minimal Common Oncology Data Elements (mCODE) Implementation Guide
2.0.0 - STU 2

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: Elixhauser Valvular Disease Value Set - TTL Representation

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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 "elixhauser-valvular-disease-vs"];
  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/3.0.0/CodeSystem-icd10CM.html\"><code>http://hl7.org/fhir/sid/icd-10-cm</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>A18.84</td><td>Tuberculosis of heart</td></tr><tr><td>A32.82</td><td>Listerial endocarditis</td></tr><tr><td>A39.51</td><td>Meningococcal endocarditis</td></tr><tr><td>A52.03</td><td>Syphilitic endocarditis</td></tr><tr><td>B33.21</td><td>Viral endocarditis</td></tr><tr><td>B37.6</td><td>Candidal endocarditis</td></tr><tr><td>I01.1</td><td>Acute rheumatic endocarditis</td></tr><tr><td>I01.8</td><td>Other acute rheumatic heart disease</td></tr><tr><td>I01.9</td><td>Acute rheumatic heart disease, unspecified</td></tr><tr><td>I02.0</td><td>Rheumatic chorea with heart involvement</td></tr><tr><td>I05.0</td><td>Rheumatic mitral stenosis</td></tr><tr><td>I05.1</td><td>Rheumatic mitral insufficiency</td></tr><tr><td>I05.2</td><td>Rheumatic mitral stenosis with insufficiency</td></tr><tr><td>I05.8</td><td>Other rheumatic mitral valve diseases</td></tr><tr><td>I05.9</td><td>Rheumatic mitral valve disease, unspecified</td></tr><tr><td>I06.0</td><td>Rheumatic aortic stenosis</td></tr><tr><td>I06.1</td><td>Rheumatic aortic insufficiency</td></tr><tr><td>I06.2</td><td>Rheumatic aortic stenosis with insufficiency</td></tr><tr><td>I06.8</td><td>Other rheumatic aortic valve diseases</td></tr><tr><td>I06.9</td><td>Rheumatic aortic valve disease, unspecified</td></tr><tr><td>I07.0</td><td>Rheumatic tricuspid stenosis</td></tr><tr><td>I07.1</td><td>Rheumatic tricuspid insufficiency</td></tr><tr><td>I07.2</td><td>Rheumatic tricuspid stenosis and insufficiency</td></tr><tr><td>I07.8</td><td>Other rheumatic tricuspid valve diseases</td></tr><tr><td>I07.9</td><td>Rheumatic tricuspid valve disease, unspecified</td></tr><tr><td>I08.0</td><td>Rheumatic disorders of both mitral and aortic valves</td></tr><tr><td>I08.1</td><td>Rheumatic disorders of both mitral and tricuspid valves</td></tr><tr><td>I08.2</td><td>Rheumatic disorders of both aortic and tricuspid valves</td></tr><tr><td>I08.3</td><td>Comb rheumatic disord of mitral, aortic and tricuspid valves</td></tr><tr><td>I08.8</td><td>Other rheumatic multiple valve diseases</td></tr><tr><td>I08.9</td><td>Rheumatic multiple valve disease, unspecified</td></tr><tr><td>I09.1</td><td>Rheumatic diseases of endocardium, valve unspecified</td></tr><tr><td>I09.89</td><td>Other specified rheumatic heart diseases</td></tr><tr><td>I33.0</td><td>Acute and subacute infective endocarditis</td></tr><tr><td>I33.9</td><td>Acute and subacute endocarditis, unspecified</td></tr><tr><td>I34.0</td><td>Nonrheumatic mitral (valve) insufficiency</td></tr><tr><td>I34.1</td><td>Nonrheumatic mitral (valve) prolapse</td></tr><tr><td>I34.2</td><td>Nonrheumatic mitral (valve) stenosis</td></tr><tr><td>I34.8</td><td>Other nonrheumatic mitral valve disorders</td></tr><tr><td>I34.9</td><td>Nonrheumatic mitral valve disorder, unspecified</td></tr><tr><td>I35.0</td><td>Nonrheumatic aortic (valve) stenosis</td></tr><tr><td>I35.1</td><td>Nonrheumatic aortic (valve) insufficiency</td></tr><tr><td>I35.2</td><td>Nonrheumatic aortic (valve) stenosis with insufficiency</td></tr><tr><td>I35.8</td><td>Other nonrheumatic aortic valve disorders</td></tr><tr><td>I35.9</td><td>Nonrheumatic aortic valve disorder, unspecified</td></tr><tr><td>I36.0</td><td>Nonrheumatic tricuspid (valve) stenosis</td></tr><tr><td>I36.1</td><td>Nonrheumatic tricuspid (valve) insufficiency</td></tr><tr><td>I36.2</td><td>Nonrheumatic tricuspid (valve) stenosis with insufficiency</td></tr><tr><td>I36.8</td><td>Other nonrheumatic tricuspid valve disorders</td></tr><tr><td>I36.9</td><td>Nonrheumatic tricuspid valve disorder, unspecified</td></tr><tr><td>I37.0</td><td>Nonrheumatic pulmonary valve stenosis</td></tr><tr><td>I37.1</td><td>Nonrheumatic pulmonary valve insufficiency</td></tr><tr><td>I37.2</td><td>Nonrheumatic pulmonary valve stenosis with insufficiency</td></tr><tr><td>I37.8</td><td>Other nonrheumatic pulmonary valve disorders</td></tr><tr><td>I37.9</td><td>Nonrheumatic pulmonary valve disorder, unspecified</td></tr><tr><td>I38</td><td>Endocarditis, valve unspecified</td></tr><tr><td>I39</td><td>Endocarditis and heart valve disord in dis classd elswhr</td></tr><tr><td>M32.11</td><td>Endocarditis in systemic lupus erythematosus</td></tr><tr><td>Q22.0</td><td>Pulmonary valve atresia</td></tr><tr><td>Q22.1</td><td>Congenital pulmonary valve stenosis</td></tr><tr><td>Q22.2</td><td>Congenital pulmonary valve insufficiency</td></tr><tr><td>Q22.3</td><td>Other congenital malformations of pulmonary valve</td></tr><tr><td>Q22.4</td><td>Congenital tricuspid stenosis</td></tr><tr><td>Q22.5</td><td>Ebstein's anomaly</td></tr><tr><td>Q22.6</td><td>Hypoplastic right heart syndrome</td></tr><tr><td>Q22.8</td><td>Other congenital malformations of tricuspid valve</td></tr><tr><td>Q22.9</td><td>Congenital malformation of tricuspid valve, unspecified</td></tr><tr><td>Q23.0</td><td>Congenital stenosis of aortic valve</td></tr><tr><td>Q23.1</td><td>Congenital insufficiency of aortic valve</td></tr><tr><td>Q23.2</td><td>Congenital mitral stenosis</td></tr><tr><td>Q23.3</td><td>Congenital mitral insufficiency</td></tr><tr><td>Q23.4</td><td>Hypoplastic left heart syndrome</td></tr><tr><td>Q23.8</td><td>Other congenital malformations of aortic and mitral valves</td></tr><tr><td>Q23.9</td><td>Congenital malformation of aortic and mitral valves, unsp</td></tr><tr><td>T82.01XA</td><td>Breakdown (mechanical) of heart valve prosthesis, init</td></tr><tr><td>T82.01XD</td><td>Breakdown (mechanical) of heart valve prosthesis, subs</td></tr><tr><td>T82.01XS</td><td>Breakdown (mechanical) of heart valve prosthesis, sequela</td></tr><tr><td>T82.02XA</td><td>Displacement of heart valve prosthesis, initial encounter</td></tr><tr><td>T82.02XD</td><td>Displacement of heart valve prosthesis, subsequent encounter</td></tr><tr><td>T82.02XS</td><td>Displacement of heart valve prosthesis, sequela</td></tr><tr><td>T82.03XA</td><td>Leakage of heart valve prosthesis, initial encounter</td></tr><tr><td>T82.03XD</td><td>Leakage of heart valve prosthesis, subsequent encounter</td></tr><tr><td>T82.03XS</td><td>Leakage of heart valve prosthesis, sequela</td></tr><tr><td>T82.09XA</td><td>Mech compl of heart valve prosthesis, initial encounter</td></tr><tr><td>T82.09XD</td><td>Mech compl of heart valve prosthesis, subsequent encounter</td></tr><tr><td>T82.09XS</td><td>Mech compl of heart valve prosthesis, sequela</td></tr><tr><td>T82.221A</td><td>Breakdown (mechanical) of biological heart valve graft, init</td></tr><tr><td>T82.221D</td><td>Breakdown (mechanical) of biological heart valve graft, subs</td></tr><tr><td>T82.221S</td><td>Breakdown of biological heart valve graft, sequela</td></tr><tr><td>T82.222A</td><td>Displacement of biological heart valve graft, init encntr</td></tr><tr><td>T82.222D</td><td>Displacement of biological heart valve graft, subs encntr</td></tr><tr><td>T82.222S</td><td>Displacement of biological heart valve graft, sequela</td></tr><tr><td>T82.223A</td><td>Leakage of biological heart valve graft, initial encounter</td></tr><tr><td>T82.223D</td><td>Leakage of biological heart valve graft, subs encntr</td></tr><tr><td>T82.223S</td><td>Leakage of biological heart valve graft, sequela</td></tr><tr><td>T82.228A</td><td>Mech compl of biological heart valve graft, init encntr</td></tr><tr><td>T82.228D</td><td>Mech compl of biological heart valve graft, subs encntr</td></tr><tr><td>T82.228S</td><td>Mech compl of biological heart valve graft, sequela</td></tr><tr><td>T82.6XXA</td><td>Infect/inflm reaction due to cardiac valve prosthesis, init</td></tr><tr><td>T82.6XXD</td><td>Infect/inflm reaction due to cardiac valve prosthesis, subs</td></tr><tr><td>T82.6XXS</td><td>Infect/inflm reaction due to cardiac valve prosth, sequela</td></tr><tr><td>Z95.2</td><td>Presence of prosthetic heart valve</td></tr><tr><td>Z95.3</td><td>Presence of xenogenic heart valve</td></tr><tr><td>Z95.4</td><td>Presence of other heart-valve replacement</td></tr></table></li></ul></div>"
  ];
  fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/us/mcode/ValueSet/elixhauser-valvular-disease-vs"];
  fhir:ValueSet.version [ fhir:value "2.0.0"];
  fhir:ValueSet.name [ fhir:value "ElixhauserValvularDiseaseVS"];
  fhir:ValueSet.title [ fhir:value "Elixhauser Valvular Disease Value Set"];
  fhir:ValueSet.status [ fhir:value "active"];
  fhir:ValueSet.date [ fhir:value "2022-01-18T03:17:40+00:00"^^xsd:dateTime];
  fhir:ValueSet.publisher [ fhir:value "HL7 International Clinical Interoperability Council"];
  fhir:ValueSet.contact [
     fhir:index 0;
     fhir:ContactDetail.name [ fhir:value "HL7 International Clinical Interoperability Council" ];
     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:index 1;
       fhir:ContactPoint.system [ fhir:value "email" ];
       fhir:ContactPoint.value [ fhir:value "ciclist@lists.HL7.org" ]     ]
  ];
  fhir:ValueSet.description [ fhir:value "Elixhauser Comorbid Condition Value Set for Valvular disease. ICD-10 codes are drawn from https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp, version 2021.1"];
  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.compose [
     fhir:ValueSet.compose.include [
       fhir:index 0;
       fhir:ValueSet.compose.include.system [ fhir:value "http://hl7.org/fhir/sid/icd-10-cm" ];
       fhir:ValueSet.compose.include.concept [
         fhir:index 0;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "A18.84" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Tuberculosis of heart" ]       ], [
         fhir:index 1;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "A32.82" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Listerial endocarditis" ]       ], [
         fhir:index 2;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "A39.51" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Meningococcal endocarditis" ]       ], [
         fhir:index 3;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "A52.03" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Syphilitic endocarditis" ]       ], [
         fhir:index 4;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "B33.21" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Viral endocarditis" ]       ], [
         fhir:index 5;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "B37.6" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Candidal endocarditis" ]       ], [
         fhir:index 6;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I01.1" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Acute rheumatic endocarditis" ]       ], [
         fhir:index 7;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I01.8" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Other acute rheumatic heart disease" ]       ], [
         fhir:index 8;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I01.9" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Acute rheumatic heart disease, unspecified" ]       ], [
         fhir:index 9;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I02.0" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rheumatic chorea with heart involvement" ]       ], [
         fhir:index 10;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I05.0" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rheumatic mitral stenosis" ]       ], [
         fhir:index 11;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I05.1" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rheumatic mitral insufficiency" ]       ], [
         fhir:index 12;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I05.2" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rheumatic mitral stenosis with insufficiency" ]       ], [
         fhir:index 13;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I05.8" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Other rheumatic mitral valve diseases" ]       ], [
         fhir:index 14;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I05.9" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rheumatic mitral valve disease, unspecified" ]       ], [
         fhir:index 15;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I06.0" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rheumatic aortic stenosis" ]       ], [
         fhir:index 16;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I06.1" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rheumatic aortic insufficiency" ]       ], [
         fhir:index 17;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I06.2" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rheumatic aortic stenosis with insufficiency" ]       ], [
         fhir:index 18;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I06.8" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Other rheumatic aortic valve diseases" ]       ], [
         fhir:index 19;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I06.9" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rheumatic aortic valve disease, unspecified" ]       ], [
         fhir:index 20;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I07.0" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rheumatic tricuspid stenosis" ]       ], [
         fhir:index 21;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I07.1" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rheumatic tricuspid insufficiency" ]       ], [
         fhir:index 22;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I07.2" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rheumatic tricuspid stenosis and insufficiency" ]       ], [
         fhir:index 23;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I07.8" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Other rheumatic tricuspid valve diseases" ]       ], [
         fhir:index 24;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I07.9" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rheumatic tricuspid valve disease, unspecified" ]       ], [
         fhir:index 25;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I08.0" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rheumatic disorders of both mitral and aortic valves" ]       ], [
         fhir:index 26;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I08.1" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rheumatic disorders of both mitral and tricuspid valves" ]       ], [
         fhir:index 27;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I08.2" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rheumatic disorders of both aortic and tricuspid valves" ]       ], [
         fhir:index 28;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I08.3" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Comb rheumatic disord of mitral, aortic and tricuspid valves" ]       ], [
         fhir:index 29;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I08.8" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Other rheumatic multiple valve diseases" ]       ], [
         fhir:index 30;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I08.9" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rheumatic multiple valve disease, unspecified" ]       ], [
         fhir:index 31;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I09.1" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rheumatic diseases of endocardium, valve unspecified" ]       ], [
         fhir:index 32;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I09.89" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Other specified rheumatic heart diseases" ]       ], [
         fhir:index 33;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I33.0" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Acute and subacute infective endocarditis" ]       ], [
         fhir:index 34;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I33.9" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Acute and subacute endocarditis, unspecified" ]       ], [
         fhir:index 35;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I34.0" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nonrheumatic mitral (valve) insufficiency" ]       ], [
         fhir:index 36;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I34.1" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nonrheumatic mitral (valve) prolapse" ]       ], [
         fhir:index 37;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I34.2" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nonrheumatic mitral (valve) stenosis" ]       ], [
         fhir:index 38;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I34.8" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Other nonrheumatic mitral valve disorders" ]       ], [
         fhir:index 39;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I34.9" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nonrheumatic mitral valve disorder, unspecified" ]       ], [
         fhir:index 40;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I35.0" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nonrheumatic aortic (valve) stenosis" ]       ], [
         fhir:index 41;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I35.1" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nonrheumatic aortic (valve) insufficiency" ]       ], [
         fhir:index 42;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I35.2" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nonrheumatic aortic (valve) stenosis with insufficiency" ]       ], [
         fhir:index 43;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I35.8" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Other nonrheumatic aortic valve disorders" ]       ], [
         fhir:index 44;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I35.9" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nonrheumatic aortic valve disorder, unspecified" ]       ], [
         fhir:index 45;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I36.0" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nonrheumatic tricuspid (valve) stenosis" ]       ], [
         fhir:index 46;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I36.1" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nonrheumatic tricuspid (valve) insufficiency" ]       ], [
         fhir:index 47;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I36.2" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nonrheumatic tricuspid (valve) stenosis with insufficiency" ]       ], [
         fhir:index 48;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I36.8" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Other nonrheumatic tricuspid valve disorders" ]       ], [
         fhir:index 49;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I36.9" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nonrheumatic tricuspid valve disorder, unspecified" ]       ], [
         fhir:index 50;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I37.0" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nonrheumatic pulmonary valve stenosis" ]       ], [
         fhir:index 51;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I37.1" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nonrheumatic pulmonary valve insufficiency" ]       ], [
         fhir:index 52;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I37.2" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nonrheumatic pulmonary valve stenosis with insufficiency" ]       ], [
         fhir:index 53;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I37.8" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Other nonrheumatic pulmonary valve disorders" ]       ], [
         fhir:index 54;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I37.9" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nonrheumatic pulmonary valve disorder, unspecified" ]       ], [
         fhir:index 55;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I38" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Endocarditis, valve unspecified" ]       ], [
         fhir:index 56;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "I39" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Endocarditis and heart valve disord in dis classd elswhr" ]       ], [
         fhir:index 57;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "M32.11" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Endocarditis in systemic lupus erythematosus" ]       ], [
         fhir:index 58;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Q22.0" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Pulmonary valve atresia" ]       ], [
         fhir:index 59;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Q22.1" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Congenital pulmonary valve stenosis" ]       ], [
         fhir:index 60;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Q22.2" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Congenital pulmonary valve insufficiency" ]       ], [
         fhir:index 61;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Q22.3" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Other congenital malformations of pulmonary valve" ]       ], [
         fhir:index 62;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Q22.4" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Congenital tricuspid stenosis" ]       ], [
         fhir:index 63;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Q22.5" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Ebstein's anomaly" ]       ], [
         fhir:index 64;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Q22.6" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Hypoplastic right heart syndrome" ]       ], [
         fhir:index 65;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Q22.8" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Other congenital malformations of tricuspid valve" ]       ], [
         fhir:index 66;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Q22.9" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Congenital malformation of tricuspid valve, unspecified" ]       ], [
         fhir:index 67;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Q23.0" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Congenital stenosis of aortic valve" ]       ], [
         fhir:index 68;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Q23.1" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Congenital insufficiency of aortic valve" ]       ], [
         fhir:index 69;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Q23.2" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Congenital mitral stenosis" ]       ], [
         fhir:index 70;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Q23.3" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Congenital mitral insufficiency" ]       ], [
         fhir:index 71;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Q23.4" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Hypoplastic left heart syndrome" ]       ], [
         fhir:index 72;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Q23.8" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Other congenital malformations of aortic and mitral valves" ]       ], [
         fhir:index 73;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Q23.9" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Congenital malformation of aortic and mitral valves, unsp" ]       ], [
         fhir:index 74;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.01XA" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Breakdown (mechanical) of heart valve prosthesis, init" ]       ], [
         fhir:index 75;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.01XD" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Breakdown (mechanical) of heart valve prosthesis, subs" ]       ], [
         fhir:index 76;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.01XS" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Breakdown (mechanical) of heart valve prosthesis, sequela" ]       ], [
         fhir:index 77;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.02XA" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Displacement of heart valve prosthesis, initial encounter" ]       ], [
         fhir:index 78;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.02XD" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Displacement of heart valve prosthesis, subsequent encounter" ]       ], [
         fhir:index 79;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.02XS" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Displacement of heart valve prosthesis, sequela" ]       ], [
         fhir:index 80;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.03XA" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Leakage of heart valve prosthesis, initial encounter" ]       ], [
         fhir:index 81;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.03XD" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Leakage of heart valve prosthesis, subsequent encounter" ]       ], [
         fhir:index 82;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.03XS" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Leakage of heart valve prosthesis, sequela" ]       ], [
         fhir:index 83;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.09XA" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Mech compl of heart valve prosthesis, initial encounter" ]       ], [
         fhir:index 84;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.09XD" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Mech compl of heart valve prosthesis, subsequent encounter" ]       ], [
         fhir:index 85;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.09XS" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Mech compl of heart valve prosthesis, sequela" ]       ], [
         fhir:index 86;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.221A" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Breakdown (mechanical) of biological heart valve graft, init" ]       ], [
         fhir:index 87;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.221D" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Breakdown (mechanical) of biological heart valve graft, subs" ]       ], [
         fhir:index 88;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.221S" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Breakdown of biological heart valve graft, sequela" ]       ], [
         fhir:index 89;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.222A" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Displacement of biological heart valve graft, init encntr" ]       ], [
         fhir:index 90;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.222D" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Displacement of biological heart valve graft, subs encntr" ]       ], [
         fhir:index 91;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.222S" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Displacement of biological heart valve graft, sequela" ]       ], [
         fhir:index 92;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.223A" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Leakage of biological heart valve graft, initial encounter" ]       ], [
         fhir:index 93;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.223D" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Leakage of biological heart valve graft, subs encntr" ]       ], [
         fhir:index 94;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.223S" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Leakage of biological heart valve graft, sequela" ]       ], [
         fhir:index 95;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.228A" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Mech compl of biological heart valve graft, init encntr" ]       ], [
         fhir:index 96;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.228D" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Mech compl of biological heart valve graft, subs encntr" ]       ], [
         fhir:index 97;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.228S" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Mech compl of biological heart valve graft, sequela" ]       ], [
         fhir:index 98;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.6XXA" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Infect/inflm reaction due to cardiac valve prosthesis, init" ]       ], [
         fhir:index 99;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.6XXD" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Infect/inflm reaction due to cardiac valve prosthesis, subs" ]       ], [
         fhir:index 100;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T82.6XXS" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Infect/inflm reaction due to cardiac valve prosth, sequela" ]       ], [
         fhir:index 101;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Z95.2" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Presence of prosthetic heart valve" ]       ], [
         fhir:index 102;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Z95.3" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Presence of xenogenic heart valve" ]       ], [
         fhir:index 103;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Z95.4" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Presence of other heart-valve replacement" ]       ]     ]
  ].

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

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