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{
  "resourceType": "ValueSet",
  "id": "2.16.840.1.113883.1.11.20.2.7",
  "meta": {
    "versionId": "44",
    "lastUpdated": "2025-01-29T01:03:05.000-05:00",
    "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": "AND Author"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate",
      "valueDate": "2025-01-29"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate",
      "valueDate": "2025-01-29"
    }
  ],
  "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.20.2.7",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.1.11.20.2.7"
    }
  ],
  "version": "20250129",
  "name": "NutritionalStatus",
  "title": "Nutritional Status",
  "status": "active",
  "date": "2025-01-29T01:03:05-05:00",
  "publisher": "AND Steward",
  "description": "April 2024 Revised to be consistent with NCPT problem list",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "purpose": "(Clinical Focus: A Value Set of SNOMED CT codes representing nutrition diagnoses (problems).),(Data Element Scope: Data for nutrition problem(s) identification.),(Inclusion Criteria: Nutrition problems that reveal person's immediate or longer-term nutritional status.),(Exclusion Criteria: Nutrition assessment data and interventions.)",
  "compose": {
    "include": [
      {
        "system": "http://snomed.info/sct",
        "concept": [
          {
            "code": "107647005",
            "display": "Weight finding (finding)"
          },
          {
            "code": "1141822009",
            "display": "Composition of nutritional intake of protein and/or protein derivative inconsistent with requirement (finding)"
          },
          {
            "code": "1141823004",
            "display": "Composition of nutritional intake of fat and oil inconsistent with requirement (finding)"
          },
          {
            "code": "1141825006",
            "display": "Composition of nutritional intake of amino acid inconsistent with requirement (finding)"
          },
          {
            "code": "1144812004",
            "display": "Inadequate intake of vitamin B6 and/or vitamin B6 derivative (finding)"
          },
          {
            "code": "1144813009",
            "display": "Excessive intake of vitamin B6 and/or vitamin B6 derivative (finding)"
          },
          {
            "code": "1144935002",
            "display": "Inadequate intake of vitamin B12 and/or vitamin B12 derivative (finding)"
          },
          {
            "code": "1144995004",
            "display": "Excessive intake of vitamin B12 and/or vitamin B12 derivative (finding)"
          },
          {
            "code": "1148947003",
            "display": "Excessive chloride salt intake (finding)"
          },
          {
            "code": "1148948008",
            "display": "Inadequate chloride salt intake (finding)"
          },
          {
            "code": "1148988003",
            "display": "Inadequate sulfate salt intake (finding)"
          },
          {
            "code": "1148989006",
            "display": "Excessive sulfate salt intake (finding)"
          },
          {
            "code": "1149197005",
            "display": "Above expected nutrient requirement (finding)"
          },
          {
            "code": "1149230003",
            "display": "Able to adhere to self-monitoring regimen with difficulty (finding)"
          },
          {
            "code": "1149231004",
            "display": "Absence of readiness for nutrition behavior change (situation)"
          },
          {
            "code": "1149289005",
            "display": "Able to perform food and/or nutrition skill with difficulty (finding)"
          },
          {
            "code": "1149369006",
            "display": "Deficient knowledge of food and/or nutrition (finding)"
          },
          {
            "code": "1155680000",
            "display": "Limited access to nutrition supplies (finding)"
          },
          {
            "code": "1156255004",
            "display": "Composition of nutritional intake of carbohydrate inconsistent with requirement (finding)"
          },
          {
            "code": "1163267006",
            "display": "Able to access potable water with difficulty (finding)"
          },
          {
            "code": "1163268001",
            "display": "Absence of nutrition problem (situation)"
          },
          {
            "code": "1251555003",
            "display": "Attitude that hinders food and/or nutrition behavior change (finding)"
          },
          {
            "code": "1251556002",
            "display": "Belief that hinders food and/or nutrition behavior change (finding)"
          },
          {
            "code": "139104001",
            "display": "Excessive fluid intake (finding)"
          },
          {
            "code": "160592001",
            "display": "Alcohol intake above recommended sensible limits (finding)"
          },
          {
            "code": "162020001",
            "display": "Difficulty chewing (finding)"
          },
          {
            "code": "238131007",
            "display": "Overweight (finding)"
          },
          {
            "code": "248342006",
            "display": "Underweight (finding)"
          },
          {
            "code": "2492009",
            "display": "Nutritional disorder (disorder)"
          },
          {
            "code": "249481003",
            "display": "Finding of insufficient fluid intake (finding)"
          },
          {
            "code": "284648005",
            "display": "Dietary intake finding (finding)"
          },
          {
            "code": "286457005",
            "display": "Difficulty preparing food for eating (finding)"
          },
          {
            "code": "288939007",
            "display": "Difficulty swallowing (finding)"
          },
          {
            "code": "289004002",
            "display": "Difficulty feeding self (finding)"
          },
          {
            "code": "289084000",
            "display": "Difficulty performing breast-feeding (finding)"
          },
          {
            "code": "289164001",
            "display": "Finding of fluid intake (finding)"
          },
          {
            "code": "304900007",
            "display": "Difficulty complying with treatment (finding)"
          },
          {
            "code": "308658001",
            "display": "Abnormal eating pattern (finding)"
          },
          {
            "code": "366358006",
            "display": "Finding of nutrient intake (finding)"
          },
          {
            "code": "408512008",
            "display": "Body mass index 40+ - severely obese (finding)"
          },
          {
            "code": "413300002",
            "display": "Exercise below recommended level (finding)"
          },
          {
            "code": "414916001",
            "display": "Obesity (disorder)"
          },
          {
            "code": "424805008",
            "display": "Exercise above recommended level (finding)"
          },
          {
            "code": "424890008",
            "display": "Unbalanced diet (finding)"
          },
          {
            "code": "440291000124105",
            "display": "Below expected nutrient requirement (finding)"
          },
          {
            "code": "440301000124106",
            "display": "Below expected growth rate (finding)"
          },
          {
            "code": "440311000124109",
            "display": "Excessive growth rate (finding)"
          },
          {
            "code": "440321000124101",
            "display": "Inadequate oral intake (finding)"
          },
          {
            "code": "440331000124103",
            "display": "Predicted inadequate energy intake (finding)"
          },
          {
            "code": "440341000124108",
            "display": "Predicted excessive energy intake (finding)"
          },
          {
            "code": "440351000124105",
            "display": "Excessive oral intake (finding)"
          },
          {
            "code": "440361000124107",
            "display": "Inadequate enteral nutrition infusion (finding)"
          },
          {
            "code": "440371000124100",
            "display": "Inadequate parenteral nutrition infusion (finding)"
          },
          {
            "code": "440381000124102",
            "display": "Excessive enteral nutrition infusion (finding)"
          },
          {
            "code": "440391000124104",
            "display": "Excessive parenteral nutrition infusion (finding)"
          },
          {
            "code": "440401000124102",
            "display": "Bioactive substance intake finding (finding)"
          },
          {
            "code": "440411000124104",
            "display": "Inadequate bioactive substance intake (finding)"
          },
          {
            "code": "440421000124107",
            "display": "Excessive bioactive substance intake (finding)"
          },
          {
            "code": "440431000124105",
            "display": "Inadequate beta glucan intake (finding)"
          },
          {
            "code": "440441000124100",
            "display": "Inadequate plant stanol ester intake (finding)"
          },
          {
            "code": "440451000124103",
            "display": "Inadequate plant sterol ester intake (finding)"
          },
          {
            "code": "440461000124101",
            "display": "Inadequate psyllium intake (finding)"
          },
          {
            "code": "440471000124108",
            "display": "Inadequate soy protein intake (finding)"
          },
          {
            "code": "440481000124106",
            "display": "Excessive beta glucan intake (finding)"
          },
          {
            "code": "440491000124109",
            "display": "Excessive caffeine intake (finding)"
          },
          {
            "code": "440501000124101",
            "display": "Excessive non-nutritive food additive intake (finding)"
          },
          {
            "code": "440511000124103",
            "display": "Excessive plant stanol ester intake (finding)"
          },
          {
            "code": "440521000124106",
            "display": "Excessive plant sterol ester intake (finding)"
          },
          {
            "code": "440531000124109",
            "display": "Excessive psyllium intake (finding)"
          },
          {
            "code": "440541000124104",
            "display": "Excessive soy protein intake (finding)"
          },
          {
            "code": "440721000124102",
            "display": "Inadequate intake of pantothenic acid (finding)"
          },
          {
            "code": "440731000124104",
            "display": "Inadequate intake of biotin (finding)"
          },
          {
            "code": "440761000124108",
            "display": "Excessive intake of pantothenic acid (finding)"
          },
          {
            "code": "440771000124101",
            "display": "Excessive intake of biotin (finding)"
          },
          {
            "code": "440791000124100",
            "display": "Inadequate magnesium intake (finding)"
          },
          {
            "code": "440801000124104",
            "display": "Inadequate phosphorus intake (finding)"
          },
          {
            "code": "440811000124101",
            "display": "Inadequate sodium intake (finding)"
          },
          {
            "code": "440831000124107",
            "display": "Inadequate intake of fluoride (finding)"
          },
          {
            "code": "440841000124102",
            "display": "Inadequate intake of copper (finding)"
          },
          {
            "code": "440851000124100",
            "display": "Inadequate intake of iodine (finding)"
          },
          {
            "code": "440861000124103",
            "display": "Inadequate intake of selenium (finding)"
          },
          {
            "code": "440871000124105",
            "display": "Inadequate intake of manganese (finding)"
          },
          {
            "code": "440881000124108",
            "display": "Inadequate intake of chromium (finding)"
          },
          {
            "code": "440891000124106",
            "display": "Inadequate intake of molybdenum (finding)"
          },
          {
            "code": "440901000124105",
            "display": "Inadequate boron intake (finding)"
          },
          {
            "code": "440911000124108",
            "display": "Inadequate cobalt intake (finding)"
          },
          {
            "code": "440921000124100",
            "display": "Excessive sodium intake (finding)"
          },
          {
            "code": "440941000124107",
            "display": "Excessive magnesium intake (finding)"
          },
          {
            "code": "440961000124106",
            "display": "Excessive intake of fluoride (finding)"
          },
          {
            "code": "440971000124104",
            "display": "Excessive intake of iodine (finding)"
          },
          {
            "code": "440981000124101",
            "display": "Excessive intake of selenium (finding)"
          },
          {
            "code": "440991000124103",
            "display": "Excessive intake of manganese (finding)"
          },
          {
            "code": "441001000124102",
            "display": "Excessive intake of chromium (finding)"
          },
          {
            "code": "441011000124104",
            "display": "Excessive intake of molybdenum (finding)"
          },
          {
            "code": "441021000124107",
            "display": "Excessive boron intake (finding)"
          },
          {
            "code": "441031000124105",
            "display": "Excessive cobalt intake (finding)"
          },
          {
            "code": "441361000124104",
            "display": "Unintentional weight gain (finding)"
          },
          {
            "code": "441871000124101",
            "display": "Excessive intake of copper (finding)"
          },
          {
            "code": "441901000124101",
            "display": "Inadequate vitamin intake (finding)"
          },
          {
            "code": "441911000124103",
            "display": "Excessive vitamin intake (finding)"
          },
          {
            "code": "441921000124106",
            "display": "Inadequate mineral intake (finding)"
          },
          {
            "code": "441931000124109",
            "display": "Excessive mineral intake (finding)"
          },
          {
            "code": "441941000124104",
            "display": "Limited food acceptance (finding)"
          },
          {
            "code": "441951000124102",
            "display": "Starvation-related malnutrition (disorder)"
          },
          {
            "code": "441961000124100",
            "display": "Acute disease or injury-related malnutrition (disorder)"
          },
          {
            "code": "441971000124107",
            "display": "Chronic disease-related malnutrition (disorder)"
          },
          {
            "code": "442618008",
            "display": "Abnormal finding on evaluation procedure (finding)"
          },
          {
            "code": "443371000124107",
            "display": "Obese class I (finding)"
          },
          {
            "code": "443381000124105",
            "display": "Obese class II (finding)"
          },
          {
            "code": "444862003",
            "display": "Childhood obesity (disorder)"
          },
          {
            "code": "445311000124104",
            "display": "Enteral nutrition administration method inappropriate (finding)"
          },
          {
            "code": "445321000124107",
            "display": "Parenteral nutrition administration method inappropriate (finding)"
          },
          {
            "code": "445391000124109",
            "display": "At increased risk of drug interaction with food (finding)"
          },
          {
            "code": "445401000124106",
            "display": "At increased risk for breastfeeding difficulty (finding)"
          },
          {
            "code": "445431000124103",
            "display": "Composition of parenteral nutrition inappropriate (finding)"
          },
          {
            "code": "445441000124108",
            "display": "Composition of enteral nutrition inappropriate (finding)"
          },
          {
            "code": "448765001",
            "display": "Unintentional weight loss (finding)"
          },
          {
            "code": "57669007",
            "display": "Increased metabolic requirement (finding)"
          },
          {
            "code": "61578001",
            "display": "Abnormal digestive tract function (finding)"
          },
          {
            "code": "65404009",
            "display": "Undernutrition (disorder)"
          },
          {
            "code": "698859001",
            "display": "Impaired nutrient utilization (finding)"
          },
          {
            "code": "698879009",
            "display": "Intake of unsafe food (finding)"
          },
          {
            "code": "700360000",
            "display": "Predicted excessive nutrient intake (finding)"
          },
          {
            "code": "700361001",
            "display": "Predicted inadequate nutrient intake (finding)"
          },
          {
            "code": "707844006",
            "display": "Inconsistent carbohydrate intake (finding)"
          },
          {
            "code": "707847004",
            "display": "Imbalance of nutrient intake (finding)"
          },
          {
            "code": "733423003",
            "display": "Food insecurity (finding)"
          },
          {
            "code": "772791006",
            "display": "Sarcopenia (disorder)"
          },
          {
            "code": "792808008",
            "display": "Inadequate intake of folate and/or folate derivative (finding)"
          },
          {
            "code": "792809000",
            "display": "Excessive intake of folate and/or folate derivative (finding)"
          },
          {
            "code": "846619006",
            "display": "Excessive intake of fat and oil (finding)"
          },
          {
            "code": "870404000",
            "display": "Excessive intake of carbohydrate (finding)"
          },
          {
            "code": "870405004",
            "display": "Inadequate intake of carbohydrate (finding)"
          },
          {
            "code": "870465001",
            "display": "Excessive intake of vitamin A and/or vitamin A derivative (finding)"
          },
          {
            "code": "870466000",
            "display": "Inadequate intake of vitamin A and/or vitamin A derivative (finding)"
          },
          {
            "code": "870471007",
            "display": "Excessive intake of vitamin D and/or vitamin D derivative (finding)"
          },
          {
            "code": "870472000",
            "display": "Inadequate intake of vitamin D and/or vitamin D derivative (finding)"
          },
          {
            "code": "870473005",
            "display": "Excessive intake of vitamin E and/or vitamin E derivative (finding)"
          },
          {
            "code": "870474004",
            "display": "Inadequate intake of vitamin E and/or vitamin E derivative (finding)"
          },
          {
            "code": "870475003",
            "display": "Excessive intake of vitamin K and/or vitamin K derivative (finding)"
          },
          {
            "code": "870476002",
            "display": "Inadequate intake of vitamin K and/or vitamin K derivative (finding)"
          },
          {
            "code": "876833001",
            "display": "Excessive intake of iron (finding)"
          },
          {
            "code": "876834007",
            "display": "Excessive intake of plant fiber (finding)"
          },
          {
            "code": "878789008",
            "display": "Inadequate intake of energy (finding)"
          },
          {
            "code": "878790004",
            "display": "Excessive intake of energy (finding)"
          },
          {
            "code": "878899005",
            "display": "Inadequate intake of plant fiber (finding)"
          },
          {
            "code": "878901001",
            "display": "Excessive intake of protein and/or protein derivative (finding)"
          },
          {
            "code": "880102003",
            "display": "Excessive intake of niacin (finding)"
          },
          {
            "code": "880103008",
            "display": "Inadequate intake of niacin (finding)"
          },
          {
            "code": "880104002",
            "display": "Excessive intake of riboflavin (finding)"
          },
          {
            "code": "880105001",
            "display": "Inadequate intake of riboflavin (finding)"
          },
          {
            "code": "880106000",
            "display": "Excessive intake of thiamine (finding)"
          },
          {
            "code": "880107009",
            "display": "Inadequate intake of thiamine (finding)"
          },
          {
            "code": "880108004",
            "display": "Excessive intake of ascorbic acid (finding)"
          },
          {
            "code": "880109007",
            "display": "Inadequate intake of ascorbic acid (finding)"
          },
          {
            "code": "880110002",
            "display": "Inadequate intake of fat and oil (finding)"
          },
          {
            "code": "890465009",
            "display": "Excessive intake of calcium (finding)"
          },
          {
            "code": "890466005",
            "display": "Inadequate intake of calcium (finding)"
          },
          {
            "code": "890467001",
            "display": "Excessive intake of potassium (finding)"
          },
          {
            "code": "890468006",
            "display": "Inadequate intake of potassium (finding)"
          },
          {
            "code": "890471003",
            "display": "Excessive intake of zinc (finding)"
          },
          {
            "code": "890472005",
            "display": "Inadequate intake of zinc (finding)"
          },
          {
            "code": "890473000",
            "display": "Excessive intake of phosphorus (finding)"
          },
          {
            "code": "895530008",
            "display": "Inadequate intake of iron (finding)"
          },
          {
            "code": "897491008",
            "display": "Inadequate intake of protein and/or protein derivative (finding)"
          },
          {
            "code": "95907004",
            "display": "Drug interaction with food (finding)"
          }
        ]
      }
    ]
  },
  "expansion": {
    "identifier": "urn:uuid:eec248b4-efb9-41cf-a1e9-7e59fdd13c5d",
    "timestamp": "2025-05-23T21:31:25-04:00",
    "total": 166,
    "contains": [
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "107647005",
        "display": "Weight finding (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "1141822009",
        "display": "Composition of nutritional intake of protein and/or protein derivative inconsistent with requirement (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "1141823004",
        "display": "Composition of nutritional intake of fat and oil inconsistent with requirement (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "1141825006",
        "display": "Composition of nutritional intake of amino acid inconsistent with requirement (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "1144812004",
        "display": "Inadequate intake of vitamin B6 and/or vitamin B6 derivative (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "1144813009",
        "display": "Excessive intake of vitamin B6 and/or vitamin B6 derivative (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "1144935002",
        "display": "Inadequate intake of vitamin B12 and/or vitamin B12 derivative (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "1144995004",
        "display": "Excessive intake of vitamin B12 and/or vitamin B12 derivative (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "1148947003",
        "display": "Excessive chloride salt intake (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "1148948008",
        "display": "Inadequate chloride salt intake (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "1148988003",
        "display": "Inadequate sulfate salt intake (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "1148989006",
        "display": "Excessive sulfate salt intake (finding)"
      },
      {
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