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Source1

{
  "resourceType": "ValueSet",
  "id": "2.16.840.1.113762.1.4.1146.660",
  "meta": {
    "versionId": "35",
    "lastUpdated": "2024-01-22T01:09:37.000-05:00",
    "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": "CSTE Author"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-keyWord",
      "valueString": "G_Common"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate",
      "valueDate": "2025-01-13"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate",
      "valueDate": "2024-01-22"
    }
  ],
  "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.660",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113762.1.4.1146.660"
    }
  ],
  "version": "20240122",
  "name": "HypertoniaExcludingCongenitalHypertoniaSNOMED",
  "title": "Hypertonia [Excluding Congenital Hypertonia] (SNOMED)",
  "status": "active",
  "date": "2024-01-22T01:09:37-05:00",
  "publisher": "CSTE Steward",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "purpose": "(Clinical Focus: This set of values contains diagnoses or problems that represent that the patient has Hypertonia regardless of the clinical presentation of the condition),(Data Element Scope: Diagnoses or problems documented in a clinical record.),(Inclusion Criteria: Hypertonia),(Exclusion Criteria: congenital hypertonia)",
  "compose": {
    "include": [
      {
        "system": "http://snomed.info/sct",
        "concept": [
          {
            "code": "16046003",
            "display": "Muscle rigidity (finding)"
          },
          {
            "code": "163650000",
            "display": "On examination - muscle tone spastic (finding)"
          },
          {
            "code": "221360009",
            "display": "Spasticity (finding)"
          },
          {
            "code": "394679006",
            "display": "Lower limb spasticity (finding)"
          },
          {
            "code": "394680009",
            "display": "Upper limb spasticity (finding)"
          },
          {
            "code": "422966009",
            "display": "Increased muscle tone - left side more than right side (finding)"
          },
          {
            "code": "424676008",
            "display": "Increased muscle tone - right side more than left side (finding)"
          },
          {
            "code": "459131000124108",
            "display": "Muscle spasticity present (situation)"
          },
          {
            "code": "56731001",
            "display": "Increased muscle tone (finding)"
          }
        ]
      }
    ]
  },
  "expansion": {
    "identifier": "urn:uuid:d685f02c-606d-44d5-ab49-54e708a401f1",
    "timestamp": "2025-05-23T18:52:40-04:00",
    "total": 8,
    "contains": [
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "16046003",
        "display": "Muscle rigidity (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "221360009",
        "display": "Spasticity (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "394679006",
        "display": "Lower limb spasticity (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "394680009",
        "display": "Upper limb spasticity (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "422966009",
        "display": "Increased muscle tone - left side more than right side (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "424676008",
        "display": "Increased muscle tone - right side more than left side (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "459131000124108",
        "display": "Muscle spasticity present (situation)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "56731001",
        "display": "Increased muscle tone (finding)"
      }
    ]
  }
}