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Source1

{
  "resourceType": "ValueSet",
  "id": "2.16.840.1.113762.1.4.1221.168",
  "meta": {
    "versionId": "5",
    "lastUpdated": "2024-04-23T01:01:49.000-04:00",
    "profile": [
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      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-valueset-cqfm"
    ]
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-author",
      "valueContactDetail": {
        "name": "NACHC Author"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate",
      "valueDate": "2024-04-23"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate",
      "valueDate": "2024-04-23"
    }
  ],
  "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1221.168",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113762.1.4.1221.168"
    }
  ],
  "version": "20240423",
  "name": "AbortionSurgicalManagement",
  "title": "Abortion, Surgical Management",
  "status": "active",
  "date": "2024-04-23T01:01:49-04:00",
  "publisher": "NACHC Steward",
  "description": "This value set provides a comprehensive list of surgical procedures used for managing various pregnancy complications. The inclusion criteria highlight specific techniques employed based on the stage of pregnancy and medical condition. This value set focuses solely on the surgical intervention and does not encompass associated services (e.g., anesthesia, post-operative care).",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "purpose": "(Clinical Focus: This value set encompasses concepts related to various surgical procedures used for pregnancy termination or management of miscarriage across all trimesters.),(Data Element Scope: This data element captures the surgical approach to address a range of pregnancy complications, including: Termination of pregnancy (induced abortion) Management of missed miscarriage (where the fetus has died but the body hasn't expelled it) Treatment of incomplete abortion (where some pregnancy tissue remains after a spontaneous or attempted termination) Removal of a hydatidiform mole (an abnormal fertilized egg)),(Inclusion Criteria: This value set includes specific surgical procedures for pregnancy termination or management: Dilation and curettage (D&C) and dilation and evacuation (D&E): Techniques used to remove pregnancy tissue through the cervix. Hysterotomy (abdominal): Surgical incision into the uterus, typically for hydatidiform mole or late-term miscarriage. Surgical treatment of miscarriage: Procedures to remove pregnancy tissue across trimesters (1st, 2nd, or 3rd).),(Exclusion Criteria: This value set excludes non-surgical methods of pregnancy termination (e.g., medical management with medication). Additionally, procedures unrelated to pregnancy termination are not included (e.g., exploratory laparotomy).)",
  "compose": {
    "include": [
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        ]
      }
    ]
  },
  "expansion": {
    "identifier": "urn:uuid:ac35bf92-7a93-48a8-b5af-9d18d37f059f",
    "timestamp": "2025-05-23T19:46:11-04:00",
    "total": 11,
    "contains": [
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "18489003",
        "display": "Surgical treatment of missed abortion of first trimester (procedure)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "5191001",
        "display": "Surgical treatment of missed abortion of second trimester (procedure)"
      },
      {
        "system": "http://www.ama-assn.org/go/cpt",
        "version": "2025",
        "code": "59100",
        "display": "Hysterotomy, abdominal (eg, for hydatidiform mole, abortion)"
      },
      {
        "system": "http://www.ama-assn.org/go/cpt",
        "version": "2025",
        "code": "59812",
        "display": "Treatment of incomplete abortion, any trimester, completed surgically"
      },
      {
        "system": "http://www.ama-assn.org/go/cpt",
        "version": "2025",
        "code": "59820",
        "display": "Treatment of missed abortion, completed surgically; first trimester"
      },
      {
        "system": "http://www.ama-assn.org/go/cpt",
        "version": "2025",
        "code": "59821",
        "display": "Treatment of missed abortion, completed surgically; second trimester"
      },
      {
        "system": "http://www.ama-assn.org/go/cpt",
        "version": "2025",
        "code": "59830",
        "display": "Treatment of septic abortion, completed surgically"
      },
      {
        "system": "http://www.ama-assn.org/go/cpt",
        "version": "2025",
        "code": "59840",
        "display": "Induced abortion, by dilation and curettage"
      },
      {
        "system": "http://www.ama-assn.org/go/cpt",
        "version": "2025",
        "code": "59841",
        "display": "Induced abortion, by dilation and evacuation"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "62688006",
        "display": "Surgical treatment of spontaneous abortion of any trimester (procedure)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "69621003",
        "display": "Surgical treatment of missed abortion of third trimester (procedure)"
      }
    ]
  }
}