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Source1

{
  "resourceType": "ValueSet",
  "id": "2.16.840.1.113762.1.4.1146.2890",
  "meta": {
    "versionId": "6",
    "lastUpdated": "2025-10-09T01:04:08.000-04:00",
    "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": "CSTE Author"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-keyWord",
      "valueString": "TES_Interim"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate",
      "valueDate": "2025-10-09"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate",
      "valueDate": "2025-10-09"
    }
  ],
  "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.2890",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113762.1.4.1146.2890"
    }
  ],
  "version": "20251009",
  "name": "PertussisAdditionalContextSymptomCodesSNOMED",
  "title": "Pertussis Additional Context Symptom Codes (SNOMED)",
  "status": "active",
  "date": "2025-10-09T01:04:08-04:00",
  "publisher": "CSTE Steward",
  "description": "This interim TES value set contains public health agency–provided codes. It differs from final TES value sets, which are reviewed and standardized by the RCKMS content team.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "purpose": "(Clinical Focus: Pertussis Additional Context Symptom Codes),(Data Element Scope: Pertussis Additional Context Symptom Codes),(Inclusion Criteria: Pertussis Additional Context Symptom Codes),(Exclusion Criteria: none)",
  "compose": {
    "include": [
      {
        "system": "http://snomed.info/sct",
        "concept": [
          {
            "code": "16932000",
            "display": "Nausea and vomiting (disorder)"
          },
          {
            "code": "230145002",
            "display": "Difficulty breathing (finding)"
          },
          {
            "code": "233604007",
            "display": "Pneumonia (disorder)"
          },
          {
            "code": "267101005",
            "display": "Nasal discharge present (situation)"
          },
          {
            "code": "300359004",
            "display": "Finding of vomiting (finding)"
          },
          {
            "code": "3415004",
            "display": "Cyanosis (finding)"
          },
          {
            "code": "386661006",
            "display": "Fever (finding)"
          },
          {
            "code": "422400008",
            "display": "Vomiting (disorder)"
          },
          {
            "code": "64531003",
            "display": "Nasal discharge (finding)"
          },
          {
            "code": "7520000",
            "display": "Pyrexia of unknown origin (finding)"
          }
        ]
      }
    ]
  },
  "expansion": {
    "identifier": "urn:uuid:d716d192-cb5d-4804-a752-c76003ba457a",
    "timestamp": "2025-11-24T13:43:56-05:00",
    "total": 10,
    "contains": [
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250901",
        "code": "16932000",
        "display": "Nausea and vomiting (disorder)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250901",
        "code": "230145002",
        "display": "Difficulty breathing (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250901",
        "code": "233604007",
        "display": "Pneumonia (disorder)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250901",
        "code": "267101005",
        "display": "Nasal discharge present (situation)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250901",
        "code": "300359004",
        "display": "Finding of vomiting (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250901",
        "code": "3415004",
        "display": "Cyanosis (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250901",
        "code": "386661006",
        "display": "Fever (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250901",
        "code": "422400008",
        "display": "Vomiting (disorder)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250901",
        "code": "64531003",
        "display": "Nasal discharge (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250901",
        "code": "7520000",
        "display": "Pyrexia of unknown origin (finding)"
      }
    ]
  }
}