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

This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v2.0.0: STU 2) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Secondary Cancer Disorder 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 "mcode-secondary-cancer-disorder-vs"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This value set includes codes based on the following rules:</p><ul><li>Include codes from <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a> where concept  is-a  128462008 (Metastatic neoplasm (disease))</li><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>C77</td><td>SECONDARY AND UNSPECIFIED MALIGNANT NEOPLASM OF LYMPH NODES</td></tr><tr><td>C77.0</td><td>Secondary and unspecified malignant neoplasm of lymph nodes of head, face and neck</td></tr><tr><td>C77.1</td><td>Secondary and unspecified malignant neoplasm of intrathoracic lymph nodes</td></tr><tr><td>C77.2</td><td>Secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes</td></tr><tr><td>C77.3</td><td>Secondary and unspecified malignant neoplasm of axilla and upper limb lymph nodes</td></tr><tr><td>C77.4</td><td>Secondary and unspecified malignant neoplasm of inguinal and lower limb lymph nodes</td></tr><tr><td>C77.5</td><td>Secondary and unspecified malignant neoplasm of intrapelvic lymph nodes</td></tr><tr><td>C77.8</td><td>Secondary and unspecified malignant neoplasm of lymph nodes of multiple regions</td></tr><tr><td>C77.9</td><td>Secondary and unspecified malignant neoplasm of lymph node, unspecified</td></tr><tr><td>C78</td><td>SECONDARY MALIGNANT NEOPLASM OF RESPIRATORY AND DIGESTIVE ORGANS</td></tr><tr><td>C78.0</td><td>Secondary malignant neoplasm of lung</td></tr><tr><td>C78.00</td><td>Secondary malignant neoplasm of unspecified lung</td></tr><tr><td>C78.01</td><td>Secondary malignant neoplasm of right lung</td></tr><tr><td>C78.02</td><td>Secondary malignant neoplasm of left lung</td></tr><tr><td>C78.1</td><td>Secondary malignant neoplasm of mediastinum</td></tr><tr><td>C78.2</td><td>Secondary malignant neoplasm of pleura</td></tr><tr><td>C78.3</td><td>Secondary malignant neoplasm of other and unspecified respiratory organs</td></tr><tr><td>C78.30</td><td>Secondary malignant neoplasm of unspecified respiratory organ</td></tr><tr><td>C78.39</td><td>Secondary malignant neoplasm of other respiratory organs</td></tr><tr><td>C78.4</td><td>Secondary malignant neoplasm of small intestine</td></tr><tr><td>C78.5</td><td>Secondary malignant neoplasm of large intestine and rectum</td></tr><tr><td>C78.6</td><td>Secondary malignant neoplasm of retroperitoneum and peritoneum</td></tr><tr><td>C78.7</td><td>Secondary malignant neoplasm of liver and intrahepatic bile duct</td></tr><tr><td>C78.8</td><td>Secondary malignant neoplasm of other and unspecified digestive organs</td></tr><tr><td>C78.80</td><td>Secondary malignant neoplasm of unspecified digestive organ</td></tr><tr><td>C78.89</td><td>Secondary malignant neoplasm of other digestive organs</td></tr><tr><td>C79</td><td>SECONDARY MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED SITES</td></tr><tr><td>C79.0</td><td>Secondary malignant neoplasm of kidney and renal pelvis</td></tr><tr><td>C79.00</td><td>Secondary malignant neoplasm of unspecified kidney and renal pelvis</td></tr><tr><td>C79.01</td><td>Secondary malignant neoplasm of right kidney and renal pelvis</td></tr><tr><td>C79.02</td><td>Secondary malignant neoplasm of left kidney and renal pelvis</td></tr><tr><td>C79.1</td><td>Secondary malignant neoplasm of bladder and other urinary organs</td></tr><tr><td>C79.10</td><td>Secondary malignant neoplasm of unspecified urinary organs</td></tr><tr><td>C79.11</td><td>Secondary malignant neoplasm of bladder</td></tr><tr><td>C79.19</td><td>Secondary malignant neoplasm of other urinary organs</td></tr><tr><td>C79.2</td><td>Secondary malignant neoplasm of skin</td></tr><tr><td>C79.3</td><td>Secondary malignant neoplasm of brain cerebral  meninges</td></tr><tr><td>C79.31</td><td>Secondary malignant neoplasm of brain</td></tr><tr><td>C79.32</td><td>Secondary malignant neoplasm of cerebral meninges</td></tr><tr><td>C79.4</td><td>Secondary malignant neoplasm of other and unspecified of nervous system</td></tr><tr><td>C79.40</td><td>Secondary malignant neoplasm of unspecified part of nervous system</td></tr><tr><td>C79.49</td><td>Secondary malignant neoplasm of other parts of nervous system</td></tr><tr><td>C79.5</td><td>Secondary malignant neoplasm of bone and bone marrow</td></tr><tr><td>C79.51</td><td>Secondary malignant neoplasm of bone</td></tr><tr><td>C79.52</td><td>Secondary malignant neoplasm of bone marrow</td></tr><tr><td>C79.6</td><td>Secondary malignant neoplasm of ovary</td></tr><tr><td>C79.60</td><td>Secondary malignant neoplasm of unspecified ovary</td></tr><tr><td>C79.61</td><td>Secondary malignant neoplasm of right ovary</td></tr><tr><td>C79.62</td><td>Secondary malignant neoplasm of left ovary</td></tr><tr><td>C79.7</td><td>Secondary malignant neoplasm of adrenal gland</td></tr><tr><td>C79.70</td><td>Secondary malignant neoplasm of unspecified adrenal gland</td></tr><tr><td>C79.71</td><td>Secondary malignant neoplasm of right adrenal gland</td></tr><tr><td>C79.72</td><td>Secondary malignant neoplasm of left adrenal gland</td></tr><tr><td>C79.8</td><td>Secondary malignant neoplasm of other specified sites</td></tr><tr><td>C79.81</td><td>Secondary malignant neoplasm of breast</td></tr><tr><td>C79.82</td><td>Secondary malignant neoplasm of genital organs</td></tr><tr><td>C79.89</td><td>Secondary malignant neoplasm of other specified sites</td></tr><tr><td>C79.9</td><td>Secondary malignant neoplasm of unspecified site</td></tr><tr><td>C7B</td><td>SECONDARY NEUROENDOCRINE TUMORS</td></tr><tr><td>C7B.0</td><td>Secondary carcinoid tumors</td></tr><tr><td>C7B.00</td><td>Secondary carcinoid tumors, unspecified site</td></tr><tr><td>C7B.01</td><td>Secondary carcinoid tumors of distant lymph nodes</td></tr><tr><td>C7B.02</td><td>Secondary carcinoid tumors of liver</td></tr><tr><td>C7B.03</td><td>Secondary carcinoid tumors of bone</td></tr><tr><td>C7B.04</td><td>Secondary carcinoid tumors of peritoneum</td></tr><tr><td>C7B.09</td><td>Secondary carcinoid tumors of other sites</td></tr><tr><td>C7B.1</td><td>Secondary merkel cell carcinoma</td></tr><tr><td>C7B.8</td><td>Other secondary neuroendocrine tumors</td></tr></table></li></ul></div>"
  ];
  fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/us/mcode/ValueSet/mcode-secondary-cancer-disorder-vs"];
  fhir:ValueSet.version [ fhir:value "2.0.0"];
  fhir:ValueSet.name [ fhir:value "SecondaryCancerDisorderVS"];
  fhir:ValueSet.title [ fhir:value "Secondary Cancer Disorder 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 "Types of secondary malignant neoplastic disease, coded in SNOMED CT or ICD-10-CM."];
  fhir:ValueSet.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ];
       fhir:Coding.display [ fhir:value "United States of America" ]     ]
  ];
  fhir:ValueSet.copyright [ fhir:value "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement"];
  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.filter [
         fhir:index 0;
         fhir:ValueSet.compose.include.filter.property [ fhir:value "concept" ];
         fhir:ValueSet.compose.include.filter.op [ fhir:value "is-a" ];
         fhir:ValueSet.compose.include.filter.value [ fhir:value "128462008" ]       ]     ], [
       fhir:index 1;
       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 "C77" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "SECONDARY AND UNSPECIFIED MALIGNANT NEOPLASM OF LYMPH NODES" ]       ], [
         fhir:index 1;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C77.0" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary and unspecified malignant neoplasm of lymph nodes of head, face and neck" ]       ], [
         fhir:index 2;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C77.1" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary and unspecified malignant neoplasm of intrathoracic lymph nodes" ]       ], [
         fhir:index 3;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C77.2" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes" ]       ], [
         fhir:index 4;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C77.3" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary and unspecified malignant neoplasm of axilla and upper limb lymph nodes" ]       ], [
         fhir:index 5;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C77.4" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary and unspecified malignant neoplasm of inguinal and lower limb lymph nodes" ]       ], [
         fhir:index 6;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C77.5" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary and unspecified malignant neoplasm of intrapelvic lymph nodes" ]       ], [
         fhir:index 7;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C77.8" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary and unspecified malignant neoplasm of lymph nodes of multiple regions" ]       ], [
         fhir:index 8;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C77.9" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary and unspecified malignant neoplasm of lymph node, unspecified" ]       ], [
         fhir:index 9;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C78" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "SECONDARY MALIGNANT NEOPLASM OF RESPIRATORY AND DIGESTIVE ORGANS" ]       ], [
         fhir:index 10;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C78.0" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of lung" ]       ], [
         fhir:index 11;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C78.00" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of unspecified lung" ]       ], [
         fhir:index 12;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C78.01" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of right lung" ]       ], [
         fhir:index 13;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C78.02" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of left lung" ]       ], [
         fhir:index 14;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C78.1" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of mediastinum" ]       ], [
         fhir:index 15;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C78.2" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of pleura" ]       ], [
         fhir:index 16;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C78.3" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of other and unspecified respiratory organs" ]       ], [
         fhir:index 17;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C78.30" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of unspecified respiratory organ" ]       ], [
         fhir:index 18;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C78.39" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of other respiratory organs" ]       ], [
         fhir:index 19;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C78.4" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of small intestine" ]       ], [
         fhir:index 20;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C78.5" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of large intestine and rectum" ]       ], [
         fhir:index 21;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C78.6" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of retroperitoneum and peritoneum" ]       ], [
         fhir:index 22;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C78.7" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of liver and intrahepatic bile duct" ]       ], [
         fhir:index 23;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C78.8" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of other and unspecified digestive organs" ]       ], [
         fhir:index 24;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C78.80" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of unspecified digestive organ" ]       ], [
         fhir:index 25;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C78.89" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of other digestive organs" ]       ], [
         fhir:index 26;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "SECONDARY MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED SITES" ]       ], [
         fhir:index 27;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.0" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of kidney and renal pelvis" ]       ], [
         fhir:index 28;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.00" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of unspecified kidney and renal pelvis" ]       ], [
         fhir:index 29;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.01" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of right kidney and renal pelvis" ]       ], [
         fhir:index 30;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.02" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of left kidney and renal pelvis" ]       ], [
         fhir:index 31;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.1" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of bladder and other urinary organs" ]       ], [
         fhir:index 32;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.10" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of unspecified urinary organs" ]       ], [
         fhir:index 33;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.11" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of bladder" ]       ], [
         fhir:index 34;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.19" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of other urinary organs" ]       ], [
         fhir:index 35;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.2" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of skin" ]       ], [
         fhir:index 36;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.3" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of brain cerebral  meninges" ]       ], [
         fhir:index 37;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.31" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of brain" ]       ], [
         fhir:index 38;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.32" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of cerebral meninges" ]       ], [
         fhir:index 39;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.4" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of other and unspecified of nervous system" ]       ], [
         fhir:index 40;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.40" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of unspecified part of nervous system" ]       ], [
         fhir:index 41;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.49" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of other parts of nervous system" ]       ], [
         fhir:index 42;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.5" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of bone and bone marrow" ]       ], [
         fhir:index 43;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.51" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of bone" ]       ], [
         fhir:index 44;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.52" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of bone marrow" ]       ], [
         fhir:index 45;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.6" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of ovary" ]       ], [
         fhir:index 46;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.60" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of unspecified ovary" ]       ], [
         fhir:index 47;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.61" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of right ovary" ]       ], [
         fhir:index 48;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.62" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of left ovary" ]       ], [
         fhir:index 49;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.7" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of adrenal gland" ]       ], [
         fhir:index 50;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.70" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of unspecified adrenal gland" ]       ], [
         fhir:index 51;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.71" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of right adrenal gland" ]       ], [
         fhir:index 52;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.72" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of left adrenal gland" ]       ], [
         fhir:index 53;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.8" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of other specified sites" ]       ], [
         fhir:index 54;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.81" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of breast" ]       ], [
         fhir:index 55;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.82" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of genital organs" ]       ], [
         fhir:index 56;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.89" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of other specified sites" ]       ], [
         fhir:index 57;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C79.9" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary malignant neoplasm of unspecified site" ]       ], [
         fhir:index 58;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C7B" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "SECONDARY NEUROENDOCRINE TUMORS" ]       ], [
         fhir:index 59;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C7B.0" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary carcinoid tumors" ]       ], [
         fhir:index 60;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C7B.00" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary carcinoid tumors, unspecified site" ]       ], [
         fhir:index 61;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C7B.01" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary carcinoid tumors of distant lymph nodes" ]       ], [
         fhir:index 62;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C7B.02" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary carcinoid tumors of liver" ]       ], [
         fhir:index 63;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C7B.03" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary carcinoid tumors of bone" ]       ], [
         fhir:index 64;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C7B.04" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary carcinoid tumors of peritoneum" ]       ], [
         fhir:index 65;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C7B.09" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary carcinoid tumors of other sites" ]       ], [
         fhir:index 66;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C7B.1" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Secondary merkel cell carcinoma" ]       ], [
         fhir:index 67;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "C7B.8" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Other secondary neuroendocrine tumors" ]       ]     ]
  ].

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

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