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Source1

{
  "resourceType": "ValueSet",
  "id": "2.16.840.1.113762.1.4.1096.234",
  "meta": {
    "versionId": "5",
    "lastUpdated": "2024-03-18T01:11:30.000-04:00",
    "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": "PharmacyHIT Author"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate",
      "valueDate": "2025-05-12"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate",
      "valueDate": "2024-03-18"
    }
  ],
  "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1096.234",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113762.1.4.1096.234"
    }
  ],
  "version": "20240318",
  "name": "ReasonMedicationDiscontinuedLackOfEffectiveness",
  "title": "Reason Medication Discontinued Lack of Effectiveness",
  "status": "active",
  "date": "2024-03-18T01:11:30-04:00",
  "publisher": "PharmacyHIT",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "purpose": "(Clinical Focus: This set of values contains reasons that medications were discontinued due to lack of the patient experiencing effectiveness.),(Data Element Scope: Findings or Situations. The intent of this data element is to capture the reason that a medication was discontinued.),(Inclusion Criteria: Any codes that describe a reason that a medication was discontinued because of lack of effectiveness.),(Exclusion Criteria: Any codes related to the reasons a medication was discontinued that is not related to the effectiveness of the medication.)",
  "compose": {
    "include": [
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        "system": "http://snomed.info/sct",
        "concept": [
          {
            "code": "408347001",
            "display": "Drug interactions identified - drug changed (finding)"
          },
          {
            "code": "431521000124104",
            "display": "More effective medication therapy available (finding)"
          },
          {
            "code": "435501000124106",
            "display": "Medication not effective (finding)"
          },
          {
            "code": "448056004",
            "display": "Medication dosage interval too long (finding)"
          },
          {
            "code": "448058003",
            "display": "Duration of medication therapy too short (finding)"
          },
          {
            "code": "448152000",
            "display": "Medication dose too low (finding)"
          },
          {
            "code": "6111000124105",
            "display": "Medication dosage form inappropriate (finding)"
          }
        ]
      }
    ]
  },
  "expansion": {
    "identifier": "urn:uuid:3149f464-faca-43df-af72-48ef98278f02",
    "timestamp": "2025-05-23T18:10:10-04:00",
    "total": 7,
    "contains": [
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        "display": "Medication not effective (finding)"
      },
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}