HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU Ballot 1

This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v0.9.1: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

CancerRelatedSurgicalProcedureVS

@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 "onco-core-CancerRelatedSurgicalProcedureVS"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p><b>CancerRelatedSurgicalProcedureVS ValueSet</b></p>\n<p>Includes selected SNOMED CT codes that may be used in the treatment of cancer tumors. Codes from ICD-10-PCS and CPT are acceptable. CPT codes are not listed here due to intellectual property restrictions. ICD-10-PCS codes are not listed because of a limitation in the FHIR Implementation Guide publisher. For CPT and ICD-10-PCS, only codes representing surgical procedures should be used.\n\nConformance note: If an ICD-10-PCS code is used, and a semantically equivalent SNOMED CT code is available, the resulting FHIR Procedure instance will not be compliant with [US Core Profiles](http://hl7.org/fhir/us/core/STU3/index.html).</p>\n</div>"
  ];
  fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/us/mcode/ValueSet/onco-core-CancerRelatedSurgicalProcedureVS"];
  fhir:ValueSet.version [ fhir:value "0.9.1"];
  fhir:ValueSet.name [ fhir:value "CancerRelatedSurgicalProcedureVS"];
  fhir:ValueSet.title [ fhir:value "CancerRelatedSurgicalProcedureVS"];
  fhir:ValueSet.status [ fhir:value "draft"];
  fhir:ValueSet.date [ fhir:value "2019-08-01T00:00:00-04:00"^^xsd:dateTime];
  fhir:ValueSet.publisher [ fhir:value "HL7 International Clinical Interoperability Council"];
  fhir:ValueSet.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/cic" ]     ]
  ];
  fhir:ValueSet.description [ fhir:value "Includes selected SNOMED CT codes that may be used in the treatment of cancer tumors. Codes from ICD-10-PCS and CPT are acceptable. CPT codes are not listed here due to intellectual property restrictions. ICD-10-PCS codes are not listed because of a limitation in the FHIR Implementation Guide publisher. For CPT and ICD-10-PCS, only codes representing surgical procedures should be used.\n\nConformance note: If an ICD-10-PCS code is used, and a semantically equivalent SNOMED CT code is available, the resulting FHIR Procedure instance will not be compliant with [US Core Profiles](http://hl7.org/fhir/us/core/STU3/index.html)."];
  fhir:ValueSet.compose [
     fhir:ValueSet.compose.include [
       fhir:index 0;
       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 "174337000" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 1;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "49264007" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of lesion" ]       ], [
         fhir:index 2;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "119894003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Anus excision" ]       ], [
         fhir:index 3;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "24265000" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Operation on anus [NOS]" ]       ], [
         fhir:index 4;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "48185007" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 5;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "108034003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of lesion" ]       ], [
         fhir:index 6;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "112902005" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Partial cystectomy" ]       ], [
         fhir:index 7;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "63016009" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total Cystectomy" ]       ], [
         fhir:index 8;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "64063003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Radical Cystectomy" ]       ], [
         fhir:index 9;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "287716007" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Urinary bladder reconstruction" ]       ], [
         fhir:index 10;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "52224004" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Pelvic exenteration" ]       ], [
         fhir:index 11;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "149649000" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Cystectomy dome of bladder" ]       ], [
         fhir:index 12;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "14861000" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Operation on bladder [NOS]" ]       ], [
         fhir:index 13;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "18734000" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 14;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "68471001" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of lesion" ]       ], [
         fhir:index 15;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "112705001" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Amputation" ]       ], [
         fhir:index 16;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "57168000" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Operation on bone [NOS]" ]       ], [
         fhir:index 17;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "68829005" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 18;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "64368001" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Partial mastectomy" ]       ], [
         fhir:index 19;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "70183006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Subcutaneous mastectomy" ]       ], [
         fhir:index 20;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "172043006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total mastectomy" ]       ], [
         fhir:index 21;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "406505007" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Modified radical mastectomy" ]       ], [
         fhir:index 22;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "384723003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Radical mastectomy" ]       ], [
         fhir:index 23;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "359740003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Extended radical mastectomy" ]       ], [
         fhir:index 24;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "69031006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Mastectomy" ]       ], [
         fhir:index 25;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "392090004" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Operation on breast [NOS]" ]       ], [
         fhir:index 26;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "31197001" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 27;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "36384005" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of lesion" ]       ], [
         fhir:index 28;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "116140006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total hysterctomy" ]       ], [
         fhir:index 29;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "236886002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Hysterectomy" ]       ], [
         fhir:index 30;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "116142003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Radical hysterectomy" ]       ], [
         fhir:index 31;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "406044008" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Pelvic exentration" ]       ], [
         fhir:index 32;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "112916000" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Operation on cervix [NOS]" ]       ], [
         fhir:index 33;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "176871003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 34;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "236884004" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of lesion" ]       ], [
         fhir:index 35;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "387643005" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Partial hysterectomy" ]       ], [
         fhir:index 36;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "116140006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total hysterctomy" ]       ], [
         fhir:index 37;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "116142003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Radical hysterectomy" ]       ], [
         fhir:index 38;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "236886002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Hysterectomy" ]       ], [
         fhir:index 39;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "406044008" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Pelvic exentration" ]       ], [
         fhir:index 40;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "79876008" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Operation on uterus  [NOS]" ]       ], [
         fhir:index 41;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "18243008" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 42;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "386553005" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of lesion" ]       ], [
         fhir:index 43;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "3980006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Partial esophagectomy" ]       ], [
         fhir:index 44;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "14072009" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total esophagectomy" ]       ], [
         fhir:index 45;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "76443003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total esophagectomy with gastropharyngostomy" ]       ], [
         fhir:index 46;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "45900003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Esophagectomy" ]       ], [
         fhir:index 47;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "48114000" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Operation on esophagus [NOS]" ]       ], [
         fhir:index 48;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "52785004" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 49;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "69762004" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of lesion" ]       ], [
         fhir:index 50;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "81516001" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Partial nephrectomy" ]       ], [
         fhir:index 51;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "175905003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total nephrectomy" ]       ], [
         fhir:index 52;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "116033007" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Radical nephrectomy" ]       ], [
         fhir:index 53;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "175898006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Kidney operation  [NOS]" ]       ], [
         fhir:index 54;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "78923006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 55;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "88623004" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of lesion" ]       ], [
         fhir:index 56;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "80513001" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Partial laryngectomy" ]       ], [
         fhir:index 57;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "66478002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total laryngectomy" ]       ], [
         fhir:index 58;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "60041003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Laryngopharyngectomy" ]       ], [
         fhir:index 59;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "72791001" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Laryngectomy" ]       ], [
         fhir:index 60;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "387636004" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Operation on larynx [NOS]" ]       ], [
         fhir:index 61;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "5415002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 62;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "174431000" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Wedge resecton of liver" ]       ], [
         fhir:index 63;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "85946004" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Lobectomy of liver" ]       ], [
         fhir:index 64;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "15257006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Lobectomy w/ partial excision of adjacent lobes" ]       ], [
         fhir:index 65;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "107963000" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Hepatectomy" ]       ], [
         fhir:index 66;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "13580001000004101" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of tumor of liver" ]       ], [
         fhir:index 67;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "27280000" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Liver transplant w/recipient hepatectomy" ]       ], [
         fhir:index 68;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4974007" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Operation on liver [NOS]" ]       ], [
         fhir:index 69;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "450608000" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 70;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "119746007" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of lesion" ]       ], [
         fhir:index 71;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "173170008" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Bilobectomy of lung" ]       ], [
         fhir:index 72;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "359623004" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total lobectomy of lung" ]       ], [
         fhir:index 73;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "49795001" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total pneumonectomy" ]       ], [
         fhir:index 74;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "91596000" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Complete excision of lung with mediastinal dissection" ]       ], [
         fhir:index 75;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "119746007" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Operation on lung [NOS]" ]       ], [
         fhir:index 76;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "230859007" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 77;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "230810008" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of lesion" ]       ], [
         fhir:index 78;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "446103006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Partial excision of lesion of brain" ]       ], [
         fhir:index 79;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "17537007" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Resection of spinal cord" ]       ], [
         fhir:index 80;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "447115003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total excision of lesion of brain" ]       ], [
         fhir:index 81;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "67402009" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Partial lobectomy" ]       ], [
         fhir:index 82;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "171443003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total lobectomy" ]       ], [
         fhir:index 83;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "70586009" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Operation on brain [NOS]" ]       ], [
         fhir:index 84;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "177018009" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 85;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "35887003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of lesion" ]       ], [
         fhir:index 86;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "116028008" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Salpingo-oophorectomy" ]       ], [
         fhir:index 87;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "29827000" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Bilateral salpingectomy w/oophorectomy" ]       ], [
         fhir:index 88;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "78698008" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Unilateral salpingo-oophorectomy" ]       ], [
         fhir:index 89;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "446526009" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Debulking of neoplasm of ovary" ]       ], [
         fhir:index 90;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "55853002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Pelvic exenteraion, female" ]       ], [
         fhir:index 91;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "64887002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Operation on ovary [NOS]" ]       ], [
         fhir:index 92;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "414158004" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 93;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "287847009" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Partial pancreatectomy" ]       ], [
         fhir:index 94;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "69036001" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total pancreaticoduodenectomy" ]       ], [
         fhir:index 95;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "9524002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total pancreatectomy" ]       ], [
         fhir:index 96;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "265459006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total pancreaticodudoenectomy with distal gastrectomy" ]       ], [
         fhir:index 97;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "33149006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Pancreatectomy" ]       ], [
         fhir:index 98;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "29630005" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Operation on pancreas [NOS]" ]       ], [
         fhir:index 99;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "10522005" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 100;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "37804007" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of lesion" ]       ], [
         fhir:index 101;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "81870009" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Parotidectomy" ]       ], [
         fhir:index 102;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "11150009" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Partial parotidectomy" ]       ], [
         fhir:index 103;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "13358001" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total parotidectomy" ]       ], [
         fhir:index 104;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "173486005" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Radical parotidectomy" ]       ], [
         fhir:index 105;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "58456002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Operation on parotid gland [NOS]" ]       ], [
         fhir:index 106;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "107923001" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 107;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "3786007" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of lesion" ]       ], [
         fhir:index 108;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "51265002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Pharyngectomy" ]       ], [
         fhir:index 109;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "232546000" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total pharyngolaryngectomy w/ laryngectomy" ]       ], [
         fhir:index 110;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "303621003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total pharyngectomy" ]       ], [
         fhir:index 111;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "23136006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Operation on pharynx [NOS]" ]       ], [
         fhir:index 112;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "450514003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 113;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "90199006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Transurethral prostactomy" ]       ], [
         fhir:index 114;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "30426000" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Subtotal prostactomy" ]       ], [
         fhir:index 115;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "26294005" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Radical prostatectomy" ]       ], [
         fhir:index 116;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "65111004" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Pelvic exenteration" ]       ], [
         fhir:index 117;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "90470006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Prostactomy" ]       ], [
         fhir:index 118;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "741007" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Operation on prostate [NOS]" ]       ], [
         fhir:index 119;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "177975003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 120;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "87279008" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of lesion" ]       ], [
         fhir:index 121;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "43075005" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Segmental colectomy" ]       ], [
         fhir:index 122;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "307656000" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Subtotal colectomy with ileosigmoid anastomosis" ]       ], [
         fhir:index 123;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "26390003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total  colectomy" ]       ], [
         fhir:index 124;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "174059005" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Proctocolectomy" ]       ], [
         fhir:index 125;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "82874003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Operation on colon [NOS]" ]       ], [
         fhir:index 126;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "52838002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 127;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "79764004" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of lesion" ]       ], [
         fhir:index 128;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "82035006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Resection of polyp" ]       ], [
         fhir:index 129;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "116237003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of lesion of rectum" ]       ], [
         fhir:index 130;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "307009004" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Wedge resection" ]       ], [
         fhir:index 131;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "86789002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Abdominoperineal pull through" ]       ], [
         fhir:index 132;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "235364003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total Proctectomy" ]       ], [
         fhir:index 133;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "26390003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total  colectomy" ]       ], [
         fhir:index 134;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "174059005" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Proctocolectomy" ]       ], [
         fhir:index 135;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "118841000" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Operation on rectosigmoid [NOS]" ]       ], [
         fhir:index 136;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "52838002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 137;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "79764004" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of lesion" ]       ], [
         fhir:index 138;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "82035006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Resection of polyp" ]       ], [
         fhir:index 139;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "116237003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of lesion of rectum" ]       ], [
         fhir:index 140;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "307009004" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Wedge resection" ]       ], [
         fhir:index 141;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "86789002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Abdominoperineal pull through" ]       ], [
         fhir:index 142;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "235364003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total Proctectomy" ]       ], [
         fhir:index 143;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "174059005" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Proctocolectomy" ]       ], [
         fhir:index 144;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "74971002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Operation on rectum [NOS]" ]       ], [
         fhir:index 145;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "87031008" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 146;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "67373001" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of lesion" ]       ], [
         fhir:index 147;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "35646002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of lesion of skin" ]       ], [
         fhir:index 148;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "177302005" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Wide excision of skin lesion" ]       ], [
         fhir:index 149;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "81723002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Amputaion" ]       ], [
         fhir:index 150;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "392011001" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Operation on skin [NOS]" ]       ], [
         fhir:index 151;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "31468007" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 152;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "67097003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Partial splenectomy" ]       ], [
         fhir:index 153;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "174776001" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total splenectomy" ]       ], [
         fhir:index 154;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "234319005" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Splenectomy" ]       ], [
         fhir:index 155;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "59300005" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Operation on spleen [NOS]" ]       ], [
         fhir:index 156;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "45189000" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 157;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "32327002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of lesion" ]       ], [
         fhir:index 158;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "49209004" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Subtotal gastrectomy" ]       ], [
         fhir:index 159;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "26452005" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total gastrectomy" ]       ], [
         fhir:index 160;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "24431004" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Esophagoduodenostomy w/complete gastrectomy" ]       ], [
         fhir:index 161;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "287816003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Radical gastrectomy" ]       ], [
         fhir:index 162;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "438338008" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total gastrecomy w/extended lymphadencectomy" ]       ], [
         fhir:index 163;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "53442002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Gastrectomy" ]       ], [
         fhir:index 164;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "16453004" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Operation on stomach [NOS]" ]       ], [
         fhir:index 165;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "12807004" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 166;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "176430002" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of lesion" ]       ], [
         fhir:index 167;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "120001005" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Testis excision" ]       ], [
         fhir:index 168;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "396692006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Radical Orchiectomy" ]       ], [
         fhir:index 169;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "236334001" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total Orchiectomy" ]       ], [
         fhir:index 170;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "71657006" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Operation on testis [NOS]" ]       ], [
         fhir:index 171;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "20470003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Destruction of lesion" ]       ], [
         fhir:index 172;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "171988007" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of lesion" ]       ], [
         fhir:index 173;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "13619001" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Thyroidectomy" ]       ], [
         fhir:index 174;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "24443003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total thyroidectomy" ]       ], [
         fhir:index 175;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "30956003" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Subtotal thyroidectomy" ]       ], [
         fhir:index 176;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "15463004" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Operation on thyroid gland [NOS]" ]       ]     ]
  ].

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

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