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Source1

{
  "resourceType": "ValueSet",
  "id": "2.16.840.1.113762.1.4.1096.236",
  "meta": {
    "versionId": "5",
    "lastUpdated": "2024-03-19T01:26:16.000-04:00",
    "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": "2024-03-19"
    }
  ],
  "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1096.236",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113762.1.4.1096.236"
    }
  ],
  "version": "20240319",
  "name": "ReasonMedicationDiscontinuedComplianceIssueOtherThanCost",
  "title": "Reason Medication Discontinued Compliance Issue other than cost",
  "status": "active",
  "date": "2024-03-19T01:26:16-04:00",
  "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 an issue that affects compliance with the medication, except due to cost issue.),(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 due to an issue that affects the patient’s compliance with the medication, excluding cost issues.),(Exclusion Criteria: Any codes related to the reason a medication was discontinued that is not related to an issue due to patient’s compliance with the medication nor is it related to the reason a medication was discontinued due to the patient unable to afford.)",
  "compose": {
    "include": [
      {
        "system": "http://snomed.info/sct",
        "concept": [
          {
            "code": "182891003",
            "display": "Patient misunderstood treatment instructions (finding)"
          },
          {
            "code": "2101000124106",
            "display": "Unable to self-administer medication (finding)"
          },
          {
            "code": "249486008",
            "display": "Unable to swallow (finding)"
          },
          {
            "code": "406149000",
            "display": "Medication declined (situation)"
          },
          {
            "code": "408367005",
            "display": "Patient forgets to take medication (finding)"
          },
          {
            "code": "429611000124105",
            "display": "Patient unable to obtain medication (finding)"
          },
          {
            "code": "6111000124105",
            "display": "Medication dosage form inappropriate (finding)"
          }
        ]
      }
    ]
  },
  "expansion": {
    "identifier": "urn:uuid:189fb856-00c6-4002-b7cc-3a4258641666",
    "timestamp": "2025-05-23T18:10:13-04:00",
    "total": 7,
    "contains": [
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "182891003",
        "display": "Patient misunderstood treatment instructions (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "2101000124106",
        "display": "Unable to self-administer medication (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "249486008",
        "display": "Unable to swallow (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "406149000",
        "display": "Medication declined (situation)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "408367005",
        "display": "Patient forgets to take medication (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "429611000124105",
        "display": "Patient unable to obtain medication (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "6111000124105",
        "display": "Medication dosage form inappropriate (finding)"
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    ]
  }
}