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Source1

{
  "resourceType": "ValueSet",
  "id": "2.16.840.1.113762.1.4.1222.1441",
  "meta": {
    "versionId": "17",
    "lastUpdated": "2024-09-12T15:44:06.000-04:00",
    "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": "MCC eCare Plan Author"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-keyWord",
      "valueString": "MCC_IG"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate",
      "valueDate": "2024-07-13"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate",
      "valueDate": "2024-07-13"
    }
  ],
  "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1441",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113762.1.4.1222.1441"
    }
  ],
  "version": "20240713",
  "name": "DifficultySwallowing",
  "title": "Difficulty Swallowing",
  "status": "active",
  "date": "2024-07-13T01:07:38-04:00",
  "publisher": "HL7 Patient Care WG Steward",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "purpose": "(Clinical Focus: This set of values reflect patients experiencing difficulty swallowing food or liquids.),(Data Element Scope: The intent of this value set is to identify patients experiencing Difficulty Swallowing food or liquid.),(Inclusion Criteria: Includes Difficulty Swallowing related SNOMED CT codes from Findings hierarchy.),(Exclusion Criteria: Excludes Difficulty Swallowing related SNOMED CT codes from Disorder of body system (disorder) hierarchy.)",
  "compose": {
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        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
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            "value": "288939007"
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    ],
    "exclude": [
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        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "filter": [
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            "op": "is-a",
            "value": "64572001"
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        ]
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    ]
  },
  "expansion": {
    "identifier": "urn:uuid:8b54ecc7-409a-4b34-8b01-14062fc7df05",
    "timestamp": "2025-05-23T19:51:50-04:00",
    "total": 12,
    "contains": [
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "162024005",
        "display": "Difficulty swallowing solids (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "162025006",
        "display": "Difficulty swallowing fluid (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "225589000",
        "display": "Chokes when swallowing (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "276715006",
        "display": "Choking in newborn (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "288939007",
        "display": "Difficulty swallowing (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "288945004",
        "display": "Difficulty swallowing food (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "288956004",
        "display": "Difficulty swallowing thickened fluid (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "288962009",
        "display": "Difficulty swallowing saliva (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "288967003",
        "display": "Difficulty initiating swallowing reflex (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "306778008",
        "display": "Difficulty swallowing soft foods (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "398999006",
        "display": "Uncompensated swallowing impairment (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "8801000175101",
        "display": "Difficulty swallowing pills (finding)"
      }
    ]
  }
}