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Source1

{
  "resourceType": "ValueSet",
  "id": "1.3.6.1.4.1.6997.4.1.2.265.13.31172.1.1.999.150",
  "meta": {
    "versionId": "3",
    "lastUpdated": "2023-12-21T17:43:03.000-05:00",
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/shareablevalueset",
      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-valueset-cqfm",
      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-valueset-cqfm"
    ]
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-author",
      "valueContactDetail": {
        "name": "ECRI Author"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate",
      "valueDate": "2024-05-06"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate",
      "valueDate": "2017-02-19"
    }
  ],
  "url": "http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.6997.4.1.2.265.13.31172.1.1.999.150",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:1.3.6.1.4.1.6997.4.1.2.265.13.31172.1.1.999.150"
    }
  ],
  "version": "20170219",
  "name": "CerumenOnOtoscopy",
  "title": "Cerumen on Otoscopy",
  "status": "active",
  "experimental": false,
  "date": "2017-02-19T01:00:02-05:00",
  "publisher": "ECRI Steward",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "purpose": "(Clinical Focus: This value set encodes a Decision Variable defining the concept cerumen accumulation for the AAO-HNSF guideline on Cerumen Impaction),(Data Element Scope: This valueset is intended to work with the data element type, Condition/Diagnosis/Problem),(Inclusion Criteria: Search terms included: cerumen,wax),(Exclusion Criteria: None)",
  "compose": {
    "include": [
      {
        "system": "http://snomed.info/sct",
        "concept": [
          {
            "code": "126946000",
            "display": "Excessive cerumen in ear canal (disorder)"
          },
          {
            "code": "139674004",
            "display": "C/O - wax in ear (finding)"
          },
          {
            "code": "141423001",
            "display": "O/E - wax in auditory canal (finding)"
          },
          {
            "code": "155214004",
            "display": "Impacted wax (disorder)"
          },
          {
            "code": "162404003",
            "display": "C/O - wax in ear (finding)"
          },
          {
            "code": "164226003",
            "display": "On examination - wax in auditory canal (finding)"
          },
          {
            "code": "18070006",
            "display": "Impacted cerumen (disorder)"
          },
          {
            "code": "194230008",
            "display": "Impacted cerumen &/or wax in ear (observation or disorder) (disorder)"
          },
          {
            "code": "271739002",
            "display": "Wax in ear canal (finding)"
          },
          {
            "code": "315218000",
            "display": "Complaining of wax in ear (finding)"
          },
          {
            "code": "41508009",
            "display": "Cerumen (substance)"
          }
        ]
      }
    ]
  },
  "expansion": {
    "identifier": "urn:uuid:777a9e38-c39d-4802-bb56-ff855f94383c",
    "timestamp": "2025-05-23T16:18:41-04:00",
    "total": 4,
    "contains": [
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "126946000",
        "display": "Excessive cerumen in ear canal (disorder)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "18070006",
        "display": "Impacted cerumen (disorder)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "271739002",
        "display": "Wax in ear canal (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "41508009",
        "display": "Cerumen (substance)"
      }
    ]
  }
}