
            "code": "1296842",
            "display": "Staxyn Disintegrating Oral Product"
          },
          {
            "code": "1178426",
            "display": "Staxyn Oral Product"
          },
          {
            "code": "1178429",
            "display": "Staxyn Pill"
          },
          {
            "code": "1291307",
            "display": "Stendra"
          },
          {
            "code": "1291310",
            "display": "Stendra Oral Product"
          },
          {
            "code": "1291311",
            "display": "Stendra Pill"
          },
          {
            "code": "358263",
            "display": "tadalafil"
          },
          {
            "code": "402436",
            "display": "tadalafil 10 MG"
          },
          {
            "code": "576104",
            "display": "tadalafil 10 MG [Cialis]"
          },
          {
            "code": "484814",
            "display": "tadalafil 10 MG Oral Tablet"
          },
          {
            "code": "402096",
            "display": "tadalafil 10 MG Oral Tablet [Cialis]"
          },
          {
            "code": "757706",
            "display": "tadalafil 2.5 MG"
          },
          {
            "code": "762659",
            "display": "tadalafil 2.5 MG [Cialis]"
          },
          {
            "code": "757707",
            "display": "tadalafil 2.5 MG Oral Tablet"
          },
          {
            "code": "762660",
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