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Source1

{
  "resourceType": "ValueSet",
  "id": "2.16.840.1.113762.1.4.1047.616",
  "meta": {
    "versionId": "5",
    "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": "ASRS Quality Measure Development Author"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate",
      "valueDate": "2024-04-01"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate",
      "valueDate": "2020-03-19"
    }
  ],
  "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.616",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113762.1.4.1047.616"
    }
  ],
  "version": "20200319",
  "name": "FinancialDifficulty",
  "title": "Financial difficulty",
  "status": "active",
  "experimental": false,
  "date": "2020-03-19T01:00:18-04:00",
  "publisher": "ASRS Quality Measure Development Steward",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "purpose": "(Clinical Focus: The intent of this set of values is to capture financial problems or insurance denial as related to medical procedures or services.),(Data Element Scope: Attribute),(Inclusion Criteria: Includes values to indicate financial implications for not having a medical procedure or test.),(Exclusion Criteria: Values not associated with the inclusion criteria are excluded.)",
  "compose": {
    "include": [
      {
        "system": "http://snomed.info/sct",
        "concept": [
          {
            "code": "160932005",
            "display": "Financial problem (finding)"
          },
          {
            "code": "160934006",
            "display": "Financial circumstances change (finding)"
          },
          {
            "code": "161637005",
            "display": "Insurance refused - medical reasons (situation)"
          },
          {
            "code": "423656007",
            "display": "Income insufficient to buy necessities (finding)"
          }
        ]
      }
    ]
  },
  "expansion": {
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    "timestamp": "2025-05-23T17:35:31-04:00",
    "total": 4,
    "contains": [
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        "version": "http://snomed.info/sct/731000124108/version/20250301",
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        "display": "Financial problem (finding)"
      },
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        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "160934006",
        "display": "Financial circumstances change (finding)"
      },
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        "code": "161637005",
        "display": "Insurance refused - medical reasons (situation)"
      },
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        "system": "http://snomed.info/sct",
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        "display": "Income insufficient to buy necessities (finding)"
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    ]
  }
}