Da Vinci Risk Adjustment Implementation Guide
1.0.0 - STU 1 US

This page is part of the Da Vinci Risk Adjustment FHIR Implementation Guide (v1.0.0: STU 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Example CMS Hierarchical Condition Category Value Set - TTL Representation

Active as of 2022-06-16

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:ValueSet;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "example-cmshcc"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-cmshcc.html\"><code>http://terminology.hl7.org/CodeSystem/cmshcc</code></a> version <code>24</code><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>1</td><td>HIV/AIDS</td></tr><tr><td>2</td><td>Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock</td></tr><tr><td>6</td><td>Opportunistic Infections</td></tr><tr><td>8</td><td>Metastatic Cancer and Acute Leukemia</td></tr><tr><td>9</td><td>Lung and Other Severe Cancers</td></tr><tr><td>10</td><td>Lymphoma and Other Cancers</td></tr><tr><td>11</td><td>Colorectal, Bladder, and Other Cancers</td></tr><tr><td>12</td><td>Breast, Prostate, and Other Cancers and Tumors</td></tr><tr><td>17</td><td>Diabetes with Acute Complications</td></tr><tr><td>18</td><td>Diabetes with Chronic Complications</td></tr><tr><td>19</td><td>Diabetes without Complication</td></tr><tr><td>21</td><td>Protein-Calorie Malnutrition</td></tr><tr><td>22</td><td>Morbid Obesity</td></tr><tr><td>23</td><td>Other Significant Endocrine and Metabolic Disorders</td></tr><tr><td>27</td><td>End-Stage Liver Disease</td></tr><tr><td>28</td><td>Cirrhosis of Liver</td></tr><tr><td>29</td><td>Chronic Hepatitis</td></tr><tr><td>33</td><td>Intestinal Obstruction/Perforation</td></tr><tr><td>34</td><td>Chronic Pancreatitis</td></tr><tr><td>35</td><td>Inflammatory Bowel Disease</td></tr><tr><td>39</td><td>Bone/Joint/Muscle Infections/Necrosis</td></tr><tr><td>40</td><td>Rheumatoid Arthritis and Inflammatory Connective Tissue Disease</td></tr><tr><td>46</td><td>Severe Hematological Disorders</td></tr><tr><td>47</td><td>Disorders of Immunity</td></tr><tr><td>48</td><td>Coagulation Defects and Other Specified Hematological Disorders</td></tr><tr><td>51</td><td>Dementia With Complications</td></tr><tr><td>52</td><td>Dementia Without Complication</td></tr><tr><td>54</td><td>Substance Use with Psychotic Complications</td></tr><tr><td>55</td><td>Substance Use Disorder, Moderate/Severe, or Substance Use with Complications</td></tr><tr><td>56</td><td>Substance Use Disorder, Mild, Except Alcohol and Cannabis</td></tr><tr><td>57</td><td>Schizophrenia</td></tr><tr><td>58</td><td>Reactive and Unspecified Psychosis</td></tr><tr><td>59</td><td>Major Depressive, Bipolar, and Paranoid Disorders</td></tr><tr><td>60</td><td>Personality Disorders</td></tr><tr><td>70</td><td>Quadriplegia</td></tr><tr><td>71</td><td>Paraplegia</td></tr><tr><td>72</td><td>Spinal Cord Disorders/Injuries</td></tr><tr><td>73</td><td>Amyotrophic Lateral Sclerosis and Other Motor Neuron Disease</td></tr><tr><td>74</td><td>Cerebral Palsy</td></tr><tr><td>75</td><td>Myasthenia Gravis/Myoneural Disorders and Guillain-Barre Syndrome/Inflammatory and Toxic Neuropathy</td></tr><tr><td>76</td><td>Muscular Dystrophy</td></tr><tr><td>77</td><td>Multiple Sclerosis</td></tr><tr><td>78</td><td>Parkinson's and Huntington's Diseases</td></tr><tr><td>79</td><td>Seizure Disorders and Convulsions</td></tr><tr><td>80</td><td>Coma, Brain Compression/Anoxic Damage</td></tr><tr><td>82</td><td>Respirator Dependence/Tracheostomy Status</td></tr><tr><td>83</td><td>Respiratory Arrest</td></tr><tr><td>84</td><td>Cardio-Respiratory Failure and Shock</td></tr><tr><td>85</td><td>Congestive Heart Failure</td></tr><tr><td>86</td><td>Acute Myocardial Infarction</td></tr><tr><td>87</td><td>Unstable Angina and Other Acute Ischemic Heart Disease</td></tr><tr><td>88</td><td>Angina Pectoris</td></tr><tr><td>96</td><td>Specified Heart Arrhythmias</td></tr><tr><td>99</td><td>Intracranial Hemorrhage</td></tr><tr><td>100</td><td>Ischemic or Unspecified Stroke</td></tr><tr><td>103</td><td>Hemiplegia/Hemiparesis</td></tr><tr><td>104</td><td>Monoplegia, Other Paralytic Syndromes</td></tr><tr><td>106</td><td>Atherosclerosis of the Extremities with Ulceration or Gangrene</td></tr><tr><td>107</td><td>Vascular Disease with Complications</td></tr><tr><td>108</td><td>Vascular Disease</td></tr><tr><td>110</td><td>Cystic Fibrosis</td></tr><tr><td>111</td><td>Chronic Obstructive Pulmonary Disease</td></tr><tr><td>112</td><td>Fibrosis of Lung and Other Chronic Lung Disorders</td></tr><tr><td>114</td><td>Aspiration and Specified Bacterial Pneumonias</td></tr><tr><td>115</td><td>Pneumococcal Pneumonia, Empyema, Lung Abscess</td></tr><tr><td>122</td><td>Proliferative Diabetic Retinopathy and Vitreous Hemorrhage</td></tr><tr><td>124</td><td>Exudative Macular Degeneration</td></tr><tr><td>134</td><td>Dialysis Status</td></tr><tr><td>135</td><td>Acute Renal Failure</td></tr><tr><td>136</td><td>Chronic Kidney Disease, Stage 5</td></tr><tr><td>137</td><td>Chronic Kidney Disease, Severe (Stage 4)</td></tr><tr><td>138</td><td>Chronic Kidney Disease, Moderate (Stage 3)</td></tr><tr><td>157</td><td>Pressure Ulcer of Skin with Necrosis Through to Muscle, Tendon, or Bone</td></tr><tr><td>158</td><td>Pressure Ulcer of Skin with Full Thickness Skin Loss</td></tr><tr><td>159</td><td>Pressure Ulcer of Skin with Partial Thickness Skin Loss</td></tr><tr><td>161</td><td>Chronic Ulcer of Skin, Except Pressure</td></tr><tr><td>162</td><td>Severe Skin Burn or Condition</td></tr><tr><td>166</td><td>Severe Head Injury</td></tr><tr><td>167</td><td>Major Head Injury</td></tr><tr><td>169</td><td>Vertebral Fractures without Spinal Cord Injury</td></tr><tr><td>170</td><td>Hip Fracture/Dislocation</td></tr><tr><td>173</td><td>Traumatic Amputations and Complications</td></tr><tr><td>176</td><td>Complications of Specified Implanted Device or Graft</td></tr><tr><td>186</td><td>Major Organ Transplant or Replacement Status</td></tr><tr><td>188</td><td>Artificial Openings for Feeding or Elimination</td></tr><tr><td>189</td><td>Amputation Status, Lower Limb/Amputation Complications</td></tr></table></li></ul></div>"
  ];
  fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/ValueSet/example-cmshcc"];
  fhir:ValueSet.version [ fhir:value "1.0.0"];
  fhir:ValueSet.name [ fhir:value "ExampleCMSHCCValueSet"];
  fhir:ValueSet.title [ fhir:value "Example CMS Hierarchical Condition Category Value Set"];
  fhir:ValueSet.status [ fhir:value "active"];
  fhir:ValueSet.experimental [ fhir:value "true"^^xsd:boolean];
  fhir:ValueSet.date [ fhir:value "2022-06-16T14:23:36+00:00"^^xsd:dateTime];
  fhir:ValueSet.publisher [ fhir:value "HL7 Clinical Quality Information Work Group"];
  fhir:ValueSet.contact [
     fhir:index 0;
     fhir:ContactDetail.name [ fhir:value "HL7 Clinical Quality Information Work Group" ];
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/cqi" ]     ]
  ];
  fhir:ValueSet.description [ fhir:value "This is an example value set with concepts drawn from the CMS Hierarchical Condition Categories (CMS-HCC) code system version 24. The source of the codes included in this example value set is published on https://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Downloads/Announcement2020.pdf. The CMS-HCC model uses more than 9,000 ICD-10-CM codes, which are mapped to condition categories (CCs) that predict costs well. The condition categories (CCs) are based on diagnoses clinically related to one another and with similar predicted cost implications. Hierarchies are imposed on the Condition Categories (CCs) to capture the most costly diagnoses. Hierarchy logic is imposed on certain Condition Categories (CCs) to account for different hierarchical costs, thus, the term Hierarchical Condition Category, or HCC."];
  fhir:ValueSet.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ];
       fhir:Coding.display [ fhir:value "United States of America" ]     ]
  ];
  fhir:ValueSet.copyright [ fhir:value "Used by permission of HL7 International - Clinical Quality Information Work Group, all rights reserved Creative Commons License"];
  fhir:ValueSet.compose [
     fhir:ValueSet.compose.include [
       fhir:index 0;
       fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/cmshcc" ];
       fhir:ValueSet.compose.include.version [ fhir:value "24" ];
       fhir:ValueSet.compose.include.concept [
         fhir:index 0;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "1" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "HIV/AIDS" ]       ], [
         fhir:index 1;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "2" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock" ]       ], [
         fhir:index 2;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "6" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Opportunistic Infections" ]       ], [
         fhir:index 3;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "8" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Metastatic Cancer and Acute Leukemia" ]       ], [
         fhir:index 4;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "9" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Lung and Other Severe Cancers" ]       ], [
         fhir:index 5;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "10" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Lymphoma and Other Cancers" ]       ], [
         fhir:index 6;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "11" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Colorectal, Bladder, and Other Cancers" ]       ], [
         fhir:index 7;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "12" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Breast, Prostate, and Other Cancers and Tumors" ]       ], [
         fhir:index 8;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "17" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Diabetes with Acute Complications" ]       ], [
         fhir:index 9;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "18" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Diabetes with Chronic Complications" ]       ], [
         fhir:index 10;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "19" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Diabetes without Complication" ]       ], [
         fhir:index 11;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "21" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Protein-Calorie Malnutrition" ]       ], [
         fhir:index 12;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "22" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Morbid Obesity" ]       ], [
         fhir:index 13;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "23" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Other Significant Endocrine and Metabolic Disorders" ]       ], [
         fhir:index 14;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "27" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "End-Stage Liver Disease" ]       ], [
         fhir:index 15;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "28" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Cirrhosis of Liver" ]       ], [
         fhir:index 16;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "29" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Chronic Hepatitis" ]       ], [
         fhir:index 17;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "33" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Intestinal Obstruction/Perforation" ]       ], [
         fhir:index 18;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "34" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Chronic Pancreatitis" ]       ], [
         fhir:index 19;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "35" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Inflammatory Bowel Disease" ]       ], [
         fhir:index 20;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "39" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Bone/Joint/Muscle Infections/Necrosis" ]       ], [
         fhir:index 21;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "40" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rheumatoid Arthritis and Inflammatory Connective Tissue Disease" ]       ], [
         fhir:index 22;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "46" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Severe Hematological Disorders" ]       ], [
         fhir:index 23;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "47" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Disorders of Immunity" ]       ], [
         fhir:index 24;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "48" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Coagulation Defects and Other Specified Hematological Disorders" ]       ], [
         fhir:index 25;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "51" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Dementia With Complications" ]       ], [
         fhir:index 26;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "52" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Dementia Without Complication" ]       ], [
         fhir:index 27;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "54" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Substance Use with Psychotic Complications" ]       ], [
         fhir:index 28;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "55" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Substance Use Disorder, Moderate/Severe, or Substance Use with Complications" ]       ], [
         fhir:index 29;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "56" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Substance Use Disorder, Mild, Except Alcohol and Cannabis" ]       ], [
         fhir:index 30;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "57" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Schizophrenia" ]       ], [
         fhir:index 31;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "58" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reactive and Unspecified Psychosis" ]       ], [
         fhir:index 32;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "59" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Major Depressive, Bipolar, and Paranoid Disorders" ]       ], [
         fhir:index 33;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "60" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Personality Disorders" ]       ], [
         fhir:index 34;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "70" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Quadriplegia" ]       ], [
         fhir:index 35;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "71" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Paraplegia" ]       ], [
         fhir:index 36;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "72" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Spinal Cord Disorders/Injuries" ]       ], [
         fhir:index 37;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "73" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Amyotrophic Lateral Sclerosis and Other Motor Neuron Disease" ]       ], [
         fhir:index 38;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "74" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Cerebral Palsy" ]       ], [
         fhir:index 39;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "75" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Myasthenia Gravis/Myoneural Disorders and Guillain-Barre Syndrome/Inflammatory and Toxic Neuropathy" ]       ], [
         fhir:index 40;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "76" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Muscular Dystrophy" ]       ], [
         fhir:index 41;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "77" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Multiple Sclerosis" ]       ], [
         fhir:index 42;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "78" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Parkinson's and Huntington's Diseases" ]       ], [
         fhir:index 43;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "79" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Seizure Disorders and Convulsions" ]       ], [
         fhir:index 44;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "80" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Coma, Brain Compression/Anoxic Damage" ]       ], [
         fhir:index 45;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "82" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Respirator Dependence/Tracheostomy Status" ]       ], [
         fhir:index 46;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "83" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Respiratory Arrest" ]       ], [
         fhir:index 47;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "84" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Cardio-Respiratory Failure and Shock" ]       ], [
         fhir:index 48;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "85" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Congestive Heart Failure" ]       ], [
         fhir:index 49;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "86" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Acute Myocardial Infarction" ]       ], [
         fhir:index 50;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "87" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Unstable Angina and Other Acute Ischemic Heart Disease" ]       ], [
         fhir:index 51;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "88" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Angina Pectoris" ]       ], [
         fhir:index 52;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "96" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Specified Heart Arrhythmias" ]       ], [
         fhir:index 53;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "99" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Intracranial Hemorrhage" ]       ], [
         fhir:index 54;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "100" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Ischemic or Unspecified Stroke" ]       ], [
         fhir:index 55;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "103" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Hemiplegia/Hemiparesis" ]       ], [
         fhir:index 56;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "104" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Monoplegia, Other Paralytic Syndromes" ]       ], [
         fhir:index 57;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "106" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Atherosclerosis of the Extremities with Ulceration or Gangrene" ]       ], [
         fhir:index 58;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "107" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Vascular Disease with Complications" ]       ], [
         fhir:index 59;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "108" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Vascular Disease" ]       ], [
         fhir:index 60;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "110" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Cystic Fibrosis" ]       ], [
         fhir:index 61;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "111" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Chronic Obstructive Pulmonary Disease" ]       ], [
         fhir:index 62;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "112" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Fibrosis of Lung and Other Chronic Lung Disorders" ]       ], [
         fhir:index 63;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "114" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Aspiration and Specified Bacterial Pneumonias" ]       ], [
         fhir:index 64;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "115" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Pneumococcal Pneumonia, Empyema, Lung Abscess" ]       ], [
         fhir:index 65;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "122" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Proliferative Diabetic Retinopathy and Vitreous Hemorrhage" ]       ], [
         fhir:index 66;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "124" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Exudative Macular Degeneration" ]       ], [
         fhir:index 67;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "134" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Dialysis Status" ]       ], [
         fhir:index 68;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "135" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Acute Renal Failure" ]       ], [
         fhir:index 69;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "136" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Chronic Kidney Disease, Stage 5" ]       ], [
         fhir:index 70;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "137" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Chronic Kidney Disease, Severe (Stage 4)" ]       ], [
         fhir:index 71;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "138" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Chronic Kidney Disease, Moderate (Stage 3)" ]       ], [
         fhir:index 72;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "157" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Pressure Ulcer of Skin with Necrosis Through to Muscle, Tendon, or Bone" ]       ], [
         fhir:index 73;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "158" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Pressure Ulcer of Skin with Full Thickness Skin Loss" ]       ], [
         fhir:index 74;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "159" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Pressure Ulcer of Skin with Partial Thickness Skin Loss" ]       ], [
         fhir:index 75;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "161" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Chronic Ulcer of Skin, Except Pressure" ]       ], [
         fhir:index 76;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "162" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Severe Skin Burn or Condition" ]       ], [
         fhir:index 77;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "166" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Severe Head Injury" ]       ], [
         fhir:index 78;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "167" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Major Head Injury" ]       ], [
         fhir:index 79;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "169" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Vertebral Fractures without Spinal Cord Injury" ]       ], [
         fhir:index 80;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "170" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Hip Fracture/Dislocation" ]       ], [
         fhir:index 81;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "173" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Traumatic Amputations and Complications" ]       ], [
         fhir:index 82;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "176" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Complications of Specified Implanted Device or Graft" ]       ], [
         fhir:index 83;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "186" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Major Organ Transplant or Replacement Status" ]       ], [
         fhir:index 84;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "188" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Artificial Openings for Feeding or Elimination" ]       ], [
         fhir:index 85;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "189" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Amputation Status, Lower Limb/Amputation Complications" ]       ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.