Healthcare Associated Infection Reports, FHIR STU 2 Ballot - US Realm Implementation Guide CI Build

This page is part of the Healthcare Associated Infection Implementation Guide (v1.1.0: STU 2 Ballot 1) based on FHIR R3. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

Turtle Format: ValueSet-2.16.840.1.114222.4.11.3195

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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#> .

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     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>NHSNCriterionOfDiagnosisCode</h2><div><p>Codes for criterion of diagnosis.</p>\n</div><p>This value set includes codes from the following code systems:</p><ul><li>Include these codes as defined in <a href=\"CodeSystem-2.16.840.1.113883.6.277.html\"><code>http://hl7.org/fhir/us/hai/CodeSystem/2.16.840.1.113883.6.277</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1901-8\">1901-8</a></td><td>Not cultured</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1964-6\">1964-6</a></td><td>Allo-SCT with Grade &gt; 3 GI GVHD</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1965-3\">1965-3</a></td><td>Allo- SCT with diarrhea</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1966-1\">1966-1</a></td><td>Positive culture from greater than or equal to two separate tissue or fluid samples from affected joint</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1902-6\">1902-6</a></td><td>Blood culture not done or no organisms detected in blood</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1929-9\">1929-9</a></td><td>&gt;=2 positive cultures with &gt;=10^2 col/ml of same uropathogen from nonvoided specimen</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1931-5\">1931-5</a></td><td>&gt;=2 positive urine cultures with &gt;=10^5 col/cc with no more than 2 organisms</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1923-3\">1923-3</a></td><td>&gt;=5% BAL cells w/bacteria</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1942-2\">1942-2</a></td><td>&gt;15 colonies cultured from IV cannula tip using semiquantitative culture method</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1927-3\">1927-3</a></td><td>1 positive culture with &gt;=10^5 col/cc with no more than 2 organisms</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2403-4\">2403-4</a></td><td>1 positive culture with &gt;=103 CFU/ml and &lt;105 CFU/ml with no more than 2 species of microorganisms</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1930-7\">1930-7</a></td><td>1 positive culture with &lt;=10^5 col/ml of a single uropathogen in patient being treated with an effective antimicrobial agent for UTI</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1938-0\">1938-0</a></td><td>4-fold rise in L. pneumophila antibody titer</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1935-6\">1935-6</a></td><td>4-fold rise in paired sera for pathogen</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1944-8\">1944-8</a></td><td>Common skin contaminant from &gt;2 blood cultures (see NHSN protocol for definition of skin contaminant)</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1937-2\">1937-2</a></td><td>L pneumophila serogroup 1 antigens in urine</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1939-8\">1939-8</a></td><td>Matching positive blood and sputum cultures w/ Candida spp</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1941-4\">1941-4</a></td><td>Other positive laboratory tests</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1955-4\">1955-4</a></td><td>Positive blood culture</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1952-1\">1952-1</a></td><td>Positive culture</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1953-9\">1953-9</a></td><td>Positive culture of pathogen</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1954-7\">1954-7</a></td><td>Positive culture of skin contaminant</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1948-9\">1948-9</a></td><td>Positive culture of virus or Chlamydia</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1936-4\">1936-4</a></td><td>Positive culture or micro-IF of Legionella spp</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1934-9\">1934-9</a></td><td>Positive detection of viral antigen or antibody</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1928-1\">1928-1</a></td><td>Positive dipstick for leukocyte esterase or nitrate</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1943-0\">1943-0</a></td><td>Positive Gram stain when culture is negative or not done</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1950-5\">1950-5</a></td><td>Positive micro-IF test for Chlamydia</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1949-7\">1949-7</a></td><td>Positive PCR for Chlamydia or Mycoplasma</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1946-3\">1946-3</a></td><td>Positive pleural fluid culture</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1947-1\">1947-1</a></td><td>Positive quantitative culture from LRT specimen</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1924-0\">1924-0</a></td><td>Radiographic evidence of infection</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1951-3\">1951-3</a></td><td>Recognized pathogen from one or more blood cultures</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1957-0\">1957-0</a></td><td>Acute onset of diarrhea (liquid stools for &gt; 12 hours)</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1959-6\">1959-6</a></td><td>Apnea, tachycardia, nasal flaring with retraction of chest wall or grunting</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2513-0\">2513-0</a></td><td>Bilateral infiltrates on chest x-ray</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1908-3\">1908-3</a></td><td>Bradycardia or tachycardia</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2516-3\">2516-3</a></td><td>Criterion not otherwise specified</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2514-8\">2514-8</a></td><td>Diffuse hemorrhage</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1940-6\">1940-6</a></td><td>Fungi or Pneumocytis carinii from LRT specimen</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1956-2\">1956-2</a></td><td>Histopathologic exam w/ abscess formation, positive quantitative culture of lung parenchyma, or positive quantitative culture of lung parenchyma, or lung parenchyma invasion by fungal hyphae</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1967-9\">1967-9</a></td><td>Incision deliberately opened or otherwise drained by physician</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1920-8\">1920-8</a></td><td>Localized swelling</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2515-5\">2515-5</a></td><td>Nausea/vomiting</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1903-4\">1903-4</a></td><td>New onset/change in sputum</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1907-5\">1907-5</a></td><td>New onset/change in sputum, increased secretions   or increased suctioning</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1904-2\">1904-2</a></td><td>New onset/worsening cough, dyspnea, tachypnea</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1925-7\">1925-7</a></td><td>New or progressive and persistent infiltrate</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1905-9\">1905-9</a></td><td>Other evidence of infection found on direct exam, during surgery, or by diagnostic tests</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1906-7\">1906-7</a></td><td>Other signs and symptoms</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2517-1\">2517-1</a></td><td>Pain not otherwise specified</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1960-4\">1960-4</a></td><td>Pain or tenderness</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1909-1\">1909-1</a></td><td>Persistent microscopic or gross blood in stools</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1963-8\">1963-8</a></td><td>Physician diagnosis of this event type</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1962-0\">1962-0</a></td><td>Physician institutes appropriate antimicrobial therapy</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1926-5\">1926-5</a></td><td>Pneumatoceles (in &lt;=1 y.o.)</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1921-6\">1921-6</a></td><td>Rales or bronchial breath sounds</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2518-9\">2518-9</a></td><td>Rash not otherwise specified</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1968-7\">1968-7</a></td><td>Sinus tract</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1922-4\">1922-4</a></td><td>Wheezing, rales or rhonchi</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1958-8\">1958-8</a></td><td>Worsening gas exchange</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2320-0\">2320-0</a></td><td>Wound (not related to vascular access) with pus or increased redness</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1971-1\">1971-1</a></td><td>Acute pain, swelling, or tenderness of testes, epididymis, or prostate</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-1972-9\">1972-9</a></td><td>Urine not tested for WBC</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2351-1\">2351-1</a></td><td>Criterion 1 - Positive culture from Endotracheal aspirate without purulent respiratory secretions</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2352-5\">2352-5</a></td><td>Criterion 1 - Positive culture from Bronchoalveolar lavage without purulent respiratory secretions</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2353-3\">2353-3</a></td><td>Criterion 1 - Positive culture from Lung tissue without purulent respiratory secretions</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2354-1\">2354-1</a></td><td>Criterion 1 - Positive culture from Protected specimen brush without purulent respiratory secretions</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2355-9\">2355-9</a></td><td>Criterion 2 - Purulent respiratory secretions plus organism(s)</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2356-4\">2356-4</a></td><td>Criterion 2 - Organisms from Sputum cluture with purulent respiratory secretions</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2357-2\">2357-2</a></td><td>Criterion 2 - Organisms from Endotracheal aspirate culture with purulent respiratory secretions</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2358-0\">2358-0</a></td><td>Criterion 2 - Organisms from Bronchoalveolar lavage culture with purulent respiratory secretions</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2359-8\">2359-8</a></td><td>Criterion 2 - Organisms from Lung tissue culture with purulent respiratory secretions</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2360-1\">2360-1</a></td><td>Criterion 2 - Organisms from Protected specimen brush culture with purulent respiratory secretions</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2361-0\">2361-0</a></td><td>Criterion 3 - Positive test Organism(s) identified from pleural fluid</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2362-4\">2362-4</a></td><td>Criterion 3 - Positive test for Lung histopathology</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2363-2\">2363-2</a></td><td>Criterion 3 - Positive Diagnostic test for Legionella species</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2364-0\">2364-0</a></td><td>Criterion 3 - Positive Diagnostic test for selected viral pathogens</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2346-5\">2346-5</a></td><td>Daily min FiO2 increase &gt; 0.20 (20 points) for &gt; 2 days</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2347-3\">2347-3</a></td><td>Daily min PEEP increase &gt; 3 cm H2O for &gt; 2 days</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2348-1\">2348-1</a></td><td>Temperature &gt; 380 C or &lt; 360 C</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2349-9\">2349-9</a></td><td>White blood cell count &gt;= 12,000 or &lt;= 4,000 cells/mm3</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-2350-2\">2350-2</a></td><td>A new antimicrobial agent(s) is started, and is continued for &gt;= 4 days</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-3070-0\">3070-0</a></td><td>Common commensal from blood specimen(s) and antibiotics for greater than or equal to 5 days</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-3072-6\">3072-6</a></td><td>Common commensal from cerebrospinal fluid specimen and antibiotics for greater than or equal to 5 days</td><td/></tr><tr><td><a href=\"CodeSystem-2.16.840.1.113883.6.277.html#2.16.840.1.113883.6.277-3071-8\">3071-8</a></td><td>Recognized pathogen from cerebrospinal fluid specimen</td><td/></tr></table></li><li>Include these codes as defined in <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=165517008\">165517008</a></td><td>Neutropenia</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=21522001\">21522001</a></td><td>Abdominal pain</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=128477000\">128477000</a></td><td>Abscess</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=419284004\">419284004</a></td><td>Altered mental status (in &gt;=70 y.o.)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=1023001\">1023001</a></td><td>Apnea</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=161891005\">161891005</a></td><td>Back pain</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=48867003\">48867003</a></td><td>Bradycardia</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=301863008\">301863008</a></td><td>Cavitation</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=128045006\">128045006</a></td><td>Cellulitis</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=29857009\">29857009</a></td><td>Chest pain</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=43724002\">43724002</a></td><td>Chills</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=95436008\">95436008</a></td><td>Consolidation</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=102830001\">102830001</a></td><td>Costovertebral angle tenderness or pain</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=49727002\">49727002</a></td><td>Cough</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=49650001\">49650001</a></td><td>Dysuria</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=267038008\">267038008</a></td><td>Edema</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=386661006\">386661006</a></td><td>Fever</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=12763006\">12763006</a></td><td>Blood pressure decrease</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=24184005\">24184005</a></td><td>Blood pressure increase</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=247355005\">247355005</a></td><td>Flank pain</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=248213001\">248213001</a></td><td>Flushing</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=162116003\">162116003</a></td><td>Frequency of urination</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=25064002\">25064002</a></td><td>Headache</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=304214002\">304214002</a></td><td>Heat</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=34436003\">34436003</a></td><td>Hematuria</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=123767004\">123767004</a></td><td>Hemoglobinemia</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=66857006\">66857006</a></td><td>Hemoptysis</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=247472004\">247472004</a></td><td>Hives</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=45007003\">45007003</a></td><td>Hypotension</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=386689009\">386689009</a></td><td>Hypothermia</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=389087006\">389087006</a></td><td>hypoxemia</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=165775009\">165775009</a></td><td>Positive antibody screen</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=95388000\">95388000</a></td><td>Injection site pain</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=418290006\">418290006</a></td><td>Itching</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=18165001\">18165001</a></td><td>Jaundice</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=214264003\">214264003</a></td><td>Lethargy</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=422587007\">422587007</a></td><td>Nausea</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=83128009\">83128009</a></td><td>oliguria</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=2237002\">2237002</a></td><td>Pleuritic chest pain</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=255320000\">255320000</a></td><td>Purulent drainage or material</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=4800001\">4800001</a></td><td>Pyuria</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=386713009\">386713009</a></td><td>Redness</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=128601007\">128601007</a></td><td>Respiratory infection (including pneumonia)</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=38880002\">38880002</a></td><td>Rigors</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=89138009\">89138009</a></td><td>Shock</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=267036007\">267036007</a></td><td>SOB - Shortness of breath</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=162053006\">162053006</a></td><td>Suprapubic tenderness</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=3424008\">3424008</a></td><td>Tachycardia</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=85623003\">85623003</a></td><td>Temperature instability</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=75088002\">75088002</a></td><td>Urgency</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=39575007\">39575007</a></td><td>Dark urine</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=126485001\">126485001</a></td><td>Urticaria</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=422400008\">422400008</a></td><td>Vomiting</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=56018004\">56018004</a></td><td>Wheezing</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=225553008\">225553008</a></td><td>Wound spontaneously dehisces</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=68566005\">68566005</a></td><td>Urinary tract infection</td><td/></tr><tr><td><a href=\"http://browser.ihtsdotools.org/?perspective=full&amp;conceptId1=414478003\">414478003</a></td><td>Leukocytosis</td><td/></tr></table></li></ul></div>"
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         fhir:ValueSet.compose.include.concept.display [ fhir:value "Pneumatoceles (in <=1 y.o.)" ]       ], [
         fhir:index 56;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "1921-6" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rales or bronchial breath sounds" ]       ], [
         fhir:index 57;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "2518-9" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rash not otherwise specified" ]       ], [
         fhir:index 58;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "1968-7" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Sinus tract" ]       ], [
         fhir:index 59;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "1922-4" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Wheezing, rales or rhonchi" ]       ], [
         fhir:index 60;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "1958-8" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Worsening gas exchange" ]       ], [
         fhir:index 61;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "2320-0" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Wound (not related to vascular access) with pus or increased redness" ]       ], [
         fhir:index 62;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "1971-1" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Acute pain, swelling, or tenderness of testes, epididymis, or prostate" ]       ], [
         fhir:index 63;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "1972-9" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Urine not tested for WBC" ]       ], [
         fhir:index 64;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "2351-1" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Criterion 1 - Positive culture from Endotracheal aspirate without purulent respiratory secretions" ]       ], [
         fhir:index 65;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "2352-5" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Criterion 1 - Positive culture from Bronchoalveolar lavage without purulent respiratory secretions" ]       ], [
         fhir:index 66;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "2353-3" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Criterion 1 - Positive culture from Lung tissue without purulent respiratory secretions" ]       ], [
         fhir:index 67;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "2354-1" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Criterion 1 - Positive culture from Protected specimen brush without purulent respiratory secretions" ]       ], [
         fhir:index 68;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "2355-9" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Criterion 2 - Purulent respiratory secretions plus organism(s)" ]       ], [
         fhir:index 69;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "2356-4" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Criterion 2 - Organisms from Sputum cluture with purulent respiratory secretions" ]       ], [
         fhir:index 70;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "2357-2" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Criterion 2 - Organisms from Endotracheal aspirate culture with purulent respiratory secretions" ]       ], [
         fhir:index 71;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "2358-0" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Criterion 2 - Organisms from Bronchoalveolar lavage culture with purulent respiratory secretions" ]       ], [
         fhir:index 72;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "2359-8" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Criterion 2 - Organisms from Lung tissue culture with purulent respiratory secretions" ]       ], [
         fhir:index 73;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "2360-1" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Criterion 2 - Organisms from Protected specimen brush culture with purulent respiratory secretions" ]       ], [
         fhir:index 74;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "2361-0" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Criterion 3 - Positive test Organism(s) identified from pleural fluid" ]       ], [
         fhir:index 75;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "2362-4" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Criterion 3 - Positive test for Lung histopathology" ]       ], [
         fhir:index 76;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "2363-2" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Criterion 3 - Positive Diagnostic test for Legionella species" ]       ], [
         fhir:index 77;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "2364-0" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Criterion 3 - Positive Diagnostic test for selected viral pathogens" ]       ], [
         fhir:index 78;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "2346-5" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Daily min FiO2 increase > 0.20 (20 points) for > 2 days" ]       ], [
         fhir:index 79;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "2347-3" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Daily min PEEP increase > 3 cm H2O for > 2 days" ]       ], [
         fhir:index 80;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "2348-1" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Temperature > 380 C or < 360 C" ]       ], [
         fhir:index 81;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "2349-9" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "White blood cell count >= 12,000 or <= 4,000 cells/mm3" ]       ], [
         fhir:index 82;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "2350-2" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "A new antimicrobial agent(s) is started, and is continued for >= 4 days" ]       ], [
         fhir:index 83;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "3070-0" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Common commensal from blood specimen(s) and antibiotics for greater than or equal to 5 days" ]       ], [
         fhir:index 84;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "3072-6" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Common commensal from cerebrospinal fluid specimen and antibiotics for greater than or equal to 5 days" ]       ], [
         fhir:index 85;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "3071-8" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Recognized pathogen from cerebrospinal fluid specimen" ]       ]     ], [
       fhir:index 1;
       fhir:ValueSet.compose.include.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.compose.include.concept [
         fhir:index 0;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "165517008" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Neutropenia" ]       ], [
         fhir:index 1;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "21522001" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Abdominal pain" ]       ], [
         fhir:index 2;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "128477000" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Abscess" ]       ], [
         fhir:index 3;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "419284004" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Altered mental status (in >=70 y.o.)" ]       ], [
         fhir:index 4;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "1023001" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Apnea" ]       ], [
         fhir:index 5;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "161891005" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Back pain" ]       ], [
         fhir:index 6;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "48867003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Bradycardia" ]       ], [
         fhir:index 7;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "301863008" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Cavitation" ]       ], [
         fhir:index 8;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "128045006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Cellulitis" ]       ], [
         fhir:index 9;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "29857009" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Chest pain" ]       ], [
         fhir:index 10;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "43724002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Chills" ]       ], [
         fhir:index 11;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "95436008" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Consolidation" ]       ], [
         fhir:index 12;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "102830001" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Costovertebral angle tenderness or pain" ]       ], [
         fhir:index 13;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "49727002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Cough" ]       ], [
         fhir:index 14;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "49650001" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Dysuria" ]       ], [
         fhir:index 15;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "267038008" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Edema" ]       ], [
         fhir:index 16;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "386661006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Fever" ]       ], [
         fhir:index 17;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "12763006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Blood pressure decrease" ]       ], [
         fhir:index 18;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "24184005" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Blood pressure increase" ]       ], [
         fhir:index 19;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "247355005" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Flank pain" ]       ], [
         fhir:index 20;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "248213001" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Flushing" ]       ], [
         fhir:index 21;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "162116003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Frequency of urination" ]       ], [
         fhir:index 22;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "25064002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Headache" ]       ], [
         fhir:index 23;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "304214002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Heat" ]       ], [
         fhir:index 24;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "34436003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Hematuria" ]       ], [
         fhir:index 25;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "123767004" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Hemoglobinemia" ]       ], [
         fhir:index 26;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "66857006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Hemoptysis" ]       ], [
         fhir:index 27;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "247472004" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Hives" ]       ], [
         fhir:index 28;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "45007003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Hypotension" ]       ], [
         fhir:index 29;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "386689009" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Hypothermia" ]       ], [
         fhir:index 30;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "389087006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "hypoxemia" ]       ], [
         fhir:index 31;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "165775009" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Positive antibody screen" ]       ], [
         fhir:index 32;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "95388000" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Injection site pain" ]       ], [
         fhir:index 33;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "418290006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Itching" ]       ], [
         fhir:index 34;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "18165001" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Jaundice" ]       ], [
         fhir:index 35;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "214264003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Lethargy" ]       ], [
         fhir:index 36;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "422587007" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nausea" ]       ], [
         fhir:index 37;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "83128009" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "oliguria" ]       ], [
         fhir:index 38;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "2237002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Pleuritic chest pain" ]       ], [
         fhir:index 39;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "255320000" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Purulent drainage or material" ]       ], [
         fhir:index 40;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4800001" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Pyuria" ]       ], [
         fhir:index 41;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "386713009" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Redness" ]       ], [
         fhir:index 42;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "128601007" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Respiratory infection (including pneumonia)" ]       ], [
         fhir:index 43;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "38880002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rigors" ]       ], [
         fhir:index 44;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "89138009" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Shock" ]       ], [
         fhir:index 45;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "267036007" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "SOB - Shortness of breath" ]       ], [
         fhir:index 46;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "162053006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Suprapubic tenderness" ]       ], [
         fhir:index 47;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "3424008" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Tachycardia" ]       ], [
         fhir:index 48;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "85623003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Temperature instability" ]       ], [
         fhir:index 49;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "75088002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Urgency" ]       ], [
         fhir:index 50;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "39575007" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Dark urine" ]       ], [
         fhir:index 51;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "126485001" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Urticaria" ]       ], [
         fhir:index 52;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "422400008" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Vomiting" ]       ], [
         fhir:index 53;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "56018004" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Wheezing" ]       ], [
         fhir:index 54;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "225553008" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Wound spontaneously dehisces" ]       ], [
         fhir:index 55;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "68566005" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Urinary tract infection" ]       ], [
         fhir:index 56;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "414478003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Leukocytosis" ]       ]     ]
  ].

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

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