This page is part of the Structured Data Capture FHIR IG (v1.6: STU 2 Ballot 1) based on FHIR v1.6.0. . For a full list of available versions, see the Directory of published versions

This is a pre-release of a future version of SDC (expected to be STU 2). The current version is STU 2.
For a full list of available versions, see the Directory of published versions .

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Raw ttl

@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 -------------------------------------------------------------------

<Bundle/questionnaire-sdc-profile-example> a fhir:Bundle;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "questionnaire-sdc-profile-example"];
  fhir:Resource.meta [
     fhir:Meta.lastUpdated [ fhir:value "2014-05-15T17:25:15Z"^^xsd:dateTime ]
  ];
  fhir:Bundle.type [ fhir:value "collection"];
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://AHRQ.org/form/Questionnaire/F8-1.2" ];
     fhir:Bundle.entry.resource <http://AHRQ.org/form/Questionnaire/F8-1.2>
  ], [
     fhir:index 1;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://AHRQ.org/form/Questionnaire/HERF-1.2" ];
     fhir:Bundle.entry.resource <http://AHRQ.org/form/Questionnaire/HERF-1.2>
  ], [
     fhir:index 2;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://AHRQ.org/form/Questionnaire/3921052v1.0" ];
     fhir:Bundle.entry.resource <http://AHRQ.org/form/Questionnaire/3921052v1.0>
  ], [
     fhir:index 3;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://AHRQ.org/form/Questionnaire/F2674812v4.0" ];
     fhir:Bundle.entry.resource <http://AHRQ.org/form/Questionnaire/F2674812v4.0>
  ], [
     fhir:index 4;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://AHRQ.org/form/Questionnaire/3265657v2.0" ];
     fhir:Bundle.entry.resource <http://AHRQ.org/form/Questionnaire/3265657v2.0>
  ].

<http://AHRQ.org/form/Questionnaire/F8-1.2> a fhir:Questionnaire;
  fhir:index 0;
  fhir:Resource.id [ fhir:value "F8-1.2"];
  fhir:Resource.meta [
     fhir:Meta.lastUpdated [ fhir:value "2014-05-15T17:25:15Z"^^xsd:dateTime ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Todo</div>"
  ];
  fhir:DomainResource.contained [
     a fhir:CodeSystem;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "d1e551-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE270-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "A1197" ];
       fhir:CodeSystem.concept.display [ fhir:value "Medications" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A legal drug that is used to prevent, treat, or relieve symptoms of a disease or abnormal condition." ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "A1200" ];
       fhir:CodeSystem.concept.display [ fhir:value "Biological products" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Organisms or complex pharmaceutical substances, preparations, or agents of organic origin, usually obtained by biological methods or assay." ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "A1203" ];
       fhir:CodeSystem.concept.display [ fhir:value "Nutritional products" ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "A1206" ];
       fhir:CodeSystem.concept.display [ fhir:value "Expressed human breast milk" ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "A1209" ];
       fhir:CodeSystem.concept.display [ fhir:value "Medical gases (e.g., oxygen, nitrogen, nitrous oxide)" ]     ], [
       fhir:index 5;
       fhir:CodeSystem.concept.code [ fhir:value "A1212" ];
       fhir:CodeSystem.concept.display [ fhir:value "Contrast media" ]     ], [
       fhir:index 6;
       fhir:CodeSystem.concept.code [ fhir:value "A1213" ];
       fhir:CodeSystem.concept.display [ fhir:value "Radiopharmaceuticals" ]     ], [
       fhir:index 7;
       fhir:CodeSystem.concept.code [ fhir:value "A1214" ];
       fhir:CodeSystem.concept.display [ fhir:value "Patient food (not suspected in drug-food interactions" ]     ], [
       fhir:index 8;
       fhir:CodeSystem.concept.code [ fhir:value "A1216" ];
       fhir:CodeSystem.concept.display [ fhir:value "Drug-drug, drug-food, or adverse drug reaction as a result of a prescription and/or administration of a drug and/or food frior to admission" ]     ], [
       fhir:index 9;
       fhir:CodeSystem.concept.code [ fhir:value "A1215" ];
       fhir:CodeSystem.concept.display [ fhir:value "Other substance: PLEASE SPECIFY" ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 1;
     fhir:Resource.id [ fhir:value "d1e551-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE270-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e551-cs" ]             ]           ], [
             fhir:index 1;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "CodeSystem/DE270-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 2;
     fhir:Resource.id [ fhir:value "d1e639-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE273-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "A1218" ];
       fhir:CodeSystem.concept.display [ fhir:value "Prescription or over-the- counter (including herbal supplements)" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "A1221" ];
       fhir:CodeSystem.concept.display [ fhir:value "Compounded preparations" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "A1224" ];
       fhir:CodeSystem.concept.display [ fhir:value "Investigational drugs" ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "UNK" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unknown" ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 3;
     fhir:Resource.id [ fhir:value "d1e639-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE273-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e639-cs" ]             ]           ], [
             fhir:index 1;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "CodeSystem/DE273-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 4;
     fhir:Resource.id [ fhir:value "d1e910-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE279-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "A1233" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaccines" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "A1236" ];
       fhir:CodeSystem.concept.display [ fhir:value "Other biological products (e.g., thrombolytic)" ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 5;
     fhir:Resource.id [ fhir:value "d1e910-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE279-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e910-cs" ]             ]           ], [
             fhir:index 1;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "CodeSystem/DE279-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 6;
     fhir:Resource.id [ fhir:value "d1e1125-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE285-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "A1242" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dietary supplements (other than vitamins or minerals)" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "A1245" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vitamins or minerals" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "A1248" ];
       fhir:CodeSystem.concept.display [ fhir:value "Enteral nutritional products, including infant formula" ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "A1251" ];
       fhir:CodeSystem.concept.display [ fhir:value "Parenteral nutritional products" ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "A66" ];
       fhir:CodeSystem.concept.display [ fhir:value "Other: PLEASE SPECIFY" ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 7;
     fhir:Resource.id [ fhir:value "d1e1125-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE285-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e1125-cs" ]             ]           ], [
             fhir:index 1;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "CodeSystem/DE285-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 8;
     fhir:Resource.id [ fhir:value "d1e1558-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE288-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "A1257" ];
       fhir:CodeSystem.concept.display [ fhir:value "Incorrect action (process failure or error) (e.g., such as administering overdose or incorrect medication)" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "A1260" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unsafe condition" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "A1263" ];
       fhir:CodeSystem.concept.display [ fhir:value "Adverse reaction in patient to the administered substance without any apparent incorrect action" ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "UNK" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unknown" ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 9;
     fhir:Resource.id [ fhir:value "d1e1558-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE288-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e1558-cs" ]             ]           ], [
             fhir:index 1;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "CodeSystem/DE288-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 10;
     fhir:Resource.id [ fhir:value "d1e1746-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE291-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "A585" ];
       fhir:CodeSystem.concept.display [ fhir:value "Incorrect patient" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "A1272" ];
       fhir:CodeSystem.concept.display [ fhir:value "Incorrect medication/substance" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "A1275" ];
       fhir:CodeSystem.concept.display [ fhir:value "Incorrect dose(s)" ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "A1278" ];
       fhir:CodeSystem.concept.display [ fhir:value "Incorrect route of administration" ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "A1281" ];
       fhir:CodeSystem.concept.display [ fhir:value "Incorrect timing" ]     ], [
       fhir:index 5;
       fhir:CodeSystem.concept.code [ fhir:value "A1284" ];
       fhir:CodeSystem.concept.display [ fhir:value "Incorrect rate" ]     ], [
       fhir:index 6;
       fhir:CodeSystem.concept.code [ fhir:value "A1287" ];
       fhir:CodeSystem.concept.display [ fhir:value "Incorrect duration of administration or course of therapy" ]     ], [
       fhir:index 7;
       fhir:CodeSystem.concept.code [ fhir:value "A1290" ];
       fhir:CodeSystem.concept.display [ fhir:value "Incorrect dosage form (e.g., sustained release instead of immediate release)" ]     ], [
       fhir:index 8;
       fhir:CodeSystem.concept.code [ fhir:value "A1293" ];
       fhir:CodeSystem.concept.display [ fhir:value "Incorrect strength or concentration" ]     ], [
       fhir:index 9;
       fhir:CodeSystem.concept.code [ fhir:value "A1296" ];
       fhir:CodeSystem.concept.display [ fhir:value "Incorrect preparation, including inappropriate cutting of tablets, error in compounding, mixing, etc." ]     ], [
       fhir:index 10;
       fhir:CodeSystem.concept.code [ fhir:value "A1299" ];
       fhir:CodeSystem.concept.display [ fhir:value "Expired or deteriorated medication/substance" ]     ], [
       fhir:index 11;
       fhir:CodeSystem.concept.code [ fhir:value "A1301" ];
       fhir:CodeSystem.concept.display [ fhir:value "Medication/substance that is known to be an allergen to the patient" ]     ], [
       fhir:index 12;
       fhir:CodeSystem.concept.code [ fhir:value "A1305" ];
       fhir:CodeSystem.concept.display [ fhir:value "Medication/substance that is known to be contraindicated for the patient" ]     ], [
       fhir:index 13;
       fhir:CodeSystem.concept.code [ fhir:value "A1308" ];
       fhir:CodeSystem.concept.display [ fhir:value "Incorrect patient/family action (e.g., self-administration error)" ]     ], [
       fhir:index 14;
       fhir:CodeSystem.concept.code [ fhir:value "A66" ];
       fhir:CodeSystem.concept.display [ fhir:value "Other: PLEASE SPECIFY" ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 11;
     fhir:Resource.id [ fhir:value "d1e1746-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE291-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e1746-cs" ]             ]           ], [
             fhir:index 1;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "CodeSystem/DE291-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 12;
     fhir:Resource.id [ fhir:value "d1e1863-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE294-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "A1314" ];
       fhir:CodeSystem.concept.display [ fhir:value "Overdose" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "A1317" ];
       fhir:CodeSystem.concept.display [ fhir:value "Underdose" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "A1320" ];
       fhir:CodeSystem.concept.display [ fhir:value "Missed or omitted dose" ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "A1323" ];
       fhir:CodeSystem.concept.display [ fhir:value "Extra dose" ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "UNK" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unknown" ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 13;
     fhir:Resource.id [ fhir:value "d1e1863-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE294-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e1863-cs" ]             ]           ], [
             fhir:index 1;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "CodeSystem/DE294-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 14;
     fhir:Resource.id [ fhir:value "d1e2109-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE297-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "A1329" ];
       fhir:CodeSystem.concept.display [ fhir:value "Too early" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "A1332" ];
       fhir:CodeSystem.concept.display [ fhir:value "Too late" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "UNK" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unknown" ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 15;
     fhir:Resource.id [ fhir:value "d1e2109-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE297-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e2109-cs" ]             ]           ], [
             fhir:index 1;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "CodeSystem/DE297-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 16;
     fhir:Resource.id [ fhir:value "d1e2272-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE300-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "A1338" ];
       fhir:CodeSystem.concept.display [ fhir:value "Too quickly" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "A1341" ];
       fhir:CodeSystem.concept.display [ fhir:value "Too slowly" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "UNK" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unknown" ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 17;
     fhir:Resource.id [ fhir:value "d1e2272-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE300-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e2272-cs" ]             ]           ], [
             fhir:index 1;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "CodeSystem/DE300-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 18;
     fhir:Resource.id [ fhir:value "d1e2489-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE303-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "A1347" ];
       fhir:CodeSystem.concept.display [ fhir:value "Too high" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "A1350" ];
       fhir:CodeSystem.concept.display [ fhir:value "Too low" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "UNK" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unknown" ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 19;
     fhir:Resource.id [ fhir:value "d1e2489-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE303-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e2489-cs" ]             ]           ], [
             fhir:index 1;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "CodeSystem/DE303-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 20;
     fhir:Resource.id [ fhir:value "d1e2768-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE309-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "A15" ];
       fhir:CodeSystem.concept.display [ fhir:value "Yes" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "A18" ];
       fhir:CodeSystem.concept.display [ fhir:value "No" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "UNK" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unkown" ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 21;
     fhir:Resource.id [ fhir:value "d1e2768-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE309-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e2768-cs" ]             ]           ], [
             fhir:index 1;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "CodeSystem/DE303-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 22;
     fhir:Resource.id [ fhir:value "d1e2928-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE312-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "A1368" ];
       fhir:CodeSystem.concept.display [ fhir:value "Drug-drug" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "A1371" ];
       fhir:CodeSystem.concept.display [ fhir:value "Drug-food" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "A1374" ];
       fhir:CodeSystem.concept.display [ fhir:value "Drug-disease" ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "A66" ];
       fhir:CodeSystem.concept.display [ fhir:value "Other: PLEASE SPECIFY" ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 23;
     fhir:Resource.id [ fhir:value "d1e2928-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE312-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e2928-cs" ]             ]           ], [
             fhir:index 1;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "CodeSystem/DE312-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 24;
     fhir:Resource.id [ fhir:value "d1e3159-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE315-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "A1380" ];
       fhir:CodeSystem.concept.display [ fhir:value "Purchasing" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "A1383" ];
       fhir:CodeSystem.concept.display [ fhir:value "Storing" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "A1386" ];
       fhir:CodeSystem.concept.display [ fhir:value "Prescribing/ordering" ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "A1389" ];
       fhir:CodeSystem.concept.display [ fhir:value "Transcribing" ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "A1392" ];
       fhir:CodeSystem.concept.display [ fhir:value "Preparing" ]     ], [
       fhir:index 5;
       fhir:CodeSystem.concept.code [ fhir:value "A1395" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dispensing" ]     ], [
       fhir:index 6;
       fhir:CodeSystem.concept.code [ fhir:value "A1398" ];
       fhir:CodeSystem.concept.display [ fhir:value "Administering" ]     ], [
       fhir:index 7;
       fhir:CodeSystem.concept.code [ fhir:value "A1401" ];
       fhir:CodeSystem.concept.display [ fhir:value "Monitoring" ]     ], [
       fhir:index 8;
       fhir:CodeSystem.concept.code [ fhir:value "UNK" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unknown" ]     ], [
       fhir:index 9;
       fhir:CodeSystem.concept.code [ fhir:value "A66" ];
       fhir:CodeSystem.concept.display [ fhir:value "Other: PLEASE SPECIFY" ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 25;
     fhir:Resource.id [ fhir:value "d1e3159-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE315-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e3159-cs" ]             ]           ], [
             fhir:index 1;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "CodeSystem/DE315-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 26;
     fhir:Resource.id [ fhir:value "d1e4024-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE333-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "A15" ];
       fhir:CodeSystem.concept.display [ fhir:value "Yes" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "A18" ];
       fhir:CodeSystem.concept.display [ fhir:value "No" ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 27;
     fhir:Resource.id [ fhir:value "d1e4024-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE333-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e4024-cs" ]             ]           ], [
             fhir:index 1;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "CodeSystem/DE333-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 28;
     fhir:Resource.id [ fhir:value "d1e4118-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE336-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "A15" ];
       fhir:CodeSystem.concept.display [ fhir:value "Yes" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "A18" ];
       fhir:CodeSystem.concept.display [ fhir:value "No" ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 29;
     fhir:Resource.id [ fhir:value "d1e4118-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE336-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e4118-cs" ]             ]           ], [
             fhir:index 1;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "CodeSystem/DE336-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 30;
     fhir:Resource.id [ fhir:value "d1e4236-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE348-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "A1440" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cutaneous, topical application, including ointment, spray, patch" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "A1443" ];
       fhir:CodeSystem.concept.display [ fhir:value "Subcutaneous" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "A1444" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ophthalmic" ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "A1446" ];
       fhir:CodeSystem.concept.display [ fhir:value "Oral, including sublingual or buccal" ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "A1447" ];
       fhir:CodeSystem.concept.display [ fhir:value "Otic" ]     ], [
       fhir:index 5;
       fhir:CodeSystem.concept.code [ fhir:value "A1449" ];
       fhir:CodeSystem.concept.display [ fhir:value "Nasal" ]     ], [
       fhir:index 6;
       fhir:CodeSystem.concept.code [ fhir:value "A1450" ];
       fhir:CodeSystem.concept.display [ fhir:value "Inhalation" ]     ], [
       fhir:index 7;
       fhir:CodeSystem.concept.code [ fhir:value "A1452" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intravenous" ]     ], [
       fhir:index 8;
       fhir:CodeSystem.concept.code [ fhir:value "A1455" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intramuscular" ]     ], [
       fhir:index 9;
       fhir:CodeSystem.concept.code [ fhir:value "A1458" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intrathecal" ]     ], [
       fhir:index 10;
       fhir:CodeSystem.concept.code [ fhir:value "A1461" ];
       fhir:CodeSystem.concept.display [ fhir:value "Epidural" ]     ], [
       fhir:index 11;
       fhir:CodeSystem.concept.code [ fhir:value "A1464" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastric" ]     ], [
       fhir:index 12;
       fhir:CodeSystem.concept.code [ fhir:value "A1467" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rectal" ]     ], [
       fhir:index 13;
       fhir:CodeSystem.concept.code [ fhir:value "A1470" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginal" ]     ], [
       fhir:index 14;
       fhir:CodeSystem.concept.code [ fhir:value "UNK" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unknown" ]     ], [
       fhir:index 15;
       fhir:CodeSystem.concept.code [ fhir:value "A66" ];
       fhir:CodeSystem.concept.display [ fhir:value "Other: PLEASE SPECIFY" ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 31;
     fhir:Resource.id [ fhir:value "d1e4236-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE348-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e4236-cs" ]             ]           ], [
             fhir:index 1;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "CodeSystem/DE348-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 32;
     fhir:Resource.id [ fhir:value "d1e4716-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE351-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "A1440" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cutaneous, topical application, including ointment, spray, patch" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "A1443" ];
       fhir:CodeSystem.concept.display [ fhir:value "Subcutaneous" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "A1444" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ophthalmic" ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "A1446" ];
       fhir:CodeSystem.concept.display [ fhir:value "Oral, including sublingual or buccal" ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "A1447" ];
       fhir:CodeSystem.concept.display [ fhir:value "Otic" ]     ], [
       fhir:index 5;
       fhir:CodeSystem.concept.code [ fhir:value "A1449" ];
       fhir:CodeSystem.concept.display [ fhir:value "Nasal" ]     ], [
       fhir:index 6;
       fhir:CodeSystem.concept.code [ fhir:value "A1450" ];
       fhir:CodeSystem.concept.display [ fhir:value "Inhalation" ]     ], [
       fhir:index 7;
       fhir:CodeSystem.concept.code [ fhir:value "A1452" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intravenous" ]     ], [
       fhir:index 8;
       fhir:CodeSystem.concept.code [ fhir:value "A1455" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intramuscular" ]     ], [
       fhir:index 9;
       fhir:CodeSystem.concept.code [ fhir:value "A1458" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intrathecal" ]     ], [
       fhir:index 10;
       fhir:CodeSystem.concept.code [ fhir:value "A1461" ];
       fhir:CodeSystem.concept.display [ fhir:value "Epidural" ]     ], [
       fhir:index 11;
       fhir:CodeSystem.concept.code [ fhir:value "A1464" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastric" ]     ], [
       fhir:index 12;
       fhir:CodeSystem.concept.code [ fhir:value "A1467" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rectal" ]     ], [
       fhir:index 13;
       fhir:CodeSystem.concept.code [ fhir:value "A1470" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginal" ]     ], [
       fhir:index 14;
       fhir:CodeSystem.concept.code [ fhir:value "UNK" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unknown" ]     ], [
       fhir:index 15;
       fhir:CodeSystem.concept.code [ fhir:value "A66" ];
       fhir:CodeSystem.concept.display [ fhir:value "Other: PLEASE SPECIFY" ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 33;
     fhir:Resource.id [ fhir:value "d1e4716-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://AHRQ.org/form/question_identifier#Medication/DE351-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e4716-cs" ]             ]           ], [
             fhir:index 1;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "CodeSystem/DE351-cs" ]             ]           ]         ]       ]     ]
  ];
  fhir:Questionnaire.url [ fhir:value "http://hl7.org/fhir/us/sdc/Questionnaire/F8-1.2"];
  fhir:Questionnaire.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://Medication" ];
     fhir:Identifier.value [ fhir:value "form_identifier/F8/1.2" ]
  ];
  fhir:Questionnaire.status [ fhir:value "published"];
  fhir:Questionnaire.date [ fhir:value "2012-04-01"^^xsd:date];
  fhir:Questionnaire.publisher [ fhir:value "Agency for Healthcare Research and Quality (AHRQ)"];
  fhir:Questionnaire.useContext [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.code [ fhir:value "Acute Care Hospitals" ]     ]
  ];
  fhir:Questionnaire.title [ fhir:value "Medication or Other Substance"];
  fhir:Questionnaire.subjectType [
     fhir:value "Patient";
     fhir:index 0
  ];
  fhir:Questionnaire.item [
     fhir:index 0;
     fhir:extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
           fhir:Coding.code [ fhir:value "header" ]         ]       ]     ];
     fhir:Questionnaire.item.linkId [ fhir:value "Medication/header" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
         fhir:Extension.valueInteger [ fhir:value "3"^^xsd:int ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE2" ];
       fhir:Questionnaire.item.text [ fhir:value "Event ID:" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE30" ];
       fhir:Questionnaire.item.text [ fhir:value "Initial Report Date (HERF Q1)" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]     ]
  ], [
     fhir:index 1;
     fhir:Questionnaire.item.linkId [ fhir:value "Medication/SEC00" ];
     fhir:Questionnaire.item.text [ fhir:value "Medication or Other Substance" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.text [ fhir:value "Use this form to report any patient safety event or unsafe condition involving a substance such as a medications, biological products, nutritional products, expressed human breast milk, medical gases, or contrast media. Do not complete this form if the event involves appropriateness of therapeutic choice or decision making (e.g., physician decision to prescribe medication despite known drug-drug interaction). If the event involves a device, please also complete the Device or Medical/Surgical Supply including Health Information Technology (HIT) form. Narrative detail can be captured on the Healthcare Event Reporting Form (HERF)." ];
       fhir:Questionnaire.item.type [ fhir:value "display" ]     ], [
       fhir:index 1;
       fhir:Questionnaire.item.linkId [ fhir:value "Medication/SEC01/74080-3" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
           fhir:Extension.valueInteger [ fhir:value "1"^^xsd:int ]         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
           fhir:Extension.valueReference [
             fhir:link <http://AHRQ.gov/data_element_identifier#Type%20of%20substance%20involved>;
             fhir:Reference.reference [ fhir:value "http://AHRQ.gov/data_element_identifier#Type%20of%20substance%20involved" ]           ]         ];
         fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE270" ];
         fhir:Questionnaire.item.text [ fhir:value "What type of medication/substance was involved?" ];
         fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
         fhir:Questionnaire.item.options [
           fhir:Reference.reference [ fhir:value "#d1e551-vs" ]         ];
         fhir:Questionnaire.item.item [
           fhir:index 0;
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
             fhir:Extension.valueInteger [ fhir:value "7"^^xsd:int ]           ], [
             fhir:index 1;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
             fhir:Extension.valueReference [
               fhir:link <http://AHRQ.gov/data_element_identifier#Type%20of%20medication%20involved>;
               fhir:Reference.reference [ fhir:value "http://AHRQ.gov/data_element_identifier#Type%20of%20medication%20involved" ]             ]           ];
           fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE273" ];
           fhir:Questionnaire.item.text [ fhir:value "What type of medication?" ];
           fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.options [
             fhir:Reference.reference [ fhir:value "#d1e639-vs" ]           ];
           fhir:Questionnaire.item.item [
             fhir:index 0;
             fhir:extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
               fhir:Extension.valueInteger [ fhir:value "0"^^xsd:int ]             ], [
               fhir:index 1;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
               fhir:Extension.valueReference [
                 fhir:link <http://AHRQ.gov/data_element_identifier#Compounded%20preparation%20ingredients>;
                 fhir:Reference.reference [ fhir:value "http://AHRQ.gov/data_element_identifier#Compounded%20preparation%20ingredients" ]               ]             ];
             fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE276" ];
             fhir:Questionnaire.item.text [ fhir:value "Please list all ingredients:" ];
             fhir:Questionnaire.item.type [ fhir:value "string" ];
             fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ]           ]         ], [
           fhir:index 1;
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
             fhir:Extension.valueInteger [ fhir:value "8"^^xsd:int ]           ];
           fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE279" ];
           fhir:Questionnaire.item.text [ fhir:value "What type of biological product?" ];
           fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
           fhir:Questionnaire.item.options [
             fhir:Reference.reference [ fhir:value "#d1e910-vs" ]           ];
           fhir:Questionnaire.item.item [
             fhir:index 0;
             fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE282" ];
             fhir:Questionnaire.item.text [ fhir:value "What was the lot number of the vaccine?" ];
             fhir:Questionnaire.item.type [ fhir:value "string" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]           ]         ], [
           fhir:index 2;
           fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE285" ];
           fhir:Questionnaire.item.text [ fhir:value "What type of nutritional product?" ];
           fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.options [
             fhir:Reference.reference [ fhir:value "#d1e1125-vs" ]           ]         ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE288" ];
         fhir:Questionnaire.item.text [ fhir:value "Which of the following best characterizes the event?" ];
         fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
         fhir:Questionnaire.item.options [
           fhir:Reference.reference [ fhir:value "#d1e1558-vs" ]         ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE291" ];
         fhir:Questionnaire.item.text [ fhir:value "What was the incorrect action?" ];
         fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
         fhir:Questionnaire.item.options [
           fhir:Reference.reference [ fhir:value "#d1e1746-vs" ]         ];
         fhir:Questionnaire.item.item [
           fhir:index 0;
           fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE294" ];
           fhir:Questionnaire.item.text [ fhir:value "Which best describes the incorrect dose(s)?" ];
           fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.options [
             fhir:Reference.reference [ fhir:value "#d1e1863-vs" ]           ]         ], [
           fhir:index 1;
           fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE297" ];
           fhir:Questionnaire.item.text [ fhir:value "Which best describes the incorrect timing?" ];
           fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.options [
             fhir:Reference.reference [ fhir:value "#d1e2109-vs" ]           ]         ], [
           fhir:index 2;
           fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE300" ];
           fhir:Questionnaire.item.text [ fhir:value "Which best describes the incorrect rate?" ];
           fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.options [
             fhir:Reference.reference [ fhir:value "#d1e2272-vs" ]           ]         ], [
           fhir:index 3;
           fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE303" ];
           fhir:Questionnaire.item.text [ fhir:value "Which best describes the incorrect strength or concentration?" ];
           fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.options [
             fhir:Reference.reference [ fhir:value "#d1e2489-vs" ]           ]         ], [
           fhir:index 4;
           fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE306" ];
           fhir:Questionnaire.item.text [ fhir:value "What was the expiration date?" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 5;
           fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE309" ];
           fhir:Questionnaire.item.text [ fhir:value "Was there a documented history of allergies or sensitivities to the medication/substance administered?" ];
           fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.options [
             fhir:Reference.reference [ fhir:value "#d1e2768-vs" ]           ]         ], [
           fhir:index 6;
           fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE312" ];
           fhir:Questionnaire.item.text [ fhir:value "What was the contraindication (potential or actual interaction)?" ];
           fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.options [
             fhir:Reference.reference [ fhir:value "#d1e2928-vs" ]           ]         ]       ], [
         fhir:index 3;
         fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE315" ];
         fhir:Questionnaire.item.text [ fhir:value "At what stage in the process did the event originate, regardless of the stage at which it was discovered?" ];
         fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
         fhir:Questionnaire.item.options [
           fhir:Reference.reference [ fhir:value "#d1e3159-vs" ]         ]       ]     ], [
       fhir:index 2;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs" ];
         fhir:Extension.valueInteger [ fhir:value "5"^^xsd:int ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "Medication/SEC02/74078-7" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.text [ fhir:value "Please provide the following medication details for any medications or other substances directly involved in the event." ];
         fhir:Questionnaire.item.type [ fhir:value "display" ]       ], [
         fhir:index 1;
         fhir:extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
           fhir:Extension.valueInteger [ fhir:value "0"^^xsd:int ]         ];
         fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE318" ];
         fhir:Questionnaire.item.text [ fhir:value "Generic name or investigational drug name" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 2;
         fhir:extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
           fhir:Extension.valueInteger [ fhir:value "0"^^xsd:int ]         ];
         fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE319" ];
         fhir:Questionnaire.item.text [ fhir:value "Ingredient" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 3;
         fhir:extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
           fhir:Extension.valueInteger [ fhir:value "0"^^xsd:int ]         ];
         fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE321" ];
         fhir:Questionnaire.item.text [ fhir:value "Brand name" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 4;
         fhir:extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
           fhir:Extension.valueInteger [ fhir:value "0"^^xsd:int ]         ];
         fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE322" ];
         fhir:Questionnaire.item.text [ fhir:value "Brand name RXCUI" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 5;
         fhir:extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
           fhir:Extension.valueInteger [ fhir:value "0"^^xsd:int ]         ];
         fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE324" ];
         fhir:Questionnaire.item.text [ fhir:value "Manufacturer" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 6;
         fhir:extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
           fhir:Extension.valueInteger [ fhir:value "0"^^xsd:int ]         ];
         fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE327" ];
         fhir:Questionnaire.item.text [ fhir:value "Strength or concentration of product" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 7;
         fhir:extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
           fhir:Extension.valueInteger [ fhir:value "0"^^xsd:int ]         ];
         fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE328" ];
         fhir:Questionnaire.item.text [ fhir:value "Clinical Component RXCUI" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 8;
         fhir:extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
           fhir:Extension.valueInteger [ fhir:value "0"^^xsd:int ]         ];
         fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE330" ];
         fhir:Questionnaire.item.text [ fhir:value "Dosage form of Product" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 9;
         fhir:extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
           fhir:Extension.valueInteger [ fhir:value "0"^^xsd:int ]         ];
         fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE331" ];
         fhir:Questionnaire.item.text [ fhir:value "Dose form RXCUI" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 10;
         fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE333" ];
         fhir:Questionnaire.item.text [ fhir:value "Was this medication/substance prescribed for this patient?" ];
         fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
         fhir:Questionnaire.item.options [
           fhir:Reference.reference [ fhir:value "#d1e4024-vs" ]         ]       ], [
         fhir:index 11;
         fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE336" ];
         fhir:Questionnaire.item.text [ fhir:value "Was this medication/substance given to this patient?" ];
         fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
         fhir:Questionnaire.item.options [
           fhir:Reference.reference [ fhir:value "#d1e4118-vs" ]         ]       ]     ], [
       fhir:index 3;
       fhir:Questionnaire.item.linkId [ fhir:value "Medication/SEC03" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE348" ];
         fhir:Questionnaire.item.text [ fhir:value "What was the intended route of administration?" ];
         fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
         fhir:Questionnaire.item.options [
           fhir:Reference.reference [ fhir:value "#d1e4236-vs" ]         ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "Medication/DE351" ];
         fhir:Questionnaire.item.text [ fhir:value "What was the actual route of administration (attempted or completed)?" ];
         fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
         fhir:Questionnaire.item.options [
           fhir:Reference.reference [ fhir:value "#d1e4716-vs" ]         ]       ]     ], [
       fhir:index 4;
       fhir:Questionnaire.item.linkId [ fhir:value "Medication/SEC04" ];
       fhir:Questionnaire.item.text [ fhir:value "STOP" ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.text [ fhir:value "The form is complete." ];
         fhir:Questionnaire.item.type [ fhir:value "display" ]       ]     ], [
       fhir:index 5;
       fhir:Questionnaire.item.linkId [ fhir:value "Medication/SEC05" ];
       fhir:Questionnaire.item.text [ fhir:value "Thank you for completing these questions." ];
       fhir:Questionnaire.item.type [ fhir:value "group" ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.text [ fhir:value "OMB No. 0935-0143 Exp. Date 10/31/2014 Public reporting burden for the collection of information is estimated to average 10 minutes per response. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: AHRQ Reports Clearance Officer, Attention: PRA, Paperwork Reduction Project (0935-0143), AHRQ, 540 Gaither Road, Room #5036, Rockville, MD 20850." ];
         fhir:Questionnaire.item.type [ fhir:value "display" ]       ]     ]
  ], [
     fhir:index 2;
     fhir:extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
           fhir:Coding.code [ fhir:value "footer" ]         ]       ]     ];
     fhir:Questionnaire.item.linkId [ fhir:value "Medication/footer" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.text [ fhir:value "AHRQ Common Formats - Hospital Version 1.2 - 2012 Medication or Other Substance" ];
       fhir:Questionnaire.item.type [ fhir:value "display" ]     ]
  ].

<http://AHRQ.org/form/Questionnaire/HERF-1.2> a fhir:Questionnaire;
  fhir:index 0;
  fhir:Resource.id [ fhir:value "HERF-1.2"];
  fhir:Resource.meta [
     fhir:Meta.lastUpdated [ fhir:value "2014-05-15T17:25:15Z"^^xsd:dateTime ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Todo</div>"
  ];
  fhir:DomainResource.contained [
     a fhir:CodeSystem;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "d1e5879-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://AHRQ.org/form/question_identifier#HERF/DE3-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "A3" ];
       fhir:CodeSystem.concept.display [ fhir:value "Incident" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A patient safety event that reached the patient, whether or not the patient was harmed." ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "A6" ];
       fhir:CodeSystem.concept.display [ fhir:value "Near Miss" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A patient safety event that did not reach the patient." ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "A9" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unsafe Condition" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Any circumstance that increases the probability of a patient safety event." ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 1;
     fhir:Resource.id [ fhir:value "d1e5879-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://AHRQ.org/form/question_identifier#HERF/DE3-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e5879-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 2;
     fhir:Resource.id [ fhir:value "d1e6177-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://AHRQ.org/form/question_identifier#HERF/DE21-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "A42" ];
       fhir:CodeSystem.concept.display [ fhir:value "Blood or Blood Product" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "A44" ];
       fhir:CodeSystem.concept.display [ fhir:value "Device or Medical/Surgical Supply, including Health Information Technology (HIT)" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "A48" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fall" ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "A51" ];
       fhir:CodeSystem.concept.display [ fhir:value "Healthcare-associated Infection" ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "A54" ];
       fhir:CodeSystem.concept.display [ fhir:value "Medication or Other Substance" ]     ], [
       fhir:index 5;
       fhir:CodeSystem.concept.code [ fhir:value "A57" ];
       fhir:CodeSystem.concept.display [ fhir:value "Perinatal" ]     ], [
       fhir:index 6;
       fhir:CodeSystem.concept.code [ fhir:value "A60" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pressure Ulcer" ]     ], [
       fhir:index 7;
       fhir:CodeSystem.concept.code [ fhir:value "A63" ];
       fhir:CodeSystem.concept.display [ fhir:value "Surgery or Anesthesia (includes invasive procedure)" ]     ], [
       fhir:index 8;
       fhir:CodeSystem.concept.code [ fhir:value "A64" ];
       fhir:CodeSystem.concept.display [ fhir:value "Venous Thromboembolism" ]     ], [
       fhir:index 9;
       fhir:CodeSystem.concept.code [ fhir:value "A66" ];
       fhir:CodeSystem.concept.display [ fhir:value "Other: PLEASE SPECIFY" ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 3;
     fhir:Resource.id [ fhir:value "d1e6177-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://AHRQ.org/form/question_identifier#HERF/DE21-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e6177-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 4;
     fhir:Resource.id [ fhir:value "d1e6853-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://AHRQ.org/form/question_identifier#HERF/DE42-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "M" ];
       fhir:CodeSystem.concept.display [ fhir:value "Male" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "F" ];
       fhir:CodeSystem.concept.display [ fhir:value "Female" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "UNK" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unknown" ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 5;
     fhir:Resource.id [ fhir:value "d1e6853-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://AHRQ.org/form/question_identifier#HERF/DE42-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e6853-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 6;
     fhir:Resource.id [ fhir:value "d1e7006-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://AHRQ.org/form/question_identifier#HERF/Hidden-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "A15" ];
       fhir:CodeSystem.concept.display [ fhir:value "Yes" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "A18" ];
       fhir:CodeSystem.concept.display [ fhir:value "No" ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 7;
     fhir:Resource.id [ fhir:value "d1e7006-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://AHRQ.org/form/question_identifier#HERF/Hidden-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e7006-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 8;
     fhir:Resource.id [ fhir:value "d1e7220-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://AHRQ.org/form/question_identifier#HERF/DE43-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "M" ];
       fhir:CodeSystem.concept.display [ fhir:value "Male" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "F" ];
       fhir:CodeSystem.concept.display [ fhir:value "Female" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "UNK" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unknown" ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 9;
     fhir:Resource.id [ fhir:value "d1e7220-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://AHRQ.org/form/question_identifier#HERF/DE43-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e7220-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 10;
     fhir:Resource.id [ fhir:value "d1e7422-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://AHRQ.org/form/question_identifier#HERF/DE33-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "A15" ];
       fhir:CodeSystem.concept.display [ fhir:value "Yes" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "A18" ];
       fhir:CodeSystem.concept.display [ fhir:value "No" ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 11;
     fhir:Resource.id [ fhir:value "d1e7422-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://AHRQ.org/form/question_identifier#HERF/DE33-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e7422-cs" ]             ]           ]         ]       ]     ]
  ];
  fhir:Questionnaire.url [ fhir:value "http://hl7.org/fhir/Questionnaire/HERF-1.2"];
  fhir:Questionnaire.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://AHRQ.org" ];
     fhir:Identifier.value [ fhir:value "identifier/HERF/1.2" ]
  ];
  fhir:Questionnaire.status [ fhir:value "published"];
  fhir:Questionnaire.title [ fhir:value "Healthcare Event Reporting Form (HERF) Hospital Version 1.2"];
  fhir:Questionnaire.item [
     fhir:index 0;
     fhir:extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
           fhir:Coding.code [ fhir:value "header" ]         ]       ]     ];
     fhir:Questionnaire.item.linkId [ fhir:value "HERF/header" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
         fhir:Extension.valueInteger [ fhir:value "3"^^xsd:int ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "HERF/DE2" ];
       fhir:Questionnaire.item.text [ fhir:value "Event ID" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:Questionnaire.item.linkId [ fhir:value "HERF/DE30" ];
       fhir:Questionnaire.item.text [ fhir:value "Initial Report Date" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]     ]
  ], [
     fhir:index 1;
     fhir:Questionnaire.item.linkId [ fhir:value "HERF/SEC01" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.linkId [ fhir:value "HERF/DE30b" ];
       fhir:Questionnaire.item.text [ fhir:value "Report Date" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:Questionnaire.item.linkId [ fhir:value "HERF/DE3" ];
       fhir:Questionnaire.item.text [ fhir:value "What is being reported?" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e5879-vs" ]       ]     ], [
       fhir:index 2;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs" ];
         fhir:Extension.valueInteger [ fhir:value "0"^^xsd:int ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "HERF/DE15" ];
       fhir:Questionnaire.item.text [ fhir:value "Briefly describe the event that occurred or unsafe condition" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
       fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 3;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs" ];
         fhir:Extension.valueInteger [ fhir:value "0"^^xsd:int ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "HERF/DE18" ];
       fhir:Questionnaire.item.text [ fhir:value "Briefly describe the location where the event occurred or where the unsafe condition exists" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
       fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 4;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs" ];
         fhir:Extension.valueInteger [ fhir:value "10"^^xsd:int ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "HERF/DE21" ];
       fhir:Questionnaire.item.text [ fhir:value "Which of the following categories are associated with the event or unsafe condition?" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
       fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e6177-vs" ]       ]     ]
  ], [
     fhir:index 2;
     fhir:Questionnaire.item.linkId [ fhir:value "HERF/SEC01.1" ];
     fhir:Questionnaire.item.text [ fhir:value "PATIENT INFORMATION (COMPLETE ONLY IF INCIDENT)" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.enableWhen [
       fhir:index 0;
       fhir:Questionnaire.item.enableWhen.question [ fhir:value "HERF/DE3" ];
       fhir:Questionnaire.item.enableWhen.answerCoding [
         fhir:Coding.system [ fhir:value "http://AHRQ.org/form/question_identifier#HERF/DE3-cs" ];
         fhir:Coding.code [ fhir:value "A3" ]       ]     ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.text [ fhir:value "Please complete the patient identifiers below. Additional patient information is captured on the Patient Information Form (PIF). (When reporting a perinatal incident that affected a mother and a neonate, please complete the patient identifiers below for the mother (Q8 – Q11) and the neonate (Q12 – Q15). Please also complete a separate PIF for the neonate involved.)" ];
       fhir:Questionnaire.item.type [ fhir:value "display" ]     ], [
       fhir:index 1;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/entryFormat" ];
         fhir:Extension.valueString [ fhir:value "MM/DD/YYYY" ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "HERF/DE9a" ];
       fhir:Questionnaire.item.text [ fhir:value "Event Discovery Date" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 2;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/entryFormat" ];
         fhir:Extension.valueString [ fhir:value "HHMM" ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "HERF/DE9b" ];
       fhir:Questionnaire.item.text [ fhir:value "Event Discovery Time" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]     ]
  ], [
     fhir:index 3;
     fhir:Questionnaire.item.linkId [ fhir:value "HERF/SEC02" ];
     fhir:Questionnaire.item.text [ fhir:value "Patient Information (COMPLETE ONLY IF INCIDENT):" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.enableWhen [
       fhir:index 0;
       fhir:Questionnaire.item.enableWhen.question [ fhir:value "HERF/DE3" ];
       fhir:Questionnaire.item.enableWhen.answerCoding [
         fhir:Coding.system [ fhir:value "http://AHRQ.org/form/question_identifier#HERF/DE3-cs" ];
         fhir:Coding.code [ fhir:value "A3" ]       ]     ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.text [ fhir:value "Please complete the patient identifiers below. Additional patient information is captured on the Patient Information Form (PIF). (When reporting a perinatal incident that affected a mother and a neonate, please complete the patient identifiers below for the mother (Q8 – Q11) and the neonate (Q12 – Q15). Please also complete a separate PIF for the neonate involved.)" ];
       fhir:Questionnaire.item.type [ fhir:value "display" ]     ], [
       fhir:index 1;
       fhir:Questionnaire.item.linkId [ fhir:value "HERF/DE46" ];
       fhir:Questionnaire.item.text [ fhir:value "Patient's Name" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 2;
       fhir:Questionnaire.item.linkId [ fhir:value "HERF/DE47" ];
       fhir:Questionnaire.item.text [ fhir:value "Patient's Date of Birth" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 3;
       fhir:Questionnaire.item.linkId [ fhir:value "HERF/DE49" ];
       fhir:Questionnaire.item.text [ fhir:value "Patient's Medical Record #" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ];
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 4;
       fhir:Questionnaire.item.linkId [ fhir:value "HERF/DE42" ];
       fhir:Questionnaire.item.text [ fhir:value "Patients' Gender" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e6853-vs" ]       ]     ]
  ], [
     fhir:index 4;
     fhir:Questionnaire.item.linkId [ fhir:value "HERF/SEC03" ];
     fhir:Questionnaire.item.text [ fhir:value "Neonatal Patient Information:" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.text [ fhir:value "COMPLETE ONLY FOR NEONATE AFFECTED BY PERINATAL INCIDENT" ];
       fhir:Questionnaire.item.type [ fhir:value "display" ]     ], [
       fhir:index 1;
       fhir:Questionnaire.item.linkId [ fhir:value "HERF/Hidden" ];
       fhir:Questionnaire.item.text [ fhir:value "Is this event a perinatal incident that affected a neonate?" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e7006-vs" ]       ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "HERF/DE34" ];
         fhir:Questionnaire.item.text [ fhir:value "Neonate's Name" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "HERF/DE37" ];
         fhir:Questionnaire.item.text [ fhir:value "Neonate's Date of Birth" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.linkId [ fhir:value "HERF/DE40" ];
         fhir:Questionnaire.item.text [ fhir:value "Neonate's Medical Record #" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 3;
         fhir:Questionnaire.item.linkId [ fhir:value "HERF/DE43" ];
         fhir:Questionnaire.item.text [ fhir:value "Neonate's Gender" ];
         fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
         fhir:Questionnaire.item.options [
           fhir:Reference.reference [ fhir:value "#d1e7220-vs" ]         ]       ]     ]
  ], [
     fhir:index 5;
     fhir:Questionnaire.item.linkId [ fhir:value "HERF/SEC04" ];
     fhir:Questionnaire.item.text [ fhir:value "REPORT AND EVENT REPORTER INFORMATION" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.linkId [ fhir:value "HERF/DE33" ];
       fhir:Questionnaire.item.text [ fhir:value "Anonymous Reporter" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e7422-vs" ]       ];
       fhir:Questionnaire.item.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "HERF/DE50" ];
         fhir:Questionnaire.item.text [ fhir:value "Reporter's Name" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "HERF/DE52" ];
         fhir:Questionnaire.item.text [ fhir:value "Telephone Number" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.linkId [ fhir:value "HERF/DE53" ];
         fhir:Questionnaire.item.text [ fhir:value "Email Address" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 3;
         fhir:Questionnaire.item.linkId [ fhir:value "HERF/DE36" ];
         fhir:Questionnaire.item.text [ fhir:value "Reporter's Job or Position" ];
         fhir:Questionnaire.item.type [ fhir:value "string" ]       ]     ]
  ], [
     fhir:index 6;
     fhir:Questionnaire.item.linkId [ fhir:value "HERF/SEC05" ];
     fhir:Questionnaire.item.text [ fhir:value "Thank you for completing these questions." ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.text [ fhir:value "OMB No. 0935-0143 Exp. Date 10/31/2014 Public reporting burden for the collection of information is estimated to average 10 minutes per response. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: AHRQ Reports Clearance Officer, Attention: PRA, Paperwork Reduction Project (0935-0143), AHRQ, 540 Gaither Road, Room #5036, Rockville, MD 20850." ];
       fhir:Questionnaire.item.type [ fhir:value "display" ]     ]
  ], [
     fhir:index 7;
     fhir:extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ];
           fhir:Coding.code [ fhir:value "footer" ]         ]       ]     ];
     fhir:Questionnaire.item.linkId [ fhir:value "HERF/footer" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.text [ fhir:value "AHRQ Common Formats - Hospital Version 1.2 - 2012 Medication or Other Substance" ];
       fhir:Questionnaire.item.type [ fhir:value "display" ]     ]
  ].

<http://AHRQ.org/form/Questionnaire/3921052v1.0> a fhir:Questionnaire;
  fhir:index 0;
  fhir:Resource.id [ fhir:value "3921052v1.0"];
  fhir:Resource.meta [
     fhir:Meta.lastUpdated [ fhir:value "2014-05-15T17:25:15Z"^^xsd:dateTime ]
  ];
  fhir:Resource.language [ fhir:value "en"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Todo</div>"
  ];
  fhir:DomainResource.contained [
     a fhir:CodeSystem;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "d1e8086-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/3921052v1.0/question_identifier#3921060v1.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "Primary" ];
       fhir:CodeSystem.concept.display [ fhir:value "Primary Diagnosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Occurring first in time or sequence; original; of greatest rank or importance or value.: The investigation, analysis and recognition of the presence and nature of disease, condition, or injury from expressed signs and symptoms; also, the scientific determination of any kind; the concise results of such an investigation." ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "Secondary" ];
       fhir:CodeSystem.concept.display [ fhir:value "Secondary Diagnosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Derived as a result of a primary condition; not direct or immediate; of second rank or importance or value.: The investigation, analysis and recognition of the presence and nature of disease, condition, or injury from expressed signs and symptoms; also, the scientific determination of any kind; the concise results of such an investigation." ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "Treatment-related" ];
       fhir:CodeSystem.concept.display [ fhir:value "Treatment related secondary malignancy Diagnosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by development of a malignancy most probably as a result of treatment for a previously existing malignancy.: The investigation, analysis and recognition of the presence and nature of disease, condition, or injury from expressed signs and symptoms; also, the scientific determination of any kind; the concise results of such an investigation." ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "Unknown" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unknown" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Not known, not observed, not recorded, or refused." ]     ]
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     a fhir:ValueSet;
     fhir:index 1;
     fhir:Resource.id [ fhir:value "d1e8086-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
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           fhir:extension [
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             fhir:Extension.valueReference [
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     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/3921052v1.0/question_identifier#3921071v1.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "Initial same as Current" ];
       fhir:CodeSystem.concept.display [ fhir:value "Initial diagnosis same as current" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Initial diagnosis same as current" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "At Progression" ];
       fhir:CodeSystem.concept.display [ fhir:value "Disease Progression" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Cancer that continues to grow or spread." ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "At Restaging" ];
       fhir:CodeSystem.concept.display [ fhir:value "Restaging" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Two or more adjacent copies of an identical pattern.: The extent of a cancer within the body, especially whether the disease has spread from the original site to other parts of the body." ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "Initial Diagnosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "First Diagnosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Preceding all others in time or space or degree.: The investigation, analysis and recognition of the presence and nature of disease, condition, or injury from expressed signs and symptoms; also, the scientific determination of any kind; the concise results of such an investigation." ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "Current Diagnosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Current Diagnosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Occurring in or belonging to the present time.: The investigation, analysis and recognition of the presence and nature of disease, condition, or injury from expressed signs and symptoms; also, the scientific determination of any kind; the concise results of such an investigation." ]     ]
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           fhir:extension [
             fhir:index 0;
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             fhir:Extension.valueReference [
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     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/3921052v1.0/question_identifier#3921081v1.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "Cytologic" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cytological Procedure" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Technique or procedure for manipulation of cells and analysis of cell properties and subcellular features." ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "Histologic" ];
       fhir:CodeSystem.concept.display [ fhir:value "Histological Procedure" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Technique or procedure used for the study of the microanatomy of tissues and their cellular structure; usually involves microscopic examination of tissue slices." ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "Histologic and Cytologic" ];
       fhir:CodeSystem.concept.display [ fhir:value "Histologic and Cytologic Procedures" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Pertaining to the combined microscopic physical features of cells and their surrounding extracellular environment in tissues.: The light microscopic study of normal and abnormal cells in fine needle aspirates (FNAs), body cavity fluids, and smears.: Having been established or verified." ]     ]
  ], [
     a fhir:ValueSet;
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     fhir:ValueSet.status [ fhir:value "active" ];
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       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
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           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e8830-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 6;
     fhir:Resource.id [ fhir:value "d1e9025-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/3921052v1.0/question_identifier#3921085v1.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "G1" ];
       fhir:CodeSystem.concept.display [ fhir:value "Well Differentiated" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Describes tumor cells that generally retain the appearance of normal cells and tend to grow and spread at a slower rate than undifferentiated or poorly differentiated tumor cells." ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "G2" ];
       fhir:CodeSystem.concept.display [ fhir:value "Moderately Differentiated" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Definition not available." ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "G3" ];
       fhir:CodeSystem.concept.display [ fhir:value "Poorly Differentiated" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Describes tumor cells that generally have lost most of the appearance of normal cells. They tend to grow and spread." ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "G4" ];
       fhir:CodeSystem.concept.display [ fhir:value "Undifferentiated" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A term used to describe cells or tissues that do not have specialized (\"mature\") structures or functions. Undifferentiated cancer cells often grow and spread quickly." ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "GB" ];
       fhir:CodeSystem.concept.display [ fhir:value "Borderline Histologic Grade" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Straddling the dividing line between two categories.: The degree of abnormality of cancer cells, a measure of differentiation, the extent to which cancer cells are similar in appearance and function to healthy cells of the same tissue type. The degree of differentiation often relates to the clinical behavior of the particular tumor. Based on the microscopic findings, tumor grade is commonly described by one of four degrees of severity. Histopathologic grade of a tumor may be used to plan treatment and estimate the future course, outcome, and overall prognosis of disease. Certain types of cancers, such as soft tissue sarcoma, primary brain tumors, lymphomas, and breast have special grading systems." ]     ], [
       fhir:index 5;
       fhir:CodeSystem.concept.code [ fhir:value "GX" ];
       fhir:CodeSystem.concept.display [ fhir:value "Grade Cannot be Assessed" ];
       fhir:CodeSystem.concept.definition [ fhir:value "An operation in which a term denies or inverts the meaning of another term or construction.: Having determined the value, significance, or extent of.: The degree of abnormality of cancer cells, a measure of differentiation, the extent to which cancer cells are similar in appearance and function to healthy cells of the same tissue type. The degree of differentiation often relates to the clinical behavior of the particular tumor. Based on the microscopic findings, tumor grade is commonly described by one of four degrees of severity. Histopathologic grade of a tumor may be used to plan treatment and estimate the future course, outcome, and overall prognosis of disease. Certain types of cancers, such as soft tissue sarcoma, primary brain tumors, lymphomas, and breast have special grading systems." ]     ], [
       fhir:index 6;
       fhir:CodeSystem.concept.code [ fhir:value "High Grade" ];
       fhir:CodeSystem.concept.display [ fhir:value "High Grade" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Used to describe tumor samples that exhibit poorly differentiated or undifferentiated cells. They are generally expected to be fast growing and aggressive." ]     ], [
       fhir:index 7;
       fhir:CodeSystem.concept.code [ fhir:value "Low Grade" ];
       fhir:CodeSystem.concept.display [ fhir:value "Low Grade" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Used to describe tumor samples that exhibit well to moderately well differentiated cells. They are generally expected to be slow growing and less aggressive." ]     ]
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     a fhir:ValueSet;
     fhir:index 7;
     fhir:Resource.id [ fhir:value "d1e9025-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/3921052v1.0/question_identifier#3921085v1.0-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e9025-cs" ]             ]           ]         ]       ]     ]
  ];
  fhir:Questionnaire.url [ fhir:value "http://hl7.org/fhir/Questionnaire/3921052v1.0"];
  fhir:Questionnaire.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier" ];
     fhir:Identifier.value [ fhir:value "3921052v1.0/" ]
  ];
  fhir:Questionnaire.status [ fhir:value "draft"];
  fhir:Questionnaire.date [ fhir:value "2013-10-16"^^xsd:date];
  fhir:Questionnaire.publisher [ fhir:value "National Cancer Institute (NCI)"];
  fhir:Questionnaire.useContext [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.code [ fhir:value "CRF" ]     ]
  ];
  fhir:Questionnaire.title [ fhir:value "Diagnosis NCI Standard Template"];
  fhir:Questionnaire.item [
     fhir:index 0;
     fhir:Questionnaire.item.linkId [ fhir:value "3921053v1.0" ];
     fhir:Questionnaire.item.text [ fhir:value "Mandatory Diagnosis Questions" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.text [ fhir:value "These items must be included when this data is collected for reporting." ];
       fhir:Questionnaire.item.type [ fhir:value "display" ]     ], [
       fhir:index 1;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#62667v3.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#62667v3.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3921059v1.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Date of Current Pathologic Diagnosis" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 2;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#3914869v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#3914869v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3921060v1.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Diagnosis Type" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e8086-vs" ]       ]     ], [
       fhir:index 3;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#3914972v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#3914972v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3921065v1.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Primary Site" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ]
  ], [
     fhir:index 1;
     fhir:Questionnaire.item.linkId [ fhir:value "3921066v1.0" ];
     fhir:Questionnaire.item.text [ fhir:value "Conditional Diagnosis Questions" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.text [ fhir:value "There are business rules to indicate situations under which these elements should be used on a case report form." ];
       fhir:Questionnaire.item.type [ fhir:value "display" ]     ], [
       fhir:index 1;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2816923v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2816923v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3921071v1.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Diagnosis Time Point" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e8407-vs" ]       ]     ]
  ], [
     fhir:index 2;
     fhir:Questionnaire.item.linkId [ fhir:value "3921077v1.0" ];
     fhir:Questionnaire.item.text [ fhir:value "Optional Diagnosis Questions" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.text [ fhir:value "There is no requirement for inclusion of these elements on the case report form. If the design and scientific questions posed in the study dictate the need to collect this type of data, these elements should be included." ];
       fhir:Questionnaire.item.type [ fhir:value "display" ]     ], [
       fhir:index 1;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
         fhir:Extension.valueInteger [ fhir:value "1"^^xsd:int ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#64320v3.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#64320v3.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3921079v1.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Reviewing Pathologist" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 2;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2004425v4.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2004425v4.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3921080v1.0" ];
       fhir:Questionnaire.item.text [ fhir:value "MedDRA disease code" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 3;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#3914983v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#3914983v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3921081v1.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Assessment Method" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e8830-vs" ]       ]     ], [
       fhir:index 4;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2785839v2.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2785839v2.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3921085v1.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Tumor grade" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e9025-vs" ]       ]     ]
  ].

<http://AHRQ.org/form/Questionnaire/F2674812v4.0> a fhir:Questionnaire;
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  fhir:Resource.id [ fhir:value "2674812v4.0"];
  fhir:Resource.meta [
     fhir:Meta.lastUpdated [ fhir:value "2014-05-15T17:25:15Z"^^xsd:dateTime ]
  ];
  fhir:Resource.language [ fhir:value "en"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Todo</div>"
  ];
  fhir:DomainResource.contained [
     a fhir:CodeSystem;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "d1e9892-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/2674812v4.0/question_identifier#3702892v4.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "Female" ];
       fhir:CodeSystem.concept.display [ fhir:value "Female Gender" ];
       fhir:CodeSystem.concept.definition [ fhir:value "An individual who reports belonging to the cultural gender role distinction of female." ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "Male" ];
       fhir:CodeSystem.concept.display [ fhir:value "Male Gender" ];
       fhir:CodeSystem.concept.definition [ fhir:value "An individual who reports belonging to the cultural gender role distinction of male." ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "Unknown" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unknown" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Not known, not observed, not recorded, or refused." ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "Unspecified" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unspecified" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Not stated explicitly or in detail." ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 1;
     fhir:Resource.id [ fhir:value "d1e9892-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/2674812v4.0/question_identifier#3702892v4.0-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e9892-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 2;
     fhir:Resource.id [ fhir:value "d1e10146-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/2674812v4.0/question_identifier#3702904v4.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "American Indian or Alaska Native" ];
       fhir:CodeSystem.concept.display [ fhir:value "American Indian or Alaska Native" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment." ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "Asian" ];
       fhir:CodeSystem.concept.display [ fhir:value "Asian" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam." ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "Black or African American" ];
       fhir:CodeSystem.concept.display [ fhir:value "Black or African American" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A person having origins in any of the black racial groups of Africa. Terms such as \"Haitian\" or \"Negro\" can be used in addition to \"Black or African American.\"" ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "Native Hawaiian or other Pacific Islander" ];
       fhir:CodeSystem.concept.display [ fhir:value "Native Hawaiian or Other Pacific Islander" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands." ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "Not Reported" ];
       fhir:CodeSystem.concept.display [ fhir:value "Not Reported" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Not provided or available" ]     ], [
       fhir:index 5;
       fhir:CodeSystem.concept.code [ fhir:value "Unknown" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unknown" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Could not be determined or unsure" ]     ], [
       fhir:index 6;
       fhir:CodeSystem.concept.code [ fhir:value "White" ];
       fhir:CodeSystem.concept.display [ fhir:value "White" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A person having origins in any of the original peoples of Europe, the Middle East, or North Africa." ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 3;
     fhir:Resource.id [ fhir:value "d1e10146-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/2674812v4.0/question_identifier#3702904v4.0-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e10146-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 4;
     fhir:Resource.id [ fhir:value "d1e10593-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/2674812v4.0/question_identifier#3702898v4.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "Hispanic or Latino" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hispanic or Latino" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A person of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish culture or origin, regardless of race." ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "Not Hispanic or Latino" ];
       fhir:CodeSystem.concept.display [ fhir:value "Not Hispanic or Latino" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A person not meeting the definition for Hispanic or Latino." ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "Not reported" ];
       fhir:CodeSystem.concept.display [ fhir:value "Not Reported" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Not provided or available" ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "Unknown" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unknown" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Could not be determined or unsure" ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 5;
     fhir:Resource.id [ fhir:value "d1e10593-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/2674812v4.0/question_identifier#3702898v4.0-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e10593-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 6;
     fhir:Resource.id [ fhir:value "d1e10923-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/2674812v4.0/question_identifier#3702916v4.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "Managed Care/Medicare" ];
       fhir:CodeSystem.concept.display [ fhir:value "Managed Care/Medicare" ];
       fhir:CodeSystem.concept.definition [ fhir:value "An arrangement whereby a third-party payer (e.g., insurance company, federal government, or corporation) mediates between physicians and patients, negotiating fees for service and overseeing the types of treatment given. Managed care has virtually replaced unmanaged indemnity plans, where payment is automatic and oversight procedures are minimal. Whereas 96% of American workers had unmanaged indemnity in 1984, only 28% did in 1988. Typically, in managed care, the third-party payer requires second opinions and pre-certification review for patients requiring hospital admission. They obtain wholesale prices from doctors, and carry out cost-containment measures, including auditing hospitals and reviewing claims. Managed care has figured heavily in the national debate over health care.: A program under the U.S. Social Security Administration that reimburses hospitals and physicians for medical care provided to qualifying people over 65 years old." ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "Medicaid" ];
       fhir:CodeSystem.concept.display [ fhir:value "Medicaid" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A jointly funded program of the United States federal and state governments that provides hospital expense and medical expense coverage to some people with low-income and certain aged and disabled individuals." ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "Medicaid and Medicare" ];
       fhir:CodeSystem.concept.display [ fhir:value "Medicare And Medicaid" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A program under the U.S. Social Security Administration that reimburses hospitals and physicians for medical care provided to qualifying people over 65 years old.: An article which expresses the relation of connection or addition. It is used to conjoin a word with a word, a clause with a clause, or a sentence with a sentence.: A jointly funded program of the United States federal and state governments that provides hospital expense and medical expense coverage to some people with low-income and certain aged and disabled individuals." ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "Medicare" ];
       fhir:CodeSystem.concept.display [ fhir:value "Medicare" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A program under the U.S. Social Security Administration that reimburses hospitals and physicians for medical care provided to qualifying people over 65 years old." ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "Medicare and Private Insurance" ];
       fhir:CodeSystem.concept.display [ fhir:value "Medicare And Private Insurance" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A program under the U.S. Social Security Administration that reimburses hospitals and physicians for medical care provided to qualifying people over 65 years old.: An article which expresses the relation of connection or addition. It is used to conjoin a word with a word, a clause with a clause, or a sentence with a sentence.: Not public; kept secret or restricted.: A mechanism for guarding against financial aspects of risk by making payments in the form of premiums to an insurance company, which pays an agreed-upon sum to the insured in the event of loss." ]     ], [
       fhir:index 5;
       fhir:CodeSystem.concept.code [ fhir:value "Military or Veterans Sponsored, NOS" ];
       fhir:CodeSystem.concept.display [ fhir:value "Military Or Veterans Sponsored Insurance, Not Otherwise Specified" ];
       fhir:CodeSystem.concept.definition [ fhir:value "The armed forces of a country.: Or; used to connect words, phrases, or clauses representing alternatives; used to connect alternative terms for the same thing; used in correlation; used to correct or rephrase what was previously said; otherwise.: A division of the Executive Branch of the United States government concerned with overall planning, promoting, and administering programs pertaining to veterans. The Department of Veterans Affairs (VA) was established March 15, 1989 as a Cabinet-level position.: A person or organization that supports or champions something.: Not characterized in any other way.: A mechanism for guarding against financial aspects of risk by making payments in the form of premiums to an insurance company, which pays an agreed-upon sum to the insured in the event of loss." ]     ], [
       fhir:index 6;
       fhir:CodeSystem.concept.code [ fhir:value "Military Sponsored (Including CHAMPUS & TriCare)" ];
       fhir:CodeSystem.concept.display [ fhir:value "Military Insurance" ];
       fhir:CodeSystem.concept.definition [ fhir:value "The armed forces of a country.: A mechanism for guarding against financial aspects of risk by making payments in the form of premiums to an insurance company, which pays an agreed-upon sum to the insured in the event of loss." ]     ], [
       fhir:index 7;
       fhir:CodeSystem.concept.code [ fhir:value "No Means of Payment (No Insurance)" ];
       fhir:CodeSystem.concept.display [ fhir:value "No Insurance" ];
       fhir:CodeSystem.concept.definition [ fhir:value "The non-affirmative response to a question.: A mechanism for guarding against financial aspects of risk by making payments in the form of premiums to an insurance company, which pays an agreed-upon sum to the insured in the event of loss." ]     ], [
       fhir:index 8;
       fhir:CodeSystem.concept.code [ fhir:value "Other" ];
       fhir:CodeSystem.concept.display [ fhir:value "Other" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Not otherwise specified." ]     ], [
       fhir:index 9;
       fhir:CodeSystem.concept.code [ fhir:value "Private Insurance" ];
       fhir:CodeSystem.concept.display [ fhir:value "Private Insurance" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Not public; kept secret or restricted.: A mechanism for guarding against financial aspects of risk by making payments in the form of premiums to an insurance company, which pays an agreed-upon sum to the insured in the event of loss." ]     ], [
       fhir:index 10;
       fhir:CodeSystem.concept.code [ fhir:value "Self-Pay (No Insurance)" ];
       fhir:CodeSystem.concept.display [ fhir:value "Self Payment" ];
       fhir:CodeSystem.concept.definition [ fhir:value "The individual as the object of his own reflective consciousness.: Payment; a sum of money paid." ]     ], [
       fhir:index 11;
       fhir:CodeSystem.concept.code [ fhir:value "State Supplemental Health Insurance" ];
       fhir:CodeSystem.concept.display [ fhir:value "State Supplemental Health Insurance" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A U.S. State is any one of the fifty states which is a member of the federation known as the United States of America. Other US geographic areas, such as Puerto Rico and the District of Columbia, are essentially equivalent to State when used in an address. (from Wikipedia and NCI): Something added to complete a thing, make up for a deficiency, or extend or strengthen the whole; serving to complete or make an addition.: The state of the organism when it functions optimally without evidence of disease.: A mechanism for guarding against financial aspects of risk by making payments in the form of premiums to an insurance company, which pays an agreed-upon sum to the insured in the event of loss." ]     ], [
       fhir:index 12;
       fhir:CodeSystem.concept.code [ fhir:value "Unknown" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unknown" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Not known, not observed, not recorded, or refused." ]     ], [
       fhir:index 13;
       fhir:CodeSystem.concept.code [ fhir:value "Veterans Sponsored" ];
       fhir:CodeSystem.concept.display [ fhir:value "Veterans Administration Sponsor Insurance" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A division of the Executive Branch of the United States government concerned with overall planning, promoting, and administering programs pertaining to veterans. The Department of Veterans Affairs (VA) was established March 15, 1989 as a Cabinet-level position.: A person or organization that supports or champions something.: A mechanism for guarding against financial aspects of risk by making payments in the form of premiums to an insurance company, which pays an agreed-upon sum to the insured in the event of loss." ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 7;
     fhir:Resource.id [ fhir:value "d1e10923-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/2674812v4.0/question_identifier#3702916v4.0-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e10923-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 8;
     fhir:Resource.id [ fhir:value "d1e11887-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/2674812v4.0/question_identifier#3702942v4.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "Bachelor's Degree" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bachelor's Degree" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Bachelor's degree is an award (baccalaureate or equivalent degree, as determined by the Secretary of the U.S. Department of Education) conferred by a college, university, or other postsecondary education institution as official recognition for the successful completion of a program of studies, that normally requires at least four years of full-time equivalent college-level work. This includes bachelor's degrees conferred in a five-year cooperative program." ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "Doctoral degree or professional degree" ];
       fhir:CodeSystem.concept.display [ fhir:value "Professional Doctorate or Doctorate Degree" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A doctorate awarded in certain fields where most holders of the degree are not engaged primarily in scholarly research and academic activities, but rather in a profession, such as law, medicine, music, or ministry.: Or; used to connect words, phrases, or clauses representing alternatives; used to connect alternative terms for the same thing; used in correlation; used to correct or rephrase what was previously said; otherwise.: The Doctor's Degree is the highest award a student can earn for graduate study. The doctor's degree classification includes such degrees in any field." ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "Grade School" ];
       fhir:CodeSystem.concept.display [ fhir:value "Grade School" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A school for young children; usually the first 6 or 8 grades." ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "Graduate or professional degree" ];
       fhir:CodeSystem.concept.display [ fhir:value "Graduation Or Professional Degree" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Conferral or receipt of an academic degree or diploma marking the completion of a defined set of coursework.: Or; used to connect words, phrases, or clauses representing alternatives; used to connect alternative terms for the same thing; used in correlation; used to correct or rephrase what was previously said; otherwise.: An occupation requiring special education, especially in the liberal arts or sciences.: An academic degree is an award conferred by a college, university, or other postsecondary education institution as official recognition for the successful completion of a program of studies." ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "High school graduate (including equivalency)" ];
       fhir:CodeSystem.concept.display [ fhir:value "High School Completion or General Equivalency Diploma (GED) Completion" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that a person has attended high school and has received a high school diploma.: Or; used to connect words, phrases, or clauses representing alternatives; used to connect alternative terms for the same thing; used in correlation; used to correct or rephrase what was previously said; otherwise.: Indicates that a person has received a General Equivalency Diploma in lieu of a high school diploma." ]     ], [
       fhir:index 5;
       fhir:CodeSystem.concept.code [ fhir:value "Master's Degree" ];
       fhir:CodeSystem.concept.display [ fhir:value "Master's Degree" ];
       fhir:CodeSystem.concept.definition [ fhir:value "The Master's Degree is an award that requires the successful completion of a program of study of at least the full-time equivalent of 1 but not more than two academic years of work beyond the bachelor's degree." ]     ], [
       fhir:index 6;
       fhir:CodeSystem.concept.code [ fhir:value "No formal education" ];
       fhir:CodeSystem.concept.display [ fhir:value "No Formal Schooling" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that a person has never attended an educational program or formal schooling." ]     ], [
       fhir:index 7;
       fhir:CodeSystem.concept.code [ fhir:value "Not high school graduate" ];
       fhir:CodeSystem.concept.display [ fhir:value "Not High School Graduate" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates a person has attended high school but did not complete high school and did not receive a high school diploma." ]     ], [
       fhir:index 8;
       fhir:CodeSystem.concept.code [ fhir:value "Some college or associate degree" ];
       fhir:CodeSystem.concept.display [ fhir:value "Some College or Associates Degree" ];
       fhir:CodeSystem.concept.definition [ fhir:value "An institution of higher education created to educate and grant degrees; often a part of a university.: At least a small amount or number of.: Or; used to connect words, phrases, or clauses representing alternatives; used to connect alternative terms for the same thing; used in correlation; used to correct or rephrase what was previously said; otherwise.: A degree granted by a two-year college on successful completion of the undergraduates course of studies." ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 9;
     fhir:Resource.id [ fhir:value "d1e11887-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/2674812v4.0/question_identifier#3702942v4.0-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e11887-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 10;
     fhir:Resource.id [ fhir:value "d1e12384-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/2674812v4.0/question_identifier#3702952v4.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "Other country" ];
       fhir:CodeSystem.concept.display [ fhir:value "Other country" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Other country of birth." ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "Other country, specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "OTHER COUNTRY, SPECIFY" ];
       fhir:CodeSystem.concept.definition [ fhir:value "OTHER COUNTRY, SPECIFY" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "USA" ];
       fhir:CodeSystem.concept.display [ fhir:value "USA" ];
       fhir:CodeSystem.concept.definition [ fhir:value "USA" ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "USA, specify the 2 letter State code, eg NY" ];
       fhir:CodeSystem.concept.display [ fhir:value "USA, SPECIFY THE 2 LETTER STATE CODE, EG NY" ];
       fhir:CodeSystem.concept.definition [ fhir:value "USA, SPECIFY THE 2 LETTER STATE CODE, EG NY" ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 11;
     fhir:Resource.id [ fhir:value "d1e12384-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/2674812v4.0/question_identifier#3702952v4.0-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e12384-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 12;
     fhir:Resource.id [ fhir:value "d1e12630-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/2674812v4.0/question_identifier#3702957v4.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "10th Grade" ];
       fhir:CodeSystem.concept.display [ fhir:value "10th Grade" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that 10th grade is the highest level of educational achievement" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "11th Grade" ];
       fhir:CodeSystem.concept.display [ fhir:value "11th Grade" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that 11th grade is the highest level of educational achievement" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "12th Grade No Diploma" ];
       fhir:CodeSystem.concept.display [ fhir:value "12th Grade" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that a person was in school through 12th grade but that they did not receive a high school diploma." ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "1st Grade" ];
       fhir:CodeSystem.concept.display [ fhir:value "1st Grade" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that 1st grade is the highest level of educational achievement." ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "2nd Grade" ];
       fhir:CodeSystem.concept.display [ fhir:value "2nd Grade" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that 2nd grade is the highest level of educational achievement." ]     ], [
       fhir:index 5;
       fhir:CodeSystem.concept.code [ fhir:value "3rd Grade" ];
       fhir:CodeSystem.concept.display [ fhir:value "3rd Grade" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that 3rd grade is the highest level of educational achievement." ]     ], [
       fhir:index 6;
       fhir:CodeSystem.concept.code [ fhir:value "4th Grade" ];
       fhir:CodeSystem.concept.display [ fhir:value "4th Grade" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that 4th grade is the highest level of educational achievement." ]     ], [
       fhir:index 7;
       fhir:CodeSystem.concept.code [ fhir:value "5th Grade" ];
       fhir:CodeSystem.concept.display [ fhir:value "5th Grade" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that 5th grade is the highest level of educational achievement." ]     ], [
       fhir:index 8;
       fhir:CodeSystem.concept.code [ fhir:value "6th Grade" ];
       fhir:CodeSystem.concept.display [ fhir:value "6th Grade" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that 6th grade is the highest level of educational achievement." ]     ], [
       fhir:index 9;
       fhir:CodeSystem.concept.code [ fhir:value "7th Grade" ];
       fhir:CodeSystem.concept.display [ fhir:value "7th Grade" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that 7th grade is the highest level of educational achievement" ]     ], [
       fhir:index 10;
       fhir:CodeSystem.concept.code [ fhir:value "8th Grade" ];
       fhir:CodeSystem.concept.display [ fhir:value "8th Grade" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that 8th grade is the highest level of educational achievement" ]     ], [
       fhir:index 11;
       fhir:CodeSystem.concept.code [ fhir:value "9th Grade" ];
       fhir:CodeSystem.concept.display [ fhir:value "9th Grade" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that 9th grade is the highest level of educational achievement" ]     ], [
       fhir:index 12;
       fhir:CodeSystem.concept.code [ fhir:value "Academic Doctorate Degree" ];
       fhir:CodeSystem.concept.display [ fhir:value "Academic Doctorate Degree Completion" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that a person has received a degree the highest award earned for graduate study." ]     ], [
       fhir:index 13;
       fhir:CodeSystem.concept.code [ fhir:value "Associate Degree" ];
       fhir:CodeSystem.concept.display [ fhir:value "Associate Degree" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that a person has received a degree from a 2 year college program." ]     ], [
       fhir:index 14;
       fhir:CodeSystem.concept.code [ fhir:value "Bachelor Degree" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bachelor's Degree Completion" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that a person has received a degree for successful completion of a program of studies that normally requires at least 4-5 years of full-time equivalent college-level work." ]     ], [
       fhir:index 15;
       fhir:CodeSystem.concept.code [ fhir:value "Don't Know" ];
       fhir:CodeSystem.concept.display [ fhir:value "Does Not Know" ];
       fhir:CodeSystem.concept.definition [ fhir:value "The answer is not known by the person answering." ]     ], [
       fhir:index 16;
       fhir:CodeSystem.concept.code [ fhir:value "General Equivalency Diploma" ];
       fhir:CodeSystem.concept.display [ fhir:value "General Equivalency Diploma" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that a person has received a General Equivalency Diploma in lieu of a high school diploma." ]     ], [
       fhir:index 17;
       fhir:CodeSystem.concept.code [ fhir:value "High School Graduate" ];
       fhir:CodeSystem.concept.display [ fhir:value "High School Graduate" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that a person has attended high school and has received a high school diploma." ]     ], [
       fhir:index 18;
       fhir:CodeSystem.concept.code [ fhir:value "Kindergarten" ];
       fhir:CodeSystem.concept.display [ fhir:value "Kindergarten Completion" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that kindergarten is the highest level of education achievement." ]     ], [
       fhir:index 19;
       fhir:CodeSystem.concept.code [ fhir:value "Master's Degree" ];
       fhir:CodeSystem.concept.display [ fhir:value "Master's Degree Completion" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that a person has received a degree for completion of at least one year of prescribed study beyond the bachelor's degree." ]     ], [
       fhir:index 20;
       fhir:CodeSystem.concept.code [ fhir:value "No Formal Schooling" ];
       fhir:CodeSystem.concept.display [ fhir:value "Never Attended" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that a person never attended school or only attended kindergarten." ]     ], [
       fhir:index 21;
       fhir:CodeSystem.concept.code [ fhir:value "Preschool" ];
       fhir:CodeSystem.concept.display [ fhir:value "Preschool Completion" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that preschool is the highest level of education achievement." ]     ], [
       fhir:index 22;
       fhir:CodeSystem.concept.code [ fhir:value "Professional Doctorate Degree" ];
       fhir:CodeSystem.concept.display [ fhir:value "Professional Doctorate Degree Completion" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that a person has received a degree allowing them to practice a profession, such as law, medicine, music, or ministry." ]     ], [
       fhir:index 23;
       fhir:CodeSystem.concept.code [ fhir:value "Refused" ];
       fhir:CodeSystem.concept.display [ fhir:value "Refuse" ];
       fhir:CodeSystem.concept.definition [ fhir:value "To decline to do, accept, give, or allow something." ]     ], [
       fhir:index 24;
       fhir:CodeSystem.concept.code [ fhir:value "Some College, No Degree" ];
       fhir:CodeSystem.concept.display [ fhir:value "Some College" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that a person has attended college but that they did not receive any degree." ]     ], [
       fhir:index 25;
       fhir:CodeSystem.concept.code [ fhir:value "VoTech Program" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vocational Degree" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Indicates that a person has received a degree from a occupational, technical, or vocational program." ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 13;
     fhir:Resource.id [ fhir:value "d1e12630-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/2674812v4.0/question_identifier#3702957v4.0-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e12630-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 14;
     fhir:Resource.id [ fhir:value "d1e14027-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/2674812v4.0/question_identifier#3702985v4.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "Divorced" ];
       fhir:CodeSystem.concept.display [ fhir:value "Divorced: C51776" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A person whose marriage has been legally dissolved and has not remarried." ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "Domestic Partnership" ];
       fhir:CodeSystem.concept.display [ fhir:value "Domestic Partner" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A person who is a member of an unmarried couple, including same sex couples, living together in longstanding relationships, that are registered or unregistered." ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "Married" ];
       fhir:CodeSystem.concept.display [ fhir:value "Married: C51773" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A person currently joined in matrimony. Classify common law marriage as married. Includes married couples living together and not living together." ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "Never Married" ];
       fhir:CodeSystem.concept.display [ fhir:value "Never married" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A person who has never been married or whose only marriages have been annulled." ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "Separated" ];
       fhir:CodeSystem.concept.display [ fhir:value "SEPARATED" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A person living apart from his/her spouse by legal arrangement." ]     ], [
       fhir:index 5;
       fhir:CodeSystem.concept.code [ fhir:value "Widowed" ];
       fhir:CodeSystem.concept.display [ fhir:value "WIDOWED" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A person who is no longer married because of the death of his/her spouse and who has not remarried." ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 15;
     fhir:Resource.id [ fhir:value "d1e14027-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/2674812v4.0/question_identifier#3702985v4.0-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e14027-cs" ]             ]           ]         ]       ]     ]
  ];
  fhir:Questionnaire.url [ fhir:value "http://hl7.org/fhir/Questionnaire/2674812v4.0"];
  fhir:Questionnaire.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier" ];
     fhir:Identifier.value [ fhir:value "2674812v4.0/" ]
  ];
  fhir:Questionnaire.status [ fhir:value "published"];
  fhir:Questionnaire.date [ fhir:value "2013-03-22"^^xsd:date];
  fhir:Questionnaire.publisher [ fhir:value "National Cancer Institute (NCI)"];
  fhir:Questionnaire.useContext [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.code [ fhir:value "CRF" ]     ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.code [ fhir:value "Demographic" ]     ]
  ];
  fhir:Questionnaire.title [ fhir:value "Demography NCI Standard Template"];
  fhir:Questionnaire.item [
     fhir:index 0;
     fhir:Questionnaire.item.linkId [ fhir:value "3702891v4.0" ];
     fhir:Questionnaire.item.text [ fhir:value "Mandatory Demography Questions" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.text [ fhir:value "These items must be included when this data is collected for reporting" ];
       fhir:Questionnaire.item.type [ fhir:value "display" ]     ], [
       fhir:index 1;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
         fhir:Extension.valueInteger [ fhir:value "4"^^xsd:int ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2200604v3.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2200604v3.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3702892v4.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Gender" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e9892-vs" ]       ]     ], [
       fhir:index 2;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
         fhir:Extension.valueInteger [ fhir:value "5"^^xsd:int ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2192199v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2192199v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3702904v4.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Race" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e10146-vs" ]       ]     ], [
       fhir:index 3;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#793v5.1>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#793v5.1" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3702903v4.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Patient's Date of Birth" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 4;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
         fhir:Extension.valueInteger [ fhir:value "7"^^xsd:int ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2192217v2.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2192217v2.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3702898v4.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Ethnicity" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e10593-vs" ]       ]     ]
  ], [
     fhir:index 1;
     fhir:Questionnaire.item.linkId [ fhir:value "3702912v4.0" ];
     fhir:Questionnaire.item.text [ fhir:value "Conditional Demography Questions" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.text [ fhir:value "There are business rules to indicate situations under which these elements should be used on a case report form." ];
       fhir:Questionnaire.item.type [ fhir:value "display" ]     ], [
       fhir:index 1;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2179606v2.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2179606v2.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3702914v4.0" ];
       fhir:Questionnaire.item.text [ fhir:value "ZIP Code" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 2;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2865130v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2865130v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3702916v4.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Payment Method" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e10923-vs" ]       ]     ], [
       fhir:index 3;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#315v4.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#315v4.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3702932v4.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Country of Residence" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 4;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2003745v5.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2003745v5.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3702934v4.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Date Completed" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 5;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2200286v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2200286v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3702936v4.0" ];
       fhir:Questionnaire.item.text [ fhir:value "CDC Race Code" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 6;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2200284v2.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2200284v2.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3702938v4.0" ];
       fhir:Questionnaire.item.text [ fhir:value "CDC Ethnicity Code" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ]
  ], [
     fhir:index 2;
     fhir:Questionnaire.item.linkId [ fhir:value "3702940v4.0" ];
     fhir:Questionnaire.item.text [ fhir:value "Optional Demography Questions" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.text [ fhir:value "There is no requirement for inclusion of these elements on the case report form. If the design and scientific questions posed in the study dictate the need to collect this type of data, these elements should be included." ];
       fhir:Questionnaire.item.type [ fhir:value "display" ]     ], [
       fhir:index 1;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2681552v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2681552v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3702942v4.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Highest Education Level" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e11887-vs" ]       ]     ], [
       fhir:index 2;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2001708v5.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2001708v5.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3702952v4.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Country of Birth" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e12384-vs" ]       ]     ], [
       fhir:index 3;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2674076v2.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2674076v2.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3702957v4.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Highest Education Level" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e12630-vs" ]       ]     ], [
       fhir:index 4;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/entryFormat" ];
         fhir:Extension.valueString [ fhir:value "9999.99" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2943243v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2943243v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3702984v4.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Census Tract Code at Enrollment" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 5;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2188083v2.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2188083v2.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3702985v4.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Marital Status" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e14027-vs" ]       ]     ]
  ].

<http://AHRQ.org/form/Questionnaire/3265657v2.0> a fhir:Questionnaire;
  fhir:index 0;
  fhir:Resource.id [ fhir:value "3265657v2.0"];
  fhir:Resource.meta [
     fhir:Meta.lastUpdated [ fhir:value "2014-05-15T17:25:15Z"^^xsd:dateTime ]
  ];
  fhir:Resource.language [ fhir:value "en"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Todo</div>"
  ];
  fhir:DomainResource.contained [
     a fhir:CodeSystem;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "d1e14927-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/3265657v2.0/question_identifier#3556214v2.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "Abdominal distension" ];
       fhir:CodeSystem.concept.display [ fhir:value "Abdominal distension" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by swelling of the abdomen." ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "Abdominal infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Abdominal infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the abdominal cavity." ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "Abdominal pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Abdominal pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the abdominal region." ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "Abdominal soft tissue necrosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Abdominal soft tissue necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the soft tissues of the abdominal wall." ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "Abducens nerve disorder" ];
       fhir:CodeSystem.concept.display [ fhir:value "Abducens nerve disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the abducens nerve (sixth cranial nerve)." ]     ], [
       fhir:index 5;
       fhir:CodeSystem.concept.code [ fhir:value "Accessory nerve disorder" ];
       fhir:CodeSystem.concept.display [ fhir:value "Accessory nerve disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the accessory nerve (eleventh cranial nerve)." ]     ], [
       fhir:index 6;
       fhir:CodeSystem.concept.code [ fhir:value "Acidosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Acidosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by abnormally high acidity (high hydrogen-ion concentration) of the blood and other body tissues." ]     ], [
       fhir:index 7;
       fhir:CodeSystem.concept.code [ fhir:value "Acoustic nerve disorder NOS" ];
       fhir:CodeSystem.concept.display [ fhir:value "Acoustic nerve disorder NOS" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the acoustic nerve (eighth cranial nerve)." ]     ], [
       fhir:index 8;
       fhir:CodeSystem.concept.code [ fhir:value "Activated partial thromboplastin time prolonged" ];
       fhir:CodeSystem.concept.display [ fhir:value "Activated partial thromboplastin time prolonged" ];
       fhir:CodeSystem.concept.definition [ fhir:value "An abnormal laboratory test result in which the partial thromboplastin time is found to be greater than the control value. As a possible indicator of coagulopathy, a prolonged partial thromboplastin time (PTT) may occur in a variety of diseases and disorders, both primary and related to treatment." ]     ], [
       fhir:index 9;
       fhir:CodeSystem.concept.code [ fhir:value "Acute coronary syndrome" ];
       fhir:CodeSystem.concept.display [ fhir:value "Acute coronary syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by signs and symptoms related to acute ischemia of the myocardium secondary to coronary artery disease. The clinical presentation covers a spectrum of heart diseases from unstable angina to myocardial infarction." ]     ], [
       fhir:index 10;
       fhir:CodeSystem.concept.code [ fhir:value "Acute kidney injury" ];
       fhir:CodeSystem.concept.display [ fhir:value "Acute kidney injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the acute loss of renal function and is traditionally classified as pre-renal (low blood flow into kidney), renal (kidney damage) and post-renal causes (ureteral or bladder outflow obstruction)." ]     ], [
       fhir:index 11;
       fhir:CodeSystem.concept.code [ fhir:value "Adrenal insufficiency" ];
       fhir:CodeSystem.concept.display [ fhir:value "Adrenal insufficiency" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder that occurs when the adrenal cortex does not produce enough of the hormone cortisol and in some cases, the hormone aldosterone. It may be due to a disorder of the adrenal cortex as in Addison's disease or primary adrenal insufficiency." ]     ], [
       fhir:index 12;
       fhir:CodeSystem.concept.code [ fhir:value "Adult respiratory distress syndrome" ];
       fhir:CodeSystem.concept.display [ fhir:value "Adult respiratory distress syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by progressive and life-threatening pulmonary distress in the absence of an underlying pulmonary condition, usually following major trauma or surgery." ]     ], [
       fhir:index 13;
       fhir:CodeSystem.concept.code [ fhir:value "Agitation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Agitation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a state of restlessness associated with unpleasant feelings of irritability and tension." ]     ], [
       fhir:index 14;
       fhir:CodeSystem.concept.code [ fhir:value "Akathisia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Akathisia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an uncomfortable feeling of inner restlessness and inability to stay still; this is a side effect of some psychotropic drugs." ]     ], [
       fhir:index 15;
       fhir:CodeSystem.concept.code [ fhir:value "Alanine aminotransferase increased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Alanine aminotransferase increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an increase in the level of alanine aminotransferase (ALT or SGPT) in the blood specimen." ]     ], [
       fhir:index 16;
       fhir:CodeSystem.concept.code [ fhir:value "Alcohol intolerance" ];
       fhir:CodeSystem.concept.display [ fhir:value "Alcohol intolerance" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an increase in sensitivity to the adverse effects of alcohol, which can include nasal congestion, skin flushes, heart dysrhythmias, nausea, vomiting, indigestion and headaches." ]     ], [
       fhir:index 17;
       fhir:CodeSystem.concept.code [ fhir:value "Alkaline phosphatase increased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Alkaline phosphatase increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an increase in the level of alkaline phosphatase in a blood specimen." ]     ], [
       fhir:index 18;
       fhir:CodeSystem.concept.code [ fhir:value "Alkalosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Alkalosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by abnormally high alkalinity (low hydrogen-ion concentration) of the blood and other body tissues." ]     ], [
       fhir:index 19;
       fhir:CodeSystem.concept.code [ fhir:value "Allergic reaction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Allergic reaction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an adverse local or general response from exposure to an allergen." ]     ], [
       fhir:index 20;
       fhir:CodeSystem.concept.code [ fhir:value "Allergic rhinitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Allergic rhinitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an inflammation of the nasal mucous membranes caused by an IgE-mediated response to external allergens. The inflammation may also involve the mucous membranes of the sinuses, eyes, middle ear, and pharynx. Symptoms include sneezing, nasal congestion, rhinorrhea and itching." ]     ], [
       fhir:index 21;
       fhir:CodeSystem.concept.code [ fhir:value "Alopecia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Alopecia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in density of hair compared to normal for a given individual at a given age and body location." ]     ], [
       fhir:index 22;
       fhir:CodeSystem.concept.code [ fhir:value "Amnesia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Amnesia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by systematic and extensive loss of memory." ]     ], [
       fhir:index 23;
       fhir:CodeSystem.concept.code [ fhir:value "Anal fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anal fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the opening in the anal canal to the perianal skin." ]     ], [
       fhir:index 24;
       fhir:CodeSystem.concept.code [ fhir:value "Anal hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the anal region." ]     ], [
       fhir:index 25;
       fhir:CodeSystem.concept.code [ fhir:value "Anal mucositis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anal mucositis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the mucous membrane of the anus." ]     ], [
       fhir:index 26;
       fhir:CodeSystem.concept.code [ fhir:value "Anal necrosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anal necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the anal region." ]     ], [
       fhir:index 27;
       fhir:CodeSystem.concept.code [ fhir:value "Anal pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anal pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the anal region." ]     ], [
       fhir:index 28;
       fhir:CodeSystem.concept.code [ fhir:value "Anal stenosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anal stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the lumen of the anal canal." ]     ], [
       fhir:index 29;
       fhir:CodeSystem.concept.code [ fhir:value "Anal ulcer" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anal ulcer" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a circumscribed, inflammatory and necrotic erosive lesion on the mucosal surface of the anal canal." ]     ], [
       fhir:index 30;
       fhir:CodeSystem.concept.code [ fhir:value "Anaphylaxis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anaphylaxis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an acute inflammatory reaction resulting from the release of histamine and histamine-like substances from mast cells, causing a hypersensitivity immune response. Clinically, it presents with breathing difficulty, dizziness, hypotension, cyanosis and loss of consciousness and may lead to death." ]     ], [
       fhir:index 31;
       fhir:CodeSystem.concept.code [ fhir:value "Anemia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an reduction in the amount of hemoglobin in 100 ml of blood. Signs and symptoms of anemia may include pallor of the skin and mucous membranes, shortness of breath, palpitations of the heart, soft systolic murmurs, lethargy, and fatigability." ]     ], [
       fhir:index 32;
       fhir:CodeSystem.concept.code [ fhir:value "Ankle fracture" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ankle fracture" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the ankle joint characterized by a break in the continuity of the ankle bone. Symptoms include marked discomfort, swelling and difficulty moving the affected leg and foot." ]     ], [
       fhir:index 33;
       fhir:CodeSystem.concept.code [ fhir:value "Anorectal infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anorectal infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the anal area and the rectum." ]     ], [
       fhir:index 34;
       fhir:CodeSystem.concept.code [ fhir:value "Anorexia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anorexia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a loss of appetite." ]     ], [
       fhir:index 35;
       fhir:CodeSystem.concept.code [ fhir:value "Anorgasmia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anorgasmia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an inability to achieve orgasm." ]     ], [
       fhir:index 36;
       fhir:CodeSystem.concept.code [ fhir:value "Anxiety" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anxiety" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by apprehension of danger and dread accompanied by restlessness, tension, tachycardia, and dyspnea unattached to a clearly identifiable stimulus." ]     ], [
       fhir:index 37;
       fhir:CodeSystem.concept.code [ fhir:value "Aortic injury" ];
       fhir:CodeSystem.concept.display [ fhir:value "Aortic injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the aorta." ]     ], [
       fhir:index 38;
       fhir:CodeSystem.concept.code [ fhir:value "Aortic valve disease" ];
       fhir:CodeSystem.concept.display [ fhir:value "Aortic valve disease" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a defect in aortic valve function or structure." ]     ], [
       fhir:index 39;
       fhir:CodeSystem.concept.code [ fhir:value "Aphonia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Aphonia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the inability to speak. It may result from injuries to the vocal cords or may be functional (psychogenic)." ]     ], [
       fhir:index 40;
       fhir:CodeSystem.concept.code [ fhir:value "Apnea" ];
       fhir:CodeSystem.concept.display [ fhir:value "Apnea" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by cessation of breathing." ]     ], [
       fhir:index 41;
       fhir:CodeSystem.concept.code [ fhir:value "Appendicitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Appendicitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by acute inflammation to the vermiform appendix caused by a pathogenic agent." ]     ], [
       fhir:index 42;
       fhir:CodeSystem.concept.code [ fhir:value "Appendicitis perforated" ];
       fhir:CodeSystem.concept.display [ fhir:value "Appendicitis perforated" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by acute inflammation to the vermiform appendix caused by a pathogenic agent with gangrenous changes resulting in the rupture of the appendiceal wall. The appendiceal wall rupture causes the release of inflammatory and bacterial contents from the appendiceal lumen into the abdominal cavity." ]     ], [
       fhir:index 43;
       fhir:CodeSystem.concept.code [ fhir:value "Arachnoiditis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Arachnoiditis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the arachnoid membrane and adjacent subarachnoid space." ]     ], [
       fhir:index 44;
       fhir:CodeSystem.concept.code [ fhir:value "Arterial injury" ];
       fhir:CodeSystem.concept.display [ fhir:value "Arterial injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to an artery." ]     ], [
       fhir:index 45;
       fhir:CodeSystem.concept.code [ fhir:value "Arteritis infective" ];
       fhir:CodeSystem.concept.display [ fhir:value "Arteritis infective" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving an artery." ]     ], [
       fhir:index 46;
       fhir:CodeSystem.concept.code [ fhir:value "Arthralgia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Arthralgia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in a joint." ]     ], [
       fhir:index 47;
       fhir:CodeSystem.concept.code [ fhir:value "Arthritis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Arthritis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation involving a joint." ]     ], [
       fhir:index 48;
       fhir:CodeSystem.concept.code [ fhir:value "Ascites" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ascites" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by accumulation of serous or hemorrhagic fluid in the peritoneal cavity." ]     ], [
       fhir:index 49;
       fhir:CodeSystem.concept.code [ fhir:value "Aspartate aminotransferase increased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Aspartate aminotransferase increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an increase in the level of aspartate aminotransferase (AST or SGOT) in a blood specimen." ]     ], [
       fhir:index 50;
       fhir:CodeSystem.concept.code [ fhir:value "Aspiration" ];
       fhir:CodeSystem.concept.display [ fhir:value "Aspiration" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inhalation of solids or liquids into the lungs." ]     ], [
       fhir:index 51;
       fhir:CodeSystem.concept.code [ fhir:value "Asystole" ];
       fhir:CodeSystem.concept.display [ fhir:value "Asystole" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia without cardiac electrical activity. Typically, this is accompanied by cessation of the pumping function of the heart." ]     ], [
       fhir:index 52;
       fhir:CodeSystem.concept.code [ fhir:value "Ataxia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ataxia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by lack of coordination of muscle movements resulting in the impairment or inability to perform voluntary activities." ]     ], [
       fhir:index 53;
       fhir:CodeSystem.concept.code [ fhir:value "Atelectasis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Atelectasis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the collapse of part or the entire lung." ]     ], [
       fhir:index 54;
       fhir:CodeSystem.concept.code [ fhir:value "Atrial fibrillation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Atrial fibrillation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia without discernible P waves and an irregular ventricular response due to multiple reentry circuits. The rhythm disturbance originates above the ventricles." ]     ], [
       fhir:index 55;
       fhir:CodeSystem.concept.code [ fhir:value "Atrial flutter" ];
       fhir:CodeSystem.concept.display [ fhir:value "Atrial flutter" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia with organized rhythmic atrial contractions with a rate of 200-300 beats per minute. The rhythm disturbance originates in the atria." ]     ], [
       fhir:index 56;
       fhir:CodeSystem.concept.code [ fhir:value "Atrioventricular block complete" ];
       fhir:CodeSystem.concept.display [ fhir:value "Atrioventricular block complete" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia with complete failure of atrial electrical impulse conduction through the AV node to the ventricles." ]     ], [
       fhir:index 57;
       fhir:CodeSystem.concept.code [ fhir:value "Atrioventricular block first degree" ];
       fhir:CodeSystem.concept.display [ fhir:value "Atrioventricular block first degree" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia with a delay in the time required for the conduction of an electrical impulse through the atrioventricular (AV) node beyond 0.2 seconds; prolongation of the PR interval greater than 200 milliseconds." ]     ], [
       fhir:index 58;
       fhir:CodeSystem.concept.code [ fhir:value "Autoimmune disorder" ];
       fhir:CodeSystem.concept.display [ fhir:value "Autoimmune disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder resulting from loss of function or tissue destruction of an organ or multiple organs, arising from humoral or cellular immune responses of the individual to his own tissue constituents." ]     ], [
       fhir:index 59;
       fhir:CodeSystem.concept.code [ fhir:value "Avascular necrosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Avascular necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by necrotic changes in the bone tissue due to interruption of blood supply. Most often affecting the epiphysis of the long bones, the necrotic changes result in the collapse and the destruction of the bone structure." ]     ], [
       fhir:index 60;
       fhir:CodeSystem.concept.code [ fhir:value "Azoospermia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Azoospermia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate complete absence of spermatozoa in the semen." ]     ], [
       fhir:index 61;
       fhir:CodeSystem.concept.code [ fhir:value "Back pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Back pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the back region." ]     ], [
       fhir:index 62;
       fhir:CodeSystem.concept.code [ fhir:value "Bile duct stenosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bile duct stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the lumen of the bile duct." ]     ], [
       fhir:index 63;
       fhir:CodeSystem.concept.code [ fhir:value "Biliary anastomotic leak" ];
       fhir:CodeSystem.concept.display [ fhir:value "Biliary anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage of bile due to breakdown of a biliary anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 64;
       fhir:CodeSystem.concept.code [ fhir:value "Biliary fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Biliary fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the bile ducts and another organ or anatomic site." ]     ], [
       fhir:index 65;
       fhir:CodeSystem.concept.code [ fhir:value "Biliary tract infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Biliary tract infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the biliary tract." ]     ], [
       fhir:index 66;
       fhir:CodeSystem.concept.code [ fhir:value "Bladder anastomotic leak" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bladder anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage of urine due to breakdown of a bladder anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 67;
       fhir:CodeSystem.concept.code [ fhir:value "Bladder infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bladder infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the bladder." ]     ], [
       fhir:index 68;
       fhir:CodeSystem.concept.code [ fhir:value "Bladder perforation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bladder perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the bladder wall." ]     ], [
       fhir:index 69;
       fhir:CodeSystem.concept.code [ fhir:value "Bladder spasm" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bladder spasm" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sudden and involuntary contraction of the bladder wall." ]     ], [
       fhir:index 70;
       fhir:CodeSystem.concept.code [ fhir:value "Bloating" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bloating" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by subject-reported feeling of uncomfortable fullness of the abdomen." ]     ], [
       fhir:index 71;
       fhir:CodeSystem.concept.code [ fhir:value "Blood and lymphatic system disorders - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Blood and lymphatic system disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 72;
       fhir:CodeSystem.concept.code [ fhir:value "Blood antidiuretic hormone abnormal" ];
       fhir:CodeSystem.concept.display [ fhir:value "Blood antidiuretic hormone abnormal" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate abnormal levels of antidiuretic hormone in the blood specimen." ]     ], [
       fhir:index 73;
       fhir:CodeSystem.concept.code [ fhir:value "Blood bilirubin increased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Blood bilirubin increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an abnormally high level of bilirubin in the blood. Excess bilirubin is associated with jaundice." ]     ], [
       fhir:index 74;
       fhir:CodeSystem.concept.code [ fhir:value "Blood corticotrophin decreased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Blood corticotrophin decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an decrease in levels of corticotrophin in a blood specimen." ]     ], [
       fhir:index 75;
       fhir:CodeSystem.concept.code [ fhir:value "Blood gonadotrophin abnormal" ];
       fhir:CodeSystem.concept.display [ fhir:value "Blood gonadotrophin abnormal" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate abnormal levels of gonadotrophin hormone in a blood specimen." ]     ], [
       fhir:index 76;
       fhir:CodeSystem.concept.code [ fhir:value "Blood prolactin abnormal" ];
       fhir:CodeSystem.concept.display [ fhir:value "Blood prolactin abnormal" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate abnormal levels of prolactin hormone in a blood specimen." ]     ], [
       fhir:index 77;
       fhir:CodeSystem.concept.code [ fhir:value "Blurred vision" ];
       fhir:CodeSystem.concept.display [ fhir:value "Blurred vision" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by visual perception of unclear or fuzzy images." ]     ], [
       fhir:index 78;
       fhir:CodeSystem.concept.code [ fhir:value "Body odor" ];
       fhir:CodeSystem.concept.display [ fhir:value "Body odor" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal body smell resulting from the growth of bacteria on the body." ]     ], [
       fhir:index 79;
       fhir:CodeSystem.concept.code [ fhir:value "Bone infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bone infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the bones." ]     ], [
       fhir:index 80;
       fhir:CodeSystem.concept.code [ fhir:value "Bone marrow hypocellular" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bone marrow hypocellular" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the inability of the bone marrow to produce hematopoietic elements." ]     ], [
       fhir:index 81;
       fhir:CodeSystem.concept.code [ fhir:value "Bone pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bone pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the bones." ]     ], [
       fhir:index 82;
       fhir:CodeSystem.concept.code [ fhir:value "Brachial plexopathy" ];
       fhir:CodeSystem.concept.display [ fhir:value "Brachial plexopathy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by regional paresthesia of the brachial plexus, marked discomfort and muscle weakness, and limited movement in the arm or hand." ]     ], [
       fhir:index 83;
       fhir:CodeSystem.concept.code [ fhir:value "Breast atrophy" ];
       fhir:CodeSystem.concept.display [ fhir:value "Breast atrophy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by underdevelopment of the breast." ]     ], [
       fhir:index 84;
       fhir:CodeSystem.concept.code [ fhir:value "Breast infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Breast infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the breast." ]     ], [
       fhir:index 85;
       fhir:CodeSystem.concept.code [ fhir:value "Breast pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Breast pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the breast region." ]     ], [
       fhir:index 86;
       fhir:CodeSystem.concept.code [ fhir:value "Bronchial fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bronchial fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the bronchus and another organ or anatomic site." ]     ], [
       fhir:index 87;
       fhir:CodeSystem.concept.code [ fhir:value "Bronchial infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bronchial infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the bronchi." ]     ], [
       fhir:index 88;
       fhir:CodeSystem.concept.code [ fhir:value "Bronchial obstruction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bronchial obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of a bronchus passage, most often by bronchial secretions and exudates." ]     ], [
       fhir:index 89;
       fhir:CodeSystem.concept.code [ fhir:value "Bronchial stricture" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bronchial stricture" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the bronchial tube." ]     ], [
       fhir:index 90;
       fhir:CodeSystem.concept.code [ fhir:value "Bronchopleural fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bronchopleural fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between a bronchus and the pleural cavity." ]     ], [
       fhir:index 91;
       fhir:CodeSystem.concept.code [ fhir:value "Bronchopulmonary hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bronchopulmonary hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the bronchial wall and/or lung parenchyma." ]     ], [
       fhir:index 92;
       fhir:CodeSystem.concept.code [ fhir:value "Bronchospasm" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bronchospasm" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sudden contraction of the smooth muscles of the bronchial wall." ]     ], [
       fhir:index 93;
       fhir:CodeSystem.concept.code [ fhir:value "Bruising" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bruising" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of injury of the soft tissues or bone characterized by leakage of blood into surrounding tissues." ]     ], [
       fhir:index 94;
       fhir:CodeSystem.concept.code [ fhir:value "Bullous dermatitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bullous dermatitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the skin characterized by the presence of bullae which are filled with fluid." ]     ], [
       fhir:index 95;
       fhir:CodeSystem.concept.code [ fhir:value "Burn" ];
       fhir:CodeSystem.concept.display [ fhir:value "Burn" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of impaired integrity to the anatomic site of an adverse thermal reaction. Burns can be caused by exposure to chemicals, direct heat, electricity, flames and radiation. The extent of damage depends on the length and intensity of exposure and time until provision of treatment." ]     ], [
       fhir:index 96;
       fhir:CodeSystem.concept.code [ fhir:value "Buttock pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Buttock pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the buttocks." ]     ], [
       fhir:index 97;
       fhir:CodeSystem.concept.code [ fhir:value "Capillary leak syndrome" ];
       fhir:CodeSystem.concept.display [ fhir:value "Capillary leak syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by leakage of intravascular fluids into the extravascular space. This syndrome is observed in patients who demonstrate a state of generalized leaky capillaries following shock syndromes, low-flow states, ischemia-reperfusion injuries, toxemias, medications, or poisoning. It can lead to generalized edema and multiple organ failure." ]     ], [
       fhir:index 98;
       fhir:CodeSystem.concept.code [ fhir:value "Carbon monoxide diffusing capacity decreased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Carbon monoxide diffusing capacity decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on lung function test results that indicate a decrease in the lung capacity to absorb carbon monoxide." ]     ], [
       fhir:index 99;
       fhir:CodeSystem.concept.code [ fhir:value "Cardiac arrest" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cardiac arrest" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by cessation of the pumping function of the heart." ]     ], [
       fhir:index 100;
       fhir:CodeSystem.concept.code [ fhir:value "Cardiac disorders - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cardiac disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 101;
       fhir:CodeSystem.concept.code [ fhir:value "Cardiac troponin I increased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cardiac troponin I increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A laboratory test result which indicates increased levels of cardiac troponin I in a biological specimen." ]     ], [
       fhir:index 102;
       fhir:CodeSystem.concept.code [ fhir:value "Cardiac troponin T increased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cardiac troponin T increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A laboratory test result which indicates increased levels of cardiac troponin T in a biological specimen." ]     ], [
       fhir:index 103;
       fhir:CodeSystem.concept.code [ fhir:value "Cataract" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cataract" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by partial or complete opacity of the crystalline lens of one or both eyes. This results in a decrease in visual acuity and eventual blindness if untreated." ]     ], [
       fhir:index 104;
       fhir:CodeSystem.concept.code [ fhir:value "Catheter related infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Catheter related infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process that arises secondary to catheter use." ]     ], [
       fhir:index 105;
       fhir:CodeSystem.concept.code [ fhir:value "CD4 lymphocytes decreased" ];
       fhir:CodeSystem.concept.display [ fhir:value "CD4 lymphocytes decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an decrease in levels of CD4 lymphocytes in a blood specimen." ]     ], [
       fhir:index 106;
       fhir:CodeSystem.concept.code [ fhir:value "Cecal hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cecal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the cecum." ]     ], [
       fhir:index 107;
       fhir:CodeSystem.concept.code [ fhir:value "Cecal infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cecal infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the cecum." ]     ], [
       fhir:index 108;
       fhir:CodeSystem.concept.code [ fhir:value "Central nervous system necrosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Central nervous system necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the brain and/or spinal cord." ]     ], [
       fhir:index 109;
       fhir:CodeSystem.concept.code [ fhir:value "Cerebrospinal fluid leakage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cerebrospinal fluid leakage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by loss of cerebrospinal fluid into the surrounding tissues." ]     ], [
       fhir:index 110;
       fhir:CodeSystem.concept.code [ fhir:value "Cervicitis infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cervicitis infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the uterine cervix." ]     ], [
       fhir:index 111;
       fhir:CodeSystem.concept.code [ fhir:value "Cheilitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cheilitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the lip." ]     ], [
       fhir:index 112;
       fhir:CodeSystem.concept.code [ fhir:value "Chest pain - cardiac" ];
       fhir:CodeSystem.concept.display [ fhir:value "Chest pain - cardiac" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by substernal discomfort due to insufficient myocardial oxygenation." ]     ], [
       fhir:index 113;
       fhir:CodeSystem.concept.code [ fhir:value "Chest wall pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Chest wall pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the chest wall region." ]     ], [
       fhir:index 114;
       fhir:CodeSystem.concept.code [ fhir:value "Chills" ];
       fhir:CodeSystem.concept.display [ fhir:value "Chills" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of cold that often marks a physiologic response to sweating after a fever." ]     ], [
       fhir:index 115;
       fhir:CodeSystem.concept.code [ fhir:value "Cholecystitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cholecystitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation involving the gallbladder. It may be associated with the presence of gallstones." ]     ], [
       fhir:index 116;
       fhir:CodeSystem.concept.code [ fhir:value "Cholesterol high" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cholesterol high" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate higher than normal levels of cholesterol in a blood specimen." ]     ], [
       fhir:index 117;
       fhir:CodeSystem.concept.code [ fhir:value "Chronic kidney disease" ];
       fhir:CodeSystem.concept.display [ fhir:value "Chronic kidney disease" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by gradual and usually permanent loss of kidney function resulting in renal failure." ]     ], [
       fhir:index 118;
       fhir:CodeSystem.concept.code [ fhir:value "Chylothorax" ];
       fhir:CodeSystem.concept.display [ fhir:value "Chylothorax" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by milky pleural effusion (abnormal collection of fluid) resulting from accumulation of lymph fluid in the pleural cavity." ]     ], [
       fhir:index 119;
       fhir:CodeSystem.concept.code [ fhir:value "Cognitive disturbance" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cognitive disturbance" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a conspicuous change in cognitive function." ]     ], [
       fhir:index 120;
       fhir:CodeSystem.concept.code [ fhir:value "Colitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Colitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the colon." ]     ], [
       fhir:index 121;
       fhir:CodeSystem.concept.code [ fhir:value "Colonic fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Colonic fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the large intestine and another organ or anatomic site." ]     ], [
       fhir:index 122;
       fhir:CodeSystem.concept.code [ fhir:value "Colonic hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Colonic hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the colon." ]     ], [
       fhir:index 123;
       fhir:CodeSystem.concept.code [ fhir:value "Colonic obstruction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Colonic obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the normal flow of the intestinal contents in the colon." ]     ], [
       fhir:index 124;
       fhir:CodeSystem.concept.code [ fhir:value "Colonic perforation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Colonic perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the colonic wall." ]     ], [
       fhir:index 125;
       fhir:CodeSystem.concept.code [ fhir:value "Colonic stenosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Colonic stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the lumen of the colon." ]     ], [
       fhir:index 126;
       fhir:CodeSystem.concept.code [ fhir:value "Colonic ulcer" ];
       fhir:CodeSystem.concept.display [ fhir:value "Colonic ulcer" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a circumscribed, inflammatory and necrotic erosive lesion on the mucosal surface of the colon." ]     ], [
       fhir:index 127;
       fhir:CodeSystem.concept.code [ fhir:value "Concentration impairment" ];
       fhir:CodeSystem.concept.display [ fhir:value "Concentration impairment" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a deterioration in the ability to concentrate." ]     ], [
       fhir:index 128;
       fhir:CodeSystem.concept.code [ fhir:value "Conduction disorder" ];
       fhir:CodeSystem.concept.display [ fhir:value "Conduction disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by pathological irregularities in the cardiac conduction system." ]     ], [
       fhir:index 129;
       fhir:CodeSystem.concept.code [ fhir:value "Confusion" ];
       fhir:CodeSystem.concept.display [ fhir:value "Confusion" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a lack of clear and orderly thought and behavior." ]     ], [
       fhir:index 130;
       fhir:CodeSystem.concept.code [ fhir:value "Congenital, familial and genetic disorders - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Congenital, familial and genetic disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 131;
       fhir:CodeSystem.concept.code [ fhir:value "Conjunctivitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Conjunctivitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation, swelling and redness to the conjunctiva of the eye." ]     ], [
       fhir:index 132;
       fhir:CodeSystem.concept.code [ fhir:value "Conjunctivitis infective" ];
       fhir:CodeSystem.concept.display [ fhir:value "Conjunctivitis infective" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the conjunctiva. Clinical manifestations include pink or red color in the eyes." ]     ], [
       fhir:index 133;
       fhir:CodeSystem.concept.code [ fhir:value "Constipation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Constipation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by irregular and infrequent or difficult evacuation of the bowels." ]     ], [
       fhir:index 134;
       fhir:CodeSystem.concept.code [ fhir:value "Constrictive pericarditis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Constrictive pericarditis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a thickened and fibrotic pericardial sac; these fibrotic changes impede normal myocardial function by restricting myocardial muscle action." ]     ], [
       fhir:index 135;
       fhir:CodeSystem.concept.code [ fhir:value "Corneal infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Corneal infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the cornea." ]     ], [
       fhir:index 136;
       fhir:CodeSystem.concept.code [ fhir:value "Corneal ulcer" ];
       fhir:CodeSystem.concept.display [ fhir:value "Corneal ulcer" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an area of epithelial tissue loss on the surface of the cornea. It is associated with inflammatory cells in the cornea and anterior chamber." ]     ], [
       fhir:index 137;
       fhir:CodeSystem.concept.code [ fhir:value "Cough" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cough" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by sudden, often repetitive, spasmodic contraction of the thoracic cavity, resulting in violent release of air from the lungs and usually accompanied by a distinctive sound." ]     ], [
       fhir:index 138;
       fhir:CodeSystem.concept.code [ fhir:value "CPK increased" ];
       fhir:CodeSystem.concept.display [ fhir:value "CPK increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an increase in levels of creatine phosphokinase in a blood specimen." ]     ], [
       fhir:index 139;
       fhir:CodeSystem.concept.code [ fhir:value "Cranial nerve infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cranial nerve infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving a cranial nerve." ]     ], [
       fhir:index 140;
       fhir:CodeSystem.concept.code [ fhir:value "Creatinine increased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Creatinine increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate increased levels of creatinine in a biological specimen." ]     ], [
       fhir:index 141;
       fhir:CodeSystem.concept.code [ fhir:value "Cushingoid" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cushingoid" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by signs and symptoms that resemble Cushing's disease or syndrome: buffalo hump obesity, striations, adiposity, hypertension, diabetes, and osteoporosis, usually due to exogenous corticosteroids." ]     ], [
       fhir:index 142;
       fhir:CodeSystem.concept.code [ fhir:value "Cystitis noninfective" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cystitis noninfective" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the bladder which is not caused by an infection of the urinary tract." ]     ], [
       fhir:index 143;
       fhir:CodeSystem.concept.code [ fhir:value "Cytokine release syndrome" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cytokine release syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by nausea, headache, tachycardia, hypotension, rash, and shortness of breath; it is caused by the release of cytokines from the cells." ]     ], [
       fhir:index 144;
       fhir:CodeSystem.concept.code [ fhir:value "Death neonatal" ];
       fhir:CodeSystem.concept.display [ fhir:value "Death neonatal" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by cessation of life occurring during the first 28 days of life." ]     ], [
       fhir:index 145;
       fhir:CodeSystem.concept.code [ fhir:value "Death NOS" ];
       fhir:CodeSystem.concept.display [ fhir:value "Death NOS" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A cessation of life that cannot be attributed to a CTCAE term associated with Grade 5." ]     ], [
       fhir:index 146;
       fhir:CodeSystem.concept.code [ fhir:value "Dehydration" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dehydration" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by excessive loss of water from the body. It is usually caused by severe diarrhea, vomiting or diaphoresis." ]     ], [
       fhir:index 147;
       fhir:CodeSystem.concept.code [ fhir:value "Delayed orgasm" ];
       fhir:CodeSystem.concept.display [ fhir:value "Delayed orgasm" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by sexual dysfunction characterized by a delay in climax." ]     ], [
       fhir:index 148;
       fhir:CodeSystem.concept.code [ fhir:value "Delayed puberty" ];
       fhir:CodeSystem.concept.display [ fhir:value "Delayed puberty" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by unusually late sexual maturity." ]     ], [
       fhir:index 149;
       fhir:CodeSystem.concept.code [ fhir:value "Delirium" ];
       fhir:CodeSystem.concept.display [ fhir:value "Delirium" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the acute and sudden development of confusion, illusions, movement changes, inattentiveness, agitation, and hallucinations. Usually, it is a reversible condition." ]     ], [
       fhir:index 150;
       fhir:CodeSystem.concept.code [ fhir:value "Delusions" ];
       fhir:CodeSystem.concept.display [ fhir:value "Delusions" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by false personal beliefs held contrary to reality, despite contradictory evidence and common sense." ]     ], [
       fhir:index 151;
       fhir:CodeSystem.concept.code [ fhir:value "Dental caries" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dental caries" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the decay of a tooth, in which it becomes softened, discolored and/or porous." ]     ], [
       fhir:index 152;
       fhir:CodeSystem.concept.code [ fhir:value "Depressed level of consciousness" ];
       fhir:CodeSystem.concept.display [ fhir:value "Depressed level of consciousness" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in ability to perceive and respond." ]     ], [
       fhir:index 153;
       fhir:CodeSystem.concept.code [ fhir:value "Depression" ];
       fhir:CodeSystem.concept.display [ fhir:value "Depression" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by melancholic feelings of grief or unhappiness." ]     ], [
       fhir:index 154;
       fhir:CodeSystem.concept.code [ fhir:value "Dermatitis radiation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dermatitis radiation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of cutaneous inflammatory reaction occurring as a result of exposure to biologically effective levels of ionizing radiation." ]     ], [
       fhir:index 155;
       fhir:CodeSystem.concept.code [ fhir:value "Device related infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Device related infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the use of a medical device." ]     ], [
       fhir:index 156;
       fhir:CodeSystem.concept.code [ fhir:value "Diarrhea" ];
       fhir:CodeSystem.concept.display [ fhir:value "Diarrhea" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by frequent and watery bowel movements." ]     ], [
       fhir:index 157;
       fhir:CodeSystem.concept.code [ fhir:value "Disseminated intravascular coagulation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Disseminated intravascular coagulation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by systemic pathological activation of blood clotting mechanisms which results in clot formation throughout the body. There is an increase in the risk of hemorrhage as the body is depleted of platelets and coagulation factors." ]     ], [
       fhir:index 158;
       fhir:CodeSystem.concept.code [ fhir:value "Dizziness" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dizziness" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a disturbing sensation of lightheadedness, unsteadiness, giddiness, spinning or rocking." ]     ], [
       fhir:index 159;
       fhir:CodeSystem.concept.code [ fhir:value "Dry eye" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dry eye" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by dryness of the cornea and conjunctiva." ]     ], [
       fhir:index 160;
       fhir:CodeSystem.concept.code [ fhir:value "Dry mouth" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dry mouth" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by reduced salivary flow in the oral cavity." ]     ], [
       fhir:index 161;
       fhir:CodeSystem.concept.code [ fhir:value "Dry skin" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dry skin" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by flaky and dull skin; the pores are generally fine, the texture is a papery thin texture." ]     ], [
       fhir:index 162;
       fhir:CodeSystem.concept.code [ fhir:value "Duodenal fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Duodenal fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the duodenum and another organ or anatomic site." ]     ], [
       fhir:index 163;
       fhir:CodeSystem.concept.code [ fhir:value "Duodenal hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Duodenal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the duodenum." ]     ], [
       fhir:index 164;
       fhir:CodeSystem.concept.code [ fhir:value "Duodenal infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Duodenal infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the duodenum." ]     ], [
       fhir:index 165;
       fhir:CodeSystem.concept.code [ fhir:value "Duodenal obstruction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Duodenal obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the normal flow of stomach contents through the duodenum." ]     ], [
       fhir:index 166;
       fhir:CodeSystem.concept.code [ fhir:value "Duodenal perforation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Duodenal perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the duodenal wall." ]     ], [
       fhir:index 167;
       fhir:CodeSystem.concept.code [ fhir:value "Duodenal stenosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Duodenal stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the lumen of the duodenum." ]     ], [
       fhir:index 168;
       fhir:CodeSystem.concept.code [ fhir:value "Duodenal ulcer" ];
       fhir:CodeSystem.concept.display [ fhir:value "Duodenal ulcer" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a circumscribed, inflammatory and necrotic erosive lesion on the mucosal surface of the duodenal wall." ]     ], [
       fhir:index 169;
       fhir:CodeSystem.concept.code [ fhir:value "Dysarthria" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dysarthria" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by slow and slurred speech resulting from an inability to coordinate the muscles used in speech." ]     ], [
       fhir:index 170;
       fhir:CodeSystem.concept.code [ fhir:value "Dysesthesia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dysesthesia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by distortion of sensory perception, resulting in an abnormal and unpleasant sensation." ]     ], [
       fhir:index 171;
       fhir:CodeSystem.concept.code [ fhir:value "Dysgeusia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dysgeusia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by abnormal sensual experience with the taste of foodstuffs; it can be related to a decrease in the sense of smell." ]     ], [
       fhir:index 172;
       fhir:CodeSystem.concept.code [ fhir:value "Dysmenorrhea" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dysmenorrhea" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by abnormally painful abdominal cramps during menses." ]     ], [
       fhir:index 173;
       fhir:CodeSystem.concept.code [ fhir:value "Dyspareunia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dyspareunia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by painful or difficult coitus." ]     ], [
       fhir:index 174;
       fhir:CodeSystem.concept.code [ fhir:value "Dyspepsia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dyspepsia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an uncomfortable, often painful feeling in the stomach, resulting from impaired digestion. Symptoms include burning stomach, bloating, heartburn, nausea and vomiting." ]     ], [
       fhir:index 175;
       fhir:CodeSystem.concept.code [ fhir:value "Dysphagia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dysphagia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by difficulty in swallowing." ]     ], [
       fhir:index 176;
       fhir:CodeSystem.concept.code [ fhir:value "Dysphasia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dysphasia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by impairment of verbal communication skills, often resulting from brain damage." ]     ], [
       fhir:index 177;
       fhir:CodeSystem.concept.code [ fhir:value "Dyspnea" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dyspnea" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an uncomfortable sensation of difficulty breathing." ]     ], [
       fhir:index 178;
       fhir:CodeSystem.concept.code [ fhir:value "Ear and labyrinth disorders - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ear and labyrinth disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 179;
       fhir:CodeSystem.concept.code [ fhir:value "Ear pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ear pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the ear." ]     ], [
       fhir:index 180;
       fhir:CodeSystem.concept.code [ fhir:value "Edema cerebral" ];
       fhir:CodeSystem.concept.display [ fhir:value "Edema cerebral" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by swelling due to an excessive accumulation of fluid in the brain." ]     ], [
       fhir:index 181;
       fhir:CodeSystem.concept.code [ fhir:value "Edema face" ];
       fhir:CodeSystem.concept.display [ fhir:value "Edema face" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by swelling due to excessive fluid accumulation in facial tissues." ]     ], [
       fhir:index 182;
       fhir:CodeSystem.concept.code [ fhir:value "Edema limbs" ];
       fhir:CodeSystem.concept.display [ fhir:value "Edema limbs" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by swelling due to excessive fluid accumulation in the upper or lower extremities." ]     ], [
       fhir:index 183;
       fhir:CodeSystem.concept.code [ fhir:value "Edema trunk" ];
       fhir:CodeSystem.concept.display [ fhir:value "Edema trunk" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by swelling due to excessive fluid accumulation in the trunk area." ]     ], [
       fhir:index 184;
       fhir:CodeSystem.concept.code [ fhir:value "Ejaculation disorder" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ejaculation disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by problems related to ejaculation. This category includes premature, delayed, retrograde and painful ejaculation." ]     ], [
       fhir:index 185;
       fhir:CodeSystem.concept.code [ fhir:value "Ejection fraction decreased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ejection fraction decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "The percentage computed when the amount of blood ejected during a ventricular contraction of the heart is compared to the amount that was present prior to the contraction." ]     ], [
       fhir:index 186;
       fhir:CodeSystem.concept.code [ fhir:value "Electrocardiogram QT corrected interval prolonged" ];
       fhir:CodeSystem.concept.display [ fhir:value "Electrocardiogram QT corrected interval prolonged" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of a cardiac dysrhythmia characterized by an abnormally long corrected QT interval." ]     ], [
       fhir:index 187;
       fhir:CodeSystem.concept.code [ fhir:value "Encephalitis infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Encephalitis infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the brain tissue." ]     ], [
       fhir:index 188;
       fhir:CodeSystem.concept.code [ fhir:value "Encephalomyelitis infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Encephalomyelitis infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the brain and spinal cord tissues." ]     ], [
       fhir:index 189;
       fhir:CodeSystem.concept.code [ fhir:value "Encephalopathy" ];
       fhir:CodeSystem.concept.display [ fhir:value "Encephalopathy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a pathologic process involving the brain." ]     ], [
       fhir:index 190;
       fhir:CodeSystem.concept.code [ fhir:value "Endocarditis infective" ];
       fhir:CodeSystem.concept.display [ fhir:value "Endocarditis infective" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the endocardial layer of the heart." ]     ], [
       fhir:index 191;
       fhir:CodeSystem.concept.code [ fhir:value "Endocrine disorders - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Endocrine disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 192;
       fhir:CodeSystem.concept.code [ fhir:value "Endophthalmitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Endophthalmitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the internal structures of the eye." ]     ], [
       fhir:index 193;
       fhir:CodeSystem.concept.code [ fhir:value "Enterocolitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Enterocolitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the small and large intestines." ]     ], [
       fhir:index 194;
       fhir:CodeSystem.concept.code [ fhir:value "Enterocolitis infectious" ];
       fhir:CodeSystem.concept.display [ fhir:value "Enterocolitis infectious" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the small and large intestines." ]     ], [
       fhir:index 195;
       fhir:CodeSystem.concept.code [ fhir:value "Enterovesical fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Enterovesical fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the urinary bladder and the intestine." ]     ], [
       fhir:index 196;
       fhir:CodeSystem.concept.code [ fhir:value "Epistaxis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Epistaxis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the nose." ]     ], [
       fhir:index 197;
       fhir:CodeSystem.concept.code [ fhir:value "Erectile dysfunction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Erectile dysfunction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the persistent or recurrent inability to achieve or to maintain an erection during sexual activity." ]     ], [
       fhir:index 198;
       fhir:CodeSystem.concept.code [ fhir:value "Erythema multiforme" ];
       fhir:CodeSystem.concept.display [ fhir:value "Erythema multiforme" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by target lesions (a pink-red ring around a pale center)." ]     ], [
       fhir:index 199;
       fhir:CodeSystem.concept.code [ fhir:value "Erythroderma" ];
       fhir:CodeSystem.concept.display [ fhir:value "Erythroderma" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by generalized inflammatory erythema and exfoliation. The inflammatory process involves > 90% of the body surface area." ]     ], [
       fhir:index 200;
       fhir:CodeSystem.concept.code [ fhir:value "Esophageal anastomotic leak" ];
       fhir:CodeSystem.concept.display [ fhir:value "Esophageal anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of an esophageal anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 201;
       fhir:CodeSystem.concept.code [ fhir:value "Esophageal fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Esophageal fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the esophagus and another organ or anatomic site." ]     ], [
       fhir:index 202;
       fhir:CodeSystem.concept.code [ fhir:value "Esophageal hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Esophageal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the esophagus." ]     ], [
       fhir:index 203;
       fhir:CodeSystem.concept.code [ fhir:value "Esophageal infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Esophageal infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the esophagus." ]     ], [
       fhir:index 204;
       fhir:CodeSystem.concept.code [ fhir:value "Esophageal necrosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Esophageal necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the esophageal wall." ]     ], [
       fhir:index 205;
       fhir:CodeSystem.concept.code [ fhir:value "Esophageal obstruction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Esophageal obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the normal flow of the contents in the esophagus." ]     ], [
       fhir:index 206;
       fhir:CodeSystem.concept.code [ fhir:value "Esophageal pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Esophageal pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the esophageal region." ]     ], [
       fhir:index 207;
       fhir:CodeSystem.concept.code [ fhir:value "Esophageal perforation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Esophageal perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the wall of the esophagus." ]     ], [
       fhir:index 208;
       fhir:CodeSystem.concept.code [ fhir:value "Esophageal stenosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Esophageal stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the lumen of the esophagus." ]     ], [
       fhir:index 209;
       fhir:CodeSystem.concept.code [ fhir:value "Esophageal ulcer" ];
       fhir:CodeSystem.concept.display [ fhir:value "Esophageal ulcer" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a circumscribed, inflammatory and necrotic erosive lesion on the mucosal surface of the esophageal wall." ]     ], [
       fhir:index 210;
       fhir:CodeSystem.concept.code [ fhir:value "Esophageal varices hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Esophageal varices hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from esophageal varices." ]     ], [
       fhir:index 211;
       fhir:CodeSystem.concept.code [ fhir:value "Esophagitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Esophagitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the esophageal wall." ]     ], [
       fhir:index 212;
       fhir:CodeSystem.concept.code [ fhir:value "Euphoria" ];
       fhir:CodeSystem.concept.display [ fhir:value "Euphoria" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an exaggerated feeling of well-being which is disproportionate to events and stimuli." ]     ], [
       fhir:index 213;
       fhir:CodeSystem.concept.code [ fhir:value "Exostosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Exostosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by non-neoplastic overgrowth of bone." ]     ], [
       fhir:index 214;
       fhir:CodeSystem.concept.code [ fhir:value "External ear inflammation" ];
       fhir:CodeSystem.concept.display [ fhir:value "External ear inflammation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation, swelling and redness to the outer ear and ear canal." ]     ], [
       fhir:index 215;
       fhir:CodeSystem.concept.code [ fhir:value "External ear pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "External ear pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the external ear region." ]     ], [
       fhir:index 216;
       fhir:CodeSystem.concept.code [ fhir:value "Extraocular muscle paresis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Extraocular muscle paresis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by incomplete paralysis of an extraocular muscle." ]     ], [
       fhir:index 217;
       fhir:CodeSystem.concept.code [ fhir:value "Extrapyramidal disorder" ];
       fhir:CodeSystem.concept.display [ fhir:value "Extrapyramidal disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by abnormal, repetitive, involuntary muscle movements, frenzied speech and extreme restlessness." ]     ], [
       fhir:index 218;
       fhir:CodeSystem.concept.code [ fhir:value "Eye disorders - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Eye disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 219;
       fhir:CodeSystem.concept.code [ fhir:value "Eye infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Eye infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the eye." ]     ], [
       fhir:index 220;
       fhir:CodeSystem.concept.code [ fhir:value "Eye pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Eye pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the eye." ]     ], [
       fhir:index 221;
       fhir:CodeSystem.concept.code [ fhir:value "Eyelid function disorder" ];
       fhir:CodeSystem.concept.display [ fhir:value "Eyelid function disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by impaired eyelid function." ]     ], [
       fhir:index 222;
       fhir:CodeSystem.concept.code [ fhir:value "Facial muscle weakness" ];
       fhir:CodeSystem.concept.display [ fhir:value "Facial muscle weakness" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a reduction in the strength of the facial muscles." ]     ], [
       fhir:index 223;
       fhir:CodeSystem.concept.code [ fhir:value "Facial nerve disorder" ];
       fhir:CodeSystem.concept.display [ fhir:value "Facial nerve disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the facial nerve (seventh cranial nerve)." ]     ], [
       fhir:index 224;
       fhir:CodeSystem.concept.code [ fhir:value "Facial pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Facial pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the face." ]     ], [
       fhir:index 225;
       fhir:CodeSystem.concept.code [ fhir:value "Fall" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fall" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of sudden movement downward, usually resulting in injury." ]     ], [
       fhir:index 226;
       fhir:CodeSystem.concept.code [ fhir:value "Fallopian tube anastomotic leak" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fallopian tube anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of a fallopian tube anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 227;
       fhir:CodeSystem.concept.code [ fhir:value "Fallopian tube obstruction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fallopian tube obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the normal flow of the contents in the fallopian tube." ]     ], [
       fhir:index 228;
       fhir:CodeSystem.concept.code [ fhir:value "Fallopian tube perforation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fallopian tube perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of rupture of the fallopian tube wall." ]     ], [
       fhir:index 229;
       fhir:CodeSystem.concept.code [ fhir:value "Fallopian tube stenosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fallopian tube stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the fallopian tube lumen." ]     ], [
       fhir:index 230;
       fhir:CodeSystem.concept.code [ fhir:value "Fat atrophy" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fat atrophy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by shrinking of adipose tissue." ]     ], [
       fhir:index 231;
       fhir:CodeSystem.concept.code [ fhir:value "Fatigue" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fatigue" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a state of generalized weakness with a pronounced inability to summon sufficient energy to accomplish daily activities." ]     ], [
       fhir:index 232;
       fhir:CodeSystem.concept.code [ fhir:value "Febrile neutropenia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Febrile neutropenia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in neutrophils associated with fever." ]     ], [
       fhir:index 233;
       fhir:CodeSystem.concept.code [ fhir:value "Fecal incontinence" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fecal incontinence" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inability to control the escape of stool from the rectum." ]     ], [
       fhir:index 234;
       fhir:CodeSystem.concept.code [ fhir:value "Female genital tract fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Female genital tract fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between a female reproductive system organ and another organ or anatomic site." ]     ], [
       fhir:index 235;
       fhir:CodeSystem.concept.code [ fhir:value "Feminization acquired" ];
       fhir:CodeSystem.concept.display [ fhir:value "Feminization acquired" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the development of secondary female sex characteristics in males due to extrinsic factors." ]     ], [
       fhir:index 236;
       fhir:CodeSystem.concept.code [ fhir:value "Fetal death" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fetal death" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by death in utero; failure of the product of conception to show evidence of respiration, heartbeat, or definite movement of a voluntary muscle after expulsion from the uterus, without possibility of resuscitation." ]     ], [
       fhir:index 237;
       fhir:CodeSystem.concept.code [ fhir:value "Fetal growth retardation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fetal growth retardation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inhibition of fetal growth resulting in the inability of the fetus to achieve its potential weight." ]     ], [
       fhir:index 238;
       fhir:CodeSystem.concept.code [ fhir:value "Fever" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fever" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by elevation of the body's temperature above the upper limit of normal." ]     ], [
       fhir:index 239;
       fhir:CodeSystem.concept.code [ fhir:value "Fibrinogen decreased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fibrinogen decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an decrease in levels of fibrinogen in a blood specimen." ]     ], [
       fhir:index 240;
       fhir:CodeSystem.concept.code [ fhir:value "Fibrosis deep connective tissue" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fibrosis deep connective tissue" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by fibrotic degeneration of the deep connective tissues." ]     ], [
       fhir:index 241;
       fhir:CodeSystem.concept.code [ fhir:value "Flank pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Flank pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation on the lateral side of the body in the region below the ribs and above the hip." ]     ], [
       fhir:index 242;
       fhir:CodeSystem.concept.code [ fhir:value "Flashing lights" ];
       fhir:CodeSystem.concept.display [ fhir:value "Flashing lights" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sudden or brief burst of light." ]     ], [
       fhir:index 243;
       fhir:CodeSystem.concept.code [ fhir:value "Flatulence" ];
       fhir:CodeSystem.concept.display [ fhir:value "Flatulence" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a state of excessive gas in the alimentary canal." ]     ], [
       fhir:index 244;
       fhir:CodeSystem.concept.code [ fhir:value "Floaters" ];
       fhir:CodeSystem.concept.display [ fhir:value "Floaters" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an individual seeing spots before their eyes. The spots are shadows of opaque cell fragments in the vitreous humor or lens." ]     ], [
       fhir:index 245;
       fhir:CodeSystem.concept.code [ fhir:value "Flu like symptoms" ];
       fhir:CodeSystem.concept.display [ fhir:value "Flu like symptoms" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a group of symptoms similar to those observed in patients with the flu. It includes fever, chills, body aches, malaise, loss of appetite and dry cough." ]     ], [
       fhir:index 246;
       fhir:CodeSystem.concept.code [ fhir:value "Flushing" ];
       fhir:CodeSystem.concept.display [ fhir:value "Flushing" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by episodic reddening of the face." ]     ], [
       fhir:index 247;
       fhir:CodeSystem.concept.code [ fhir:value "Forced expiratory volume decreased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Forced expiratory volume decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on test results that indicate a relative decrease in the fraction of the forced vital capacity that is exhaled in a specific number of seconds." ]     ], [
       fhir:index 248;
       fhir:CodeSystem.concept.code [ fhir:value "Fracture" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fracture" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of traumatic injury to the bone in which the continuity of the bone is broken." ]     ], [
       fhir:index 249;
       fhir:CodeSystem.concept.code [ fhir:value "Gait disturbance" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gait disturbance" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by walking difficulties." ]     ], [
       fhir:index 250;
       fhir:CodeSystem.concept.code [ fhir:value "Gallbladder fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gallbladder fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the gallbladder and another organ or anatomic site." ]     ], [
       fhir:index 251;
       fhir:CodeSystem.concept.code [ fhir:value "Gallbladder infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gallbladder infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the gallbladder." ]     ], [
       fhir:index 252;
       fhir:CodeSystem.concept.code [ fhir:value "Gallbladder necrosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gallbladder necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the gallbladder." ]     ], [
       fhir:index 253;
       fhir:CodeSystem.concept.code [ fhir:value "Gallbladder obstruction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gallbladder obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the normal flow of the contents of the gallbladder." ]     ], [
       fhir:index 254;
       fhir:CodeSystem.concept.code [ fhir:value "Gallbladder pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gallbladder pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the gallbladder region." ]     ], [
       fhir:index 255;
       fhir:CodeSystem.concept.code [ fhir:value "Gallbladder perforation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gallbladder perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the gallbladder wall." ]     ], [
       fhir:index 256;
       fhir:CodeSystem.concept.code [ fhir:value "Gastric anastomotic leak" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastric anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of a gastric anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 257;
       fhir:CodeSystem.concept.code [ fhir:value "Gastric fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastric fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the stomach and another organ or anatomic site." ]     ], [
       fhir:index 258;
       fhir:CodeSystem.concept.code [ fhir:value "Gastric hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastric hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the gastric wall." ]     ], [
       fhir:index 259;
       fhir:CodeSystem.concept.code [ fhir:value "Gastric necrosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastric necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the gastric wall." ]     ], [
       fhir:index 260;
       fhir:CodeSystem.concept.code [ fhir:value "Gastric perforation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastric perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the stomach wall." ]     ], [
       fhir:index 261;
       fhir:CodeSystem.concept.code [ fhir:value "Gastric stenosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastric stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the lumen of the stomach." ]     ], [
       fhir:index 262;
       fhir:CodeSystem.concept.code [ fhir:value "Gastric ulcer" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastric ulcer" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a circumscribed, inflammatory and necrotic erosive lesion on the mucosal surface of the stomach." ]     ], [
       fhir:index 263;
       fhir:CodeSystem.concept.code [ fhir:value "Gastritis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastritis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the stomach." ]     ], [
       fhir:index 264;
       fhir:CodeSystem.concept.code [ fhir:value "Gastroesophageal reflux disease" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastroesophageal reflux disease" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by reflux of the gastric and/or duodenal contents into the distal esophagus. It is chronic in nature and usually caused by incompetence of the lower esophageal sphincter, and may result in injury to the esophageal mucosal. Symptoms include heartburn and acid indigestion." ]     ], [
       fhir:index 265;
       fhir:CodeSystem.concept.code [ fhir:value "Gastrointestinal anastomotic leak" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastrointestinal anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of a gastrointestinal anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 266;
       fhir:CodeSystem.concept.code [ fhir:value "Gastrointestinal disorders - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastrointestinal disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 267;
       fhir:CodeSystem.concept.code [ fhir:value "Gastrointestinal fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastrointestinal fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between any part of the gastrointestinal system and another organ or anatomic site." ]     ], [
       fhir:index 268;
       fhir:CodeSystem.concept.code [ fhir:value "Gastrointestinal pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastrointestinal pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the gastrointestinal region." ]     ], [
       fhir:index 269;
       fhir:CodeSystem.concept.code [ fhir:value "Gastrointestinal stoma necrosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastrointestinal stoma necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of a necrotic process occurring in the gastrointestinal tract stoma." ]     ], [
       fhir:index 270;
       fhir:CodeSystem.concept.code [ fhir:value "Gastroparesis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastroparesis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an incomplete paralysis of the muscles of the stomach wall resulting in delayed emptying of the gastric contents into the small intestine." ]     ], [
       fhir:index 271;
       fhir:CodeSystem.concept.code [ fhir:value "General disorders and administration site conditions - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "General disorders and administration site conditions - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 272;
       fhir:CodeSystem.concept.code [ fhir:value "Generalized muscle weakness" ];
       fhir:CodeSystem.concept.display [ fhir:value "Generalized muscle weakness" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a reduction in the strength of muscles in multiple anatomic sites." ]     ], [
       fhir:index 273;
       fhir:CodeSystem.concept.code [ fhir:value "Genital edema" ];
       fhir:CodeSystem.concept.display [ fhir:value "Genital edema" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by swelling due to an excessive accumulation of fluid in the genitals." ]     ], [
       fhir:index 274;
       fhir:CodeSystem.concept.code [ fhir:value "GGT increased" ];
       fhir:CodeSystem.concept.display [ fhir:value "GGT increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate higher than normal levels of the enzyme gamma-glutamyltransferase in the blood specimen. GGT (gamma-glutamyltransferase ) catalyzes the transfer of a gamma glutamyl group from a gamma glutamyl peptide to another peptide, amino acids or water." ]     ], [
       fhir:index 275;
       fhir:CodeSystem.concept.code [ fhir:value "Gingival pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gingival pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the gingival region." ]     ], [
       fhir:index 276;
       fhir:CodeSystem.concept.code [ fhir:value "Glaucoma" ];
       fhir:CodeSystem.concept.display [ fhir:value "Glaucoma" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an increase in pressure in the eyeball due to obstruction of the aqueous humor outflow." ]     ], [
       fhir:index 277;
       fhir:CodeSystem.concept.code [ fhir:value "Glossopharyngeal nerve disorder" ];
       fhir:CodeSystem.concept.display [ fhir:value "Glossopharyngeal nerve disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the glossopharyngeal nerve (ninth cranial nerve)." ]     ], [
       fhir:index 278;
       fhir:CodeSystem.concept.code [ fhir:value "Glucose intolerance" ];
       fhir:CodeSystem.concept.display [ fhir:value "Glucose intolerance" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an inability to properly metabolize glucose." ]     ], [
       fhir:index 279;
       fhir:CodeSystem.concept.code [ fhir:value "Growth accelerated" ];
       fhir:CodeSystem.concept.display [ fhir:value "Growth accelerated" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by greater growth than expected for age." ]     ], [
       fhir:index 280;
       fhir:CodeSystem.concept.code [ fhir:value "Growth hormone abnormal" ];
       fhir:CodeSystem.concept.display [ fhir:value "Growth hormone abnormal" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate abnormal levels of growth hormone in a biological specimen." ]     ], [
       fhir:index 281;
       fhir:CodeSystem.concept.code [ fhir:value "Growth suppression" ];
       fhir:CodeSystem.concept.display [ fhir:value "Growth suppression" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by of stature that is smaller than normal as expected for age." ]     ], [
       fhir:index 282;
       fhir:CodeSystem.concept.code [ fhir:value "Gum infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gum infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the gums." ]     ], [
       fhir:index 283;
       fhir:CodeSystem.concept.code [ fhir:value "Gynecomastia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gynecomastia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by excessive development of the breasts in males." ]     ], [
       fhir:index 284;
       fhir:CodeSystem.concept.code [ fhir:value "Hallucinations" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hallucinations" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a false sensory perception in the absence of an external stimulus." ]     ], [
       fhir:index 285;
       fhir:CodeSystem.concept.code [ fhir:value "Haptoglobin decreased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Haptoglobin decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an decrease in levels of haptoglobin in a blood specimen." ]     ], [
       fhir:index 286;
       fhir:CodeSystem.concept.code [ fhir:value "Head soft tissue necrosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Head soft tissue necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the soft tissues of the head." ]     ], [
       fhir:index 287;
       fhir:CodeSystem.concept.code [ fhir:value "Headache" ];
       fhir:CodeSystem.concept.display [ fhir:value "Headache" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in various parts of the head, not confined to the area of distribution of any nerve." ]     ], [
       fhir:index 288;
       fhir:CodeSystem.concept.code [ fhir:value "Hearing impaired" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hearing impaired" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by partial or complete loss of the ability to detect or understand sounds resulting from damage to ear structures." ]     ], [
       fhir:index 289;
       fhir:CodeSystem.concept.code [ fhir:value "Heart failure" ];
       fhir:CodeSystem.concept.display [ fhir:value "Heart failure" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the inability of the heart to pump blood at an adequate volume to meet tissue metabolic requirements, or, the ability to do so only at an elevation in the filling pressure." ]     ], [
       fhir:index 290;
       fhir:CodeSystem.concept.code [ fhir:value "Hematoma" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hematoma" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a localized collection of blood, usually clotted, in an organ, space, or tissue, due to a break in the wall of a blood vessel." ]     ], [
       fhir:index 291;
       fhir:CodeSystem.concept.code [ fhir:value "Hematosalpinx" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hematosalpinx" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the presence of blood in a fallopian tube." ]     ], [
       fhir:index 292;
       fhir:CodeSystem.concept.code [ fhir:value "Hematuria" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hematuria" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate blood in the urine." ]     ], [
       fhir:index 293;
       fhir:CodeSystem.concept.code [ fhir:value "Hemoglobin increased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hemoglobin increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate increased levels of hemoglobin in a biological specimen." ]     ], [
       fhir:index 294;
       fhir:CodeSystem.concept.code [ fhir:value "Hemoglobinuria" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hemoglobinuria" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate the presence of free hemoglobin in the urine." ]     ], [
       fhir:index 295;
       fhir:CodeSystem.concept.code [ fhir:value "Hemolysis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hemolysis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate widespread erythrocyte cell membrane destruction." ]     ], [
       fhir:index 296;
       fhir:CodeSystem.concept.code [ fhir:value "Hemolytic uremic syndrome" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hemolytic uremic syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a form of thrombotic microangiopathy with renal failure, hemolytic anemia, and severe thrombocytopenia." ]     ], [
       fhir:index 297;
       fhir:CodeSystem.concept.code [ fhir:value "Hemorrhoidal hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hemorrhoidal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the hemorrhoids." ]     ], [
       fhir:index 298;
       fhir:CodeSystem.concept.code [ fhir:value "Hemorrhoids" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hemorrhoids" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the presence of dilated veins in the rectum and surrounding area." ]     ], [
       fhir:index 299;
       fhir:CodeSystem.concept.code [ fhir:value "Hepatic failure" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hepatic failure" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the inability of the liver to metabolize chemicals in the body. Laboratory test results reveal abnormal plasma levels of ammonia, bilirubin, lactic dehydrogenase, and alkaline phosphatase." ]     ], [
       fhir:index 300;
       fhir:CodeSystem.concept.code [ fhir:value "Hepatic hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hepatic hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the liver." ]     ], [
       fhir:index 301;
       fhir:CodeSystem.concept.code [ fhir:value "Hepatic infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hepatic infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the liver." ]     ], [
       fhir:index 302;
       fhir:CodeSystem.concept.code [ fhir:value "Hepatic necrosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hepatic necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the hepatic parenchyma." ]     ], [
       fhir:index 303;
       fhir:CodeSystem.concept.code [ fhir:value "Hepatic pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hepatic pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the liver region." ]     ], [
       fhir:index 304;
       fhir:CodeSystem.concept.code [ fhir:value "Hepatitis viral" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hepatitis viral" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a viral pathologic process involving the liver parenchyma." ]     ], [
       fhir:index 305;
       fhir:CodeSystem.concept.code [ fhir:value "Hepatobiliary disorders - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hepatobiliary disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 306;
       fhir:CodeSystem.concept.code [ fhir:value "Hiccups" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hiccups" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by repeated gulp sounds that result from an involuntary opening and closing of the glottis. This is attributed to a spasm of the diaphragm." ]     ], [
       fhir:index 307;
       fhir:CodeSystem.concept.code [ fhir:value "Hip fracture" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hip fracture" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of traumatic injury to the hip in which the continuity of either the femoral head, femoral neck, intertrochanteric or subtrochanteric regions is broken." ]     ], [
       fhir:index 308;
       fhir:CodeSystem.concept.code [ fhir:value "Hirsutism" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hirsutism" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the presence of excess hair growth in women in anatomic sites where growth is considered to be a secondary male characteristic and under androgen control (beard, moustache, chest, abdomen)" ]     ], [
       fhir:index 309;
       fhir:CodeSystem.concept.code [ fhir:value "Hoarseness" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hoarseness" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by harsh and raspy voice arising from or spreading to the larynx." ]     ], [
       fhir:index 310;
       fhir:CodeSystem.concept.code [ fhir:value "Hot flashes" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hot flashes" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an uncomfortable and temporary sensation of intense body warmth, flushing, sometimes accompanied by sweating upon cooling." ]     ], [
       fhir:index 311;
       fhir:CodeSystem.concept.code [ fhir:value "Hydrocephalus" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hydrocephalus" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal increase of cerebrospinal fluid in the ventricles of the brain." ]     ], [
       fhir:index 312;
       fhir:CodeSystem.concept.code [ fhir:value "Hypercalcemia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypercalcemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate an elevation in the concentration of calcium in blood." ]     ], [
       fhir:index 313;
       fhir:CodeSystem.concept.code [ fhir:value "Hyperglycemia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hyperglycemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate an elevation in the concentration of blood sugar. It is usually an indication of diabetes mellitus or glucose intolerance." ]     ], [
       fhir:index 314;
       fhir:CodeSystem.concept.code [ fhir:value "Hyperhidrosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hyperhidrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by excessive perspiration." ]     ], [
       fhir:index 315;
       fhir:CodeSystem.concept.code [ fhir:value "Hyperkalemia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hyperkalemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate an elevation in the concentration of potassium in the blood; associated with kidney failure or sometimes with the use of diuretic drugs." ]     ], [
       fhir:index 316;
       fhir:CodeSystem.concept.code [ fhir:value "Hypermagnesemia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypermagnesemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate an elevation in the concentration of magnesium in the blood." ]     ], [
       fhir:index 317;
       fhir:CodeSystem.concept.code [ fhir:value "Hypernatremia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypernatremia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate an elevation in the concentration of sodium in the blood." ]     ], [
       fhir:index 318;
       fhir:CodeSystem.concept.code [ fhir:value "Hyperparathyroidism" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hyperparathyroidism" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an increase in production of parathyroid hormone by the parathyroid glands. This results in hypercalcemia (abnormally high levels of calcium in the blood)." ]     ], [
       fhir:index 319;
       fhir:CodeSystem.concept.code [ fhir:value "Hypersomnia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypersomnia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by characterized by excessive sleepiness during the daytime." ]     ], [
       fhir:index 320;
       fhir:CodeSystem.concept.code [ fhir:value "Hypertension" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypertension" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a pathological increase in blood pressure; a repeatedly elevation in the blood pressure exceeding 140 over 90 mm Hg." ]     ], [
       fhir:index 321;
       fhir:CodeSystem.concept.code [ fhir:value "Hyperthyroidism" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hyperthyroidism" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by excessive levels of thyroid hormone in the body. Common causes include an overactive thyroid gland or thyroid hormone overdose." ]     ], [
       fhir:index 322;
       fhir:CodeSystem.concept.code [ fhir:value "Hypertrichosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypertrichosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by hair density or length beyond the accepted limits of normal in a particular body region, for a particular age or race." ]     ], [
       fhir:index 323;
       fhir:CodeSystem.concept.code [ fhir:value "Hypertriglyceridemia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypertriglyceridemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate an elevation in the concentration of triglyceride concentration in the blood." ]     ], [
       fhir:index 324;
       fhir:CodeSystem.concept.code [ fhir:value "Hyperuricemia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hyperuricemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate an elevation in the concentration of uric acid." ]     ], [
       fhir:index 325;
       fhir:CodeSystem.concept.code [ fhir:value "Hypoalbuminemia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypoalbuminemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate a low concentration of albumin in the blood." ]     ], [
       fhir:index 326;
       fhir:CodeSystem.concept.code [ fhir:value "Hypocalcemia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypocalcemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate a low concentration of calcium in the blood." ]     ], [
       fhir:index 327;
       fhir:CodeSystem.concept.code [ fhir:value "Hypoglossal nerve disorder" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypoglossal nerve disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the hypoglossal nerve (twelfth cranial nerve)." ]     ], [
       fhir:index 328;
       fhir:CodeSystem.concept.code [ fhir:value "Hypoglycemia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypoglycemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate a low concentration of glucose in the blood." ]     ], [
       fhir:index 329;
       fhir:CodeSystem.concept.code [ fhir:value "Hypohidrosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypohidrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by reduced sweating." ]     ], [
       fhir:index 330;
       fhir:CodeSystem.concept.code [ fhir:value "Hypokalemia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypokalemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate a low concentration of potassium in the blood." ]     ], [
       fhir:index 331;
       fhir:CodeSystem.concept.code [ fhir:value "Hypomagnesemia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypomagnesemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate a low concentration of magnesium in the blood." ]     ], [
       fhir:index 332;
       fhir:CodeSystem.concept.code [ fhir:value "Hyponatremia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hyponatremia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate a low concentration of sodium in the blood." ]     ], [
       fhir:index 333;
       fhir:CodeSystem.concept.code [ fhir:value "Hypoparathyroidism" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypoparathyroidism" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in production of parathyroid hormone by the parathyroid glands." ]     ], [
       fhir:index 334;
       fhir:CodeSystem.concept.code [ fhir:value "Hypophosphatemia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypophosphatemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate a low concentration of phosphates in the blood." ]     ], [
       fhir:index 335;
       fhir:CodeSystem.concept.code [ fhir:value "Hypotension" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypotension" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a blood pressure that is below the normal expected for an individual in a given environment." ]     ], [
       fhir:index 336;
       fhir:CodeSystem.concept.code [ fhir:value "Hypothermia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypothermia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormally low body temperature. Treatment is required when the body temperature is 35C (95F) or below." ]     ], [
       fhir:index 337;
       fhir:CodeSystem.concept.code [ fhir:value "Hypothyroidism" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypothyroidism" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in production of thyroid hormone by the thyroid gland." ]     ], [
       fhir:index 338;
       fhir:CodeSystem.concept.code [ fhir:value "Hypoxia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypoxia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in the level of oxygen in the body." ]     ], [
       fhir:index 339;
       fhir:CodeSystem.concept.code [ fhir:value "Ileal fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ileal fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the ileum and another organ or anatomic site." ]     ], [
       fhir:index 340;
       fhir:CodeSystem.concept.code [ fhir:value "Ileal hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ileal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the ileal wall." ]     ], [
       fhir:index 341;
       fhir:CodeSystem.concept.code [ fhir:value "Ileal obstruction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ileal obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the normal flow of the intestinal contents in the ileum." ]     ], [
       fhir:index 342;
       fhir:CodeSystem.concept.code [ fhir:value "Ileal perforation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ileal perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the ileal wall." ]     ], [
       fhir:index 343;
       fhir:CodeSystem.concept.code [ fhir:value "Ileal stenosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ileal stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the lumen of the ileum." ]     ], [
       fhir:index 344;
       fhir:CodeSystem.concept.code [ fhir:value "Ileal ulcer" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ileal ulcer" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a circumscribed, inflammatory and necrotic erosive lesion on the mucosal surface of the ileum." ]     ], [
       fhir:index 345;
       fhir:CodeSystem.concept.code [ fhir:value "Ileus" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ileus" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by failure of the ileum to transport intestinal contents." ]     ], [
       fhir:index 346;
       fhir:CodeSystem.concept.code [ fhir:value "Immune system disorders - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Immune system disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 347;
       fhir:CodeSystem.concept.code [ fhir:value "Infections and infestations - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Infections and infestations - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 348;
       fhir:CodeSystem.concept.code [ fhir:value "Infective myositis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Infective myositis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the skeletal muscles." ]     ], [
       fhir:index 349;
       fhir:CodeSystem.concept.code [ fhir:value "Infusion related reaction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Infusion related reaction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by adverse reaction to the infusion of pharmacological or biological substances." ]     ], [
       fhir:index 350;
       fhir:CodeSystem.concept.code [ fhir:value "Infusion site extravasation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Infusion site extravasation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by leakage of a pharmacologic or a biologic substance from the infusion site into the surrounding tissue. Signs and symptoms include induration, erythema, swelling, burning sensation and marked discomfort at the infusion site." ]     ], [
       fhir:index 351;
       fhir:CodeSystem.concept.code [ fhir:value "Injection site reaction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Injection site reaction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an intense adverse reaction (usually immunologic) developing at the site of an injection." ]     ], [
       fhir:index 352;
       fhir:CodeSystem.concept.code [ fhir:value "Injury to carotid artery" ];
       fhir:CodeSystem.concept.display [ fhir:value "Injury to carotid artery" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the carotid artery." ]     ], [
       fhir:index 353;
       fhir:CodeSystem.concept.code [ fhir:value "Injury to inferior vena cava" ];
       fhir:CodeSystem.concept.display [ fhir:value "Injury to inferior vena cava" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the inferior vena cava." ]     ], [
       fhir:index 354;
       fhir:CodeSystem.concept.code [ fhir:value "Injury to jugular vein" ];
       fhir:CodeSystem.concept.display [ fhir:value "Injury to jugular vein" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the jugular vein." ]     ], [
       fhir:index 355;
       fhir:CodeSystem.concept.code [ fhir:value "Injury to superior vena cava" ];
       fhir:CodeSystem.concept.display [ fhir:value "Injury to superior vena cava" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the superior vena cava." ]     ], [
       fhir:index 356;
       fhir:CodeSystem.concept.code [ fhir:value "Injury, poisoning and procedural complications - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Injury, poisoning and procedural complications - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 357;
       fhir:CodeSystem.concept.code [ fhir:value "INR increased" ];
       fhir:CodeSystem.concept.display [ fhir:value "INR increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an increase in the ratio of the patient's prothrombin time to a control sample in the blood." ]     ], [
       fhir:index 358;
       fhir:CodeSystem.concept.code [ fhir:value "Insomnia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Insomnia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by difficulty in falling asleep and/or remaining asleep." ]     ], [
       fhir:index 359;
       fhir:CodeSystem.concept.code [ fhir:value "Intestinal stoma leak" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intestinal stoma leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage of contents from an intestinal stoma (surgically created opening on the surface of the body)." ]     ], [
       fhir:index 360;
       fhir:CodeSystem.concept.code [ fhir:value "Intestinal stoma obstruction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intestinal stoma obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of blockage of the normal flow of the contents of the intestinal stoma." ]     ], [
       fhir:index 361;
       fhir:CodeSystem.concept.code [ fhir:value "Intestinal stoma site bleeding" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intestinal stoma site bleeding" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of blood leakage from the intestinal stoma." ]     ], [
       fhir:index 362;
       fhir:CodeSystem.concept.code [ fhir:value "Intra-abdominal hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intra-abdominal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding in the abdominal cavity." ]     ], [
       fhir:index 363;
       fhir:CodeSystem.concept.code [ fhir:value "Intracranial hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intracranial hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the cranium." ]     ], [
       fhir:index 364;
       fhir:CodeSystem.concept.code [ fhir:value "Intraoperative arterial injury" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative arterial injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to an artery during a surgical procedure." ]     ], [
       fhir:index 365;
       fhir:CodeSystem.concept.code [ fhir:value "Intraoperative breast injury" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative breast injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the breast parenchyma during a surgical procedure." ]     ], [
       fhir:index 366;
       fhir:CodeSystem.concept.code [ fhir:value "Intraoperative cardiac injury" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative cardiac injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the heart during a surgical procedure." ]     ], [
       fhir:index 367;
       fhir:CodeSystem.concept.code [ fhir:value "Intraoperative ear injury" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative ear injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the ear during a surgical procedure." ]     ], [
       fhir:index 368;
       fhir:CodeSystem.concept.code [ fhir:value "Intraoperative endocrine injury" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative endocrine injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the endocrine gland during a surgical procedure." ]     ], [
       fhir:index 369;
       fhir:CodeSystem.concept.code [ fhir:value "Intraoperative gastrointestinal injury" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative gastrointestinal injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the gastrointestinal system during a surgical procedure." ]     ], [
       fhir:index 370;
       fhir:CodeSystem.concept.code [ fhir:value "Intraoperative head and neck injury" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative head and neck injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the head and neck during a surgical procedure." ]     ], [
       fhir:index 371;
       fhir:CodeSystem.concept.code [ fhir:value "Intraoperative hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of uncontrolled bleeding during a surgical procedure." ]     ], [
       fhir:index 372;
       fhir:CodeSystem.concept.code [ fhir:value "Intraoperative hepatobiliary injury" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative hepatobiliary injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the hepatic parenchyma and/or biliary tract during a surgical procedure." ]     ], [
       fhir:index 373;
       fhir:CodeSystem.concept.code [ fhir:value "Intraoperative musculoskeletal injury" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative musculoskeletal injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the musculoskeletal system during a surgical procedure." ]     ], [
       fhir:index 374;
       fhir:CodeSystem.concept.code [ fhir:value "Intraoperative neurological injury" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative neurological injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the nervous system during a surgical procedure." ]     ], [
       fhir:index 375;
       fhir:CodeSystem.concept.code [ fhir:value "Intraoperative ocular injury" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative ocular injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the eye during a surgical procedure." ]     ], [
       fhir:index 376;
       fhir:CodeSystem.concept.code [ fhir:value "Intraoperative renal injury" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative renal injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the kidney during a surgical procedure." ]     ], [
       fhir:index 377;
       fhir:CodeSystem.concept.code [ fhir:value "Intraoperative reproductive tract injury" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative reproductive tract injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the reproductive organs during a surgical procedure." ]     ], [
       fhir:index 378;
       fhir:CodeSystem.concept.code [ fhir:value "Intraoperative respiratory injury" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative respiratory injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the respiratory system during a surgical procedure." ]     ], [
       fhir:index 379;
       fhir:CodeSystem.concept.code [ fhir:value "Intraoperative skin injury" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative skin injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the skin during a surgical procedure." ]     ], [
       fhir:index 380;
       fhir:CodeSystem.concept.code [ fhir:value "Intraoperative splenic injury" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative splenic injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the spleen during a surgical procedure." ]     ], [
       fhir:index 381;
       fhir:CodeSystem.concept.code [ fhir:value "Intraoperative urinary injury" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative urinary injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the urinary system during a surgical procedure." ]     ], [
       fhir:index 382;
       fhir:CodeSystem.concept.code [ fhir:value "Intraoperative venous injury" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative venous injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to a vein during a surgical procedure." ]     ], [
       fhir:index 383;
       fhir:CodeSystem.concept.code [ fhir:value "Investigations - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Investigations - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 384;
       fhir:CodeSystem.concept.code [ fhir:value "Iron overload" ];
       fhir:CodeSystem.concept.display [ fhir:value "Iron overload" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by accumulation of iron in the tissues." ]     ], [
       fhir:index 385;
       fhir:CodeSystem.concept.code [ fhir:value "Irregular menstruation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Irregular menstruation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by irregular cycle or duration of menses." ]     ], [
       fhir:index 386;
       fhir:CodeSystem.concept.code [ fhir:value "Irritability" ];
       fhir:CodeSystem.concept.display [ fhir:value "Irritability" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal responsiveness to stimuli or physiological arousal; may be in response to pain, fright, a drug, an emotional situation or a medical condition." ]     ], [
       fhir:index 387;
       fhir:CodeSystem.concept.code [ fhir:value "Ischemia cerebrovascular" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ischemia cerebrovascular" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease or absence of blood supply to the brain caused by obstruction (thrombosis or embolism) of an artery resulting in neurological damage." ]     ], [
       fhir:index 388;
       fhir:CodeSystem.concept.code [ fhir:value "IVth nerve disorder" ];
       fhir:CodeSystem.concept.display [ fhir:value "IVth nerve disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the trochlear nerve (fourth cranial nerve)." ]     ], [
       fhir:index 389;
       fhir:CodeSystem.concept.code [ fhir:value "Jejunal fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Jejunal fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the jejunum and another organ or anatomic site." ]     ], [
       fhir:index 390;
       fhir:CodeSystem.concept.code [ fhir:value "Jejunal hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Jejunal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the jejunal wall." ]     ], [
       fhir:index 391;
       fhir:CodeSystem.concept.code [ fhir:value "Jejunal obstruction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Jejunal obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the normal flow of the intestinal contents in the jejunum." ]     ], [
       fhir:index 392;
       fhir:CodeSystem.concept.code [ fhir:value "Jejunal perforation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Jejunal perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the jejunal wall." ]     ], [
       fhir:index 393;
       fhir:CodeSystem.concept.code [ fhir:value "Jejunal stenosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Jejunal stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the lumen of the jejunum." ]     ], [
       fhir:index 394;
       fhir:CodeSystem.concept.code [ fhir:value "Jejunal ulcer" ];
       fhir:CodeSystem.concept.display [ fhir:value "Jejunal ulcer" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a circumscribed, inflammatory and necrotic erosive lesion on the mucosal surface of the jejunum." ]     ], [
       fhir:index 395;
       fhir:CodeSystem.concept.code [ fhir:value "Joint effusion" ];
       fhir:CodeSystem.concept.display [ fhir:value "Joint effusion" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by excessive fluid in a joint, usually as a result of joint inflammation." ]     ], [
       fhir:index 396;
       fhir:CodeSystem.concept.code [ fhir:value "Joint infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Joint infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving a joint." ]     ], [
       fhir:index 397;
       fhir:CodeSystem.concept.code [ fhir:value "Joint range of motion decreased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Joint range of motion decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in joint flexibility of any joint." ]     ], [
       fhir:index 398;
       fhir:CodeSystem.concept.code [ fhir:value "Joint range of motion decreased cervical spine" ];
       fhir:CodeSystem.concept.display [ fhir:value "Joint range of motion decreased cervical spine" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in flexibility of a cervical spine joint." ]     ], [
       fhir:index 399;
       fhir:CodeSystem.concept.code [ fhir:value "Joint range of motion decreased lumbar spine" ];
       fhir:CodeSystem.concept.display [ fhir:value "Joint range of motion decreased lumbar spine" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in flexibility of a lumbar spine joint." ]     ], [
       fhir:index 400;
       fhir:CodeSystem.concept.code [ fhir:value "Keratitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Keratitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation to the cornea of the eye." ]     ], [
       fhir:index 401;
       fhir:CodeSystem.concept.code [ fhir:value "Kidney anastomotic leak" ];
       fhir:CodeSystem.concept.display [ fhir:value "Kidney anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage of urine due to breakdown of a kidney anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 402;
       fhir:CodeSystem.concept.code [ fhir:value "Kidney infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Kidney infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the kidney." ]     ], [
       fhir:index 403;
       fhir:CodeSystem.concept.code [ fhir:value "Kyphosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Kyphosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal increase in the curvature of the thoracic portion of the spine." ]     ], [
       fhir:index 404;
       fhir:CodeSystem.concept.code [ fhir:value "Lactation disorder" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lactation disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by disturbances of milk secretion. It is not necessarily related to pregnancy that is observed in females and can be observed in males." ]     ], [
       fhir:index 405;
       fhir:CodeSystem.concept.code [ fhir:value "Large intestinal anastomotic leak" ];
       fhir:CodeSystem.concept.display [ fhir:value "Large intestinal anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of an anastomosis (surgical connection of two separate anatomic structures) in the large intestine." ]     ], [
       fhir:index 406;
       fhir:CodeSystem.concept.code [ fhir:value "Laryngeal edema" ];
       fhir:CodeSystem.concept.display [ fhir:value "Laryngeal edema" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by swelling due to an excessive accumulation of fluid in the larynx." ]     ], [
       fhir:index 407;
       fhir:CodeSystem.concept.code [ fhir:value "Laryngeal fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Laryngeal fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the larynx and another organ or anatomic site." ]     ], [
       fhir:index 408;
       fhir:CodeSystem.concept.code [ fhir:value "Laryngeal hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Laryngeal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the larynx." ]     ], [
       fhir:index 409;
       fhir:CodeSystem.concept.code [ fhir:value "Laryngeal inflammation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Laryngeal inflammation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an inflammation involving the larynx." ]     ], [
       fhir:index 410;
       fhir:CodeSystem.concept.code [ fhir:value "Laryngeal mucositis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Laryngeal mucositis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an inflammation involving the mucous membrane of the larynx." ]     ], [
       fhir:index 411;
       fhir:CodeSystem.concept.code [ fhir:value "Laryngeal obstruction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Laryngeal obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the laryngeal airway." ]     ], [
       fhir:index 412;
       fhir:CodeSystem.concept.code [ fhir:value "Laryngeal stenosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Laryngeal stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the laryngeal airway." ]     ], [
       fhir:index 413;
       fhir:CodeSystem.concept.code [ fhir:value "Laryngitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Laryngitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an inflammatory process involving the larynx." ]     ], [
       fhir:index 414;
       fhir:CodeSystem.concept.code [ fhir:value "Laryngopharyngeal dysesthesia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Laryngopharyngeal dysesthesia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an uncomfortable persistent sensation in the area of the laryngopharynx." ]     ], [
       fhir:index 415;
       fhir:CodeSystem.concept.code [ fhir:value "Laryngospasm" ];
       fhir:CodeSystem.concept.display [ fhir:value "Laryngospasm" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by paroxysmal spasmodic muscular contraction of the vocal cords." ]     ], [
       fhir:index 416;
       fhir:CodeSystem.concept.code [ fhir:value "Left ventricular systolic dysfunction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Left ventricular systolic dysfunction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by failure of the left ventricle to produce adequate output despite an increase in distending pressure and in end-diastolic volume. Clinical manifestations mayinclude dyspnea, orthopnea, and other signs and symptoms of pulmonary congestion and edema." ]     ], [
       fhir:index 417;
       fhir:CodeSystem.concept.code [ fhir:value "Lethargy" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lethargy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in consciousness characterized by mental and physical inertness." ]     ], [
       fhir:index 418;
       fhir:CodeSystem.concept.code [ fhir:value "Leukemia secondary to oncology chemotherapy" ];
       fhir:CodeSystem.concept.display [ fhir:value "Leukemia secondary to oncology chemotherapy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by leukemia arising as a result of the mutagenic effect of chemotherapy agents." ]     ], [
       fhir:index 419;
       fhir:CodeSystem.concept.code [ fhir:value "Leukocytosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Leukocytosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate an increased number of white blood cells in the blood." ]     ], [
       fhir:index 420;
       fhir:CodeSystem.concept.code [ fhir:value "Leukoencephalopathy" ];
       fhir:CodeSystem.concept.display [ fhir:value "Leukoencephalopathy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by diffuse reactive astrocytosis with multiple areas of necrotic foci without inflammation." ]     ], [
       fhir:index 421;
       fhir:CodeSystem.concept.code [ fhir:value "Libido decreased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Libido decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in sexual desire." ]     ], [
       fhir:index 422;
       fhir:CodeSystem.concept.code [ fhir:value "Libido increased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Libido increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an increase in sexual desire." ]     ], [
       fhir:index 423;
       fhir:CodeSystem.concept.code [ fhir:value "Lip infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lip infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the lips." ]     ], [
       fhir:index 424;
       fhir:CodeSystem.concept.code [ fhir:value "Lip pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lip pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort of the lip." ]     ], [
       fhir:index 425;
       fhir:CodeSystem.concept.code [ fhir:value "Lipase increased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lipase increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an increase in the level of lipase in a biological specimen." ]     ], [
       fhir:index 426;
       fhir:CodeSystem.concept.code [ fhir:value "Lipohypertrophy" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lipohypertrophy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by hypertrophy of the subcutaneous adipose tissue at the site of multiple subcutaneous injections of insulin." ]     ], [
       fhir:index 427;
       fhir:CodeSystem.concept.code [ fhir:value "Localized edema" ];
       fhir:CodeSystem.concept.display [ fhir:value "Localized edema" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by swelling due to excessive fluid accumulation at a specific anatomic site." ]     ], [
       fhir:index 428;
       fhir:CodeSystem.concept.code [ fhir:value "Lordosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lordosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal increase in the curvature of the lumbar portion of the spine." ]     ], [
       fhir:index 429;
       fhir:CodeSystem.concept.code [ fhir:value "Lower gastrointestinal hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lower gastrointestinal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the lower gastrointestinal tract (small intestine, large intestine, and anus)." ]     ], [
       fhir:index 430;
       fhir:CodeSystem.concept.code [ fhir:value "Lung infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lung infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the lungs." ]     ], [
       fhir:index 431;
       fhir:CodeSystem.concept.code [ fhir:value "Lymph gland infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lymph gland infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the lymph nodes." ]     ], [
       fhir:index 432;
       fhir:CodeSystem.concept.code [ fhir:value "Lymph leakage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lymph leakage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the loss of lymph fluid into the surrounding tissue or body cavity." ]     ], [
       fhir:index 433;
       fhir:CodeSystem.concept.code [ fhir:value "Lymph node pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lymph node pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in a lymph node." ]     ], [
       fhir:index 434;
       fhir:CodeSystem.concept.code [ fhir:value "Lymphedema" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lymphedema" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by excessive fluid collection in tissues that causes swelling." ]     ], [
       fhir:index 435;
       fhir:CodeSystem.concept.code [ fhir:value "Lymphocele" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lymphocele" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a cystic lesion containing lymph." ]     ], [
       fhir:index 436;
       fhir:CodeSystem.concept.code [ fhir:value "Lymphocyte count decreased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lymphocyte count decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate a decrease in number of lymphocytes in a blood specimen." ]     ], [
       fhir:index 437;
       fhir:CodeSystem.concept.code [ fhir:value "Lymphocyte count increased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lymphocyte count increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an abnormal increase in the number of lymphocytes in the blood, effusions or bone marrow." ]     ], [
       fhir:index 438;
       fhir:CodeSystem.concept.code [ fhir:value "Malabsorption" ];
       fhir:CodeSystem.concept.display [ fhir:value "Malabsorption" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inadequate absorption of nutrients in the small intestine. Symptoms include abdominal marked discomfort, bloating and diarrhea." ]     ], [
       fhir:index 439;
       fhir:CodeSystem.concept.code [ fhir:value "Malaise" ];
       fhir:CodeSystem.concept.display [ fhir:value "Malaise" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a feeling of general discomfort or uneasiness, an out-of-sorts feeling." ]     ], [
       fhir:index 440;
       fhir:CodeSystem.concept.code [ fhir:value "Mania" ];
       fhir:CodeSystem.concept.display [ fhir:value "Mania" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by excitement of psychotic proportions manifested by mental and physical hyperactivity, disorganization of behavior and elevation of mood." ]     ], [
       fhir:index 441;
       fhir:CodeSystem.concept.code [ fhir:value "Mediastinal hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Mediastinal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the mediastinum." ]     ], [
       fhir:index 442;
       fhir:CodeSystem.concept.code [ fhir:value "Mediastinal infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Mediastinal infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the mediastinum." ]     ], [
       fhir:index 443;
       fhir:CodeSystem.concept.code [ fhir:value "Memory impairment" ];
       fhir:CodeSystem.concept.display [ fhir:value "Memory impairment" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a deterioration in memory function." ]     ], [
       fhir:index 444;
       fhir:CodeSystem.concept.code [ fhir:value "Meningismus" ];
       fhir:CodeSystem.concept.display [ fhir:value "Meningismus" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by neck stiffness, headache, and photophobia resulting from irritation of the cerebral meninges." ]     ], [
       fhir:index 445;
       fhir:CodeSystem.concept.code [ fhir:value "Meningitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Meningitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by acute inflammation of the meninges of the brain and/or spinal cord." ]     ], [
       fhir:index 446;
       fhir:CodeSystem.concept.code [ fhir:value "Menopause" ];
       fhir:CodeSystem.concept.display [ fhir:value "Menopause" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the permanent cessation of menses, usually defined by 12 consecutive months of amenorrhea in a woman over 45 years of age." ]     ], [
       fhir:index 447;
       fhir:CodeSystem.concept.code [ fhir:value "Menorrhagia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Menorrhagia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by abnormally heavy vaginal bleeding during menses." ]     ], [
       fhir:index 448;
       fhir:CodeSystem.concept.code [ fhir:value "Metabolism and nutrition disorders - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Metabolism and nutrition disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 449;
       fhir:CodeSystem.concept.code [ fhir:value "Middle ear inflammation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Middle ear inflammation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation (physiologic response to irritation), swelling and redness to the middle ear." ]     ], [
       fhir:index 450;
       fhir:CodeSystem.concept.code [ fhir:value "Mitral valve disease" ];
       fhir:CodeSystem.concept.display [ fhir:value "Mitral valve disease" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a defect in mitral valve function or structure." ]     ], [
       fhir:index 451;
       fhir:CodeSystem.concept.code [ fhir:value "Mobitz (type) II atrioventricular block" ];
       fhir:CodeSystem.concept.display [ fhir:value "Mobitz (type) II atrioventricular block" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia with relatively constant PR interval prior to the block of an atrial impulse. This is the result of intermittent failure of atrial electrical impulse conduction through the atrioventricular (AV) node to the ventricles." ]     ], [
       fhir:index 452;
       fhir:CodeSystem.concept.code [ fhir:value "Mobitz type I" ];
       fhir:CodeSystem.concept.display [ fhir:value "Mobitz type I" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia with a progressively lengthening PR interval prior to the blocking of an atrial impulse. This is the result of intermittent failure of atrial electrical impulse conduction through the atrioventricular (AV) node to the ventricles." ]     ], [
       fhir:index 453;
       fhir:CodeSystem.concept.code [ fhir:value "Movements involuntary" ];
       fhir:CodeSystem.concept.display [ fhir:value "Movements involuntary" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by uncontrolled and purposeless movements." ]     ], [
       fhir:index 454;
       fhir:CodeSystem.concept.code [ fhir:value "Mucosal infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Mucosal infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving a mucosal surface." ]     ], [
       fhir:index 455;
       fhir:CodeSystem.concept.code [ fhir:value "Mucositis oral" ];
       fhir:CodeSystem.concept.display [ fhir:value "Mucositis oral" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the oral mucosal." ]     ], [
       fhir:index 456;
       fhir:CodeSystem.concept.code [ fhir:value "Multi-organ failure" ];
       fhir:CodeSystem.concept.display [ fhir:value "Multi-organ failure" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by progressive deterioration of the lungs, liver, kidney and clotting mechanisms." ]     ], [
       fhir:index 457;
       fhir:CodeSystem.concept.code [ fhir:value "Muscle weakness left-sided" ];
       fhir:CodeSystem.concept.display [ fhir:value "Muscle weakness left-sided" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a reduction in the strength of the muscles on the left side of the body." ]     ], [
       fhir:index 458;
       fhir:CodeSystem.concept.code [ fhir:value "Muscle weakness lower limb" ];
       fhir:CodeSystem.concept.display [ fhir:value "Muscle weakness lower limb" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a reduction in the strength of the lower limb muscles." ]     ], [
       fhir:index 459;
       fhir:CodeSystem.concept.code [ fhir:value "Muscle weakness right-sided" ];
       fhir:CodeSystem.concept.display [ fhir:value "Muscle weakness right-sided" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a reduction in the strength of the muscles on the right side of the body." ]     ], [
       fhir:index 460;
       fhir:CodeSystem.concept.code [ fhir:value "Muscle weakness trunk" ];
       fhir:CodeSystem.concept.display [ fhir:value "Muscle weakness trunk" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a reduction in the strength of the trunk muscles." ]     ], [
       fhir:index 461;
       fhir:CodeSystem.concept.code [ fhir:value "Muscle weakness upper limb" ];
       fhir:CodeSystem.concept.display [ fhir:value "Muscle weakness upper limb" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a reduction in the strength of the upper limb muscles." ]     ], [
       fhir:index 462;
       fhir:CodeSystem.concept.code [ fhir:value "Musculoskeletal and connective tissue disorders - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Musculoskeletal and connective tissue disorder - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 463;
       fhir:CodeSystem.concept.code [ fhir:value "Musculoskeletal deformity" ];
       fhir:CodeSystem.concept.display [ fhir:value "Musculoskeletal deformity" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by of a malformation of the musculoskeletal system." ]     ], [
       fhir:index 464;
       fhir:CodeSystem.concept.code [ fhir:value "Myalgia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Myalgia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation originating from a muscle or group of muscles." ]     ], [
       fhir:index 465;
       fhir:CodeSystem.concept.code [ fhir:value "Myelitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Myelitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation involving the spinal cord. Symptoms include weakness, paresthesia, sensory loss, marked discomfort and incontinence." ]     ], [
       fhir:index 466;
       fhir:CodeSystem.concept.code [ fhir:value "Myelodysplastic syndrome" ];
       fhir:CodeSystem.concept.display [ fhir:value "Myelodysplastic syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by insufficiently healthy hematapoietic cell production by the bone marrow." ]     ], [
       fhir:index 467;
       fhir:CodeSystem.concept.code [ fhir:value "Myocardial infarction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Myocardial infarction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by gross necrosis of the myocardium; this is due to an interruption of blood supply to the area." ]     ], [
       fhir:index 468;
       fhir:CodeSystem.concept.code [ fhir:value "Myocarditis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Myocarditis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the muscle tissue of the heart." ]     ], [
       fhir:index 469;
       fhir:CodeSystem.concept.code [ fhir:value "Myositis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Myositis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation involving the skeletal muscles." ]     ], [
       fhir:index 470;
       fhir:CodeSystem.concept.code [ fhir:value "Nail discoloration" ];
       fhir:CodeSystem.concept.display [ fhir:value "Nail discoloration" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a change in the color of the nail plate." ]     ], [
       fhir:index 471;
       fhir:CodeSystem.concept.code [ fhir:value "Nail infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Nail infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the nail." ]     ], [
       fhir:index 472;
       fhir:CodeSystem.concept.code [ fhir:value "Nail loss" ];
       fhir:CodeSystem.concept.display [ fhir:value "Nail loss" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by loss of all or a portion of the nail." ]     ], [
       fhir:index 473;
       fhir:CodeSystem.concept.code [ fhir:value "Nail ridging" ];
       fhir:CodeSystem.concept.display [ fhir:value "Nail ridging" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by vertical or horizontal ridges on the nails." ]     ], [
       fhir:index 474;
       fhir:CodeSystem.concept.code [ fhir:value "Nasal congestion" ];
       fhir:CodeSystem.concept.display [ fhir:value "Nasal congestion" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by obstruction of the nasal passage due to mucosal edema." ]     ], [
       fhir:index 475;
       fhir:CodeSystem.concept.code [ fhir:value "Nausea" ];
       fhir:CodeSystem.concept.display [ fhir:value "Nausea" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a queasy sensation and/or the urge to vomit." ]     ], [
       fhir:index 476;
       fhir:CodeSystem.concept.code [ fhir:value "Neck edema" ];
       fhir:CodeSystem.concept.display [ fhir:value "Neck edema" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by swelling due to an accumulation of excessive fluid in the neck." ]     ], [
       fhir:index 477;
       fhir:CodeSystem.concept.code [ fhir:value "Neck pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Neck pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the neck area." ]     ], [
       fhir:index 478;
       fhir:CodeSystem.concept.code [ fhir:value "Neck soft tissue necrosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Neck soft tissue necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the soft tissues of the neck." ]     ], [
       fhir:index 479;
       fhir:CodeSystem.concept.code [ fhir:value "Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 480;
       fhir:CodeSystem.concept.code [ fhir:value "Nervous system disorders - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Nervous system disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 481;
       fhir:CodeSystem.concept.code [ fhir:value "Neuralgia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Neuralgia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by intense painful sensation along a nerve or group of nerves." ]     ], [
       fhir:index 482;
       fhir:CodeSystem.concept.code [ fhir:value "Neutrophil count decreased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Neutrophil count decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate a decrease in number of neutrophils in a blood specimen." ]     ], [
       fhir:index 483;
       fhir:CodeSystem.concept.code [ fhir:value "Night blindness" ];
       fhir:CodeSystem.concept.display [ fhir:value "Night blindness" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an inability to see clearly in dim light." ]     ], [
       fhir:index 484;
       fhir:CodeSystem.concept.code [ fhir:value "Nipple deformity" ];
       fhir:CodeSystem.concept.display [ fhir:value "Nipple deformity" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a malformation of the nipple." ]     ], [
       fhir:index 485;
       fhir:CodeSystem.concept.code [ fhir:value "Non-cardiac chest pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Non-cardiac chest pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by discomfort in the chest unrelated to a heart disorder." ]     ], [
       fhir:index 486;
       fhir:CodeSystem.concept.code [ fhir:value "Nystagmus" ];
       fhir:CodeSystem.concept.display [ fhir:value "Nystagmus" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involuntary movements of the eyeballs." ]     ], [
       fhir:index 487;
       fhir:CodeSystem.concept.code [ fhir:value "Obesity" ];
       fhir:CodeSystem.concept.display [ fhir:value "Obesity" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by having a high amount of body fat." ]     ], [
       fhir:index 488;
       fhir:CodeSystem.concept.code [ fhir:value "Obstruction gastric" ];
       fhir:CodeSystem.concept.display [ fhir:value "Obstruction gastric" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the normal flow of the contents in the stomach." ]     ], [
       fhir:index 489;
       fhir:CodeSystem.concept.code [ fhir:value "Oculomotor nerve disorder" ];
       fhir:CodeSystem.concept.display [ fhir:value "Oculomotor nerve disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the oculomotor nerve (third cranial nerve)." ]     ], [
       fhir:index 490;
       fhir:CodeSystem.concept.code [ fhir:value "Olfactory nerve disorder" ];
       fhir:CodeSystem.concept.display [ fhir:value "Olfactory nerve disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the olfactory nerve (first cranial nerve)." ]     ], [
       fhir:index 491;
       fhir:CodeSystem.concept.code [ fhir:value "Oligospermia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Oligospermia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in the number of spermatozoa in the semen." ]     ], [
       fhir:index 492;
       fhir:CodeSystem.concept.code [ fhir:value "Optic nerve disorder" ];
       fhir:CodeSystem.concept.display [ fhir:value "Optic nerve disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the optic nerve (second cranial nerve)." ]     ], [
       fhir:index 493;
       fhir:CodeSystem.concept.code [ fhir:value "Oral cavity fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Oral cavity fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the oral cavity and another organ or anatomic site." ]     ], [
       fhir:index 494;
       fhir:CodeSystem.concept.code [ fhir:value "Oral dysesthesia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Oral dysesthesia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a burning or tingling sensation on the lips, tongue or entire mouth." ]     ], [
       fhir:index 495;
       fhir:CodeSystem.concept.code [ fhir:value "Oral hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Oral hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the mouth." ]     ], [
       fhir:index 496;
       fhir:CodeSystem.concept.code [ fhir:value "Oral pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Oral pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the mouth, tongue or lips." ]     ], [
       fhir:index 497;
       fhir:CodeSystem.concept.code [ fhir:value "Osteonecrosis of jaw" ];
       fhir:CodeSystem.concept.display [ fhir:value "Osteonecrosis of jaw" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the bone of the mandible." ]     ], [
       fhir:index 498;
       fhir:CodeSystem.concept.code [ fhir:value "Osteoporosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Osteoporosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by reduced bone mass, with a decrease in cortical thickness and in the number and size of the trabeculae of cancellous bone (but normal chemical composition), resulting in increased fracture incidence." ]     ], [
       fhir:index 499;
       fhir:CodeSystem.concept.code [ fhir:value "Otitis externa" ];
       fhir:CodeSystem.concept.display [ fhir:value "Otitis externa" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the outer ear and ear canal. Contributory factors include excessive water exposure (swimmer's ear infection) and cuts in the ear canal. Symptoms include fullness, itching, swelling and marked discomfort in the ear and ear drainage." ]     ], [
       fhir:index 500;
       fhir:CodeSystem.concept.code [ fhir:value "Otitis media" ];
       fhir:CodeSystem.concept.display [ fhir:value "Otitis media" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the middle ear." ]     ], [
       fhir:index 501;
       fhir:CodeSystem.concept.code [ fhir:value "Ovarian hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ovarian hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the ovary." ]     ], [
       fhir:index 502;
       fhir:CodeSystem.concept.code [ fhir:value "Ovarian infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ovarian infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the ovary." ]     ], [
       fhir:index 503;
       fhir:CodeSystem.concept.code [ fhir:value "Ovarian rupture" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ovarian rupture" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by tearing or disruption of the ovarian tissue." ]     ], [
       fhir:index 504;
       fhir:CodeSystem.concept.code [ fhir:value "Ovulation pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ovulation pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in one side of the abdomen between menstrual cycles, around the time of the discharge of the ovum from the ovarian follicle." ]     ], [
       fhir:index 505;
       fhir:CodeSystem.concept.code [ fhir:value "Pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the sensation of marked discomfort, distress or agony." ]     ], [
       fhir:index 506;
       fhir:CodeSystem.concept.code [ fhir:value "Pain in extremity" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pain in extremity" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the upper or lower extremities." ]     ], [
       fhir:index 507;
       fhir:CodeSystem.concept.code [ fhir:value "Pain of skin" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pain of skin" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the skin." ]     ], [
       fhir:index 508;
       fhir:CodeSystem.concept.code [ fhir:value "Palmar-plantar erythrodysesthesia syndrome" ];
       fhir:CodeSystem.concept.display [ fhir:value "Palmar-plantar erythrodysesthesia syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by redness, marked discomfort, swelling, and tingling in the palms of the hands or the soles of the feet." ]     ], [
       fhir:index 509;
       fhir:CodeSystem.concept.code [ fhir:value "Palpitations" ];
       fhir:CodeSystem.concept.display [ fhir:value "Palpitations" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an unpleasant sensation of irregular and/or forceful beating of the heart." ]     ], [
       fhir:index 510;
       fhir:CodeSystem.concept.code [ fhir:value "Pancreas infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pancreas infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the pancreas." ]     ], [
       fhir:index 511;
       fhir:CodeSystem.concept.code [ fhir:value "Pancreatic anastomotic leak" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pancreatic anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of a pancreatic anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 512;
       fhir:CodeSystem.concept.code [ fhir:value "Pancreatic duct stenosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pancreatic duct stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the lumen of the pancreatic duct." ]     ], [
       fhir:index 513;
       fhir:CodeSystem.concept.code [ fhir:value "Pancreatic enzymes decreased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pancreatic enzymes decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an decrease in levels of pancreatic enzymes in a biological specimen." ]     ], [
       fhir:index 514;
       fhir:CodeSystem.concept.code [ fhir:value "Pancreatic fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pancreatic fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the pancreas and another organ or anatomic site." ]     ], [
       fhir:index 515;
       fhir:CodeSystem.concept.code [ fhir:value "Pancreatic hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pancreatic hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the pancreas." ]     ], [
       fhir:index 516;
       fhir:CodeSystem.concept.code [ fhir:value "Pancreatic necrosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pancreatic necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the pancreas." ]     ], [
       fhir:index 517;
       fhir:CodeSystem.concept.code [ fhir:value "Pancreatitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pancreatitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the pancreas." ]     ], [
       fhir:index 518;
       fhir:CodeSystem.concept.code [ fhir:value "Papilledema" ];
       fhir:CodeSystem.concept.display [ fhir:value "Papilledema" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by swelling around the optic disc." ]     ], [
       fhir:index 519;
       fhir:CodeSystem.concept.code [ fhir:value "Papulopustular rash" ];
       fhir:CodeSystem.concept.display [ fhir:value "Papulopustular rash" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an eruption consisting of papules (a small, raised pimple) and pustules (a small pus filled blister), typically appearing in face, scalp, and upper chest and back Unlike acne, this rash does not present with whiteheads or blackheads, and can be symptomatic, with itchy or tender lesions." ]     ], [
       fhir:index 520;
       fhir:CodeSystem.concept.code [ fhir:value "Paresthesia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Paresthesia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by functional disturbances of sensory neurons resulting in abnormal cutaneous sensations of tingling, numbness, pressure, cold, and warmth that are experienced in the absence of a stimulus." ]     ], [
       fhir:index 521;
       fhir:CodeSystem.concept.code [ fhir:value "Paronychia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Paronychia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the soft tissues around the nail." ]     ], [
       fhir:index 522;
       fhir:CodeSystem.concept.code [ fhir:value "Paroxysmal atrial tachycardia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Paroxysmal atrial tachycardia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia with abrupt onset and sudden termination of atrial contractions with a rate of 150-250 beats per minute. The rhythm disturbance originates in the atria." ]     ], [
       fhir:index 523;
       fhir:CodeSystem.concept.code [ fhir:value "Pelvic floor muscle weakness" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pelvic floor muscle weakness" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a reduction in the strength of the muscles of the pelvic floor." ]     ], [
       fhir:index 524;
       fhir:CodeSystem.concept.code [ fhir:value "Pelvic infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pelvic infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the pelvic cavity." ]     ], [
       fhir:index 525;
       fhir:CodeSystem.concept.code [ fhir:value "Pelvic pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pelvic pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the pelvis." ]     ], [
       fhir:index 526;
       fhir:CodeSystem.concept.code [ fhir:value "Pelvic soft tissue necrosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pelvic soft tissue necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the soft tissues of the pelvis." ]     ], [
       fhir:index 527;
       fhir:CodeSystem.concept.code [ fhir:value "Penile infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Penile infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the penis." ]     ], [
       fhir:index 528;
       fhir:CodeSystem.concept.code [ fhir:value "Penile pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Penile pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the penis." ]     ], [
       fhir:index 529;
       fhir:CodeSystem.concept.code [ fhir:value "Perforation bile duct" ];
       fhir:CodeSystem.concept.display [ fhir:value "Perforation bile duct" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the wall of the extrahepatic or intrahepatic bile duct." ]     ], [
       fhir:index 530;
       fhir:CodeSystem.concept.code [ fhir:value "Pericardial effusion" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pericardial effusion" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by fluid collection within the pericardial sac, usually due to inflammation." ]     ], [
       fhir:index 531;
       fhir:CodeSystem.concept.code [ fhir:value "Pericardial tamponade" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pericardial tamponade" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an increase in intrapericardial pressure due to the collection of blood or fluid in the pericardium." ]     ], [
       fhir:index 532;
       fhir:CodeSystem.concept.code [ fhir:value "Pericarditis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pericarditis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by irritation to the layers of the pericardium (the protective sac around the heart)." ]     ], [
       fhir:index 533;
       fhir:CodeSystem.concept.code [ fhir:value "Perineal pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Perineal pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the area between the genital organs and the anus." ]     ], [
       fhir:index 534;
       fhir:CodeSystem.concept.code [ fhir:value "Periodontal disease" ];
       fhir:CodeSystem.concept.display [ fhir:value "Periodontal disease" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder in the gingival tissue around the teeth." ]     ], [
       fhir:index 535;
       fhir:CodeSystem.concept.code [ fhir:value "Periorbital edema" ];
       fhir:CodeSystem.concept.display [ fhir:value "Periorbital edema" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by swelling due to an excessive accumulation of fluid around the orbits of the face." ]     ], [
       fhir:index 536;
       fhir:CodeSystem.concept.code [ fhir:value "Periorbital infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Periorbital infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the orbit of the eye." ]     ], [
       fhir:index 537;
       fhir:CodeSystem.concept.code [ fhir:value "Peripheral ischemia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Peripheral ischemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by impaired circulation to an extremity." ]     ], [
       fhir:index 538;
       fhir:CodeSystem.concept.code [ fhir:value "Peripheral motor neuropathy" ];
       fhir:CodeSystem.concept.display [ fhir:value "Peripheral motor neuropathy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation or degeneration of the peripheral motor nerves." ]     ], [
       fhir:index 539;
       fhir:CodeSystem.concept.code [ fhir:value "Peripheral nerve infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Peripheral nerve infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the peripheral nerves." ]     ], [
       fhir:index 540;
       fhir:CodeSystem.concept.code [ fhir:value "Peripheral sensory neuropathy" ];
       fhir:CodeSystem.concept.display [ fhir:value "Peripheral sensory neuropathy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation or degeneration of the peripheral sensory nerves." ]     ], [
       fhir:index 541;
       fhir:CodeSystem.concept.code [ fhir:value "Peritoneal infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Peritoneal infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the peritoneum." ]     ], [
       fhir:index 542;
       fhir:CodeSystem.concept.code [ fhir:value "Peritoneal necrosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Peritoneal necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the peritoneum." ]     ], [
       fhir:index 543;
       fhir:CodeSystem.concept.code [ fhir:value "Personality change" ];
       fhir:CodeSystem.concept.display [ fhir:value "Personality change" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a conspicuous change in a person's behavior and thinking." ]     ], [
       fhir:index 544;
       fhir:CodeSystem.concept.code [ fhir:value "Phantom pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Phantom pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort related to a limb or an organ that is removed from or is not physically part of the body." ]     ], [
       fhir:index 545;
       fhir:CodeSystem.concept.code [ fhir:value "Pharyngeal anastomotic leak" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pharyngeal anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of a pharyngeal anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 546;
       fhir:CodeSystem.concept.code [ fhir:value "Pharyngeal fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pharyngeal fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the pharynx and another organ or anatomic site." ]     ], [
       fhir:index 547;
       fhir:CodeSystem.concept.code [ fhir:value "Pharyngeal hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pharyngeal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the pharynx." ]     ], [
       fhir:index 548;
       fhir:CodeSystem.concept.code [ fhir:value "Pharyngeal mucositis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pharyngeal mucositis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an inflammation involving the mucous membrane of the pharynx." ]     ], [
       fhir:index 549;
       fhir:CodeSystem.concept.code [ fhir:value "Pharyngeal necrosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pharyngeal necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the pharynx." ]     ], [
       fhir:index 550;
       fhir:CodeSystem.concept.code [ fhir:value "Pharyngeal stenosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pharyngeal stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the pharyngeal airway." ]     ], [
       fhir:index 551;
       fhir:CodeSystem.concept.code [ fhir:value "Pharyngitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pharyngitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the throat." ]     ], [
       fhir:index 552;
       fhir:CodeSystem.concept.code [ fhir:value "Pharyngolaryngeal pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pharyngolaryngeal pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the pharyngolaryngeal region." ]     ], [
       fhir:index 553;
       fhir:CodeSystem.concept.code [ fhir:value "Phlebitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Phlebitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the wall of a vein." ]     ], [
       fhir:index 554;
       fhir:CodeSystem.concept.code [ fhir:value "Phlebitis infective" ];
       fhir:CodeSystem.concept.display [ fhir:value "Phlebitis infective" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the vein. Clinical manifestations include erythema, marked discomfort, swelling, and induration along the course of the infected vein." ]     ], [
       fhir:index 555;
       fhir:CodeSystem.concept.code [ fhir:value "Photophobia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Photophobia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by fear and avoidance of light." ]     ], [
       fhir:index 556;
       fhir:CodeSystem.concept.code [ fhir:value "Photosensitivity" ];
       fhir:CodeSystem.concept.display [ fhir:value "Photosensitivity" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an increase in sensitivity of the skin to light." ]     ], [
       fhir:index 557;
       fhir:CodeSystem.concept.code [ fhir:value "Platelet count decreased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Platelet count decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate a decrease in number of platelets in a blood specimen." ]     ], [
       fhir:index 558;
       fhir:CodeSystem.concept.code [ fhir:value "Pleural effusion" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pleural effusion" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an increase in amounts of fluid within the pleural cavity. Symptoms include shortness of breath, cough and marked chest discomfort." ]     ], [
       fhir:index 559;
       fhir:CodeSystem.concept.code [ fhir:value "Pleural hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pleural hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the pleural cavity." ]     ], [
       fhir:index 560;
       fhir:CodeSystem.concept.code [ fhir:value "Pleural infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pleural infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the pleura." ]     ], [
       fhir:index 561;
       fhir:CodeSystem.concept.code [ fhir:value "Pleuritic pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pleuritic pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the pleura." ]     ], [
       fhir:index 562;
       fhir:CodeSystem.concept.code [ fhir:value "Pneumonitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pneumonitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation focally or diffusely affecting the lung parenchyma." ]     ], [
       fhir:index 563;
       fhir:CodeSystem.concept.code [ fhir:value "Pneumothorax" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pneumothorax" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by abnormal presence of air in the pleural cavity resulting in the collapse of the lung." ]     ], [
       fhir:index 564;
       fhir:CodeSystem.concept.code [ fhir:value "Portal hypertension" ];
       fhir:CodeSystem.concept.display [ fhir:value "Portal hypertension" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an increase in blood pressure in the portal venous system." ]     ], [
       fhir:index 565;
       fhir:CodeSystem.concept.code [ fhir:value "Portal vein thrombosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Portal vein thrombosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the formation of a thrombus (blood clot) in the portal vein." ]     ], [
       fhir:index 566;
       fhir:CodeSystem.concept.code [ fhir:value "Postnasal drip" ];
       fhir:CodeSystem.concept.display [ fhir:value "Postnasal drip" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by excessive mucous secretion in the back of the nasal cavity or throat, causing sore throat and/or coughing." ]     ], [
       fhir:index 567;
       fhir:CodeSystem.concept.code [ fhir:value "Postoperative hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Postoperative hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of bleeding occurring after a surgical procedure." ]     ], [
       fhir:index 568;
       fhir:CodeSystem.concept.code [ fhir:value "Postoperative thoracic procedure complication" ];
       fhir:CodeSystem.concept.display [ fhir:value "Postoperative thoracic procedure complication" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of a previously undocumented problem that occurs after a thoracic procedure." ]     ], [
       fhir:index 569;
       fhir:CodeSystem.concept.code [ fhir:value "Precocious puberty" ];
       fhir:CodeSystem.concept.display [ fhir:value "Precocious puberty" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by unusually early development of secondary sexual features; the onset of sexual maturation begins usually before age 8 for girls and before age 9 for boys." ]     ], [
       fhir:index 570;
       fhir:CodeSystem.concept.code [ fhir:value "Pregnancy, puerperium and perinatal conditions - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pregnancy, puerperium and perinatal conditions - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 571;
       fhir:CodeSystem.concept.code [ fhir:value "Premature delivery" ];
       fhir:CodeSystem.concept.display [ fhir:value "Premature delivery" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by delivery of a viable infant before the normal end of gestation. Typically, viability is achievable between the twentieth and thirty-seventh week of gestation." ]     ], [
       fhir:index 572;
       fhir:CodeSystem.concept.code [ fhir:value "Premature menopause" ];
       fhir:CodeSystem.concept.display [ fhir:value "Premature menopause" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by ovarian failure before the age of 40. Symptoms include hot flashes, night sweats, mood swings and a decrease in sex drive." ]     ], [
       fhir:index 573;
       fhir:CodeSystem.concept.code [ fhir:value "Presyncope" ];
       fhir:CodeSystem.concept.display [ fhir:value "Presyncope" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an episode of lightheadedness and dizziness which may precede an episode of syncope." ]     ], [
       fhir:index 574;
       fhir:CodeSystem.concept.code [ fhir:value "Proctitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Proctitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the rectum." ]     ], [
       fhir:index 575;
       fhir:CodeSystem.concept.code [ fhir:value "Productive cough" ];
       fhir:CodeSystem.concept.display [ fhir:value "Productive cough" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by expectorated secretions upon coughing." ]     ], [
       fhir:index 576;
       fhir:CodeSystem.concept.code [ fhir:value "Prolapse of intestinal stoma" ];
       fhir:CodeSystem.concept.display [ fhir:value "Prolapse of intestinal stoma" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of protrusion of the intestinal stoma (surgically created opening on the surface of the body) above the abdominal surface." ]     ], [
       fhir:index 577;
       fhir:CodeSystem.concept.code [ fhir:value "Prolapse of urostomy" ];
       fhir:CodeSystem.concept.display [ fhir:value "Prolapse of urostomy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of displacement of the urostomy." ]     ], [
       fhir:index 578;
       fhir:CodeSystem.concept.code [ fhir:value "Prostate infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Prostate infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the prostate gland." ]     ], [
       fhir:index 579;
       fhir:CodeSystem.concept.code [ fhir:value "Prostatic hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Prostatic hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the prostate gland." ]     ], [
       fhir:index 580;
       fhir:CodeSystem.concept.code [ fhir:value "Prostatic obstruction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Prostatic obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by compression of the urethra secondary to enlargement of the prostate gland. This results in voiding difficulties (straining to void, slow urine stream, and incomplete emptying of the bladder)." ]     ], [
       fhir:index 581;
       fhir:CodeSystem.concept.code [ fhir:value "Prostatic pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Prostatic pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the prostate gland." ]     ], [
       fhir:index 582;
       fhir:CodeSystem.concept.code [ fhir:value "Proteinuria" ];
       fhir:CodeSystem.concept.display [ fhir:value "Proteinuria" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate the presence of excessive protein in the urine. It is predominantly albumin, but also globulin." ]     ], [
       fhir:index 583;
       fhir:CodeSystem.concept.code [ fhir:value "Pruritus" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pruritus" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an intense itching sensation." ]     ], [
       fhir:index 584;
       fhir:CodeSystem.concept.code [ fhir:value "Psychiatric disorders - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Psychiatric disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 585;
       fhir:CodeSystem.concept.code [ fhir:value "Psychosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Psychosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by personality change, impaired functioning, and loss of touch with reality. It may be a manifestation of schizophrenia, bipolar disorder or brain tumor." ]     ], [
       fhir:index 586;
       fhir:CodeSystem.concept.code [ fhir:value "Pulmonary edema" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pulmonary edema" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by accumulation of fluid in the lung tissues that causes a disturbance of the gas exchange that may lead to respiratory failure." ]     ], [
       fhir:index 587;
       fhir:CodeSystem.concept.code [ fhir:value "Pulmonary fibrosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pulmonary fibrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the replacement of the lung tissue by connective tissue, leading to progressive dyspnea, respiratory failure or right heart failure." ]     ], [
       fhir:index 588;
       fhir:CodeSystem.concept.code [ fhir:value "Pulmonary fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pulmonary fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the lung and another organ or anatomic site." ]     ], [
       fhir:index 589;
       fhir:CodeSystem.concept.code [ fhir:value "Pulmonary hypertension" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pulmonary hypertension" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an increase in pressure within the pulmonary circulation due to lung or heart disorder." ]     ], [
       fhir:index 590;
       fhir:CodeSystem.concept.code [ fhir:value "Pulmonary valve disease" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pulmonary valve disease" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a defect in pulmonary valve function or structure." ]     ], [
       fhir:index 591;
       fhir:CodeSystem.concept.code [ fhir:value "Purpura" ];
       fhir:CodeSystem.concept.display [ fhir:value "Purpura" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by hemorrhagic areas of the skin and mucous membrane. Newer lesions appear reddish in color. Older lesions are usually a darker purple color and eventually become a brownish-yellow color." ]     ], [
       fhir:index 592;
       fhir:CodeSystem.concept.code [ fhir:value "Pyramidal tract syndrome" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pyramidal tract syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by dysfunction of the corticospinal (pyramidal) tracts of the spinal cord. Symptoms include an increase in the muscle tone in the lower extremities, hyperreflexia, positive Babinski and a decrease in fine motor coordination." ]     ], [
       fhir:index 593;
       fhir:CodeSystem.concept.code [ fhir:value "Radiation recall reaction (dermatologic)" ];
       fhir:CodeSystem.concept.display [ fhir:value "Radiation recall reaction (dermatologic)" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of acute skin inflammatory reaction caused by drugs, especially chemotherapeutic agents, for weeks or months following radiotherapy. The inflammatory reaction is confined to the previously irradiated skin and the symptoms disappear after the removal of the pharmaceutical agent." ]     ], [
       fhir:index 594;
       fhir:CodeSystem.concept.code [ fhir:value "Radiculitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Radiculitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation involving a nerve root. Patients experience marked discomfort radiating along a nerve path because of spinal pressure on the connecting nerve root." ]     ], [
       fhir:index 595;
       fhir:CodeSystem.concept.code [ fhir:value "Rash acneiform" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rash acneiform" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an eruption of papules and pustules, typically appearing in face, scalp, upper chest and back." ]     ], [
       fhir:index 596;
       fhir:CodeSystem.concept.code [ fhir:value "Rash maculo-papular" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rash maculo-papular" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the presence of macules (flat) and papules (elevated). Also known as morbillform rash, it is one of the most common cutaneous adverse events, frequently affecting the upper trunk, spreading centripetally and associated with pruritus." ]     ], [
       fhir:index 597;
       fhir:CodeSystem.concept.code [ fhir:value "Rash pustular" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rash pustular" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a circumscribed and elevated skin lesion filled with pus." ]     ], [
       fhir:index 598;
       fhir:CodeSystem.concept.code [ fhir:value "Rectal anastomotic leak" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rectal anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of a rectal anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 599;
       fhir:CodeSystem.concept.code [ fhir:value "Rectal fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rectal fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the rectum and another organ or anatomic site." ]     ], [
       fhir:index 600;
       fhir:CodeSystem.concept.code [ fhir:value "Rectal hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rectal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the rectal wall and discharged from the anus." ]     ], [
       fhir:index 601;
       fhir:CodeSystem.concept.code [ fhir:value "Rectal mucositis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rectal mucositis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the mucous membrane of the rectum." ]     ], [
       fhir:index 602;
       fhir:CodeSystem.concept.code [ fhir:value "Rectal necrosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rectal necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the rectal wall." ]     ], [
       fhir:index 603;
       fhir:CodeSystem.concept.code [ fhir:value "Rectal obstruction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rectal obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the normal flow of the intestinal contents in the rectum." ]     ], [
       fhir:index 604;
       fhir:CodeSystem.concept.code [ fhir:value "Rectal pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rectal pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the rectal region." ]     ], [
       fhir:index 605;
       fhir:CodeSystem.concept.code [ fhir:value "Rectal perforation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rectal perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the rectal wall." ]     ], [
       fhir:index 606;
       fhir:CodeSystem.concept.code [ fhir:value "Rectal stenosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rectal stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the lumen of the rectum." ]     ], [
       fhir:index 607;
       fhir:CodeSystem.concept.code [ fhir:value "Rectal ulcer" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rectal ulcer" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a circumscribed, inflammatory and necrotic erosive lesion on the mucosal surface of the rectum." ]     ], [
       fhir:index 608;
       fhir:CodeSystem.concept.code [ fhir:value "Recurrent laryngeal nerve palsy" ];
       fhir:CodeSystem.concept.display [ fhir:value "Recurrent laryngeal nerve palsy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by paralysis of the recurrent laryngeal nerve." ]     ], [
       fhir:index 609;
       fhir:CodeSystem.concept.code [ fhir:value "Renal and urinary disorders - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Renal and urinary disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 610;
       fhir:CodeSystem.concept.code [ fhir:value "Renal calculi" ];
       fhir:CodeSystem.concept.display [ fhir:value "Renal calculi" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the formation of crystals in the pelvis of the kidney." ]     ], [
       fhir:index 611;
       fhir:CodeSystem.concept.code [ fhir:value "Renal colic" ];
       fhir:CodeSystem.concept.display [ fhir:value "Renal colic" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by paroxysmal and severe flank marked discomfort radiating to the inguinal area. Often, the cause is the passage of kidney stones." ]     ], [
       fhir:index 612;
       fhir:CodeSystem.concept.code [ fhir:value "Renal hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Renal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the kidney." ]     ], [
       fhir:index 613;
       fhir:CodeSystem.concept.code [ fhir:value "Reproductive system and breast disorders - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Reproductive system and breast disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 614;
       fhir:CodeSystem.concept.code [ fhir:value "Respiratory failure" ];
       fhir:CodeSystem.concept.display [ fhir:value "Respiratory failure" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by impaired gas exchange by the respiratory system resulting in hypoxemia and a decrease in oxygenation of the tissues that may be associated with an increase in arterial levels of carbon dioxide." ]     ], [
       fhir:index 615;
       fhir:CodeSystem.concept.code [ fhir:value "Respiratory, thoracic and mediastinal disorders - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Respiratory, thoracic and mediastinal disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 616;
       fhir:CodeSystem.concept.code [ fhir:value "Restlessness" ];
       fhir:CodeSystem.concept.display [ fhir:value "Restlessness" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an inability to rest, relax or be still." ]     ], [
       fhir:index 617;
       fhir:CodeSystem.concept.code [ fhir:value "Restrictive cardiomyopathy" ];
       fhir:CodeSystem.concept.display [ fhir:value "Restrictive cardiomyopathy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an inability of the ventricles to fill with blood because the myocardium (heart muscle) stiffens and loses its flexibility." ]     ], [
       fhir:index 618;
       fhir:CodeSystem.concept.code [ fhir:value "Retinal detachment" ];
       fhir:CodeSystem.concept.display [ fhir:value "Retinal detachment" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the separation of the inner retina layers from the underlying pigment epithelium." ]     ], [
       fhir:index 619;
       fhir:CodeSystem.concept.code [ fhir:value "Retinal tear" ];
       fhir:CodeSystem.concept.display [ fhir:value "Retinal tear" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a small laceration of the retina, this occurs when the vitreous separates from the retina. Symptoms include flashes and floaters." ]     ], [
       fhir:index 620;
       fhir:CodeSystem.concept.code [ fhir:value "Retinal vascular disorder" ];
       fhir:CodeSystem.concept.display [ fhir:value "Retinal vascular disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by pathological retinal blood vessels that adversely affects vision." ]     ], [
       fhir:index 621;
       fhir:CodeSystem.concept.code [ fhir:value "Retinoic acid syndrome" ];
       fhir:CodeSystem.concept.display [ fhir:value "Retinoic acid syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by weight gain, dyspnea, pleural and pericardial effusions, leukocytosis and/or renal failure originally described in patients treated with all-trans retinoic acid." ]     ], [
       fhir:index 622;
       fhir:CodeSystem.concept.code [ fhir:value "Retinopathy" ];
       fhir:CodeSystem.concept.display [ fhir:value "Retinopathy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder involving the retina." ]     ], [
       fhir:index 623;
       fhir:CodeSystem.concept.code [ fhir:value "Retroperitoneal hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Retroperitoneal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the retroperitoneal area." ]     ], [
       fhir:index 624;
       fhir:CodeSystem.concept.code [ fhir:value "Reversible posterior leukoencephalopathy syndrome" ];
       fhir:CodeSystem.concept.display [ fhir:value "Reversible posterior leukoencephalopathy syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by headaches, mental status changes, visual disturbances, and seizures associated with imaging findings of posterior leukoencephalopathy. It has been observed in association with hypertensive encephalopathy, eclampsia, and immunosuppressive and cytotoxic drug treatment. It is an acute or subacute reversible condition." ]     ], [
       fhir:index 625;
       fhir:CodeSystem.concept.code [ fhir:value "Rhinitis infective" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rhinitis infective" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the nasal mucosal." ]     ], [
       fhir:index 626;
       fhir:CodeSystem.concept.code [ fhir:value "Right ventricular dysfunction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Right ventricular dysfunction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by impairment of right ventricular function associated with low ejection fraction and a decrease in motility of the right ventricular wall." ]     ], [
       fhir:index 627;
       fhir:CodeSystem.concept.code [ fhir:value "Salivary duct inflammation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Salivary duct inflammation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the salivary duct." ]     ], [
       fhir:index 628;
       fhir:CodeSystem.concept.code [ fhir:value "Salivary gland fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Salivary gland fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between a salivary gland and another organ or anatomic site." ]     ], [
       fhir:index 629;
       fhir:CodeSystem.concept.code [ fhir:value "Salivary gland infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Salivary gland infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the salivary gland." ]     ], [
       fhir:index 630;
       fhir:CodeSystem.concept.code [ fhir:value "Scalp pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Scalp pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the skin covering the top and the back of the head." ]     ], [
       fhir:index 631;
       fhir:CodeSystem.concept.code [ fhir:value "Scleral disorder" ];
       fhir:CodeSystem.concept.display [ fhir:value "Scleral disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the sclera of the eye." ]     ], [
       fhir:index 632;
       fhir:CodeSystem.concept.code [ fhir:value "Scoliosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Scoliosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a malformed, lateral curvature of the spine." ]     ], [
       fhir:index 633;
       fhir:CodeSystem.concept.code [ fhir:value "Scrotal infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Scrotal infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the scrotum." ]     ], [
       fhir:index 634;
       fhir:CodeSystem.concept.code [ fhir:value "Scrotal pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Scrotal pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the scrotal area." ]     ], [
       fhir:index 635;
       fhir:CodeSystem.concept.code [ fhir:value "Seizure" ];
       fhir:CodeSystem.concept.display [ fhir:value "Seizure" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sudden, involuntary skeletal muscular contractions of cerebral or brain stem origin." ]     ], [
       fhir:index 636;
       fhir:CodeSystem.concept.code [ fhir:value "Sepsis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Sepsis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the presence of pathogenic microorganisms in the blood stream that cause a rapidly progressing systemic reaction that may lead to shock." ]     ], [
       fhir:index 637;
       fhir:CodeSystem.concept.code [ fhir:value "Seroma" ];
       fhir:CodeSystem.concept.display [ fhir:value "Seroma" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of tumor-like collection of serum in the tissues." ]     ], [
       fhir:index 638;
       fhir:CodeSystem.concept.code [ fhir:value "Serum amylase increased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Serum amylase increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an increase in the levels of amylase in a serum specimen." ]     ], [
       fhir:index 639;
       fhir:CodeSystem.concept.code [ fhir:value "Serum sickness" ];
       fhir:CodeSystem.concept.display [ fhir:value "Serum sickness" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a delayed-type hypersensitivity reaction to foreign proteins derived from an animal serum. It occurs approximately six to twenty-one days following the administration of the foreign antigen. Symptoms include fever, arthralgias, myalgias, skin eruptions, lymphadenopathy, chest marked discomfort and dyspnea." ]     ], [
       fhir:index 640;
       fhir:CodeSystem.concept.code [ fhir:value "Sick sinus syndrome" ];
       fhir:CodeSystem.concept.display [ fhir:value "Sick sinus syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia with alternating periods of bradycardia and atrial tachycardia accompanied by syncope, fatigue and dizziness." ]     ], [
       fhir:index 641;
       fhir:CodeSystem.concept.code [ fhir:value "Sinus bradycardia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Sinus bradycardia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia with a heart rate less than 60 beats per minute that originates in the sinus node." ]     ], [
       fhir:index 642;
       fhir:CodeSystem.concept.code [ fhir:value "Sinus disorder" ];
       fhir:CodeSystem.concept.display [ fhir:value "Sinus disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the paranasal sinuses." ]     ], [
       fhir:index 643;
       fhir:CodeSystem.concept.code [ fhir:value "Sinus pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Sinus pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort in the face, between the eyes, or upper teeth originating from the sinuses." ]     ], [
       fhir:index 644;
       fhir:CodeSystem.concept.code [ fhir:value "Sinus tachycardia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Sinus tachycardia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia with a heart rate greater than 100 beats per minute that originates in the sinus node." ]     ], [
       fhir:index 645;
       fhir:CodeSystem.concept.code [ fhir:value "Sinusitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Sinusitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the mucous membranes of the paranasal sinuses." ]     ], [
       fhir:index 646;
       fhir:CodeSystem.concept.code [ fhir:value "Skin and subcutaneous tissue disorders - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Skin and subcutaneous tissue disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 647;
       fhir:CodeSystem.concept.code [ fhir:value "Skin atrophy" ];
       fhir:CodeSystem.concept.display [ fhir:value "Skin atrophy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the degeneration and thinning of the epidermis and dermis." ]     ], [
       fhir:index 648;
       fhir:CodeSystem.concept.code [ fhir:value "Skin hyperpigmentation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Skin hyperpigmentation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by darkening of the skin due to excessive melanin deposition." ]     ], [
       fhir:index 649;
       fhir:CodeSystem.concept.code [ fhir:value "Skin hypopigmentation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Skin hypopigmentation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by loss of skin pigment." ]     ], [
       fhir:index 650;
       fhir:CodeSystem.concept.code [ fhir:value "Skin induration" ];
       fhir:CodeSystem.concept.display [ fhir:value "Skin induration" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an area of hardness in the skin." ]     ], [
       fhir:index 651;
       fhir:CodeSystem.concept.code [ fhir:value "Skin infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Skin infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the skin." ]     ], [
       fhir:index 652;
       fhir:CodeSystem.concept.code [ fhir:value "Skin ulceration" ];
       fhir:CodeSystem.concept.display [ fhir:value "Skin ulceration" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by circumscribed, inflammatory and necrotic erosive lesion on the skin." ]     ], [
       fhir:index 653;
       fhir:CodeSystem.concept.code [ fhir:value "Sleep apnea" ];
       fhir:CodeSystem.concept.display [ fhir:value "Sleep apnea" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by cessation of breathing for short periods during sleep." ]     ], [
       fhir:index 654;
       fhir:CodeSystem.concept.code [ fhir:value "Small intestinal anastomotic leak" ];
       fhir:CodeSystem.concept.display [ fhir:value "Small intestinal anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of an anastomosis (surgical connection of two separate anatomic structures) in the small bowel." ]     ], [
       fhir:index 655;
       fhir:CodeSystem.concept.code [ fhir:value "Small intestinal mucositis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Small intestinal mucositis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the mucous membrane of the small intestine." ]     ], [
       fhir:index 656;
       fhir:CodeSystem.concept.code [ fhir:value "Small intestinal obstruction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Small intestinal obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the normal flow of the intestinal contents." ]     ], [
       fhir:index 657;
       fhir:CodeSystem.concept.code [ fhir:value "Small intestinal perforation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Small intestinal perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the small intestine wall." ]     ], [
       fhir:index 658;
       fhir:CodeSystem.concept.code [ fhir:value "Small intestinal stenosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Small intestinal stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the lumen of the small intestine." ]     ], [
       fhir:index 659;
       fhir:CodeSystem.concept.code [ fhir:value "Small intestine infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Small intestine infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the small intestine." ]     ], [
       fhir:index 660;
       fhir:CodeSystem.concept.code [ fhir:value "Small intestine ulcer" ];
       fhir:CodeSystem.concept.display [ fhir:value "Small intestine ulcer" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a circumscribed, inflammatory and necrotic erosive lesion on the mucosal surface of the small intestine." ]     ], [
       fhir:index 661;
       fhir:CodeSystem.concept.code [ fhir:value "Sneezing" ];
       fhir:CodeSystem.concept.display [ fhir:value "Sneezing" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the involuntary expulsion of air from the nose." ]     ], [
       fhir:index 662;
       fhir:CodeSystem.concept.code [ fhir:value "Social circumstances - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Social circumstances - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 663;
       fhir:CodeSystem.concept.code [ fhir:value "Soft tissue infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Soft tissue infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving soft tissues." ]     ], [
       fhir:index 664;
       fhir:CodeSystem.concept.code [ fhir:value "Soft tissue necrosis lower limb" ];
       fhir:CodeSystem.concept.display [ fhir:value "Soft tissue necrosis lower limb" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the soft tissues of the lower extremity." ]     ], [
       fhir:index 665;
       fhir:CodeSystem.concept.code [ fhir:value "Soft tissue necrosis upper limb" ];
       fhir:CodeSystem.concept.display [ fhir:value "Soft tissue necrosis upper limb" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the soft tissues of the upper extremity." ]     ], [
       fhir:index 666;
       fhir:CodeSystem.concept.code [ fhir:value "Somnolence" ];
       fhir:CodeSystem.concept.display [ fhir:value "Somnolence" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by characterized by excessive sleepiness and drowsiness." ]     ], [
       fhir:index 667;
       fhir:CodeSystem.concept.code [ fhir:value "Sore throat" ];
       fhir:CodeSystem.concept.display [ fhir:value "Sore throat" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by of marked discomfort in the throat" ]     ], [
       fhir:index 668;
       fhir:CodeSystem.concept.code [ fhir:value "Spasticity" ];
       fhir:CodeSystem.concept.display [ fhir:value "Spasticity" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by increased involuntary muscle tone that affects the regions interfering with voluntary movement. It results in gait, movement, and speech disturbances." ]     ], [
       fhir:index 669;
       fhir:CodeSystem.concept.code [ fhir:value "Spermatic cord anastomotic leak" ];
       fhir:CodeSystem.concept.display [ fhir:value "Spermatic cord anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of a spermatic cord anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 670;
       fhir:CodeSystem.concept.code [ fhir:value "Spermatic cord hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Spermatic cord hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the spermatic cord." ]     ], [
       fhir:index 671;
       fhir:CodeSystem.concept.code [ fhir:value "Spermatic cord obstruction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Spermatic cord obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the normal flow of the contents of the spermatic cord." ]     ], [
       fhir:index 672;
       fhir:CodeSystem.concept.code [ fhir:value "Spinal fracture" ];
       fhir:CodeSystem.concept.display [ fhir:value "Spinal fracture" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of traumatic injury to the spine in which the continuity of a vertebral bone is broken." ]     ], [
       fhir:index 673;
       fhir:CodeSystem.concept.code [ fhir:value "Spleen disorder" ];
       fhir:CodeSystem.concept.display [ fhir:value "Spleen disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder of the spleen." ]     ], [
       fhir:index 674;
       fhir:CodeSystem.concept.code [ fhir:value "Splenic infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Splenic infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the spleen." ]     ], [
       fhir:index 675;
       fhir:CodeSystem.concept.code [ fhir:value "Stenosis of gastrointestinal stoma" ];
       fhir:CodeSystem.concept.display [ fhir:value "Stenosis of gastrointestinal stoma" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of narrowing of the gastrointestinal stoma (surgically created opening on the surface of the body)." ]     ], [
       fhir:index 676;
       fhir:CodeSystem.concept.code [ fhir:value "Stevens-Johnson syndrome" ];
       fhir:CodeSystem.concept.display [ fhir:value "Stevens-Johnson syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by less than 10% total body skin area separation of dermis. The syndrome is thought to be a hypersensitivity complex affecting the skin and the mucous membranes." ]     ], [
       fhir:index 677;
       fhir:CodeSystem.concept.code [ fhir:value "Stoma site infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Stoma site infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving a stoma (surgically created opening on the surface of the body)." ]     ], [
       fhir:index 678;
       fhir:CodeSystem.concept.code [ fhir:value "Stomach pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Stomach pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the stomach." ]     ], [
       fhir:index 679;
       fhir:CodeSystem.concept.code [ fhir:value "Stomal ulcer" ];
       fhir:CodeSystem.concept.display [ fhir:value "Stomal ulcer" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a circumscribed, inflammatory and necrotic erosive lesion on the jejunal mucosal surface close to the anastomosis site following a gastroenterostomy procedure." ]     ], [
       fhir:index 680;
       fhir:CodeSystem.concept.code [ fhir:value "Stridor" ];
       fhir:CodeSystem.concept.display [ fhir:value "Stridor" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a high pitched breathing sound due to laryngeal or upper airway obstruction." ]     ], [
       fhir:index 681;
       fhir:CodeSystem.concept.code [ fhir:value "Stroke" ];
       fhir:CodeSystem.concept.display [ fhir:value "Stroke" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sudden loss of sensory function due to an intracranial vascular event." ]     ], [
       fhir:index 682;
       fhir:CodeSystem.concept.code [ fhir:value "Sudden death NOS" ];
       fhir:CodeSystem.concept.display [ fhir:value "Sudden death NOS" ];
       fhir:CodeSystem.concept.definition [ fhir:value "An unexpected cessation of life that cannot be attributed to a CTCAE term associated with Grade 5." ]     ], [
       fhir:index 683;
       fhir:CodeSystem.concept.code [ fhir:value "Suicidal ideation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Suicidal ideation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by thoughts of taking one's own life." ]     ], [
       fhir:index 684;
       fhir:CodeSystem.concept.code [ fhir:value "Suicide attempt" ];
       fhir:CodeSystem.concept.display [ fhir:value "Suicide attempt" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by self-inflicted harm in an attempt to end one's own life." ]     ], [
       fhir:index 685;
       fhir:CodeSystem.concept.code [ fhir:value "Superficial soft tissue fibrosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Superficial soft tissue fibrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by fibrotic degeneration of the superficial soft tissues." ]     ], [
       fhir:index 686;
       fhir:CodeSystem.concept.code [ fhir:value "Superficial thrombophlebitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Superficial thrombophlebitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a blood clot and inflammation involving a superficial vein of the extremities." ]     ], [
       fhir:index 687;
       fhir:CodeSystem.concept.code [ fhir:value "Superior vena cava syndrome" ];
       fhir:CodeSystem.concept.display [ fhir:value "Superior vena cava syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by obstruction of the blood flow in the superior vena cava. Signs and symptoms include swelling and cyanosis of the face, neck, and upper arms, cough, orthopnea and headache." ]     ], [
       fhir:index 688;
       fhir:CodeSystem.concept.code [ fhir:value "Supraventricular tachycardia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Supraventricular tachycardia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia with a heart rate greater than 100 beats per minute that originates above the ventricles." ]     ], [
       fhir:index 689;
       fhir:CodeSystem.concept.code [ fhir:value "Surgical and medical procedures - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Surgical and medical procedures - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 690;
       fhir:CodeSystem.concept.code [ fhir:value "Syncope" ];
       fhir:CodeSystem.concept.display [ fhir:value "Syncope" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by spontaneous loss of consciousness caused by insufficient blood supply to the brain." ]     ], [
       fhir:index 691;
       fhir:CodeSystem.concept.code [ fhir:value "Telangiectasia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Telangiectasia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by local dilatation of small vessels resulting in red discoloration of the skin or mucous membranes." ]     ], [
       fhir:index 692;
       fhir:CodeSystem.concept.code [ fhir:value "Testicular disorder" ];
       fhir:CodeSystem.concept.display [ fhir:value "Testicular disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the testis." ]     ], [
       fhir:index 693;
       fhir:CodeSystem.concept.code [ fhir:value "Testicular hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Testicular hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the testis." ]     ], [
       fhir:index 694;
       fhir:CodeSystem.concept.code [ fhir:value "Testicular pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Testicular pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the testis." ]     ], [
       fhir:index 695;
       fhir:CodeSystem.concept.code [ fhir:value "Thromboembolic event" ];
       fhir:CodeSystem.concept.display [ fhir:value "Thromboembolic event" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by occlusion of a vessel by a thrombus that has migrated from a distal site via the blood stream." ]     ], [
       fhir:index 696;
       fhir:CodeSystem.concept.code [ fhir:value "Thrombotic thrombocytopenic purpura" ];
       fhir:CodeSystem.concept.display [ fhir:value "Thrombotic thrombocytopenic purpura" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the presence of microangiopathic hemolytic anemia, thrombocytopenic purpura, fever, renal abnormalities and neurological abnormalities such as seizures, hemiplegia, and visual disturbances. It is an acute or subacute condition." ]     ], [
       fhir:index 697;
       fhir:CodeSystem.concept.code [ fhir:value "Tinnitus" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tinnitus" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by noise in the ears, such as ringing, buzzing, roaring or clicking." ]     ], [
       fhir:index 698;
       fhir:CodeSystem.concept.code [ fhir:value "Tooth development disorder" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tooth development disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a pathological process of the teeth occurring during tooth development." ]     ], [
       fhir:index 699;
       fhir:CodeSystem.concept.code [ fhir:value "Tooth discoloration" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tooth discoloration" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a change in tooth hue or tint." ]     ], [
       fhir:index 700;
       fhir:CodeSystem.concept.code [ fhir:value "Tooth infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tooth infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving a tooth." ]     ], [
       fhir:index 701;
       fhir:CodeSystem.concept.code [ fhir:value "Toothache" ];
       fhir:CodeSystem.concept.display [ fhir:value "Toothache" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the tooth." ]     ], [
       fhir:index 702;
       fhir:CodeSystem.concept.code [ fhir:value "Toxic epidermal necrolysis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Toxic epidermal necrolysis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by greater than 30% total body skin area separation of dermis. The syndrome is thought to be a hypersensitivity complex affecting the skin and the mucous membranes." ]     ], [
       fhir:index 703;
       fhir:CodeSystem.concept.code [ fhir:value "Tracheal fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tracheal fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the trachea and another organ or anatomic site." ]     ], [
       fhir:index 704;
       fhir:CodeSystem.concept.code [ fhir:value "Tracheal hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tracheal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of bleeding from the trachea." ]     ], [
       fhir:index 705;
       fhir:CodeSystem.concept.code [ fhir:value "Tracheal mucositis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tracheal mucositis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an inflammation involving the mucous membrane of the trachea." ]     ], [
       fhir:index 706;
       fhir:CodeSystem.concept.code [ fhir:value "Tracheal obstruction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tracheal obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of blockage of the lumen of the trachea." ]     ], [
       fhir:index 707;
       fhir:CodeSystem.concept.code [ fhir:value "Tracheal stenosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tracheal stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the trachea." ]     ], [
       fhir:index 708;
       fhir:CodeSystem.concept.code [ fhir:value "Tracheitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tracheitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the trachea." ]     ], [
       fhir:index 709;
       fhir:CodeSystem.concept.code [ fhir:value "Tracheostomy site bleeding" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tracheostomy site bleeding" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of blood leakage from the tracheostomy site." ]     ], [
       fhir:index 710;
       fhir:CodeSystem.concept.code [ fhir:value "Transient ischemic attacks" ];
       fhir:CodeSystem.concept.display [ fhir:value "Transient ischemic attacks" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a brief attack (less than 24 hours) of cerebral dysfunction of vascular origin, with no persistent neurological deficit." ]     ], [
       fhir:index 711;
       fhir:CodeSystem.concept.code [ fhir:value "Treatment related secondary malignancy" ];
       fhir:CodeSystem.concept.display [ fhir:value "Treatment related secondary malignancy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by development of a malignancy most probably as a result of treatment for a previously existing malignancy." ]     ], [
       fhir:index 712;
       fhir:CodeSystem.concept.code [ fhir:value "Tremor" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tremor" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the uncontrolled shaking movement of the whole body or individual parts." ]     ], [
       fhir:index 713;
       fhir:CodeSystem.concept.code [ fhir:value "Tricuspid valve disease" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tricuspid valve disease" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a defect in tricuspid valve function or structure." ]     ], [
       fhir:index 714;
       fhir:CodeSystem.concept.code [ fhir:value "Trigeminal nerve disorder" ];
       fhir:CodeSystem.concept.display [ fhir:value "Trigeminal nerve disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the trigeminal nerve (fifth cranial nerve)." ]     ], [
       fhir:index 715;
       fhir:CodeSystem.concept.code [ fhir:value "Trismus" ];
       fhir:CodeSystem.concept.display [ fhir:value "Trismus" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by lack of ability to open the mouth fully due to a decrease in the range of motion of the muscles of mastication." ]     ], [
       fhir:index 716;
       fhir:CodeSystem.concept.code [ fhir:value "Tumor lysis syndrome" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tumor lysis syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by metabolic abnormalities that result from a spontaneous or therapy-related cytolysis of tumor cells." ]     ], [
       fhir:index 717;
       fhir:CodeSystem.concept.code [ fhir:value "Tumor pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tumor pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort from a neoplasm that may be pressing on a nerve, blocking blood vessels, inflamed or fractured from metastasis." ]     ], [
       fhir:index 718;
       fhir:CodeSystem.concept.code [ fhir:value "Typhlitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Typhlitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the cecum." ]     ], [
       fhir:index 719;
       fhir:CodeSystem.concept.code [ fhir:value "Unequal limb length" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unequal limb length" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by of a discrepancy between the lengths of the lower or upper extremities." ]     ], [
       fhir:index 720;
       fhir:CodeSystem.concept.code [ fhir:value "Unintended pregnancy" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unintended pregnancy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an unexpected pregnancy at the time of conception." ]     ], [
       fhir:index 721;
       fhir:CodeSystem.concept.code [ fhir:value "Upper gastrointestinal hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Upper gastrointestinal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the upper gastrointestinal tract (oral cavity, pharynx, esophagus, and stomach)." ]     ], [
       fhir:index 722;
       fhir:CodeSystem.concept.code [ fhir:value "Upper respiratory infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Upper respiratory infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the upper respiratory tract (nose, paranasal sinuses, pharynx, larynx, or trachea)." ]     ], [
       fhir:index 723;
       fhir:CodeSystem.concept.code [ fhir:value "Ureteric anastomotic leak" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ureteric anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of a ureteral anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 724;
       fhir:CodeSystem.concept.code [ fhir:value "Urethral anastomotic leak" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urethral anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of a urethral anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 725;
       fhir:CodeSystem.concept.code [ fhir:value "Urethral infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urethral infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the urethra." ]     ], [
       fhir:index 726;
       fhir:CodeSystem.concept.code [ fhir:value "Urinary fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urinary fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between any part of the urinary system and another organ or anatomic site." ]     ], [
       fhir:index 727;
       fhir:CodeSystem.concept.code [ fhir:value "Urinary frequency" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urinary frequency" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by urination at short intervals." ]     ], [
       fhir:index 728;
       fhir:CodeSystem.concept.code [ fhir:value "Urinary incontinence" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urinary incontinence" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inability to control the flow of urine from the bladder." ]     ], [
       fhir:index 729;
       fhir:CodeSystem.concept.code [ fhir:value "Urinary retention" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urinary retention" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by accumulation of urine within the bladder because of the inability to urinate." ]     ], [
       fhir:index 730;
       fhir:CodeSystem.concept.code [ fhir:value "Urinary tract infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urinary tract infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the urinary tract, most commonly the bladder and the urethra." ]     ], [
       fhir:index 731;
       fhir:CodeSystem.concept.code [ fhir:value "Urinary tract obstruction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urinary tract obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the normal flow of contents of the urinary tract." ]     ], [
       fhir:index 732;
       fhir:CodeSystem.concept.code [ fhir:value "Urinary tract pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urinary tract pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the urinary tract." ]     ], [
       fhir:index 733;
       fhir:CodeSystem.concept.code [ fhir:value "Urinary urgency" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urinary urgency" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sudden compelling urge to urinate." ]     ], [
       fhir:index 734;
       fhir:CodeSystem.concept.code [ fhir:value "Urine discoloration" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urine discoloration" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a change in the color of the urine." ]     ], [
       fhir:index 735;
       fhir:CodeSystem.concept.code [ fhir:value "Urine output decreased" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urine output decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on test results that indicate urine production is less relative to previous output." ]     ], [
       fhir:index 736;
       fhir:CodeSystem.concept.code [ fhir:value "Urostomy leak" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urostomy leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage of contents from a urostomy." ]     ], [
       fhir:index 737;
       fhir:CodeSystem.concept.code [ fhir:value "Urostomy obstruction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urostomy obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of blockage of the urostomy." ]     ], [
       fhir:index 738;
       fhir:CodeSystem.concept.code [ fhir:value "Urostomy site bleeding" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urostomy site bleeding" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of bleeding from the urostomy site." ]     ], [
       fhir:index 739;
       fhir:CodeSystem.concept.code [ fhir:value "Urostomy stenosis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urostomy stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of narrowing of the opening of a urostomy." ]     ], [
       fhir:index 740;
       fhir:CodeSystem.concept.code [ fhir:value "Urticaria" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urticaria" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an itchy skin eruption characterized by wheals with pale interiors and well-defined red margins." ]     ], [
       fhir:index 741;
       fhir:CodeSystem.concept.code [ fhir:value "Uterine anastomotic leak" ];
       fhir:CodeSystem.concept.display [ fhir:value "Uterine anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of a uterine anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 742;
       fhir:CodeSystem.concept.code [ fhir:value "Uterine fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Uterine fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the uterus and another organ or anatomic site." ]     ], [
       fhir:index 743;
       fhir:CodeSystem.concept.code [ fhir:value "Uterine hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Uterine hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the uterus." ]     ], [
       fhir:index 744;
       fhir:CodeSystem.concept.code [ fhir:value "Uterine infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Uterine infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the endometrium. It may extend to the myometrium and parametrial tissues." ]     ], [
       fhir:index 745;
       fhir:CodeSystem.concept.code [ fhir:value "Uterine obstruction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Uterine obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the uterine outlet." ]     ], [
       fhir:index 746;
       fhir:CodeSystem.concept.code [ fhir:value "Uterine pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Uterine pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the uterus." ]     ], [
       fhir:index 747;
       fhir:CodeSystem.concept.code [ fhir:value "Uterine perforation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Uterine perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the uterine wall." ]     ], [
       fhir:index 748;
       fhir:CodeSystem.concept.code [ fhir:value "Uveitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Uveitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation to the uvea of the eye." ]     ], [
       fhir:index 749;
       fhir:CodeSystem.concept.code [ fhir:value "Vaginal anastomotic leak" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginal anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of a vaginal anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 750;
       fhir:CodeSystem.concept.code [ fhir:value "Vaginal discharge" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginal discharge" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by vaginal secretions. Mucus produced by the cervical glands is discharged from the vagina naturally, especially during the childbearing years." ]     ], [
       fhir:index 751;
       fhir:CodeSystem.concept.code [ fhir:value "Vaginal dryness" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginal dryness" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an uncomfortable feeling of itching and burning in the vagina." ]     ], [
       fhir:index 752;
       fhir:CodeSystem.concept.code [ fhir:value "Vaginal fistula" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginal fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the vagina and another organ or anatomic site." ]     ], [
       fhir:index 753;
       fhir:CodeSystem.concept.code [ fhir:value "Vaginal hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the vagina." ]     ], [
       fhir:index 754;
       fhir:CodeSystem.concept.code [ fhir:value "Vaginal infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginal infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the vagina." ]     ], [
       fhir:index 755;
       fhir:CodeSystem.concept.code [ fhir:value "Vaginal inflammation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginal inflammation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation involving the vagina. Symptoms may include redness, edema, marked discomfort and an increase in vaginal discharge." ]     ], [
       fhir:index 756;
       fhir:CodeSystem.concept.code [ fhir:value "Vaginal obstruction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginal obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of vaginal canal." ]     ], [
       fhir:index 757;
       fhir:CodeSystem.concept.code [ fhir:value "Vaginal pain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginal pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the vagina." ]     ], [
       fhir:index 758;
       fhir:CodeSystem.concept.code [ fhir:value "Vaginal perforation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginal perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the vaginal wall." ]     ], [
       fhir:index 759;
       fhir:CodeSystem.concept.code [ fhir:value "Vaginal stricture" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginal stricture" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the vaginal canal." ]     ], [
       fhir:index 760;
       fhir:CodeSystem.concept.code [ fhir:value "Vaginismus" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginismus" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involuntary spasms of the pelvic floor muscles, resulting in pathologic tightness of the vaginal wall during penetration such as during sexual intercourse." ]     ], [
       fhir:index 761;
       fhir:CodeSystem.concept.code [ fhir:value "Vagus nerve disorder" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vagus nerve disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the vagus nerve (tenth cranial nerve)." ]     ], [
       fhir:index 762;
       fhir:CodeSystem.concept.code [ fhir:value "Vas deferens anastomotic leak" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vas deferens anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of a vas deferens anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 763;
       fhir:CodeSystem.concept.code [ fhir:value "Vascular access complication" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vascular access complication" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of a previously undocumented problem related to the vascular access site." ]     ], [
       fhir:index 764;
       fhir:CodeSystem.concept.code [ fhir:value "Vascular disorders - Other, Specify" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vascular disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 765;
       fhir:CodeSystem.concept.code [ fhir:value "Vasculitis" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vasculitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation involving the wall of a vessel." ]     ], [
       fhir:index 766;
       fhir:CodeSystem.concept.code [ fhir:value "Vasovagal reaction" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vasovagal reaction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sudden drop of the blood pressure, bradycardia, and peripheral vasodilation that may lead to loss of consciousness. It results from an increase in the stimulation of the vagus nerve." ]     ], [
       fhir:index 767;
       fhir:CodeSystem.concept.code [ fhir:value "Venous injury" ];
       fhir:CodeSystem.concept.display [ fhir:value "Venous injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to a vein." ]     ], [
       fhir:index 768;
       fhir:CodeSystem.concept.code [ fhir:value "Ventricular arrhythmia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ventricular arrhythmia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia that originates in the ventricles." ]     ], [
       fhir:index 769;
       fhir:CodeSystem.concept.code [ fhir:value "Ventricular fibrillation" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ventricular fibrillation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia without discernible QRS complexes due to rapid repetitive excitation of myocardial fibers without coordinated contraction of the ventricles." ]     ], [
       fhir:index 770;
       fhir:CodeSystem.concept.code [ fhir:value "Ventricular tachycardia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ventricular tachycardia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia with a heart rate greater than 100 beats per minute that originates distal to the bundle of His." ]     ], [
       fhir:index 771;
       fhir:CodeSystem.concept.code [ fhir:value "Vertigo" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vertigo" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation as if the external world were revolving around the patient (objective vertigo) or as if he himself were revolving in space (subjective vertigo)." ]     ], [
       fhir:index 772;
       fhir:CodeSystem.concept.code [ fhir:value "Vestibular disorder" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vestibular disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by dizziness, imbalance, nausea, and vision problems." ]     ], [
       fhir:index 773;
       fhir:CodeSystem.concept.code [ fhir:value "Virilization" ];
       fhir:CodeSystem.concept.display [ fhir:value "Virilization" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inappropriate masculinization occurring in a female or prepubertal male." ]     ], [
       fhir:index 774;
       fhir:CodeSystem.concept.code [ fhir:value "Visceral arterial ischemia" ];
       fhir:CodeSystem.concept.display [ fhir:value "Visceral arterial ischemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in blood supply due to narrowing or blockage of a visceral (mesenteric) artery." ]     ], [
       fhir:index 775;
       fhir:CodeSystem.concept.code [ fhir:value "Vital capacity abnormal" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vital capacity abnormal" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on pulmonary function test results that indicate an abnormal vital capacity (amount of exhaled after a maximum inhalation) when compared to the predicted value." ]     ], [
       fhir:index 776;
       fhir:CodeSystem.concept.code [ fhir:value "Vitreous hemorrhage" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vitreous hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blood extravasation into the vitreous humor." ]     ], [
       fhir:index 777;
       fhir:CodeSystem.concept.code [ fhir:value "Voice alteration" ];
       fhir:CodeSystem.concept.display [ fhir:value "Voice alteration" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a change in the sound and/or speed of the voice." ]     ], [
       fhir:index 778;
       fhir:CodeSystem.concept.code [ fhir:value "Vomiting" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vomiting" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the reflexive act of ejecting the contents of the stomach through the mouth." ]     ], [
       fhir:index 779;
       fhir:CodeSystem.concept.code [ fhir:value "Vulval infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vulval infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the vulva." ]     ], [
       fhir:index 780;
       fhir:CodeSystem.concept.code [ fhir:value "Watering eyes" ];
       fhir:CodeSystem.concept.display [ fhir:value "Watering eyes" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder of excessive tearing in the eyes; it can be caused by overproduction of tears or impaired drainage of the tear duct." ]     ], [
       fhir:index 781;
       fhir:CodeSystem.concept.code [ fhir:value "Weight gain" ];
       fhir:CodeSystem.concept.display [ fhir:value "Weight gain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding characterized by an increase in overall body weight; for pediatrics, greater than the baseline growth curve." ]     ], [
       fhir:index 782;
       fhir:CodeSystem.concept.code [ fhir:value "Weight loss" ];
       fhir:CodeSystem.concept.display [ fhir:value "Weight loss" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding characterized by a decrease in overall body weight; for pediatrics, less than the baseline growth curve." ]     ], [
       fhir:index 783;
       fhir:CodeSystem.concept.code [ fhir:value "Wheezing" ];
       fhir:CodeSystem.concept.display [ fhir:value "Wheezing" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a high-pitched, whistling sound during breathing. It results from the narrowing or obstruction of the respiratory airways." ]     ], [
       fhir:index 784;
       fhir:CodeSystem.concept.code [ fhir:value "White blood cell decreased" ];
       fhir:CodeSystem.concept.display [ fhir:value "White blood cell decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an decrease in number of white blood cells in a blood specimen." ]     ], [
       fhir:index 785;
       fhir:CodeSystem.concept.code [ fhir:value "Wolff-Parkinson-White syndrome" ];
       fhir:CodeSystem.concept.display [ fhir:value "Wolff-Parkinson-White syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the presence of an accessory conductive pathway between the atria and the ventricles that causes premature ventricular activation." ]     ], [
       fhir:index 786;
       fhir:CodeSystem.concept.code [ fhir:value "Wound complication" ];
       fhir:CodeSystem.concept.display [ fhir:value "Wound complication" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of development of a new problem at the site of an existing wound." ]     ], [
       fhir:index 787;
       fhir:CodeSystem.concept.code [ fhir:value "Wound dehiscence" ];
       fhir:CodeSystem.concept.display [ fhir:value "Wound dehiscence" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of separation of the approximated margins of a surgical wound." ]     ], [
       fhir:index 788;
       fhir:CodeSystem.concept.code [ fhir:value "Wound infection" ];
       fhir:CodeSystem.concept.display [ fhir:value "Wound infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the wound." ]     ], [
       fhir:index 789;
       fhir:CodeSystem.concept.code [ fhir:value "Wrist fracture" ];
       fhir:CodeSystem.concept.display [ fhir:value "Wrist fracture" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of traumatic injury to the wrist joint in which the continuity of a wrist bone is broken." ]     ]
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     fhir:index 1;
     fhir:Resource.id [ fhir:value "d1e14927-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
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           fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/3265657v2.0/question_identifier#3556214v2.0-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e14927-cs" ]             ]           ]         ]       ]     ]
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     fhir:index 2;
     fhir:Resource.id [ fhir:value "d1e54652-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/3265657v2.0/question_identifier#3557008v2.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
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     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "1" ];
       fhir:CodeSystem.concept.display [ fhir:value "Mild Adverse Event" ];
       fhir:CodeSystem.concept.definition [ fhir:value "An adverse event that is asymptomatic; or involves mild or minor symptoms; or is of marginal clinical relevance; or consists of clinical or diagnostic observations alone; or for which intervention is not indicated; or for which only non-prescription intervention is indicated." ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "2" ];
       fhir:CodeSystem.concept.display [ fhir:value "Moderate Adverse Event" ];
       fhir:CodeSystem.concept.definition [ fhir:value "An adverse event for which only minimal, local, or noninvasive intervention (e.g. packing, cautery) is indicated; or that limits instrumental activities of daily living (ADLs, e.g., shopping, laundry, transportation, or ability to conduct finances)." ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "3" ];
       fhir:CodeSystem.concept.display [ fhir:value "Severe Adverse Event" ];
       fhir:CodeSystem.concept.definition [ fhir:value "An adverse event that is medically significant but not life-threatening; or for which inpatient care or prolongation of hospitalization are indicated; or that is an important medical event that does not result in hospitalization, but may jeopardize the patient or may require intervention either to prevent hospitalization, to prevent the AE from becoming life-threatening or causing death; or that is disabling; or that results in persistent or significant disability, incapcity, or limitation of self care activities of daily living (ADLs, e.g., getting in and our of bed, dressing, eating, getting around inside, bathing, or using the toilet)." ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "4" ];
       fhir:CodeSystem.concept.display [ fhir:value "Life Threatening Adverse Event" ];
       fhir:CodeSystem.concept.definition [ fhir:value "An adverse event that has life-threatening consequences; for which urgent intervention is indicated; that puts the patient at risk of death at the time of the event if immediate intervention is not undertaken; or that causes blindness or deafness." ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "5" ];
       fhir:CodeSystem.concept.display [ fhir:value "Death Related to Adverse Event" ];
       fhir:CodeSystem.concept.definition [ fhir:value "The termination of life associated with an adverse event." ]     ]
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     fhir:index 3;
     fhir:Resource.id [ fhir:value "d1e54652-vs" ];
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           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e54652-cs" ]             ]           ]         ]       ]     ]
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     a fhir:CodeSystem;
     fhir:index 4;
     fhir:Resource.id [ fhir:value "d1e55041-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/3265657v2.0/question_identifier#3557021v2.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "Yes" ];
       fhir:CodeSystem.concept.display [ fhir:value "Yes" ];
       fhir:CodeSystem.concept.definition [ fhir:value "The affirmative response to a question or activity." ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "No" ];
       fhir:CodeSystem.concept.display [ fhir:value "No" ];
       fhir:CodeSystem.concept.definition [ fhir:value "The non-affirmative response to a question." ]     ]
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     a fhir:ValueSet;
     fhir:index 5;
     fhir:Resource.id [ fhir:value "d1e55041-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
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           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e55041-cs" ]             ]           ]         ]       ]     ]
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     a fhir:CodeSystem;
     fhir:index 6;
     fhir:Resource.id [ fhir:value "d1e55265-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/3265657v2.0/question_identifier#3557032v2.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "Biological Therapy" ];
       fhir:CodeSystem.concept.display [ fhir:value "Biological Therapy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Biological therapy is a form of treatment that implies the administration of substances which produce a biological reaction in the organism enhancing or restoring the host immune response, modifying the behavior of cancer cells, blocking the pathways of cell neoplastic transformation and tumor ability to metastasize, or facilitating the repairment of cells damaged by aggressive forms of cancer treatment. It includes the use of sera, antitoxins, vaccines, genes, cells, tissues, and organs" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "Chemotherapy" ];
       fhir:CodeSystem.concept.display [ fhir:value "CHEMOTHERAPY" ];
       fhir:CodeSystem.concept.definition [ fhir:value "CHEMOTHERAPY" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "Combined modality" ];
       fhir:CodeSystem.concept.display [ fhir:value "combined modality" ];
       fhir:CodeSystem.concept.definition [ fhir:value "combined modality" ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "Concomitant medication" ];
       fhir:CodeSystem.concept.display [ fhir:value "Concomitant Agent" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A pharmaceutical agent other than agent(s) tested in a given protocol that is administered to or used by a subject either prior to or during the study. Supportive care and essential ancillary medications required by a treatment regimen should be clearly identified. A protocol complete instructions including appropriate indication, dosage, administration route, schedule, restrictions to use, and any other relevant data should be explicitly stated. Concept also refers to substance(s) used prior or during the study that are not specified by the protocol." ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "Device" ];
       fhir:CodeSystem.concept.display [ fhir:value "Medical_Device" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Medical device - any machinery designed to aid diagnostic and medical therapies. Medical device has to be designed with rigorous safety standards. There are several basic types of medical devices: life support equipment used to maintain a patient's body functions; therapeutic equipment; monitors and detectors to measure the indexes of a patient's state; imagine machines and laboratory equipment used with diagnostic and status monitoring purposes. In insurance parlance, the term is usually synonymous with assistive device, although it may include medical supplies." ]     ], [
       fhir:index 5;
       fhir:CodeSystem.concept.code [ fhir:value "Disease" ];
       fhir:CodeSystem.concept.display [ fhir:value "disease" ];
       fhir:CodeSystem.concept.definition [ fhir:value "disease" ]     ], [
       fhir:index 6;
       fhir:CodeSystem.concept.code [ fhir:value "Endocrine Therapy" ];
       fhir:CodeSystem.concept.display [ fhir:value "Endocrine Therapy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Various treatment modalities that produce the desired therapeutic effect by means of change of hormone/hormones level. The treatment may include administration of hormones or hormone analogs to the patient, or decreasing the level of hormones in the body by using hormone antagonists, or hormone ablation therapy. The concept covers but not limited to: intermittent or permanent hormone suppression or ablation in treatment of hormone-dependent tumors, hormone replacement therapy of any kind, hormonal component of gender reassignment therapy, hormonal contraception, surgical and radiation castration." ]     ], [
       fhir:index 7;
       fhir:CodeSystem.concept.code [ fhir:value "Immunotherapy" ];
       fhir:CodeSystem.concept.display [ fhir:value "Immunotherapy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "(IM-yoo-no-THER-a-pee) Treatment to stimulate or restore the ability of the immune system to fight infections and other diseases. Also used to lessen side effects that may be caused by some cancer treatments." ]     ], [
       fhir:index 8;
       fhir:CodeSystem.concept.code [ fhir:value "Investigational agent" ];
       fhir:CodeSystem.concept.display [ fhir:value "Investigational Agent" ];
       fhir:CodeSystem.concept.definition [ fhir:value "In the process of being studied; experimental. (NCI): An active power or cause (as principle, substance, physical or biological factor, etc.) that produces a specific effect. (NCI)" ]     ], [
       fhir:index 9;
       fhir:CodeSystem.concept.code [ fhir:value "Other" ];
       fhir:CodeSystem.concept.display [ fhir:value "Other" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Not otherwise specified." ]     ], [
       fhir:index 10;
       fhir:CodeSystem.concept.code [ fhir:value "Radiation therapy" ];
       fhir:CodeSystem.concept.display [ fhir:value "Radiation Therapy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "use PHOTOTHERAPY, LASER THERAPY, or ULTRAVIOLET THERAPY for therapeutic radiation with visible, laser, or ultraviolet light, respectively." ]     ], [
       fhir:index 11;
       fhir:CodeSystem.concept.code [ fhir:value "Surgery" ];
       fhir:CodeSystem.concept.display [ fhir:value "Surgery" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A specialty in which manual or operative procedures are used in the treatment of disease, injuries, or deformities." ]     ]
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     fhir:index 7;
     fhir:Resource.id [ fhir:value "d1e55265-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
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           fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/3265657v2.0/question_identifier#3557032v2.0-cs";
           fhir:extension [
             fhir:index 0;
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     fhir:index 8;
     fhir:Resource.id [ fhir:value "d1e56008-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/3265657v2.0/question_identifier#3557869v2.0-cs" ];
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       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "Blood and lymphatic system disorders" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hematopoietic and Lymphoid System Disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Any deviation from the normal structure or function of the blood or lymphatic system that is manifested by a characteristic set of symptoms and signs." ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "Cardiac disorders" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cardiac disorders" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Any deviation from the normal structure or function of the cardiac system that is manifested by a characteristic set of symptoms and signs." ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "Congenital, familial and genetic disorders" ];
       fhir:CodeSystem.concept.display [ fhir:value "Congenital, Familial and Genetic Disorder Class" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A class of disorders that encompasses conditions resulting from a congenital, familial hereditary trait or genetic abnormality as is manifested by a characterstic set of symptoms and signs." ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "Ear and labyrinth disorders" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ear and Labyrinth Disorder Class" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Any deviation from the normal structure or function of the ear or labyrinth that is manifested by a characteristic set of symptoms and signs." ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "Endocrine disorders" ];
       fhir:CodeSystem.concept.display [ fhir:value "Endocrine Disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Any deviation from the normal structure or function of the endocrine system that is manifested by a characteristic set of symptoms and signs." ]     ], [
       fhir:index 5;
       fhir:CodeSystem.concept.code [ fhir:value "Eye disorders" ];
       fhir:CodeSystem.concept.display [ fhir:value "Eye Disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Any deviation from the normal structure or function of the eye that is manifested by a characteristic set of symptoms and signs." ]     ], [
       fhir:index 6;
       fhir:CodeSystem.concept.code [ fhir:value "Gastrointestinal disorders" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastrointestinal Disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Diseases of the digestive tract (oral cavity to anus) and associated organs (salivary glands, liver, pancreas)." ]     ], [
       fhir:index 7;
       fhir:CodeSystem.concept.code [ fhir:value "General disorders and administration site conditions" ];
       fhir:CodeSystem.concept.display [ fhir:value "General Disorders and Administration Site Conditions Class" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A class of disorders that encompasses conditions of a general kind that result from a disease, the treatment of disease or administration of treatment at a particular site and are manifested by a characteristic set of symptoms and signs." ]     ], [
       fhir:index 8;
       fhir:CodeSystem.concept.code [ fhir:value "Hepatobiliary disorders" ];
       fhir:CodeSystem.concept.display [ fhir:value "Liver and Biliary Tract Disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Any deviation from the normal structure or function of the liver or biliary tract that is manifested by a characteristic set of symptoms and signs." ]     ], [
       fhir:index 9;
       fhir:CodeSystem.concept.code [ fhir:value "Immune system disorders" ];
       fhir:CodeSystem.concept.display [ fhir:value "Immune System Disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder resulting from an abnormality in the immune system. -- 2003" ]     ], [
       fhir:index 10;
       fhir:CodeSystem.concept.code [ fhir:value "Infections and infestations" ];
       fhir:CodeSystem.concept.display [ fhir:value "Infection and infestation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder resulting from the presence and activity of a microbial, viral, or parasitic agent. It can be transmitted by direct or indirect contact. -- 2003" ]     ], [
       fhir:index 11;
       fhir:CodeSystem.concept.code [ fhir:value "Injury, poisoning and procedural complications" ];
       fhir:CodeSystem.concept.display [ fhir:value "Injury, Poisoning and Procedural Complication Class" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A class of disorders that encompasses conditions resulting from an injury, poisoning or procedure." ]     ], [
       fhir:index 12;
       fhir:CodeSystem.concept.code [ fhir:value "Investigations" ];
       fhir:CodeSystem.concept.display [ fhir:value "Investigation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "The act or process of a systematic and thorough examination; research, study; the process of inquiring into or following up, intended to develop facts." ]     ], [
       fhir:index 13;
       fhir:CodeSystem.concept.code [ fhir:value "Metabolism and nutrition disorders" ];
       fhir:CodeSystem.concept.display [ fhir:value "Metabolism and Nutrition Disorder Class" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A class of disorders that encompasses conditions occurring as a result of metabolic dysfunction or deviation from the normal nutritional requirements." ]     ], [
       fhir:index 14;
       fhir:CodeSystem.concept.code [ fhir:value "Musculoskeletal and connective tissue disorders" ];
       fhir:CodeSystem.concept.display [ fhir:value "Connective and Soft Tissue Disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Any deviation from the normal structure or function of the musculoskeletal or connective tissue that is manifested by a characteristic set of symptoms and signs." ]     ], [
       fhir:index 15;
       fhir:CodeSystem.concept.code [ fhir:value "Neoplasms benign, malignant and unspecified (incl cysts and polyps)" ];
       fhir:CodeSystem.concept.display [ fhir:value "Neoplasm" ];
       fhir:CodeSystem.concept.definition [ fhir:value "An abnormal tissue growth resulted from uncontrolled cell proliferation. Benign neoplastic cells resemble normal cells without exhibiting significant cytologic atypia, while malignant ones exhibit overt signs such as dysplastic features, atypical mitotic figures, necrosis, nuclear pleomorphism, and anaplasia. Representative examples of benign neoplasms include papillomas, cystadenomas, and lipomas; malignant neoplasms include carcinomas, sarcomas, lymphomas, and leukemias." ]     ], [
       fhir:index 16;
       fhir:CodeSystem.concept.code [ fhir:value "Nervous system disorders" ];
       fhir:CodeSystem.concept.display [ fhir:value "Nervous System Disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Any deviation from the normal structure or function of the nervous system that is manifested by a characteristic set of symptoms and signs." ]     ], [
       fhir:index 17;
       fhir:CodeSystem.concept.code [ fhir:value "Pregnancy, puerperium and perinatal conditions" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pregnancy, Puerperium and Perinatal Condition Class" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A class of conditions associated with pregnancy, puerperium and perinatal status." ]     ], [
       fhir:index 18;
       fhir:CodeSystem.concept.code [ fhir:value "Psychiatric disorders" ];
       fhir:CodeSystem.concept.display [ fhir:value "Psychiatric Disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Any deviation from the normal structure or function of the brain and a psychiatric condition, that results in an impairment of an individual's normal cognitive, emotional, or behavioral functioning, and is caused by physiological or psychosocial factors." ]     ], [
       fhir:index 19;
       fhir:CodeSystem.concept.code [ fhir:value "Renal and urinary disorders" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urinary Tract Disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Disorders of any part of the urologic system." ]     ], [
       fhir:index 20;
       fhir:CodeSystem.concept.code [ fhir:value "Reproductive system and breast disorders" ];
       fhir:CodeSystem.concept.display [ fhir:value "Reproductive System and Breast Disorder Class" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Any deviation from the normal structure or function of the reproductive system or breast that is manifested by a characteristic set of symptoms and signs." ]     ], [
       fhir:index 21;
       fhir:CodeSystem.concept.code [ fhir:value "Respiratory, thoracic and mediastinal disorders" ];
       fhir:CodeSystem.concept.display [ fhir:value "Respiratory and Thoracic Disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Any deviation from the normal structure or function of the respiratory system including the thorax and mediastinum that is manifested by a characteristic set of symptoms and signs." ]     ], [
       fhir:index 22;
       fhir:CodeSystem.concept.code [ fhir:value "Skin and subcutaneous tissue disorders" ];
       fhir:CodeSystem.concept.display [ fhir:value "Skin Disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Any deviation from the normal structure or function of the skin or subcutaneous tissue that is manifested by a characteristic set of symptoms and signs." ]     ], [
       fhir:index 23;
       fhir:CodeSystem.concept.code [ fhir:value "Social circumstances" ];
       fhir:CodeSystem.concept.display [ fhir:value "Social Circumstances" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A set of concepts that results from or is influenced by criteria or activities associated with the social environment of a person." ]     ], [
       fhir:index 24;
       fhir:CodeSystem.concept.code [ fhir:value "Surgical and medical procedures" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intervention or Procedure" ];
       fhir:CodeSystem.concept.definition [ fhir:value "An activity that produces an effect, or that is intended to alter the course of a disease in a patient or population. This is a general term that encompasses the medical, social, behavioral, and environmnetal acts that can have preventive, therapeutic, or palliative effects." ]     ], [
       fhir:index 25;
       fhir:CodeSystem.concept.code [ fhir:value "Vascular disorders" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vascular Disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Any deviation from the normal structure or function of the vascular system that is manifested by a characteristic set of symptoms and signs." ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 9;
     fhir:Resource.id [ fhir:value "d1e56008-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index 0;
         fhir:ValueSet.compose.include.system [
           fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/3265657v2.0/question_identifier#3557869v2.0-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e56008-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 10;
     fhir:Resource.id [ fhir:value "d1e57358-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/3265657v2.0/question_identifier#3557050v2.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "10000060" ];
       fhir:CodeSystem.concept.display [ fhir:value "Abdominal distension" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by swelling of the abdomen." ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "10000081" ];
       fhir:CodeSystem.concept.display [ fhir:value "Abdominal pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the abdominal region." ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "10000486" ];
       fhir:CodeSystem.concept.display [ fhir:value "Acidosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by abnormally high acidity (high hydrogen-ion concentration) of the blood and other body tissues." ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "10000521" ];
       fhir:CodeSystem.concept.display [ fhir:value "Acoustic nerve disorder NOS" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the acoustic nerve (eighth cranial nerve)." ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "10000636" ];
       fhir:CodeSystem.concept.display [ fhir:value "Activated partial thromboplastin time prolonged" ];
       fhir:CodeSystem.concept.definition [ fhir:value "An abnormal laboratory test result in which the partial thromboplastin time is found to be greater than the control value. As a possible indicator of coagulopathy, a prolonged partial thromboplastin time (PTT) may occur in a variety of diseases and disorders, both primary and related to treatment." ]     ], [
       fhir:index 5;
       fhir:CodeSystem.concept.code [ fhir:value "10001367" ];
       fhir:CodeSystem.concept.display [ fhir:value "Adrenal insufficiency" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder that occurs when the adrenal cortex does not produce enough of the hormone cortisol and in some cases, the hormone aldosterone. It may be due to a disorder of the adrenal cortex as in Addison's disease or primary adrenal insufficiency." ]     ], [
       fhir:index 6;
       fhir:CodeSystem.concept.code [ fhir:value "10001409" ];
       fhir:CodeSystem.concept.display [ fhir:value "Adult respiratory distress syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by progressive and life-threatening pulmonary distress in the absence of an underlying pulmonary condition, usually following major trauma or surgery." ]     ], [
       fhir:index 7;
       fhir:CodeSystem.concept.code [ fhir:value "10001497" ];
       fhir:CodeSystem.concept.display [ fhir:value "Agitation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a state of restlessness associated with unpleasant feelings of irritability and tension." ]     ], [
       fhir:index 8;
       fhir:CodeSystem.concept.code [ fhir:value "10001540" ];
       fhir:CodeSystem.concept.display [ fhir:value "Akathisia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an uncomfortable feeling of inner restlessness and inability to stay still; this is a side effect of some psychotropic drugs." ]     ], [
       fhir:index 9;
       fhir:CodeSystem.concept.code [ fhir:value "10001551" ];
       fhir:CodeSystem.concept.display [ fhir:value "Alanine aminotransferase increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an increase in the level of alanine aminotransferase (ALT or SGPT) in the blood specimen." ]     ], [
       fhir:index 10;
       fhir:CodeSystem.concept.code [ fhir:value "10001598" ];
       fhir:CodeSystem.concept.display [ fhir:value "Alcohol intolerance" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an increase in sensitivity to the adverse effects of alcohol, which can include nasal congestion, skin flushes, heart dysrhythmias, nausea, vomiting, indigestion and headaches." ]     ], [
       fhir:index 11;
       fhir:CodeSystem.concept.code [ fhir:value "10001675" ];
       fhir:CodeSystem.concept.display [ fhir:value "Alkaline phosphatase increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an increase in the level of alkaline phosphatase in a blood specimen." ]     ], [
       fhir:index 12;
       fhir:CodeSystem.concept.code [ fhir:value "10001680" ];
       fhir:CodeSystem.concept.display [ fhir:value "Alkalosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by abnormally high alkalinity (low hydrogen-ion concentration) of the blood and other body tissues." ]     ], [
       fhir:index 13;
       fhir:CodeSystem.concept.code [ fhir:value "10001718" ];
       fhir:CodeSystem.concept.display [ fhir:value "Allergic reaction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an adverse local or general response from exposure to an allergen." ]     ], [
       fhir:index 14;
       fhir:CodeSystem.concept.code [ fhir:value "10001723" ];
       fhir:CodeSystem.concept.display [ fhir:value "Allergic rhinitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an inflammation of the nasal mucous membranes caused by an IgE-mediated response to external allergens. The inflammation may also involve the mucous membranes of the sinuses, eyes, middle ear, and pharynx. Symptoms include sneezing, nasal congestion, rhinorrhea and itching." ]     ], [
       fhir:index 15;
       fhir:CodeSystem.concept.code [ fhir:value "10001760" ];
       fhir:CodeSystem.concept.display [ fhir:value "Alopecia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in density of hair compared to normal for a given individual at a given age and body location." ]     ], [
       fhir:index 16;
       fhir:CodeSystem.concept.code [ fhir:value "10001949" ];
       fhir:CodeSystem.concept.display [ fhir:value "Amnesia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by systematic and extensive loss of memory." ]     ], [
       fhir:index 17;
       fhir:CodeSystem.concept.code [ fhir:value "10002156" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anal fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the opening in the anal canal to the perianal skin." ]     ], [
       fhir:index 18;
       fhir:CodeSystem.concept.code [ fhir:value "10002167" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anal pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the anal region." ]     ], [
       fhir:index 19;
       fhir:CodeSystem.concept.code [ fhir:value "10002176" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anal stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the lumen of the anal canal." ]     ], [
       fhir:index 20;
       fhir:CodeSystem.concept.code [ fhir:value "10002180" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anal ulcer" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a circumscribed, inflammatory and necrotic erosive lesion on the mucosal surface of the anal canal." ]     ], [
       fhir:index 21;
       fhir:CodeSystem.concept.code [ fhir:value "10002218" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anaphylaxis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an acute inflammatory reaction resulting from the release of histamine and histamine-like substances from mast cells, causing a hypersensitivity immune response. Clinically, it presents with breathing difficulty, dizziness, hypotension, cyanosis and loss of consciousness and may lead to death." ]     ], [
       fhir:index 22;
       fhir:CodeSystem.concept.code [ fhir:value "10002272" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an reduction in the amount of hemoglobin in 100 ml of blood. Signs and symptoms of anemia may include pallor of the skin and mucous membranes, shortness of breath, palpitations of the heart, soft systolic murmurs, lethargy, and fatigability." ]     ], [
       fhir:index 23;
       fhir:CodeSystem.concept.code [ fhir:value "10002544" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ankle fracture" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the ankle joint characterized by a break in the continuity of the ankle bone. Symptoms include marked discomfort, swelling and difficulty moving the affected leg and foot." ]     ], [
       fhir:index 24;
       fhir:CodeSystem.concept.code [ fhir:value "10002646" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anorexia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a loss of appetite." ]     ], [
       fhir:index 25;
       fhir:CodeSystem.concept.code [ fhir:value "10002652" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anorgasmia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an inability to achieve orgasm." ]     ], [
       fhir:index 26;
       fhir:CodeSystem.concept.code [ fhir:value "10002855" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anxiety" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by apprehension of danger and dread accompanied by restlessness, tension, tachycardia, and dyspnea unattached to a clearly identifiable stimulus." ]     ], [
       fhir:index 27;
       fhir:CodeSystem.concept.code [ fhir:value "10002899" ];
       fhir:CodeSystem.concept.display [ fhir:value "Aortic injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the aorta." ]     ], [
       fhir:index 28;
       fhir:CodeSystem.concept.code [ fhir:value "10002953" ];
       fhir:CodeSystem.concept.display [ fhir:value "Aphonia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the inability to speak. It may result from injuries to the vocal cords or may be functional (psychogenic)." ]     ], [
       fhir:index 29;
       fhir:CodeSystem.concept.code [ fhir:value "10002972" ];
       fhir:CodeSystem.concept.display [ fhir:value "Apnea" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by cessation of breathing." ]     ], [
       fhir:index 30;
       fhir:CodeSystem.concept.code [ fhir:value "10003011" ];
       fhir:CodeSystem.concept.display [ fhir:value "Appendicitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by acute inflammation to the vermiform appendix caused by a pathogenic agent." ]     ], [
       fhir:index 31;
       fhir:CodeSystem.concept.code [ fhir:value "10003012" ];
       fhir:CodeSystem.concept.display [ fhir:value "Appendicitis perforated" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by acute inflammation to the vermiform appendix caused by a pathogenic agent with gangrenous changes resulting in the rupture of the appendiceal wall. The appendiceal wall rupture causes the release of inflammatory and bacterial contents from the appendiceal lumen into the abdominal cavity." ]     ], [
       fhir:index 32;
       fhir:CodeSystem.concept.code [ fhir:value "10003074" ];
       fhir:CodeSystem.concept.display [ fhir:value "Arachnoiditis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the arachnoid membrane and adjacent subarachnoid space." ]     ], [
       fhir:index 33;
       fhir:CodeSystem.concept.code [ fhir:value "10003162" ];
       fhir:CodeSystem.concept.display [ fhir:value "Arterial injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to an artery." ]     ], [
       fhir:index 34;
       fhir:CodeSystem.concept.code [ fhir:value "10003239" ];
       fhir:CodeSystem.concept.display [ fhir:value "Arthralgia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in a joint." ]     ], [
       fhir:index 35;
       fhir:CodeSystem.concept.code [ fhir:value "10003246" ];
       fhir:CodeSystem.concept.display [ fhir:value "Arthritis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation involving a joint." ]     ], [
       fhir:index 36;
       fhir:CodeSystem.concept.code [ fhir:value "10003445" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ascites" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by accumulation of serous or hemorrhagic fluid in the peritoneal cavity." ]     ], [
       fhir:index 37;
       fhir:CodeSystem.concept.code [ fhir:value "10003481" ];
       fhir:CodeSystem.concept.display [ fhir:value "Aspartate aminotransferase increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an increase in the level of aspartate aminotransferase (AST or SGOT) in a blood specimen." ]     ], [
       fhir:index 38;
       fhir:CodeSystem.concept.code [ fhir:value "10003504" ];
       fhir:CodeSystem.concept.display [ fhir:value "Aspiration" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inhalation of solids or liquids into the lungs." ]     ], [
       fhir:index 39;
       fhir:CodeSystem.concept.code [ fhir:value "10003586" ];
       fhir:CodeSystem.concept.display [ fhir:value "Asystole" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia without cardiac electrical activity. Typically, this is accompanied by cessation of the pumping function of the heart." ]     ], [
       fhir:index 40;
       fhir:CodeSystem.concept.code [ fhir:value "10003591" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ataxia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by lack of coordination of muscle movements resulting in the impairment or inability to perform voluntary activities." ]     ], [
       fhir:index 41;
       fhir:CodeSystem.concept.code [ fhir:value "10003598" ];
       fhir:CodeSystem.concept.display [ fhir:value "Atelectasis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the collapse of part or the entire lung." ]     ], [
       fhir:index 42;
       fhir:CodeSystem.concept.code [ fhir:value "10003658" ];
       fhir:CodeSystem.concept.display [ fhir:value "Atrial fibrillation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia without discernible P waves and an irregular ventricular response due to multiple reentry circuits. The rhythm disturbance originates above the ventricles." ]     ], [
       fhir:index 43;
       fhir:CodeSystem.concept.code [ fhir:value "10003662" ];
       fhir:CodeSystem.concept.display [ fhir:value "Atrial flutter" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia with organized rhythmic atrial contractions with a rate of 200-300 beats per minute. The rhythm disturbance originates in the atria." ]     ], [
       fhir:index 44;
       fhir:CodeSystem.concept.code [ fhir:value "10003673" ];
       fhir:CodeSystem.concept.display [ fhir:value "Atrioventricular block complete" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia with complete failure of atrial electrical impulse conduction through the AV node to the ventricles." ]     ], [
       fhir:index 45;
       fhir:CodeSystem.concept.code [ fhir:value "10003674" ];
       fhir:CodeSystem.concept.display [ fhir:value "Atrioventricular block first degree" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia with a delay in the time required for the conduction of an electrical impulse through the atrioventricular (AV) node beyond 0.2 seconds; prolongation of the PR interval greater than 200 milliseconds." ]     ], [
       fhir:index 46;
       fhir:CodeSystem.concept.code [ fhir:value "10003883" ];
       fhir:CodeSystem.concept.display [ fhir:value "Azoospermia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate complete absence of spermatozoa in the semen." ]     ], [
       fhir:index 47;
       fhir:CodeSystem.concept.code [ fhir:value "10003988" ];
       fhir:CodeSystem.concept.display [ fhir:value "Back pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the back region." ]     ], [
       fhir:index 48;
       fhir:CodeSystem.concept.code [ fhir:value "10004665" ];
       fhir:CodeSystem.concept.display [ fhir:value "Biliary fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the bile ducts and another organ or anatomic site." ]     ], [
       fhir:index 49;
       fhir:CodeSystem.concept.code [ fhir:value "10005047" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bladder infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the bladder." ]     ], [
       fhir:index 50;
       fhir:CodeSystem.concept.code [ fhir:value "10005265" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bloating" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by subject-reported feeling of uncomfortable fullness of the abdomen." ]     ], [
       fhir:index 51;
       fhir:CodeSystem.concept.code [ fhir:value "10005329" ];
       fhir:CodeSystem.concept.display [ fhir:value "Blood and lymphatic system disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 52;
       fhir:CodeSystem.concept.code [ fhir:value "10005332" ];
       fhir:CodeSystem.concept.display [ fhir:value "Blood antidiuretic hormone abnormal" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate abnormal levels of antidiuretic hormone in the blood specimen." ]     ], [
       fhir:index 53;
       fhir:CodeSystem.concept.code [ fhir:value "10005364" ];
       fhir:CodeSystem.concept.display [ fhir:value "Blood bilirubin increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an abnormally high level of bilirubin in the blood. Excess bilirubin is associated with jaundice." ]     ], [
       fhir:index 54;
       fhir:CodeSystem.concept.code [ fhir:value "10005452" ];
       fhir:CodeSystem.concept.display [ fhir:value "Blood corticotrophin decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an decrease in levels of corticotrophin in a blood specimen." ]     ], [
       fhir:index 55;
       fhir:CodeSystem.concept.code [ fhir:value "10005561" ];
       fhir:CodeSystem.concept.display [ fhir:value "Blood gonadotrophin abnormal" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate abnormal levels of gonadotrophin hormone in a blood specimen." ]     ], [
       fhir:index 56;
       fhir:CodeSystem.concept.code [ fhir:value "10005778" ];
       fhir:CodeSystem.concept.display [ fhir:value "Blood prolactin abnormal" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate abnormal levels of prolactin hormone in a blood specimen." ]     ], [
       fhir:index 57;
       fhir:CodeSystem.concept.code [ fhir:value "10005886" ];
       fhir:CodeSystem.concept.display [ fhir:value "Blurred vision" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by visual perception of unclear or fuzzy images." ]     ], [
       fhir:index 58;
       fhir:CodeSystem.concept.code [ fhir:value "10005901" ];
       fhir:CodeSystem.concept.display [ fhir:value "Body odor" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal body smell resulting from the growth of bacteria on the body." ]     ], [
       fhir:index 59;
       fhir:CodeSystem.concept.code [ fhir:value "10006002" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bone pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the bones." ]     ], [
       fhir:index 60;
       fhir:CodeSystem.concept.code [ fhir:value "10006179" ];
       fhir:CodeSystem.concept.display [ fhir:value "Breast atrophy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by underdevelopment of the breast." ]     ], [
       fhir:index 61;
       fhir:CodeSystem.concept.code [ fhir:value "10006259" ];
       fhir:CodeSystem.concept.display [ fhir:value "Breast infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the breast." ]     ], [
       fhir:index 62;
       fhir:CodeSystem.concept.code [ fhir:value "10006298" ];
       fhir:CodeSystem.concept.display [ fhir:value "Breast pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the breast region." ]     ], [
       fhir:index 63;
       fhir:CodeSystem.concept.code [ fhir:value "10006437" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bronchial fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the bronchus and another organ or anatomic site." ]     ], [
       fhir:index 64;
       fhir:CodeSystem.concept.code [ fhir:value "10006440" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bronchial obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of a bronchus passage, most often by bronchial secretions and exudates." ]     ], [
       fhir:index 65;
       fhir:CodeSystem.concept.code [ fhir:value "10006482" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bronchospasm" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sudden contraction of the smooth muscles of the bronchial wall." ]     ], [
       fhir:index 66;
       fhir:CodeSystem.concept.code [ fhir:value "10006504" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bruising" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of injury of the soft tissues or bone characterized by leakage of blood into surrounding tissues." ]     ], [
       fhir:index 67;
       fhir:CodeSystem.concept.code [ fhir:value "10006556" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bullous dermatitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the skin characterized by the presence of bullae which are filled with fluid." ]     ], [
       fhir:index 68;
       fhir:CodeSystem.concept.code [ fhir:value "10006634" ];
       fhir:CodeSystem.concept.display [ fhir:value "Burn" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of impaired integrity to the anatomic site of an adverse thermal reaction. Burns can be caused by exposure to chemicals, direct heat, electricity, flames and radiation. The extent of damage depends on the length and intensity of exposure and time until provision of treatment." ]     ], [
       fhir:index 69;
       fhir:CodeSystem.concept.code [ fhir:value "10007196" ];
       fhir:CodeSystem.concept.display [ fhir:value "Capillary leak syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by leakage of intravascular fluids into the extravascular space. This syndrome is observed in patients who demonstrate a state of generalized leaky capillaries following shock syndromes, low-flow states, ischemia-reperfusion injuries, toxemias, medications, or poisoning. It can lead to generalized edema and multiple organ failure." ]     ], [
       fhir:index 70;
       fhir:CodeSystem.concept.code [ fhir:value "10007515" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cardiac arrest" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by cessation of the pumping function of the heart." ]     ], [
       fhir:index 71;
       fhir:CodeSystem.concept.code [ fhir:value "10007541" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cardiac disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 72;
       fhir:CodeSystem.concept.code [ fhir:value "10007612" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cardiac troponin I increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A laboratory test result which indicates increased levels of cardiac troponin I in a biological specimen." ]     ], [
       fhir:index 73;
       fhir:CodeSystem.concept.code [ fhir:value "10007613" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cardiac troponin T increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A laboratory test result which indicates increased levels of cardiac troponin T in a biological specimen." ]     ], [
       fhir:index 74;
       fhir:CodeSystem.concept.code [ fhir:value "10007739" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cataract" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by partial or complete opacity of the crystalline lens of one or both eyes. This results in a decrease in visual acuity and eventual blindness if untreated." ]     ], [
       fhir:index 75;
       fhir:CodeSystem.concept.code [ fhir:value "10007810" ];
       fhir:CodeSystem.concept.display [ fhir:value "Catheter related infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process that arises secondary to catheter use." ]     ], [
       fhir:index 76;
       fhir:CodeSystem.concept.code [ fhir:value "10007839" ];
       fhir:CodeSystem.concept.display [ fhir:value "CD4 lymphocytes decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an decrease in levels of CD4 lymphocytes in a blood specimen." ]     ], [
       fhir:index 77;
       fhir:CodeSystem.concept.code [ fhir:value "10008164" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cerebrospinal fluid leakage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by loss of cerebrospinal fluid into the surrounding tissues." ]     ], [
       fhir:index 78;
       fhir:CodeSystem.concept.code [ fhir:value "10008330" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cervicitis infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the uterine cervix." ]     ], [
       fhir:index 79;
       fhir:CodeSystem.concept.code [ fhir:value "10008417" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cheilitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the lip." ]     ], [
       fhir:index 80;
       fhir:CodeSystem.concept.code [ fhir:value "10008481" ];
       fhir:CodeSystem.concept.display [ fhir:value "Chest pain - cardiac" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by substernal discomfort due to insufficient myocardial oxygenation." ]     ], [
       fhir:index 81;
       fhir:CodeSystem.concept.code [ fhir:value "10008496" ];
       fhir:CodeSystem.concept.display [ fhir:value "Chest wall pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the chest wall region." ]     ], [
       fhir:index 82;
       fhir:CodeSystem.concept.code [ fhir:value "10008531" ];
       fhir:CodeSystem.concept.display [ fhir:value "Chills" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of cold that often marks a physiologic response to sweating after a fever." ]     ], [
       fhir:index 83;
       fhir:CodeSystem.concept.code [ fhir:value "10008612" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cholecystitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation involving the gallbladder. It may be associated with the presence of gallstones." ]     ], [
       fhir:index 84;
       fhir:CodeSystem.concept.code [ fhir:value "10008661" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cholesterol high" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate higher than normal levels of cholesterol in a blood specimen." ]     ], [
       fhir:index 85;
       fhir:CodeSystem.concept.code [ fhir:value "10009845" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cognitive disturbance" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a conspicuous change in cognitive function." ]     ], [
       fhir:index 86;
       fhir:CodeSystem.concept.code [ fhir:value "10009887" ];
       fhir:CodeSystem.concept.display [ fhir:value "Colitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the colon." ]     ], [
       fhir:index 87;
       fhir:CodeSystem.concept.code [ fhir:value "10009995" ];
       fhir:CodeSystem.concept.display [ fhir:value "Colonic fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the large intestine and another organ or anatomic site." ]     ], [
       fhir:index 88;
       fhir:CodeSystem.concept.code [ fhir:value "10009998" ];
       fhir:CodeSystem.concept.display [ fhir:value "Colonic hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the colon." ]     ], [
       fhir:index 89;
       fhir:CodeSystem.concept.code [ fhir:value "10010000" ];
       fhir:CodeSystem.concept.display [ fhir:value "Colonic obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the normal flow of the intestinal contents in the colon." ]     ], [
       fhir:index 90;
       fhir:CodeSystem.concept.code [ fhir:value "10010001" ];
       fhir:CodeSystem.concept.display [ fhir:value "Colonic perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the colonic wall." ]     ], [
       fhir:index 91;
       fhir:CodeSystem.concept.code [ fhir:value "10010004" ];
       fhir:CodeSystem.concept.display [ fhir:value "Colonic stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the lumen of the colon." ]     ], [
       fhir:index 92;
       fhir:CodeSystem.concept.code [ fhir:value "10010006" ];
       fhir:CodeSystem.concept.display [ fhir:value "Colonic ulcer" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a circumscribed, inflammatory and necrotic erosive lesion on the mucosal surface of the colon." ]     ], [
       fhir:index 93;
       fhir:CodeSystem.concept.code [ fhir:value "10010250" ];
       fhir:CodeSystem.concept.display [ fhir:value "Concentration impairment" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a deterioration in the ability to concentrate." ]     ], [
       fhir:index 94;
       fhir:CodeSystem.concept.code [ fhir:value "10010276" ];
       fhir:CodeSystem.concept.display [ fhir:value "Conduction disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by pathological irregularities in the cardiac conduction system." ]     ], [
       fhir:index 95;
       fhir:CodeSystem.concept.code [ fhir:value "10010300" ];
       fhir:CodeSystem.concept.display [ fhir:value "Confusion" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a lack of clear and orderly thought and behavior." ]     ], [
       fhir:index 96;
       fhir:CodeSystem.concept.code [ fhir:value "10010331" ];
       fhir:CodeSystem.concept.display [ fhir:value "Congenital, familial and genetic disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 97;
       fhir:CodeSystem.concept.code [ fhir:value "10010741" ];
       fhir:CodeSystem.concept.display [ fhir:value "Conjunctivitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation, swelling and redness to the conjunctiva of the eye." ]     ], [
       fhir:index 98;
       fhir:CodeSystem.concept.code [ fhir:value "10010742" ];
       fhir:CodeSystem.concept.display [ fhir:value "Conjunctivitis infective" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the conjunctiva. Clinical manifestations include pink or red color in the eyes." ]     ], [
       fhir:index 99;
       fhir:CodeSystem.concept.code [ fhir:value "10010774" ];
       fhir:CodeSystem.concept.display [ fhir:value "Constipation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by irregular and infrequent or difficult evacuation of the bowels." ]     ], [
       fhir:index 100;
       fhir:CodeSystem.concept.code [ fhir:value "10010783" ];
       fhir:CodeSystem.concept.display [ fhir:value "Constrictive pericarditis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a thickened and fibrotic pericardial sac; these fibrotic changes impede normal myocardial function by restricting myocardial muscle action." ]     ], [
       fhir:index 101;
       fhir:CodeSystem.concept.code [ fhir:value "10011224" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cough" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by sudden, often repetitive, spasmodic contraction of the thoracic cavity, resulting in violent release of air from the lungs and usually accompanied by a distinctive sound." ]     ], [
       fhir:index 102;
       fhir:CodeSystem.concept.code [ fhir:value "10011268" ];
       fhir:CodeSystem.concept.display [ fhir:value "CPK increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an increase in levels of creatine phosphokinase in a blood specimen." ]     ], [
       fhir:index 103;
       fhir:CodeSystem.concept.code [ fhir:value "10011368" ];
       fhir:CodeSystem.concept.display [ fhir:value "Creatinine increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate increased levels of creatinine in a biological specimen." ]     ], [
       fhir:index 104;
       fhir:CodeSystem.concept.code [ fhir:value "10011655" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cushingoid" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by signs and symptoms that resemble Cushing's disease or syndrome: buffalo hump obesity, striations, adiposity, hypertension, diabetes, and osteoporosis, usually due to exogenous corticosteroids." ]     ], [
       fhir:index 105;
       fhir:CodeSystem.concept.code [ fhir:value "10011912" ];
       fhir:CodeSystem.concept.display [ fhir:value "Death neonatal" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by cessation of life occurring during the first 28 days of life." ]     ], [
       fhir:index 106;
       fhir:CodeSystem.concept.code [ fhir:value "10011914" ];
       fhir:CodeSystem.concept.display [ fhir:value "Death NOS" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A cessation of life that cannot be attributed to a CTCAE term associated with Grade 5." ]     ], [
       fhir:index 107;
       fhir:CodeSystem.concept.code [ fhir:value "10012174" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dehydration" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by excessive loss of water from the body. It is usually caused by severe diarrhea, vomiting or diaphoresis." ]     ], [
       fhir:index 108;
       fhir:CodeSystem.concept.code [ fhir:value "10012205" ];
       fhir:CodeSystem.concept.display [ fhir:value "Delayed puberty" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by unusually late sexual maturity." ]     ], [
       fhir:index 109;
       fhir:CodeSystem.concept.code [ fhir:value "10012218" ];
       fhir:CodeSystem.concept.display [ fhir:value "Delirium" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the acute and sudden development of confusion, illusions, movement changes, inattentiveness, agitation, and hallucinations. Usually, it is a reversible condition." ]     ], [
       fhir:index 110;
       fhir:CodeSystem.concept.code [ fhir:value "10012260" ];
       fhir:CodeSystem.concept.display [ fhir:value "Delusions" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by false personal beliefs held contrary to reality, despite contradictory evidence and common sense." ]     ], [
       fhir:index 111;
       fhir:CodeSystem.concept.code [ fhir:value "10012318" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dental caries" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the decay of a tooth, in which it becomes softened, discolored and/or porous." ]     ], [
       fhir:index 112;
       fhir:CodeSystem.concept.code [ fhir:value "10012373" ];
       fhir:CodeSystem.concept.display [ fhir:value "Depressed level of consciousness" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in ability to perceive and respond." ]     ], [
       fhir:index 113;
       fhir:CodeSystem.concept.code [ fhir:value "10012378" ];
       fhir:CodeSystem.concept.display [ fhir:value "Depression" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by melancholic feelings of grief or unhappiness." ]     ], [
       fhir:index 114;
       fhir:CodeSystem.concept.code [ fhir:value "10012727" ];
       fhir:CodeSystem.concept.display [ fhir:value "Diarrhea" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by frequent and watery bowel movements." ]     ], [
       fhir:index 115;
       fhir:CodeSystem.concept.code [ fhir:value "10013442" ];
       fhir:CodeSystem.concept.display [ fhir:value "Disseminated intravascular coagulation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by systemic pathological activation of blood clotting mechanisms which results in clot formation throughout the body. There is an increase in the risk of hemorrhage as the body is depleted of platelets and coagulation factors." ]     ], [
       fhir:index 116;
       fhir:CodeSystem.concept.code [ fhir:value "10013573" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dizziness" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a disturbing sensation of lightheadedness, unsteadiness, giddiness, spinning or rocking." ]     ], [
       fhir:index 117;
       fhir:CodeSystem.concept.code [ fhir:value "10013774" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dry eye" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by dryness of the cornea and conjunctiva." ]     ], [
       fhir:index 118;
       fhir:CodeSystem.concept.code [ fhir:value "10013781" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dry mouth" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by reduced salivary flow in the oral cavity." ]     ], [
       fhir:index 119;
       fhir:CodeSystem.concept.code [ fhir:value "10013786" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dry skin" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by flaky and dull skin; the pores are generally fine, the texture is a papery thin texture." ]     ], [
       fhir:index 120;
       fhir:CodeSystem.concept.code [ fhir:value "10013828" ];
       fhir:CodeSystem.concept.display [ fhir:value "Duodenal fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the duodenum and another organ or anatomic site." ]     ], [
       fhir:index 121;
       fhir:CodeSystem.concept.code [ fhir:value "10013830" ];
       fhir:CodeSystem.concept.display [ fhir:value "Duodenal obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the normal flow of stomach contents through the duodenum." ]     ], [
       fhir:index 122;
       fhir:CodeSystem.concept.code [ fhir:value "10013832" ];
       fhir:CodeSystem.concept.display [ fhir:value "Duodenal perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the duodenal wall." ]     ], [
       fhir:index 123;
       fhir:CodeSystem.concept.code [ fhir:value "10013836" ];
       fhir:CodeSystem.concept.display [ fhir:value "Duodenal ulcer" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a circumscribed, inflammatory and necrotic erosive lesion on the mucosal surface of the duodenal wall." ]     ], [
       fhir:index 124;
       fhir:CodeSystem.concept.code [ fhir:value "10013887" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dysarthria" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by slow and slurred speech resulting from an inability to coordinate the muscles used in speech." ]     ], [
       fhir:index 125;
       fhir:CodeSystem.concept.code [ fhir:value "10013911" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dysgeusia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by abnormal sensual experience with the taste of foodstuffs; it can be related to a decrease in the sense of smell." ]     ], [
       fhir:index 126;
       fhir:CodeSystem.concept.code [ fhir:value "10013934" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dysmenorrhea" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by abnormally painful abdominal cramps during menses." ]     ], [
       fhir:index 127;
       fhir:CodeSystem.concept.code [ fhir:value "10013941" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dyspareunia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by painful or difficult coitus." ]     ], [
       fhir:index 128;
       fhir:CodeSystem.concept.code [ fhir:value "10013946" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dyspepsia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an uncomfortable, often painful feeling in the stomach, resulting from impaired digestion. Symptoms include burning stomach, bloating, heartburn, nausea and vomiting." ]     ], [
       fhir:index 129;
       fhir:CodeSystem.concept.code [ fhir:value "10013950" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dysphagia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by difficulty in swallowing." ]     ], [
       fhir:index 130;
       fhir:CodeSystem.concept.code [ fhir:value "10013951" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dysphasia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by impairment of verbal communication skills, often resulting from brain damage." ]     ], [
       fhir:index 131;
       fhir:CodeSystem.concept.code [ fhir:value "10013963" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dyspnea" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an uncomfortable sensation of difficulty breathing." ]     ], [
       fhir:index 132;
       fhir:CodeSystem.concept.code [ fhir:value "10013993" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ear and labyrinth disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 133;
       fhir:CodeSystem.concept.code [ fhir:value "10014020" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ear pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the ear." ]     ], [
       fhir:index 134;
       fhir:CodeSystem.concept.code [ fhir:value "10014217" ];
       fhir:CodeSystem.concept.display [ fhir:value "Edema cerebral" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by swelling due to an excessive accumulation of fluid in the brain." ]     ], [
       fhir:index 135;
       fhir:CodeSystem.concept.code [ fhir:value "10014222" ];
       fhir:CodeSystem.concept.display [ fhir:value "Edema face" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by swelling due to excessive fluid accumulation in facial tissues." ]     ], [
       fhir:index 136;
       fhir:CodeSystem.concept.code [ fhir:value "10014326" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ejaculation disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by problems related to ejaculation. This category includes premature, delayed, retrograde and painful ejaculation." ]     ], [
       fhir:index 137;
       fhir:CodeSystem.concept.code [ fhir:value "10014383" ];
       fhir:CodeSystem.concept.display [ fhir:value "Electrocardiogram QT corrected interval prolonged" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of a cardiac dysrhythmia characterized by an abnormally long corrected QT interval." ]     ], [
       fhir:index 138;
       fhir:CodeSystem.concept.code [ fhir:value "10014594" ];
       fhir:CodeSystem.concept.display [ fhir:value "Encephalitis infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the brain tissue." ]     ], [
       fhir:index 139;
       fhir:CodeSystem.concept.code [ fhir:value "10014621" ];
       fhir:CodeSystem.concept.display [ fhir:value "Encephalomyelitis infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the brain and spinal cord tissues." ]     ], [
       fhir:index 140;
       fhir:CodeSystem.concept.code [ fhir:value "10014625" ];
       fhir:CodeSystem.concept.display [ fhir:value "Encephalopathy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a pathologic process involving the brain." ]     ], [
       fhir:index 141;
       fhir:CodeSystem.concept.code [ fhir:value "10014678" ];
       fhir:CodeSystem.concept.display [ fhir:value "Endocarditis infective" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the endocardial layer of the heart." ]     ], [
       fhir:index 142;
       fhir:CodeSystem.concept.code [ fhir:value "10014698" ];
       fhir:CodeSystem.concept.display [ fhir:value "Endocrine disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 143;
       fhir:CodeSystem.concept.code [ fhir:value "10014801" ];
       fhir:CodeSystem.concept.display [ fhir:value "Endophthalmitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the internal structures of the eye." ]     ], [
       fhir:index 144;
       fhir:CodeSystem.concept.code [ fhir:value "10014893" ];
       fhir:CodeSystem.concept.display [ fhir:value "Enterocolitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the small and large intestines." ]     ], [
       fhir:index 145;
       fhir:CodeSystem.concept.code [ fhir:value "10015090" ];
       fhir:CodeSystem.concept.display [ fhir:value "Epistaxis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the nose." ]     ], [
       fhir:index 146;
       fhir:CodeSystem.concept.code [ fhir:value "10015218" ];
       fhir:CodeSystem.concept.display [ fhir:value "Erythema multiforme" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by target lesions (a pink-red ring around a pale center)." ]     ], [
       fhir:index 147;
       fhir:CodeSystem.concept.code [ fhir:value "10015277" ];
       fhir:CodeSystem.concept.display [ fhir:value "Erythroderma" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by generalized inflammatory erythema and exfoliation. The inflammatory process involves > 90% of the body surface area." ]     ], [
       fhir:index 148;
       fhir:CodeSystem.concept.code [ fhir:value "10015384" ];
       fhir:CodeSystem.concept.display [ fhir:value "Esophageal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the esophagus." ]     ], [
       fhir:index 149;
       fhir:CodeSystem.concept.code [ fhir:value "10015387" ];
       fhir:CodeSystem.concept.display [ fhir:value "Esophageal obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the normal flow of the contents in the esophagus." ]     ], [
       fhir:index 150;
       fhir:CodeSystem.concept.code [ fhir:value "10015388" ];
       fhir:CodeSystem.concept.display [ fhir:value "Esophageal pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the esophageal region." ]     ], [
       fhir:index 151;
       fhir:CodeSystem.concept.code [ fhir:value "10015448" ];
       fhir:CodeSystem.concept.display [ fhir:value "Esophageal stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the lumen of the esophagus." ]     ], [
       fhir:index 152;
       fhir:CodeSystem.concept.code [ fhir:value "10015451" ];
       fhir:CodeSystem.concept.display [ fhir:value "Esophageal ulcer" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a circumscribed, inflammatory and necrotic erosive lesion on the mucosal surface of the esophageal wall." ]     ], [
       fhir:index 153;
       fhir:CodeSystem.concept.code [ fhir:value "10015453" ];
       fhir:CodeSystem.concept.display [ fhir:value "Esophageal varices hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from esophageal varices." ]     ], [
       fhir:index 154;
       fhir:CodeSystem.concept.code [ fhir:value "10015461" ];
       fhir:CodeSystem.concept.display [ fhir:value "Esophagitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the esophageal wall." ]     ], [
       fhir:index 155;
       fhir:CodeSystem.concept.code [ fhir:value "10015533" ];
       fhir:CodeSystem.concept.display [ fhir:value "Euphoria" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an exaggerated feeling of well-being which is disproportionate to events and stimuli." ]     ], [
       fhir:index 156;
       fhir:CodeSystem.concept.code [ fhir:value "10015688" ];
       fhir:CodeSystem.concept.display [ fhir:value "Exostosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by non-neoplastic overgrowth of bone." ]     ], [
       fhir:index 157;
       fhir:CodeSystem.concept.code [ fhir:value "10015829" ];
       fhir:CodeSystem.concept.display [ fhir:value "Extraocular muscle paresis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by incomplete paralysis of an extraocular muscle." ]     ], [
       fhir:index 158;
       fhir:CodeSystem.concept.code [ fhir:value "10015832" ];
       fhir:CodeSystem.concept.display [ fhir:value "Extrapyramidal disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by abnormal, repetitive, involuntary muscle movements, frenzied speech and extreme restlessness." ]     ], [
       fhir:index 159;
       fhir:CodeSystem.concept.code [ fhir:value "10015919" ];
       fhir:CodeSystem.concept.display [ fhir:value "Eye disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 160;
       fhir:CodeSystem.concept.code [ fhir:value "10015929" ];
       fhir:CodeSystem.concept.display [ fhir:value "Eye infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the eye." ]     ], [
       fhir:index 161;
       fhir:CodeSystem.concept.code [ fhir:value "10015958" ];
       fhir:CodeSystem.concept.display [ fhir:value "Eye pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the eye." ]     ], [
       fhir:index 162;
       fhir:CodeSystem.concept.code [ fhir:value "10016059" ];
       fhir:CodeSystem.concept.display [ fhir:value "Facial pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the face." ]     ], [
       fhir:index 163;
       fhir:CodeSystem.concept.code [ fhir:value "10016173" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fall" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of sudden movement downward, usually resulting in injury." ]     ], [
       fhir:index 164;
       fhir:CodeSystem.concept.code [ fhir:value "10016241" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fat atrophy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by shrinking of adipose tissue." ]     ], [
       fhir:index 165;
       fhir:CodeSystem.concept.code [ fhir:value "10016256" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fatigue" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a state of generalized weakness with a pronounced inability to summon sufficient energy to accomplish daily activities." ]     ], [
       fhir:index 166;
       fhir:CodeSystem.concept.code [ fhir:value "10016288" ];
       fhir:CodeSystem.concept.display [ fhir:value "Febrile neutropenia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in neutrophils associated with fever." ]     ], [
       fhir:index 167;
       fhir:CodeSystem.concept.code [ fhir:value "10016296" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fecal incontinence" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inability to control the escape of stool from the rectum." ]     ], [
       fhir:index 168;
       fhir:CodeSystem.concept.code [ fhir:value "10016479" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fetal death" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by death in utero; failure of the product of conception to show evidence of respiration, heartbeat, or definite movement of a voluntary muscle after expulsion from the uterus, without possibility of resuscitation." ]     ], [
       fhir:index 169;
       fhir:CodeSystem.concept.code [ fhir:value "10016558" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fever" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by elevation of the body's temperature above the upper limit of normal." ]     ], [
       fhir:index 170;
       fhir:CodeSystem.concept.code [ fhir:value "10016596" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fibrinogen decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an decrease in levels of fibrinogen in a blood specimen." ]     ], [
       fhir:index 171;
       fhir:CodeSystem.concept.code [ fhir:value "10016750" ];
       fhir:CodeSystem.concept.display [ fhir:value "Flank pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation on the lateral side of the body in the region below the ribs and above the hip." ]     ], [
       fhir:index 172;
       fhir:CodeSystem.concept.code [ fhir:value "10016757" ];
       fhir:CodeSystem.concept.display [ fhir:value "Flashing lights" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sudden or brief burst of light." ]     ], [
       fhir:index 173;
       fhir:CodeSystem.concept.code [ fhir:value "10016766" ];
       fhir:CodeSystem.concept.display [ fhir:value "Flatulence" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a state of excessive gas in the alimentary canal." ]     ], [
       fhir:index 174;
       fhir:CodeSystem.concept.code [ fhir:value "10016778" ];
       fhir:CodeSystem.concept.display [ fhir:value "Floaters" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an individual seeing spots before their eyes. The spots are shadows of opaque cell fragments in the vitreous humor or lens." ]     ], [
       fhir:index 175;
       fhir:CodeSystem.concept.code [ fhir:value "10016791" ];
       fhir:CodeSystem.concept.display [ fhir:value "Flu like symptoms" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a group of symptoms similar to those observed in patients with the flu. It includes fever, chills, body aches, malaise, loss of appetite and dry cough." ]     ], [
       fhir:index 176;
       fhir:CodeSystem.concept.code [ fhir:value "10016825" ];
       fhir:CodeSystem.concept.display [ fhir:value "Flushing" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by episodic reddening of the face." ]     ], [
       fhir:index 177;
       fhir:CodeSystem.concept.code [ fhir:value "10016987" ];
       fhir:CodeSystem.concept.display [ fhir:value "Forced expiratory volume decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on test results that indicate a relative decrease in the fraction of the forced vital capacity that is exhaled in a specific number of seconds." ]     ], [
       fhir:index 178;
       fhir:CodeSystem.concept.code [ fhir:value "10017076" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fracture" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of traumatic injury to the bone in which the continuity of the bone is broken." ]     ], [
       fhir:index 179;
       fhir:CodeSystem.concept.code [ fhir:value "10017577" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gait disturbance" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by walking difficulties." ]     ], [
       fhir:index 180;
       fhir:CodeSystem.concept.code [ fhir:value "10017631" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gallbladder fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the gallbladder and another organ or anatomic site." ]     ], [
       fhir:index 181;
       fhir:CodeSystem.concept.code [ fhir:value "10017636" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gallbladder obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the normal flow of the contents of the gallbladder." ]     ], [
       fhir:index 182;
       fhir:CodeSystem.concept.code [ fhir:value "10017638" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gallbladder pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the gallbladder region." ]     ], [
       fhir:index 183;
       fhir:CodeSystem.concept.code [ fhir:value "10017639" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gallbladder perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the gallbladder wall." ]     ], [
       fhir:index 184;
       fhir:CodeSystem.concept.code [ fhir:value "10017789" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastric hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the gastric wall." ]     ], [
       fhir:index 185;
       fhir:CodeSystem.concept.code [ fhir:value "10017815" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastric perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the stomach wall." ]     ], [
       fhir:index 186;
       fhir:CodeSystem.concept.code [ fhir:value "10017822" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastric ulcer" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a circumscribed, inflammatory and necrotic erosive lesion on the mucosal surface of the stomach." ]     ], [
       fhir:index 187;
       fhir:CodeSystem.concept.code [ fhir:value "10017853" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastritis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the stomach." ]     ], [
       fhir:index 188;
       fhir:CodeSystem.concept.code [ fhir:value "10017877" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastrointestinal fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between any part of the gastrointestinal system and another organ or anatomic site." ]     ], [
       fhir:index 189;
       fhir:CodeSystem.concept.code [ fhir:value "10017947" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastrointestinal disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 190;
       fhir:CodeSystem.concept.code [ fhir:value "10017999" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastrointestinal pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the gastrointestinal region." ]     ], [
       fhir:index 191;
       fhir:CodeSystem.concept.code [ fhir:value "10018043" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastroparesis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an incomplete paralysis of the muscles of the stomach wall resulting in delayed emptying of the gastric contents into the small intestine." ]     ], [
       fhir:index 192;
       fhir:CodeSystem.concept.code [ fhir:value "10018065" ];
       fhir:CodeSystem.concept.display [ fhir:value "General disorders and administration site conditions - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 193;
       fhir:CodeSystem.concept.code [ fhir:value "10018146" ];
       fhir:CodeSystem.concept.display [ fhir:value "Genital edema" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by swelling due to an excessive accumulation of fluid in the genitals." ]     ], [
       fhir:index 194;
       fhir:CodeSystem.concept.code [ fhir:value "10018286" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gingival pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the gingival region." ]     ], [
       fhir:index 195;
       fhir:CodeSystem.concept.code [ fhir:value "10018304" ];
       fhir:CodeSystem.concept.display [ fhir:value "Glaucoma" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an increase in pressure in the eyeball due to obstruction of the aqueous humor outflow." ]     ], [
       fhir:index 196;
       fhir:CodeSystem.concept.code [ fhir:value "10018746" ];
       fhir:CodeSystem.concept.display [ fhir:value "Growth accelerated" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by greater growth than expected for age." ]     ], [
       fhir:index 197;
       fhir:CodeSystem.concept.code [ fhir:value "10018748" ];
       fhir:CodeSystem.concept.display [ fhir:value "Growth hormone abnormal" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate abnormal levels of growth hormone in a biological specimen." ]     ], [
       fhir:index 198;
       fhir:CodeSystem.concept.code [ fhir:value "10018761" ];
       fhir:CodeSystem.concept.display [ fhir:value "Growth suppression" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by of stature that is smaller than normal as expected for age." ]     ], [
       fhir:index 199;
       fhir:CodeSystem.concept.code [ fhir:value "10018784" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gum infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the gums." ]     ], [
       fhir:index 200;
       fhir:CodeSystem.concept.code [ fhir:value "10018801" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gynecomastia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by excessive development of the breasts in males." ]     ], [
       fhir:index 201;
       fhir:CodeSystem.concept.code [ fhir:value "10019077" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hallucinations" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a false sensory perception in the absence of an external stimulus." ]     ], [
       fhir:index 202;
       fhir:CodeSystem.concept.code [ fhir:value "10019150" ];
       fhir:CodeSystem.concept.display [ fhir:value "Haptoglobin decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an decrease in levels of haptoglobin in a blood specimen." ]     ], [
       fhir:index 203;
       fhir:CodeSystem.concept.code [ fhir:value "10019211" ];
       fhir:CodeSystem.concept.display [ fhir:value "Headache" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in various parts of the head, not confined to the area of distribution of any nerve." ]     ], [
       fhir:index 204;
       fhir:CodeSystem.concept.code [ fhir:value "10019245" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hearing impaired" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by partial or complete loss of the ability to detect or understand sounds resulting from damage to ear structures." ]     ], [
       fhir:index 205;
       fhir:CodeSystem.concept.code [ fhir:value "10019279" ];
       fhir:CodeSystem.concept.display [ fhir:value "Heart failure" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the inability of the heart to pump blood at an adequate volume to meet tissue metabolic requirements, or, the ability to do so only at an elevation in the filling pressure." ]     ], [
       fhir:index 206;
       fhir:CodeSystem.concept.code [ fhir:value "10019428" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hematoma" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a localized collection of blood, usually clotted, in an organ, space, or tissue, due to a break in the wall of a blood vessel." ]     ], [
       fhir:index 207;
       fhir:CodeSystem.concept.code [ fhir:value "10019450" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hematuria" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate blood in the urine." ]     ], [
       fhir:index 208;
       fhir:CodeSystem.concept.code [ fhir:value "10019489" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hemoglobinuria" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate the presence of free hemoglobin in the urine." ]     ], [
       fhir:index 209;
       fhir:CodeSystem.concept.code [ fhir:value "10019491" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hemolysis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate widespread erythrocyte cell membrane destruction." ]     ], [
       fhir:index 210;
       fhir:CodeSystem.concept.code [ fhir:value "10019515" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hemolytic uremic syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a form of thrombotic microangiopathy with renal failure, hemolytic anemia, and severe thrombocytopenia." ]     ], [
       fhir:index 211;
       fhir:CodeSystem.concept.code [ fhir:value "10019611" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hemorrhoids" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the presence of dilated veins in the rectum and surrounding area." ]     ], [
       fhir:index 212;
       fhir:CodeSystem.concept.code [ fhir:value "10019663" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hepatic failure" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the inability of the liver to metabolize chemicals in the body. Laboratory test results reveal abnormal plasma levels of ammonia, bilirubin, lactic dehydrogenase, and alkaline phosphatase." ]     ], [
       fhir:index 213;
       fhir:CodeSystem.concept.code [ fhir:value "10019678" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hepatic hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the liver." ]     ], [
       fhir:index 214;
       fhir:CodeSystem.concept.code [ fhir:value "10019692" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hepatic necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the hepatic parenchyma." ]     ], [
       fhir:index 215;
       fhir:CodeSystem.concept.code [ fhir:value "10019705" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hepatic pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the liver region." ]     ], [
       fhir:index 216;
       fhir:CodeSystem.concept.code [ fhir:value "10019799" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hepatitis viral" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a viral pathologic process involving the liver parenchyma." ]     ], [
       fhir:index 217;
       fhir:CodeSystem.concept.code [ fhir:value "10019805" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hepatobiliary disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 218;
       fhir:CodeSystem.concept.code [ fhir:value "10020039" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hiccups" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by repeated gulp sounds that result from an involuntary opening and closing of the glottis. This is attributed to a spasm of the diaphragm." ]     ], [
       fhir:index 219;
       fhir:CodeSystem.concept.code [ fhir:value "10020100" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hip fracture" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of traumatic injury to the hip in which the continuity of either the femoral head, femoral neck, intertrochanteric or subtrochanteric regions is broken." ]     ], [
       fhir:index 220;
       fhir:CodeSystem.concept.code [ fhir:value "10020112" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hirsutism" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the presence of excess hair growth in women in anatomic sites where growth is considered to be a secondary male characteristic and under androgen control (beard, moustache, chest, abdomen)" ]     ], [
       fhir:index 221;
       fhir:CodeSystem.concept.code [ fhir:value "10020201" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hoarseness" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by harsh and raspy voice arising from or spreading to the larynx." ]     ], [
       fhir:index 222;
       fhir:CodeSystem.concept.code [ fhir:value "10020407" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hot flashes" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an uncomfortable and temporary sensation of intense body warmth, flushing, sometimes accompanied by sweating upon cooling." ]     ], [
       fhir:index 223;
       fhir:CodeSystem.concept.code [ fhir:value "10020508" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hydrocephalus" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal increase of cerebrospinal fluid in the ventricles of the brain." ]     ], [
       fhir:index 224;
       fhir:CodeSystem.concept.code [ fhir:value "10020587" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypercalcemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate an elevation in the concentration of calcium in blood." ]     ], [
       fhir:index 225;
       fhir:CodeSystem.concept.code [ fhir:value "10020639" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hyperglycemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate an elevation in the concentration of blood sugar. It is usually an indication of diabetes mellitus or glucose intolerance." ]     ], [
       fhir:index 226;
       fhir:CodeSystem.concept.code [ fhir:value "10020642" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hyperhidrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by excessive perspiration." ]     ], [
       fhir:index 227;
       fhir:CodeSystem.concept.code [ fhir:value "10020647" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hyperkalemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate an elevation in the concentration of potassium in the blood; associated with kidney failure or sometimes with the use of diuretic drugs." ]     ], [
       fhir:index 228;
       fhir:CodeSystem.concept.code [ fhir:value "10020670" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypermagnesemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate an elevation in the concentration of magnesium in the blood." ]     ], [
       fhir:index 229;
       fhir:CodeSystem.concept.code [ fhir:value "10020680" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypernatremia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate an elevation in the concentration of sodium in the blood." ]     ], [
       fhir:index 230;
       fhir:CodeSystem.concept.code [ fhir:value "10020705" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hyperparathyroidism" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an increase in production of parathyroid hormone by the parathyroid glands. This results in hypercalcemia (abnormally high levels of calcium in the blood)." ]     ], [
       fhir:index 231;
       fhir:CodeSystem.concept.code [ fhir:value "10020765" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypersomnia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by characterized by excessive sleepiness during the daytime." ]     ], [
       fhir:index 232;
       fhir:CodeSystem.concept.code [ fhir:value "10020772" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypertension" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a pathological increase in blood pressure; a repeatedly elevation in the blood pressure exceeding 140 over 90 mm Hg." ]     ], [
       fhir:index 233;
       fhir:CodeSystem.concept.code [ fhir:value "10020850" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hyperthyroidism" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by excessive levels of thyroid hormone in the body. Common causes include an overactive thyroid gland or thyroid hormone overdose." ]     ], [
       fhir:index 234;
       fhir:CodeSystem.concept.code [ fhir:value "10020864" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypertrichosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by hair density or length beyond the accepted limits of normal in a particular body region, for a particular age or race." ]     ], [
       fhir:index 235;
       fhir:CodeSystem.concept.code [ fhir:value "10020870" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypertriglyceridemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate an elevation in the concentration of triglyceride concentration in the blood." ]     ], [
       fhir:index 236;
       fhir:CodeSystem.concept.code [ fhir:value "10020907" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hyperuricemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate an elevation in the concentration of uric acid." ]     ], [
       fhir:index 237;
       fhir:CodeSystem.concept.code [ fhir:value "10020943" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypoalbuminemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate a low concentration of albumin in the blood." ]     ], [
       fhir:index 238;
       fhir:CodeSystem.concept.code [ fhir:value "10020949" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypocalcemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate a low concentration of calcium in the blood." ]     ], [
       fhir:index 239;
       fhir:CodeSystem.concept.code [ fhir:value "10021005" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypoglycemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate a low concentration of glucose in the blood." ]     ], [
       fhir:index 240;
       fhir:CodeSystem.concept.code [ fhir:value "10021013" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypohidrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by reduced sweating." ]     ], [
       fhir:index 241;
       fhir:CodeSystem.concept.code [ fhir:value "10021018" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypokalemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate a low concentration of potassium in the blood." ]     ], [
       fhir:index 242;
       fhir:CodeSystem.concept.code [ fhir:value "10021028" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypomagnesemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate a low concentration of magnesium in the blood." ]     ], [
       fhir:index 243;
       fhir:CodeSystem.concept.code [ fhir:value "10021038" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hyponatremia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate a low concentration of sodium in the blood." ]     ], [
       fhir:index 244;
       fhir:CodeSystem.concept.code [ fhir:value "10021041" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypoparathyroidism" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in production of parathyroid hormone by the parathyroid glands." ]     ], [
       fhir:index 245;
       fhir:CodeSystem.concept.code [ fhir:value "10021059" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypophosphatemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate a low concentration of phosphates in the blood." ]     ], [
       fhir:index 246;
       fhir:CodeSystem.concept.code [ fhir:value "10021097" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypotension" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a blood pressure that is below the normal expected for an individual in a given environment." ]     ], [
       fhir:index 247;
       fhir:CodeSystem.concept.code [ fhir:value "10021113" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypothermia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormally low body temperature. Treatment is required when the body temperature is 35C (95F) or below." ]     ], [
       fhir:index 248;
       fhir:CodeSystem.concept.code [ fhir:value "10021114" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypothyroidism" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in production of thyroid hormone by the thyroid gland." ]     ], [
       fhir:index 249;
       fhir:CodeSystem.concept.code [ fhir:value "10021143" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypoxia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in the level of oxygen in the body." ]     ], [
       fhir:index 250;
       fhir:CodeSystem.concept.code [ fhir:value "10021305" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ileal perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the ileal wall." ]     ], [
       fhir:index 251;
       fhir:CodeSystem.concept.code [ fhir:value "10021307" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ileal stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the lumen of the ileum." ]     ], [
       fhir:index 252;
       fhir:CodeSystem.concept.code [ fhir:value "10021309" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ileal ulcer" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a circumscribed, inflammatory and necrotic erosive lesion on the mucosal surface of the ileum." ]     ], [
       fhir:index 253;
       fhir:CodeSystem.concept.code [ fhir:value "10021328" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ileus" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by failure of the ileum to transport intestinal contents." ]     ], [
       fhir:index 254;
       fhir:CodeSystem.concept.code [ fhir:value "10021428" ];
       fhir:CodeSystem.concept.display [ fhir:value "Immune system disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 255;
       fhir:CodeSystem.concept.code [ fhir:value "10021881" ];
       fhir:CodeSystem.concept.display [ fhir:value "Infections and infestations - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 256;
       fhir:CodeSystem.concept.code [ fhir:value "10021918" ];
       fhir:CodeSystem.concept.display [ fhir:value "Infective myositis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the skeletal muscles." ]     ], [
       fhir:index 257;
       fhir:CodeSystem.concept.code [ fhir:value "10022095" ];
       fhir:CodeSystem.concept.display [ fhir:value "Injection site reaction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an intense adverse reaction (usually immunologic) developing at the site of an injection." ]     ], [
       fhir:index 258;
       fhir:CodeSystem.concept.code [ fhir:value "10022117" ];
       fhir:CodeSystem.concept.display [ fhir:value "Injury, poisoning and procedural complications - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 259;
       fhir:CodeSystem.concept.code [ fhir:value "10022161" ];
       fhir:CodeSystem.concept.display [ fhir:value "Injury to carotid artery" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the carotid artery." ]     ], [
       fhir:index 260;
       fhir:CodeSystem.concept.code [ fhir:value "10022213" ];
       fhir:CodeSystem.concept.display [ fhir:value "Injury to inferior vena cava" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the inferior vena cava." ]     ], [
       fhir:index 261;
       fhir:CodeSystem.concept.code [ fhir:value "10022356" ];
       fhir:CodeSystem.concept.display [ fhir:value "Injury to superior vena cava" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the superior vena cava." ]     ], [
       fhir:index 262;
       fhir:CodeSystem.concept.code [ fhir:value "10022402" ];
       fhir:CodeSystem.concept.display [ fhir:value "INR increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an increase in the ratio of the patient's prothrombin time to a control sample in the blood." ]     ], [
       fhir:index 263;
       fhir:CodeSystem.concept.code [ fhir:value "10022437" ];
       fhir:CodeSystem.concept.display [ fhir:value "Insomnia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by difficulty in falling asleep and/or remaining asleep." ]     ], [
       fhir:index 264;
       fhir:CodeSystem.concept.code [ fhir:value "10022763" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intracranial hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the cranium." ]     ], [
       fhir:index 265;
       fhir:CodeSystem.concept.code [ fhir:value "10022891" ];
       fhir:CodeSystem.concept.display [ fhir:value "Investigations - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 266;
       fhir:CodeSystem.concept.code [ fhir:value "10022992" ];
       fhir:CodeSystem.concept.display [ fhir:value "Irregular menstruation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by irregular cycle or duration of menses." ]     ], [
       fhir:index 267;
       fhir:CodeSystem.concept.code [ fhir:value "10022998" ];
       fhir:CodeSystem.concept.display [ fhir:value "Irritability" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal responsiveness to stimuli or physiological arousal; may be in response to pain, fright, a drug, an emotional situation or a medical condition." ]     ], [
       fhir:index 268;
       fhir:CodeSystem.concept.code [ fhir:value "10023030" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ischemia cerebrovascular" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease or absence of blood supply to the brain caused by obstruction (thrombosis or embolism) of an artery resulting in neurological damage." ]     ], [
       fhir:index 269;
       fhir:CodeSystem.concept.code [ fhir:value "10023174" ];
       fhir:CodeSystem.concept.display [ fhir:value "Jejunal perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the jejunal wall." ]     ], [
       fhir:index 270;
       fhir:CodeSystem.concept.code [ fhir:value "10023176" ];
       fhir:CodeSystem.concept.display [ fhir:value "Jejunal stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the lumen of the jejunum." ]     ], [
       fhir:index 271;
       fhir:CodeSystem.concept.code [ fhir:value "10023177" ];
       fhir:CodeSystem.concept.display [ fhir:value "Jejunal ulcer" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a circumscribed, inflammatory and necrotic erosive lesion on the mucosal surface of the jejunum." ]     ], [
       fhir:index 272;
       fhir:CodeSystem.concept.code [ fhir:value "10023215" ];
       fhir:CodeSystem.concept.display [ fhir:value "Joint effusion" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by excessive fluid in a joint, usually as a result of joint inflammation." ]     ], [
       fhir:index 273;
       fhir:CodeSystem.concept.code [ fhir:value "10023216" ];
       fhir:CodeSystem.concept.display [ fhir:value "Joint infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving a joint." ]     ], [
       fhir:index 274;
       fhir:CodeSystem.concept.code [ fhir:value "10023332" ];
       fhir:CodeSystem.concept.display [ fhir:value "Keratitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation to the cornea of the eye." ]     ], [
       fhir:index 275;
       fhir:CodeSystem.concept.code [ fhir:value "10023424" ];
       fhir:CodeSystem.concept.display [ fhir:value "Kidney infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the kidney." ]     ], [
       fhir:index 276;
       fhir:CodeSystem.concept.code [ fhir:value "10023509" ];
       fhir:CodeSystem.concept.display [ fhir:value "Kyphosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal increase in the curvature of the thoracic portion of the spine." ]     ], [
       fhir:index 277;
       fhir:CodeSystem.concept.code [ fhir:value "10023838" ];
       fhir:CodeSystem.concept.display [ fhir:value "Laryngeal edema" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by swelling due to an excessive accumulation of fluid in the larynx." ]     ], [
       fhir:index 278;
       fhir:CodeSystem.concept.code [ fhir:value "10023862" ];
       fhir:CodeSystem.concept.display [ fhir:value "Laryngeal stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the laryngeal airway." ]     ], [
       fhir:index 279;
       fhir:CodeSystem.concept.code [ fhir:value "10023874" ];
       fhir:CodeSystem.concept.display [ fhir:value "Laryngitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an inflammatory process involving the larynx." ]     ], [
       fhir:index 280;
       fhir:CodeSystem.concept.code [ fhir:value "10023891" ];
       fhir:CodeSystem.concept.display [ fhir:value "Laryngospasm" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by paroxysmal spasmodic muscular contraction of the vocal cords." ]     ], [
       fhir:index 281;
       fhir:CodeSystem.concept.code [ fhir:value "10024264" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lethargy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in consciousness characterized by mental and physical inertness." ]     ], [
       fhir:index 282;
       fhir:CodeSystem.concept.code [ fhir:value "10024378" ];
       fhir:CodeSystem.concept.display [ fhir:value "Leukocytosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate an increased number of white blood cells in the blood." ]     ], [
       fhir:index 283;
       fhir:CodeSystem.concept.code [ fhir:value "10024382" ];
       fhir:CodeSystem.concept.display [ fhir:value "Leukoencephalopathy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by diffuse reactive astrocytosis with multiple areas of necrotic foci without inflammation." ]     ], [
       fhir:index 284;
       fhir:CodeSystem.concept.code [ fhir:value "10024419" ];
       fhir:CodeSystem.concept.display [ fhir:value "Libido decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in sexual desire." ]     ], [
       fhir:index 285;
       fhir:CodeSystem.concept.code [ fhir:value "10024421" ];
       fhir:CodeSystem.concept.display [ fhir:value "Libido increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an increase in sexual desire." ]     ], [
       fhir:index 286;
       fhir:CodeSystem.concept.code [ fhir:value "10024561" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lip pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort of the lip." ]     ], [
       fhir:index 287;
       fhir:CodeSystem.concept.code [ fhir:value "10024574" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lipase increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an increase in the level of lipase in a biological specimen." ]     ], [
       fhir:index 288;
       fhir:CodeSystem.concept.code [ fhir:value "10024842" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lordosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal increase in the curvature of the lumbar portion of the spine." ]     ], [
       fhir:index 289;
       fhir:CodeSystem.concept.code [ fhir:value "10025182" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lymph node pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in a lymph node." ]     ], [
       fhir:index 290;
       fhir:CodeSystem.concept.code [ fhir:value "10025233" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lymphedema" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by excessive fluid collection in tissues that causes swelling." ]     ], [
       fhir:index 291;
       fhir:CodeSystem.concept.code [ fhir:value "10025256" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lymphocyte count decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate a decrease in number of lymphocytes in a blood specimen." ]     ], [
       fhir:index 292;
       fhir:CodeSystem.concept.code [ fhir:value "10025258" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lymphocyte count increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an abnormal increase in the number of lymphocytes in the blood, effusions or bone marrow." ]     ], [
       fhir:index 293;
       fhir:CodeSystem.concept.code [ fhir:value "10025476" ];
       fhir:CodeSystem.concept.display [ fhir:value "Malabsorption" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inadequate absorption of nutrients in the small intestine. Symptoms include abdominal marked discomfort, bloating and diarrhea." ]     ], [
       fhir:index 294;
       fhir:CodeSystem.concept.code [ fhir:value "10025482" ];
       fhir:CodeSystem.concept.display [ fhir:value "Malaise" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a feeling of general discomfort or uneasiness, an out-of-sorts feeling." ]     ], [
       fhir:index 295;
       fhir:CodeSystem.concept.code [ fhir:value "10026749" ];
       fhir:CodeSystem.concept.display [ fhir:value "Mania" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by excitement of psychotic proportions manifested by mental and physical hyperactivity, disorganization of behavior and elevation of mood." ]     ], [
       fhir:index 296;
       fhir:CodeSystem.concept.code [ fhir:value "10027175" ];
       fhir:CodeSystem.concept.display [ fhir:value "Memory impairment" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a deterioration in memory function." ]     ], [
       fhir:index 297;
       fhir:CodeSystem.concept.code [ fhir:value "10027198" ];
       fhir:CodeSystem.concept.display [ fhir:value "Meningismus" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by neck stiffness, headache, and photophobia resulting from irritation of the cerebral meninges." ]     ], [
       fhir:index 298;
       fhir:CodeSystem.concept.code [ fhir:value "10027199" ];
       fhir:CodeSystem.concept.display [ fhir:value "Meningitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by acute inflammation of the meninges of the brain and/or spinal cord." ]     ], [
       fhir:index 299;
       fhir:CodeSystem.concept.code [ fhir:value "10027308" ];
       fhir:CodeSystem.concept.display [ fhir:value "Menopause" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the permanent cessation of menses, usually defined by 12 consecutive months of amenorrhea in a woman over 45 years of age." ]     ], [
       fhir:index 300;
       fhir:CodeSystem.concept.code [ fhir:value "10027313" ];
       fhir:CodeSystem.concept.display [ fhir:value "Menorrhagia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by abnormally heavy vaginal bleeding during menses." ]     ], [
       fhir:index 301;
       fhir:CodeSystem.concept.code [ fhir:value "10027433" ];
       fhir:CodeSystem.concept.display [ fhir:value "Metabolism and nutrition disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 302;
       fhir:CodeSystem.concept.code [ fhir:value "10027786" ];
       fhir:CodeSystem.concept.display [ fhir:value "Mobitz (type) II atrioventricular block" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia with relatively constant PR interval prior to the block of an atrial impulse. This is the result of intermittent failure of atrial electrical impulse conduction through the atrioventricular (AV) node to the ventricles." ]     ], [
       fhir:index 303;
       fhir:CodeSystem.concept.code [ fhir:value "10027787" ];
       fhir:CodeSystem.concept.display [ fhir:value "Mobitz type I" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia with a progressively lengthening PR interval prior to the blocking of an atrial impulse. This is the result of intermittent failure of atrial electrical impulse conduction through the atrioventricular (AV) node to the ventricles." ]     ], [
       fhir:index 304;
       fhir:CodeSystem.concept.code [ fhir:value "10028041" ];
       fhir:CodeSystem.concept.display [ fhir:value "Movements involuntary" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by uncontrolled and purposeless movements." ]     ], [
       fhir:index 305;
       fhir:CodeSystem.concept.code [ fhir:value "10028130" ];
       fhir:CodeSystem.concept.display [ fhir:value "Mucositis oral" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the oral mucosal." ]     ], [
       fhir:index 306;
       fhir:CodeSystem.concept.code [ fhir:value "10028154" ];
       fhir:CodeSystem.concept.display [ fhir:value "Multi-organ failure" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by progressive deterioration of the lungs, liver, kidney and clotting mechanisms." ]     ], [
       fhir:index 307;
       fhir:CodeSystem.concept.code [ fhir:value "10028395" ];
       fhir:CodeSystem.concept.display [ fhir:value "Musculoskeletal and connective tissue disorder - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 308;
       fhir:CodeSystem.concept.code [ fhir:value "10028411" ];
       fhir:CodeSystem.concept.display [ fhir:value "Myalgia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation originating from a muscle or group of muscles." ]     ], [
       fhir:index 309;
       fhir:CodeSystem.concept.code [ fhir:value "10028524" ];
       fhir:CodeSystem.concept.display [ fhir:value "Myelitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation involving the spinal cord. Symptoms include weakness, paresthesia, sensory loss, marked discomfort and incontinence." ]     ], [
       fhir:index 310;
       fhir:CodeSystem.concept.code [ fhir:value "10028533" ];
       fhir:CodeSystem.concept.display [ fhir:value "Myelodysplastic syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by insufficiently healthy hematapoietic cell production by the bone marrow." ]     ], [
       fhir:index 311;
       fhir:CodeSystem.concept.code [ fhir:value "10028596" ];
       fhir:CodeSystem.concept.display [ fhir:value "Myocardial infarction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by gross necrosis of the myocardium; this is due to an interruption of blood supply to the area." ]     ], [
       fhir:index 312;
       fhir:CodeSystem.concept.code [ fhir:value "10028606" ];
       fhir:CodeSystem.concept.display [ fhir:value "Myocarditis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the muscle tissue of the heart." ]     ], [
       fhir:index 313;
       fhir:CodeSystem.concept.code [ fhir:value "10028653" ];
       fhir:CodeSystem.concept.display [ fhir:value "Myositis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation involving the skeletal muscles." ]     ], [
       fhir:index 314;
       fhir:CodeSystem.concept.code [ fhir:value "10028691" ];
       fhir:CodeSystem.concept.display [ fhir:value "Nail discoloration" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a change in the color of the nail plate." ]     ], [
       fhir:index 315;
       fhir:CodeSystem.concept.code [ fhir:value "10028735" ];
       fhir:CodeSystem.concept.display [ fhir:value "Nasal congestion" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by obstruction of the nasal passage due to mucosal edema." ]     ], [
       fhir:index 316;
       fhir:CodeSystem.concept.code [ fhir:value "10028813" ];
       fhir:CodeSystem.concept.display [ fhir:value "Nausea" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a queasy sensation and/or the urge to vomit." ]     ], [
       fhir:index 317;
       fhir:CodeSystem.concept.code [ fhir:value "10028836" ];
       fhir:CodeSystem.concept.display [ fhir:value "Neck pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the neck area." ]     ], [
       fhir:index 318;
       fhir:CodeSystem.concept.code [ fhir:value "10029104" ];
       fhir:CodeSystem.concept.display [ fhir:value "Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 319;
       fhir:CodeSystem.concept.code [ fhir:value "10029205" ];
       fhir:CodeSystem.concept.display [ fhir:value "Nervous system disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 320;
       fhir:CodeSystem.concept.code [ fhir:value "10029223" ];
       fhir:CodeSystem.concept.display [ fhir:value "Neuralgia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by intense painful sensation along a nerve or group of nerves." ]     ], [
       fhir:index 321;
       fhir:CodeSystem.concept.code [ fhir:value "10029366" ];
       fhir:CodeSystem.concept.display [ fhir:value "Neutrophil count decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate a decrease in number of neutrophils in a blood specimen." ]     ], [
       fhir:index 322;
       fhir:CodeSystem.concept.code [ fhir:value "10029404" ];
       fhir:CodeSystem.concept.display [ fhir:value "Night blindness" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an inability to see clearly in dim light." ]     ], [
       fhir:index 323;
       fhir:CodeSystem.concept.code [ fhir:value "10029864" ];
       fhir:CodeSystem.concept.display [ fhir:value "Nystagmus" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involuntary movements of the eyeballs." ]     ], [
       fhir:index 324;
       fhir:CodeSystem.concept.code [ fhir:value "10029883" ];
       fhir:CodeSystem.concept.display [ fhir:value "Obesity" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by having a high amount of body fat." ]     ], [
       fhir:index 325;
       fhir:CodeSystem.concept.code [ fhir:value "10029957" ];
       fhir:CodeSystem.concept.display [ fhir:value "Obstruction gastric" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the normal flow of the contents in the stomach." ]     ], [
       fhir:index 326;
       fhir:CodeSystem.concept.code [ fhir:value "10030300" ];
       fhir:CodeSystem.concept.display [ fhir:value "Oligospermia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in the number of spermatozoa in the semen." ]     ], [
       fhir:index 327;
       fhir:CodeSystem.concept.code [ fhir:value "10030980" ];
       fhir:CodeSystem.concept.display [ fhir:value "Oral hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the mouth." ]     ], [
       fhir:index 328;
       fhir:CodeSystem.concept.code [ fhir:value "10031009" ];
       fhir:CodeSystem.concept.display [ fhir:value "Oral pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the mouth, tongue or lips." ]     ], [
       fhir:index 329;
       fhir:CodeSystem.concept.code [ fhir:value "10031282" ];
       fhir:CodeSystem.concept.display [ fhir:value "Osteoporosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by reduced bone mass, with a decrease in cortical thickness and in the number and size of the trabeculae of cancellous bone (but normal chemical composition), resulting in increased fracture incidence." ]     ], [
       fhir:index 330;
       fhir:CodeSystem.concept.code [ fhir:value "10033072" ];
       fhir:CodeSystem.concept.display [ fhir:value "Otitis externa" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the outer ear and ear canal. Contributory factors include excessive water exposure (swimmer's ear infection) and cuts in the ear canal. Symptoms include fullness, itching, swelling and marked discomfort in the ear and ear drainage." ]     ], [
       fhir:index 331;
       fhir:CodeSystem.concept.code [ fhir:value "10033078" ];
       fhir:CodeSystem.concept.display [ fhir:value "Otitis media" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the middle ear." ]     ], [
       fhir:index 332;
       fhir:CodeSystem.concept.code [ fhir:value "10033279" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ovarian rupture" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by tearing or disruption of the ovarian tissue." ]     ], [
       fhir:index 333;
       fhir:CodeSystem.concept.code [ fhir:value "10033314" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ovulation pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in one side of the abdomen between menstrual cycles, around the time of the discharge of the ovum from the ovarian follicle." ]     ], [
       fhir:index 334;
       fhir:CodeSystem.concept.code [ fhir:value "10033371" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the sensation of marked discomfort, distress or agony." ]     ], [
       fhir:index 335;
       fhir:CodeSystem.concept.code [ fhir:value "10033425" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pain in extremity" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the upper or lower extremities." ]     ], [
       fhir:index 336;
       fhir:CodeSystem.concept.code [ fhir:value "10033474" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pain of skin" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the skin." ]     ], [
       fhir:index 337;
       fhir:CodeSystem.concept.code [ fhir:value "10033557" ];
       fhir:CodeSystem.concept.display [ fhir:value "Palpitations" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an unpleasant sensation of irregular and/or forceful beating of the heart." ]     ], [
       fhir:index 338;
       fhir:CodeSystem.concept.code [ fhir:value "10033626" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pancreatic hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the pancreas." ]     ], [
       fhir:index 339;
       fhir:CodeSystem.concept.code [ fhir:value "10033645" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pancreatitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the pancreas." ]     ], [
       fhir:index 340;
       fhir:CodeSystem.concept.code [ fhir:value "10033703" ];
       fhir:CodeSystem.concept.display [ fhir:value "Papilledema" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by swelling around the optic disc." ]     ], [
       fhir:index 341;
       fhir:CodeSystem.concept.code [ fhir:value "10033987" ];
       fhir:CodeSystem.concept.display [ fhir:value "Paresthesia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by functional disturbances of sensory neurons resulting in abnormal cutaneous sensations of tingling, numbness, pressure, cold, and warmth that are experienced in the absence of a stimulus." ]     ], [
       fhir:index 342;
       fhir:CodeSystem.concept.code [ fhir:value "10034016" ];
       fhir:CodeSystem.concept.display [ fhir:value "Paronychia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the soft tissues around the nail." ]     ], [
       fhir:index 343;
       fhir:CodeSystem.concept.code [ fhir:value "10034040" ];
       fhir:CodeSystem.concept.display [ fhir:value "Paroxysmal atrial tachycardia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia with abrupt onset and sudden termination of atrial contractions with a rate of 150-250 beats per minute. The rhythm disturbance originates in the atria." ]     ], [
       fhir:index 344;
       fhir:CodeSystem.concept.code [ fhir:value "10034263" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pelvic pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the pelvis." ]     ], [
       fhir:index 345;
       fhir:CodeSystem.concept.code [ fhir:value "10034310" ];
       fhir:CodeSystem.concept.display [ fhir:value "Penile pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the penis." ]     ], [
       fhir:index 346;
       fhir:CodeSystem.concept.code [ fhir:value "10034405" ];
       fhir:CodeSystem.concept.display [ fhir:value "Perforation bile duct" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the wall of the extrahepatic or intrahepatic bile duct." ]     ], [
       fhir:index 347;
       fhir:CodeSystem.concept.code [ fhir:value "10034474" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pericardial effusion" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by fluid collection within the pericardial sac, usually due to inflammation." ]     ], [
       fhir:index 348;
       fhir:CodeSystem.concept.code [ fhir:value "10034484" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pericarditis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by irritation to the layers of the pericardium (the protective sac around the heart)." ]     ], [
       fhir:index 349;
       fhir:CodeSystem.concept.code [ fhir:value "10034536" ];
       fhir:CodeSystem.concept.display [ fhir:value "Periodontal disease" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder in the gingival tissue around the teeth." ]     ], [
       fhir:index 350;
       fhir:CodeSystem.concept.code [ fhir:value "10034578" ];
       fhir:CodeSystem.concept.display [ fhir:value "Peripheral ischemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by impaired circulation to an extremity." ]     ], [
       fhir:index 351;
       fhir:CodeSystem.concept.code [ fhir:value "10034580" ];
       fhir:CodeSystem.concept.display [ fhir:value "Peripheral motor neuropathy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation or degeneration of the peripheral motor nerves." ]     ], [
       fhir:index 352;
       fhir:CodeSystem.concept.code [ fhir:value "10034620" ];
       fhir:CodeSystem.concept.display [ fhir:value "Peripheral sensory neuropathy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation or degeneration of the peripheral sensory nerves." ]     ], [
       fhir:index 353;
       fhir:CodeSystem.concept.code [ fhir:value "10034719" ];
       fhir:CodeSystem.concept.display [ fhir:value "Personality change" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a conspicuous change in a person's behavior and thinking." ]     ], [
       fhir:index 354;
       fhir:CodeSystem.concept.code [ fhir:value "10034825" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pharyngeal fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the pharynx and another organ or anatomic site." ]     ], [
       fhir:index 355;
       fhir:CodeSystem.concept.code [ fhir:value "10034835" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pharyngitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the throat." ]     ], [
       fhir:index 356;
       fhir:CodeSystem.concept.code [ fhir:value "10034844" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pharyngolaryngeal pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the pharyngolaryngeal region." ]     ], [
       fhir:index 357;
       fhir:CodeSystem.concept.code [ fhir:value "10034879" ];
       fhir:CodeSystem.concept.display [ fhir:value "Phlebitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the wall of a vein." ]     ], [
       fhir:index 358;
       fhir:CodeSystem.concept.code [ fhir:value "10034960" ];
       fhir:CodeSystem.concept.display [ fhir:value "Photophobia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by fear and avoidance of light." ]     ], [
       fhir:index 359;
       fhir:CodeSystem.concept.code [ fhir:value "10034966" ];
       fhir:CodeSystem.concept.display [ fhir:value "Photosensitivity" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an increase in sensitivity of the skin to light." ]     ], [
       fhir:index 360;
       fhir:CodeSystem.concept.code [ fhir:value "10035528" ];
       fhir:CodeSystem.concept.display [ fhir:value "Platelet count decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate a decrease in number of platelets in a blood specimen." ]     ], [
       fhir:index 361;
       fhir:CodeSystem.concept.code [ fhir:value "10035598" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pleural effusion" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an increase in amounts of fluid within the pleural cavity. Symptoms include shortness of breath, cough and marked chest discomfort." ]     ], [
       fhir:index 362;
       fhir:CodeSystem.concept.code [ fhir:value "10035623" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pleuritic pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the pleura." ]     ], [
       fhir:index 363;
       fhir:CodeSystem.concept.code [ fhir:value "10035742" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pneumonitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation focally or diffusely affecting the lung parenchyma." ]     ], [
       fhir:index 364;
       fhir:CodeSystem.concept.code [ fhir:value "10035759" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pneumothorax" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by abnormal presence of air in the pleural cavity resulting in the collapse of the lung." ]     ], [
       fhir:index 365;
       fhir:CodeSystem.concept.code [ fhir:value "10036200" ];
       fhir:CodeSystem.concept.display [ fhir:value "Portal hypertension" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an increase in blood pressure in the portal venous system." ]     ], [
       fhir:index 366;
       fhir:CodeSystem.concept.code [ fhir:value "10036206" ];
       fhir:CodeSystem.concept.display [ fhir:value "Portal vein thrombosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the formation of a thrombus (blood clot) in the portal vein." ]     ], [
       fhir:index 367;
       fhir:CodeSystem.concept.code [ fhir:value "10036402" ];
       fhir:CodeSystem.concept.display [ fhir:value "Postnasal drip" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by excessive mucous secretion in the back of the nasal cavity or throat, causing sore throat and/or coughing." ]     ], [
       fhir:index 368;
       fhir:CodeSystem.concept.code [ fhir:value "10036585" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pregnancy, puerperium and perinatal conditions - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 369;
       fhir:CodeSystem.concept.code [ fhir:value "10036595" ];
       fhir:CodeSystem.concept.display [ fhir:value "Premature delivery" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by delivery of a viable infant before the normal end of gestation. Typically, viability is achievable between the twentieth and thirty-seventh week of gestation." ]     ], [
       fhir:index 370;
       fhir:CodeSystem.concept.code [ fhir:value "10036601" ];
       fhir:CodeSystem.concept.display [ fhir:value "Premature menopause" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by ovarian failure before the age of 40. Symptoms include hot flashes, night sweats, mood swings and a decrease in sex drive." ]     ], [
       fhir:index 371;
       fhir:CodeSystem.concept.code [ fhir:value "10036653" ];
       fhir:CodeSystem.concept.display [ fhir:value "Presyncope" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an episode of lightheadedness and dizziness which may precede an episode of syncope." ]     ], [
       fhir:index 372;
       fhir:CodeSystem.concept.code [ fhir:value "10036774" ];
       fhir:CodeSystem.concept.display [ fhir:value "Proctitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the rectum." ]     ], [
       fhir:index 373;
       fhir:CodeSystem.concept.code [ fhir:value "10036790" ];
       fhir:CodeSystem.concept.display [ fhir:value "Productive cough" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by expectorated secretions upon coughing." ]     ], [
       fhir:index 374;
       fhir:CodeSystem.concept.code [ fhir:value "10036968" ];
       fhir:CodeSystem.concept.display [ fhir:value "Prostatic pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the prostate gland." ]     ], [
       fhir:index 375;
       fhir:CodeSystem.concept.code [ fhir:value "10037032" ];
       fhir:CodeSystem.concept.display [ fhir:value "Proteinuria" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by laboratory test results that indicate the presence of excessive protein in the urine. It is predominantly albumin, but also globulin." ]     ], [
       fhir:index 376;
       fhir:CodeSystem.concept.code [ fhir:value "10037087" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pruritus" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an intense itching sensation." ]     ], [
       fhir:index 377;
       fhir:CodeSystem.concept.code [ fhir:value "10037175" ];
       fhir:CodeSystem.concept.display [ fhir:value "Psychiatric disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 378;
       fhir:CodeSystem.concept.code [ fhir:value "10037234" ];
       fhir:CodeSystem.concept.display [ fhir:value "Psychosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by personality change, impaired functioning, and loss of touch with reality. It may be a manifestation of schizophrenia, bipolar disorder or brain tumor." ]     ], [
       fhir:index 379;
       fhir:CodeSystem.concept.code [ fhir:value "10037375" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pulmonary edema" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by accumulation of fluid in the lung tissues that causes a disturbance of the gas exchange that may lead to respiratory failure." ]     ], [
       fhir:index 380;
       fhir:CodeSystem.concept.code [ fhir:value "10037383" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pulmonary fibrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the replacement of the lung tissue by connective tissue, leading to progressive dyspnea, respiratory failure or right heart failure." ]     ], [
       fhir:index 381;
       fhir:CodeSystem.concept.code [ fhir:value "10037400" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pulmonary hypertension" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an increase in pressure within the pulmonary circulation due to lung or heart disorder." ]     ], [
       fhir:index 382;
       fhir:CodeSystem.concept.code [ fhir:value "10037549" ];
       fhir:CodeSystem.concept.display [ fhir:value "Purpura" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by hemorrhagic areas of the skin and mucous membrane. Newer lesions appear reddish in color. Older lesions are usually a darker purple color and eventually become a brownish-yellow color." ]     ], [
       fhir:index 383;
       fhir:CodeSystem.concept.code [ fhir:value "10037767" ];
       fhir:CodeSystem.concept.display [ fhir:value "Radiation recall reaction (dermatologic)" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of acute skin inflammatory reaction caused by drugs, especially chemotherapeutic agents, for weeks or months following radiotherapy. The inflammatory reaction is confined to the previously irradiated skin and the symptoms disappear after the removal of the pharmaceutical agent." ]     ], [
       fhir:index 384;
       fhir:CodeSystem.concept.code [ fhir:value "10037847" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rash acneiform" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an eruption of papules and pustules, typically appearing in face, scalp, upper chest and back." ]     ], [
       fhir:index 385;
       fhir:CodeSystem.concept.code [ fhir:value "10037868" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rash maculo-papular" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the presence of macules (flat) and papules (elevated). Also known as morbillform rash, it is one of the most common cutaneous adverse events, frequently affecting the upper trunk, spreading centripetally and associated with pruritus." ]     ], [
       fhir:index 386;
       fhir:CodeSystem.concept.code [ fhir:value "10037888" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rash pustular" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a circumscribed and elevated skin lesion filled with pus." ]     ], [
       fhir:index 387;
       fhir:CodeSystem.concept.code [ fhir:value "10038062" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rectal fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the rectum and another organ or anatomic site." ]     ], [
       fhir:index 388;
       fhir:CodeSystem.concept.code [ fhir:value "10038064" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rectal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the rectal wall and discharged from the anus." ]     ], [
       fhir:index 389;
       fhir:CodeSystem.concept.code [ fhir:value "10038072" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rectal pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the rectal region." ]     ], [
       fhir:index 390;
       fhir:CodeSystem.concept.code [ fhir:value "10038073" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rectal perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the rectal wall." ]     ], [
       fhir:index 391;
       fhir:CodeSystem.concept.code [ fhir:value "10038079" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rectal stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the lumen of the rectum." ]     ], [
       fhir:index 392;
       fhir:CodeSystem.concept.code [ fhir:value "10038080" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rectal ulcer" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a circumscribed, inflammatory and necrotic erosive lesion on the mucosal surface of the rectum." ]     ], [
       fhir:index 393;
       fhir:CodeSystem.concept.code [ fhir:value "10038130" ];
       fhir:CodeSystem.concept.display [ fhir:value "Recurrent laryngeal nerve palsy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by paralysis of the recurrent laryngeal nerve." ]     ], [
       fhir:index 394;
       fhir:CodeSystem.concept.code [ fhir:value "10038359" ];
       fhir:CodeSystem.concept.display [ fhir:value "Renal and urinary disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 395;
       fhir:CodeSystem.concept.code [ fhir:value "10038385" ];
       fhir:CodeSystem.concept.display [ fhir:value "Renal calculi" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the formation of crystals in the pelvis of the kidney." ]     ], [
       fhir:index 396;
       fhir:CodeSystem.concept.code [ fhir:value "10038419" ];
       fhir:CodeSystem.concept.display [ fhir:value "Renal colic" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by paroxysmal and severe flank marked discomfort radiating to the inguinal area. Often, the cause is the passage of kidney stones." ]     ], [
       fhir:index 397;
       fhir:CodeSystem.concept.code [ fhir:value "10038463" ];
       fhir:CodeSystem.concept.display [ fhir:value "Renal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the kidney." ]     ], [
       fhir:index 398;
       fhir:CodeSystem.concept.code [ fhir:value "10038604" ];
       fhir:CodeSystem.concept.display [ fhir:value "Reproductive system and breast disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 399;
       fhir:CodeSystem.concept.code [ fhir:value "10038695" ];
       fhir:CodeSystem.concept.display [ fhir:value "Respiratory failure" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by impaired gas exchange by the respiratory system resulting in hypoxemia and a decrease in oxygenation of the tissues that may be associated with an increase in arterial levels of carbon dioxide." ]     ], [
       fhir:index 400;
       fhir:CodeSystem.concept.code [ fhir:value "10038738" ];
       fhir:CodeSystem.concept.display [ fhir:value "Respiratory, thoracic and mediastinal disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 401;
       fhir:CodeSystem.concept.code [ fhir:value "10038743" ];
       fhir:CodeSystem.concept.display [ fhir:value "Restlessness" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an inability to rest, relax or be still." ]     ], [
       fhir:index 402;
       fhir:CodeSystem.concept.code [ fhir:value "10038748" ];
       fhir:CodeSystem.concept.display [ fhir:value "Restrictive cardiomyopathy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an inability of the ventricles to fill with blood because the myocardium (heart muscle) stiffens and loses its flexibility." ]     ], [
       fhir:index 403;
       fhir:CodeSystem.concept.code [ fhir:value "10038848" ];
       fhir:CodeSystem.concept.display [ fhir:value "Retinal detachment" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the separation of the inner retina layers from the underlying pigment epithelium." ]     ], [
       fhir:index 404;
       fhir:CodeSystem.concept.code [ fhir:value "10038897" ];
       fhir:CodeSystem.concept.display [ fhir:value "Retinal tear" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a small laceration of the retina, this occurs when the vitreous separates from the retina. Symptoms include flashes and floaters." ]     ], [
       fhir:index 405;
       fhir:CodeSystem.concept.code [ fhir:value "10038901" ];
       fhir:CodeSystem.concept.display [ fhir:value "Retinal vascular disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by pathological retinal blood vessels that adversely affects vision." ]     ], [
       fhir:index 406;
       fhir:CodeSystem.concept.code [ fhir:value "10038921" ];
       fhir:CodeSystem.concept.display [ fhir:value "Retinoic acid syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by weight gain, dyspnea, pleural and pericardial effusions, leukocytosis and/or renal failure originally described in patients treated with all-trans retinoic acid." ]     ], [
       fhir:index 407;
       fhir:CodeSystem.concept.code [ fhir:value "10038923" ];
       fhir:CodeSystem.concept.display [ fhir:value "Retinopathy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder involving the retina." ]     ], [
       fhir:index 408;
       fhir:CodeSystem.concept.code [ fhir:value "10038981" ];
       fhir:CodeSystem.concept.display [ fhir:value "Retroperitoneal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the retroperitoneal area." ]     ], [
       fhir:index 409;
       fhir:CodeSystem.concept.code [ fhir:value "10039411" ];
       fhir:CodeSystem.concept.display [ fhir:value "Salivary gland fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between a salivary gland and another organ or anatomic site." ]     ], [
       fhir:index 410;
       fhir:CodeSystem.concept.code [ fhir:value "10039413" ];
       fhir:CodeSystem.concept.display [ fhir:value "Salivary gland infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the salivary gland." ]     ], [
       fhir:index 411;
       fhir:CodeSystem.concept.code [ fhir:value "10039722" ];
       fhir:CodeSystem.concept.display [ fhir:value "Scoliosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a malformed, lateral curvature of the spine." ]     ], [
       fhir:index 412;
       fhir:CodeSystem.concept.code [ fhir:value "10039757" ];
       fhir:CodeSystem.concept.display [ fhir:value "Scrotal pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the scrotal area." ]     ], [
       fhir:index 413;
       fhir:CodeSystem.concept.code [ fhir:value "10039906" ];
       fhir:CodeSystem.concept.display [ fhir:value "Seizure" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sudden, involuntary skeletal muscular contractions of cerebral or brain stem origin." ]     ], [
       fhir:index 414;
       fhir:CodeSystem.concept.code [ fhir:value "10040047" ];
       fhir:CodeSystem.concept.display [ fhir:value "Sepsis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the presence of pathogenic microorganisms in the blood stream that cause a rapidly progressing systemic reaction that may lead to shock." ]     ], [
       fhir:index 415;
       fhir:CodeSystem.concept.code [ fhir:value "10040102" ];
       fhir:CodeSystem.concept.display [ fhir:value "Seroma" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of tumor-like collection of serum in the tissues." ]     ], [
       fhir:index 416;
       fhir:CodeSystem.concept.code [ fhir:value "10040139" ];
       fhir:CodeSystem.concept.display [ fhir:value "Serum amylase increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an increase in the levels of amylase in a serum specimen." ]     ], [
       fhir:index 417;
       fhir:CodeSystem.concept.code [ fhir:value "10040400" ];
       fhir:CodeSystem.concept.display [ fhir:value "Serum sickness" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a delayed-type hypersensitivity reaction to foreign proteins derived from an animal serum. It occurs approximately six to twenty-one days following the administration of the foreign antigen. Symptoms include fever, arthralgias, myalgias, skin eruptions, lymphadenopathy, chest marked discomfort and dyspnea." ]     ], [
       fhir:index 418;
       fhir:CodeSystem.concept.code [ fhir:value "10040639" ];
       fhir:CodeSystem.concept.display [ fhir:value "Sick sinus syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia with alternating periods of bradycardia and atrial tachycardia accompanied by syncope, fatigue and dizziness." ]     ], [
       fhir:index 419;
       fhir:CodeSystem.concept.code [ fhir:value "10040741" ];
       fhir:CodeSystem.concept.display [ fhir:value "Sinus bradycardia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia with a heart rate less than 60 beats per minute that originates in the sinus node." ]     ], [
       fhir:index 420;
       fhir:CodeSystem.concept.code [ fhir:value "10040747" ];
       fhir:CodeSystem.concept.display [ fhir:value "Sinus pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort in the face, between the eyes, or upper teeth originating from the sinuses." ]     ], [
       fhir:index 421;
       fhir:CodeSystem.concept.code [ fhir:value "10040752" ];
       fhir:CodeSystem.concept.display [ fhir:value "Sinus tachycardia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia with a heart rate greater than 100 beats per minute that originates in the sinus node." ]     ], [
       fhir:index 422;
       fhir:CodeSystem.concept.code [ fhir:value "10040753" ];
       fhir:CodeSystem.concept.display [ fhir:value "Sinusitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the mucous membranes of the paranasal sinuses." ]     ], [
       fhir:index 423;
       fhir:CodeSystem.concept.code [ fhir:value "10040785" ];
       fhir:CodeSystem.concept.display [ fhir:value "Skin and subcutaneous tissue disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 424;
       fhir:CodeSystem.concept.code [ fhir:value "10040799" ];
       fhir:CodeSystem.concept.display [ fhir:value "Skin atrophy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the degeneration and thinning of the epidermis and dermis." ]     ], [
       fhir:index 425;
       fhir:CodeSystem.concept.code [ fhir:value "10040865" ];
       fhir:CodeSystem.concept.display [ fhir:value "Skin hyperpigmentation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by darkening of the skin due to excessive melanin deposition." ]     ], [
       fhir:index 426;
       fhir:CodeSystem.concept.code [ fhir:value "10040868" ];
       fhir:CodeSystem.concept.display [ fhir:value "Skin hypopigmentation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by loss of skin pigment." ]     ], [
       fhir:index 427;
       fhir:CodeSystem.concept.code [ fhir:value "10040872" ];
       fhir:CodeSystem.concept.display [ fhir:value "Skin infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the skin." ]     ], [
       fhir:index 428;
       fhir:CodeSystem.concept.code [ fhir:value "10040947" ];
       fhir:CodeSystem.concept.display [ fhir:value "Skin ulceration" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by circumscribed, inflammatory and necrotic erosive lesion on the skin." ]     ], [
       fhir:index 429;
       fhir:CodeSystem.concept.code [ fhir:value "10040975" ];
       fhir:CodeSystem.concept.display [ fhir:value "Sleep apnea" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by cessation of breathing for short periods during sleep." ]     ], [
       fhir:index 430;
       fhir:CodeSystem.concept.code [ fhir:value "10041101" ];
       fhir:CodeSystem.concept.display [ fhir:value "Small intestinal obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the normal flow of the intestinal contents." ]     ], [
       fhir:index 431;
       fhir:CodeSystem.concept.code [ fhir:value "10041103" ];
       fhir:CodeSystem.concept.display [ fhir:value "Small intestinal perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the small intestine wall." ]     ], [
       fhir:index 432;
       fhir:CodeSystem.concept.code [ fhir:value "10041133" ];
       fhir:CodeSystem.concept.display [ fhir:value "Small intestine ulcer" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a circumscribed, inflammatory and necrotic erosive lesion on the mucosal surface of the small intestine." ]     ], [
       fhir:index 433;
       fhir:CodeSystem.concept.code [ fhir:value "10041232" ];
       fhir:CodeSystem.concept.display [ fhir:value "Sneezing" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the involuntary expulsion of air from the nose." ]     ], [
       fhir:index 434;
       fhir:CodeSystem.concept.code [ fhir:value "10041244" ];
       fhir:CodeSystem.concept.display [ fhir:value "Social circumstances - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 435;
       fhir:CodeSystem.concept.code [ fhir:value "10041349" ];
       fhir:CodeSystem.concept.display [ fhir:value "Somnolence" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by characterized by excessive sleepiness and drowsiness." ]     ], [
       fhir:index 436;
       fhir:CodeSystem.concept.code [ fhir:value "10041367" ];
       fhir:CodeSystem.concept.display [ fhir:value "Sore throat" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by of marked discomfort in the throat" ]     ], [
       fhir:index 437;
       fhir:CodeSystem.concept.code [ fhir:value "10041416" ];
       fhir:CodeSystem.concept.display [ fhir:value "Spasticity" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by increased involuntary muscle tone that affects the regions interfering with voluntary movement. It results in gait, movement, and speech disturbances." ]     ], [
       fhir:index 438;
       fhir:CodeSystem.concept.code [ fhir:value "10041569" ];
       fhir:CodeSystem.concept.display [ fhir:value "Spinal fracture" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of traumatic injury to the spine in which the continuity of a vertebral bone is broken." ]     ], [
       fhir:index 439;
       fhir:CodeSystem.concept.code [ fhir:value "10041633" ];
       fhir:CodeSystem.concept.display [ fhir:value "Spleen disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder of the spleen." ]     ], [
       fhir:index 440;
       fhir:CodeSystem.concept.code [ fhir:value "10042033" ];
       fhir:CodeSystem.concept.display [ fhir:value "Stevens-Johnson syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by less than 10% total body skin area separation of dermis. The syndrome is thought to be a hypersensitivity complex affecting the skin and the mucous membranes." ]     ], [
       fhir:index 441;
       fhir:CodeSystem.concept.code [ fhir:value "10042112" ];
       fhir:CodeSystem.concept.display [ fhir:value "Stomach pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the stomach." ]     ], [
       fhir:index 442;
       fhir:CodeSystem.concept.code [ fhir:value "10042127" ];
       fhir:CodeSystem.concept.display [ fhir:value "Stomal ulcer" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a circumscribed, inflammatory and necrotic erosive lesion on the jejunal mucosal surface close to the anastomosis site following a gastroenterostomy procedure." ]     ], [
       fhir:index 443;
       fhir:CodeSystem.concept.code [ fhir:value "10042241" ];
       fhir:CodeSystem.concept.display [ fhir:value "Stridor" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a high pitched breathing sound due to laryngeal or upper airway obstruction." ]     ], [
       fhir:index 444;
       fhir:CodeSystem.concept.code [ fhir:value "10042244" ];
       fhir:CodeSystem.concept.display [ fhir:value "Stroke" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sudden loss of sensory function due to an intracranial vascular event." ]     ], [
       fhir:index 445;
       fhir:CodeSystem.concept.code [ fhir:value "10042435" ];
       fhir:CodeSystem.concept.display [ fhir:value "Sudden death NOS" ];
       fhir:CodeSystem.concept.definition [ fhir:value "An unexpected cessation of life that cannot be attributed to a CTCAE term associated with Grade 5." ]     ], [
       fhir:index 446;
       fhir:CodeSystem.concept.code [ fhir:value "10042458" ];
       fhir:CodeSystem.concept.display [ fhir:value "Suicidal ideation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by thoughts of taking one's own life." ]     ], [
       fhir:index 447;
       fhir:CodeSystem.concept.code [ fhir:value "10042464" ];
       fhir:CodeSystem.concept.display [ fhir:value "Suicide attempt" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by self-inflicted harm in an attempt to end one's own life." ]     ], [
       fhir:index 448;
       fhir:CodeSystem.concept.code [ fhir:value "10042554" ];
       fhir:CodeSystem.concept.display [ fhir:value "Superficial thrombophlebitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a blood clot and inflammation involving a superficial vein of the extremities." ]     ], [
       fhir:index 449;
       fhir:CodeSystem.concept.code [ fhir:value "10042569" ];
       fhir:CodeSystem.concept.display [ fhir:value "Superior vena cava syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by obstruction of the blood flow in the superior vena cava. Signs and symptoms include swelling and cyanosis of the face, neck, and upper arms, cough, orthopnea and headache." ]     ], [
       fhir:index 450;
       fhir:CodeSystem.concept.code [ fhir:value "10042604" ];
       fhir:CodeSystem.concept.display [ fhir:value "Supraventricular tachycardia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia with a heart rate greater than 100 beats per minute that originates above the ventricles." ]     ], [
       fhir:index 451;
       fhir:CodeSystem.concept.code [ fhir:value "10042613" ];
       fhir:CodeSystem.concept.display [ fhir:value "Surgical and medical procedures - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 452;
       fhir:CodeSystem.concept.code [ fhir:value "10042772" ];
       fhir:CodeSystem.concept.display [ fhir:value "Syncope" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by spontaneous loss of consciousness caused by insufficient blood supply to the brain." ]     ], [
       fhir:index 453;
       fhir:CodeSystem.concept.code [ fhir:value "10043189" ];
       fhir:CodeSystem.concept.display [ fhir:value "Telangiectasia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by local dilatation of small vessels resulting in red discoloration of the skin or mucous membranes." ]     ], [
       fhir:index 454;
       fhir:CodeSystem.concept.code [ fhir:value "10043306" ];
       fhir:CodeSystem.concept.display [ fhir:value "Testicular disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the testis." ]     ], [
       fhir:index 455;
       fhir:CodeSystem.concept.code [ fhir:value "10043345" ];
       fhir:CodeSystem.concept.display [ fhir:value "Testicular pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the testis." ]     ], [
       fhir:index 456;
       fhir:CodeSystem.concept.code [ fhir:value "10043565" ];
       fhir:CodeSystem.concept.display [ fhir:value "Thromboembolic event" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by occlusion of a vessel by a thrombus that has migrated from a distal site via the blood stream." ]     ], [
       fhir:index 457;
       fhir:CodeSystem.concept.code [ fhir:value "10043648" ];
       fhir:CodeSystem.concept.display [ fhir:value "Thrombotic thrombocytopenic purpura" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the presence of microangiopathic hemolytic anemia, thrombocytopenic purpura, fever, renal abnormalities and neurological abnormalities such as seizures, hemiplegia, and visual disturbances. It is an acute or subacute condition." ]     ], [
       fhir:index 458;
       fhir:CodeSystem.concept.code [ fhir:value "10043882" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tinnitus" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by noise in the ears, such as ringing, buzzing, roaring or clicking." ]     ], [
       fhir:index 459;
       fhir:CodeSystem.concept.code [ fhir:value "10044030" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tooth development disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a pathological process of the teeth occurring during tooth development." ]     ], [
       fhir:index 460;
       fhir:CodeSystem.concept.code [ fhir:value "10044031" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tooth discoloration" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a change in tooth hue or tint." ]     ], [
       fhir:index 461;
       fhir:CodeSystem.concept.code [ fhir:value "10044055" ];
       fhir:CodeSystem.concept.display [ fhir:value "Toothache" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the tooth." ]     ], [
       fhir:index 462;
       fhir:CodeSystem.concept.code [ fhir:value "10044223" ];
       fhir:CodeSystem.concept.display [ fhir:value "Toxic epidermal necrolysis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by greater than 30% total body skin area separation of dermis. The syndrome is thought to be a hypersensitivity complex affecting the skin and the mucous membranes." ]     ], [
       fhir:index 463;
       fhir:CodeSystem.concept.code [ fhir:value "10044291" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tracheal obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of blockage of the lumen of the trachea." ]     ], [
       fhir:index 464;
       fhir:CodeSystem.concept.code [ fhir:value "10044302" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tracheitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the trachea." ]     ], [
       fhir:index 465;
       fhir:CodeSystem.concept.code [ fhir:value "10044391" ];
       fhir:CodeSystem.concept.display [ fhir:value "Transient ischemic attacks" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a brief attack (less than 24 hours) of cerebral dysfunction of vascular origin, with no persistent neurological deficit." ]     ], [
       fhir:index 466;
       fhir:CodeSystem.concept.code [ fhir:value "10044565" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tremor" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the uncontrolled shaking movement of the whole body or individual parts." ]     ], [
       fhir:index 467;
       fhir:CodeSystem.concept.code [ fhir:value "10044684" ];
       fhir:CodeSystem.concept.display [ fhir:value "Trismus" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by lack of ability to open the mouth fully due to a decrease in the range of motion of the muscles of mastication." ]     ], [
       fhir:index 468;
       fhir:CodeSystem.concept.code [ fhir:value "10045152" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tumor lysis syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by metabolic abnormalities that result from a spontaneous or therapy-related cytolysis of tumor cells." ]     ], [
       fhir:index 469;
       fhir:CodeSystem.concept.code [ fhir:value "10045158" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tumor pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort from a neoplasm that may be pressing on a nerve, blocking blood vessels, inflamed or fractured from metastasis." ]     ], [
       fhir:index 470;
       fhir:CodeSystem.concept.code [ fhir:value "10045271" ];
       fhir:CodeSystem.concept.display [ fhir:value "Typhlitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the cecum." ]     ], [
       fhir:index 471;
       fhir:CodeSystem.concept.code [ fhir:value "10045542" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unintended pregnancy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an unexpected pregnancy at the time of conception." ]     ], [
       fhir:index 472;
       fhir:CodeSystem.concept.code [ fhir:value "10046300" ];
       fhir:CodeSystem.concept.display [ fhir:value "Upper respiratory infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the upper respiratory tract (nose, paranasal sinuses, pharynx, larynx, or trachea)." ]     ], [
       fhir:index 473;
       fhir:CodeSystem.concept.code [ fhir:value "10046539" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urinary frequency" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by urination at short intervals." ]     ], [
       fhir:index 474;
       fhir:CodeSystem.concept.code [ fhir:value "10046543" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urinary incontinence" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inability to control the flow of urine from the bladder." ]     ], [
       fhir:index 475;
       fhir:CodeSystem.concept.code [ fhir:value "10046555" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urinary retention" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by accumulation of urine within the bladder because of the inability to urinate." ]     ], [
       fhir:index 476;
       fhir:CodeSystem.concept.code [ fhir:value "10046571" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urinary tract infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the urinary tract, most commonly the bladder and the urethra." ]     ], [
       fhir:index 477;
       fhir:CodeSystem.concept.code [ fhir:value "10046593" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urinary urgency" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sudden compelling urge to urinate." ]     ], [
       fhir:index 478;
       fhir:CodeSystem.concept.code [ fhir:value "10046628" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urine discoloration" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a change in the color of the urine." ]     ], [
       fhir:index 479;
       fhir:CodeSystem.concept.code [ fhir:value "10046735" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urticaria" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an itchy skin eruption characterized by wheals with pale interiors and well-defined red margins." ]     ], [
       fhir:index 480;
       fhir:CodeSystem.concept.code [ fhir:value "10046789" ];
       fhir:CodeSystem.concept.display [ fhir:value "Uterine hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the uterus." ]     ], [
       fhir:index 481;
       fhir:CodeSystem.concept.code [ fhir:value "10046809" ];
       fhir:CodeSystem.concept.display [ fhir:value "Uterine pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the uterus." ]     ], [
       fhir:index 482;
       fhir:CodeSystem.concept.code [ fhir:value "10046810" ];
       fhir:CodeSystem.concept.display [ fhir:value "Uterine perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the uterine wall." ]     ], [
       fhir:index 483;
       fhir:CodeSystem.concept.code [ fhir:value "10046851" ];
       fhir:CodeSystem.concept.display [ fhir:value "Uveitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation to the uvea of the eye." ]     ], [
       fhir:index 484;
       fhir:CodeSystem.concept.code [ fhir:value "10046901" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginal discharge" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by vaginal secretions. Mucus produced by the cervical glands is discharged from the vagina naturally, especially during the childbearing years." ]     ], [
       fhir:index 485;
       fhir:CodeSystem.concept.code [ fhir:value "10046904" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginal dryness" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an uncomfortable feeling of itching and burning in the vagina." ]     ], [
       fhir:index 486;
       fhir:CodeSystem.concept.code [ fhir:value "10046912" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the vagina." ]     ], [
       fhir:index 487;
       fhir:CodeSystem.concept.code [ fhir:value "10046914" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginal infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the vagina." ]     ], [
       fhir:index 488;
       fhir:CodeSystem.concept.code [ fhir:value "10046916" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginal inflammation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation involving the vagina. Symptoms may include redness, edema, marked discomfort and an increase in vaginal discharge." ]     ], [
       fhir:index 489;
       fhir:CodeSystem.concept.code [ fhir:value "10046937" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginal pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the vagina." ]     ], [
       fhir:index 490;
       fhir:CodeSystem.concept.code [ fhir:value "10046947" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginismus" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involuntary spasms of the pelvic floor muscles, resulting in pathologic tightness of the vaginal wall during penetration such as during sexual intercourse." ]     ], [
       fhir:index 491;
       fhir:CodeSystem.concept.code [ fhir:value "10047065" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vascular disorders - Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 492;
       fhir:CodeSystem.concept.code [ fhir:value "10047115" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vasculitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation involving the wall of a vessel." ]     ], [
       fhir:index 493;
       fhir:CodeSystem.concept.code [ fhir:value "10047166" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vasovagal reaction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sudden drop of the blood pressure, bradycardia, and peripheral vasodilation that may lead to loss of consciousness. It results from an increase in the stimulation of the vagus nerve." ]     ], [
       fhir:index 494;
       fhir:CodeSystem.concept.code [ fhir:value "10047228" ];
       fhir:CodeSystem.concept.display [ fhir:value "Venous injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to a vein." ]     ], [
       fhir:index 495;
       fhir:CodeSystem.concept.code [ fhir:value "10047281" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ventricular arrhythmia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia that originates in the ventricles." ]     ], [
       fhir:index 496;
       fhir:CodeSystem.concept.code [ fhir:value "10047290" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ventricular fibrillation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia without discernible QRS complexes due to rapid repetitive excitation of myocardial fibers without coordinated contraction of the ventricles." ]     ], [
       fhir:index 497;
       fhir:CodeSystem.concept.code [ fhir:value "10047302" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ventricular tachycardia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a dysrhythmia with a heart rate greater than 100 beats per minute that originates distal to the bundle of His." ]     ], [
       fhir:index 498;
       fhir:CodeSystem.concept.code [ fhir:value "10047340" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vertigo" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation as if the external world were revolving around the patient (objective vertigo) or as if he himself were revolving in space (subjective vertigo)." ]     ], [
       fhir:index 499;
       fhir:CodeSystem.concept.code [ fhir:value "10047386" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vestibular disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by dizziness, imbalance, nausea, and vision problems." ]     ], [
       fhir:index 500;
       fhir:CodeSystem.concept.code [ fhir:value "10047488" ];
       fhir:CodeSystem.concept.display [ fhir:value "Virilization" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inappropriate masculinization occurring in a female or prepubertal male." ]     ], [
       fhir:index 501;
       fhir:CodeSystem.concept.code [ fhir:value "10047580" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vital capacity abnormal" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on pulmonary function test results that indicate an abnormal vital capacity (amount of exhaled after a maximum inhalation) when compared to the predicted value." ]     ], [
       fhir:index 502;
       fhir:CodeSystem.concept.code [ fhir:value "10047656" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vitreous hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blood extravasation into the vitreous humor." ]     ], [
       fhir:index 503;
       fhir:CodeSystem.concept.code [ fhir:value "10047681" ];
       fhir:CodeSystem.concept.display [ fhir:value "Voice alteration" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a change in the sound and/or speed of the voice." ]     ], [
       fhir:index 504;
       fhir:CodeSystem.concept.code [ fhir:value "10047700" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vomiting" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the reflexive act of ejecting the contents of the stomach through the mouth." ]     ], [
       fhir:index 505;
       fhir:CodeSystem.concept.code [ fhir:value "10047848" ];
       fhir:CodeSystem.concept.display [ fhir:value "Watering eyes" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder of excessive tearing in the eyes; it can be caused by overproduction of tears or impaired drainage of the tear duct." ]     ], [
       fhir:index 506;
       fhir:CodeSystem.concept.code [ fhir:value "10047896" ];
       fhir:CodeSystem.concept.display [ fhir:value "Weight gain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding characterized by an increase in overall body weight; for pediatrics, greater than the baseline growth curve." ]     ], [
       fhir:index 507;
       fhir:CodeSystem.concept.code [ fhir:value "10047900" ];
       fhir:CodeSystem.concept.display [ fhir:value "Weight loss" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding characterized by a decrease in overall body weight; for pediatrics, less than the baseline growth curve." ]     ], [
       fhir:index 508;
       fhir:CodeSystem.concept.code [ fhir:value "10047924" ];
       fhir:CodeSystem.concept.display [ fhir:value "Wheezing" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a high-pitched, whistling sound during breathing. It results from the narrowing or obstruction of the respiratory airways." ]     ], [
       fhir:index 509;
       fhir:CodeSystem.concept.code [ fhir:value "10048015" ];
       fhir:CodeSystem.concept.display [ fhir:value "Wolff-Parkinson-White syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the presence of an accessory conductive pathway between the atria and the ventricles that causes premature ventricular activation." ]     ], [
       fhir:index 510;
       fhir:CodeSystem.concept.code [ fhir:value "10048031" ];
       fhir:CodeSystem.concept.display [ fhir:value "Wound dehiscence" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of separation of the approximated margins of a surgical wound." ]     ], [
       fhir:index 511;
       fhir:CodeSystem.concept.code [ fhir:value "10048038" ];
       fhir:CodeSystem.concept.display [ fhir:value "Wound infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the wound." ]     ], [
       fhir:index 512;
       fhir:CodeSystem.concept.code [ fhir:value "10048049" ];
       fhir:CodeSystem.concept.display [ fhir:value "Wrist fracture" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of traumatic injury to the wrist joint in which the continuity of a wrist bone is broken." ]     ], [
       fhir:index 513;
       fhir:CodeSystem.concept.code [ fhir:value "10048293" ];
       fhir:CodeSystem.concept.display [ fhir:value "Leukemia secondary to oncology chemotherapy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by leukemia arising as a result of the mutagenic effect of chemotherapy agents." ]     ], [
       fhir:index 514;
       fhir:CodeSystem.concept.code [ fhir:value "10048492" ];
       fhir:CodeSystem.concept.display [ fhir:value "Corneal ulcer" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an area of epithelial tissue loss on the surface of the cornea. It is associated with inflammatory cells in the cornea and anterior chamber." ]     ], [
       fhir:index 515;
       fhir:CodeSystem.concept.code [ fhir:value "10048580" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bone marrow hypocellular" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the inability of the bone marrow to produce hematopoietic elements." ]     ], [
       fhir:index 516;
       fhir:CodeSystem.concept.code [ fhir:value "10048642" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lymphocele" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a cystic lesion containing lymph." ]     ], [
       fhir:index 517;
       fhir:CodeSystem.concept.code [ fhir:value "10048677" ];
       fhir:CodeSystem.concept.display [ fhir:value "Buttock pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the buttocks." ]     ], [
       fhir:index 518;
       fhir:CodeSystem.concept.code [ fhir:value "10048706" ];
       fhir:CodeSystem.concept.display [ fhir:value "Joint range of motion decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in joint flexibility of any joint." ]     ], [
       fhir:index 519;
       fhir:CodeSystem.concept.code [ fhir:value "10048762" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tooth infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving a tooth." ]     ], [
       fhir:index 520;
       fhir:CodeSystem.concept.code [ fhir:value "10048994" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bladder spasm" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sudden and involuntary contraction of the bladder wall." ]     ], [
       fhir:index 521;
       fhir:CodeSystem.concept.code [ fhir:value "10049120" ];
       fhir:CodeSystem.concept.display [ fhir:value "Scalp pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort sensation in the skin covering the top and the back of the head." ]     ], [
       fhir:index 522;
       fhir:CodeSystem.concept.code [ fhir:value "10049182" ];
       fhir:CodeSystem.concept.display [ fhir:value "White blood cell decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an decrease in number of white blood cells in a blood specimen." ]     ], [
       fhir:index 523;
       fhir:CodeSystem.concept.code [ fhir:value "10049192" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pancreatic fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the pancreas and another organ or anatomic site." ]     ], [
       fhir:index 524;
       fhir:CodeSystem.concept.code [ fhir:value "10049281" ];
       fhir:CodeSystem.concept.display [ fhir:value "Nail loss" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by loss of all or a portion of the nail." ]     ], [
       fhir:index 525;
       fhir:CodeSystem.concept.code [ fhir:value "10049468" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intestinal stoma site bleeding" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of blood leakage from the intestinal stoma." ]     ], [
       fhir:index 526;
       fhir:CodeSystem.concept.code [ fhir:value "10049737" ];
       fhir:CodeSystem.concept.display [ fhir:value "Treatment related secondary malignancy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by development of a malignancy most probably as a result of treatment for a previously existing malignancy." ]     ], [
       fhir:index 527;
       fhir:CodeSystem.concept.code [ fhir:value "10050028" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pharyngeal stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the pharyngeal airway." ]     ], [
       fhir:index 528;
       fhir:CodeSystem.concept.code [ fhir:value "10050068" ];
       fhir:CodeSystem.concept.display [ fhir:value "Edema limbs" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by swelling due to excessive fluid accumulation in the upper or lower extremities." ]     ], [
       fhir:index 529;
       fhir:CodeSystem.concept.code [ fhir:value "10050094" ];
       fhir:CodeSystem.concept.display [ fhir:value "Duodenal stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the lumen of the duodenum." ]     ], [
       fhir:index 530;
       fhir:CodeSystem.concept.code [ fhir:value "10050457" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pancreatic anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of a pancreatic anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 531;
       fhir:CodeSystem.concept.code [ fhir:value "10050458" ];
       fhir:CodeSystem.concept.display [ fhir:value "Biliary anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage of bile due to breakdown of a biliary anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 532;
       fhir:CodeSystem.concept.code [ fhir:value "10050528" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ejection fraction decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "The percentage computed when the amount of blood ejected during a ventricular contraction of the heart is compared to the amount that was present prior to the contraction." ]     ], [
       fhir:index 533;
       fhir:CodeSystem.concept.code [ fhir:value "10050662" ];
       fhir:CodeSystem.concept.display [ fhir:value "Prostate infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the prostate gland." ]     ], [
       fhir:index 534;
       fhir:CodeSystem.concept.code [ fhir:value "10050816" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tracheal stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the trachea." ]     ], [
       fhir:index 535;
       fhir:CodeSystem.concept.code [ fhir:value "10050823" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lymph gland infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the lymph nodes." ]     ], [
       fhir:index 536;
       fhir:CodeSystem.concept.code [ fhir:value "10051228" ];
       fhir:CodeSystem.concept.display [ fhir:value "Chylothorax" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by milky pleural effusion (abnormal collection of fluid) resulting from accumulation of lymph fluid in the pleural cavity." ]     ], [
       fhir:index 537;
       fhir:CodeSystem.concept.code [ fhir:value "10051272" ];
       fhir:CodeSystem.concept.display [ fhir:value "Facial muscle weakness" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a reduction in the strength of the facial muscles." ]     ], [
       fhir:index 538;
       fhir:CodeSystem.concept.code [ fhir:value "10051341" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bile duct stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the lumen of the bile duct." ]     ], [
       fhir:index 539;
       fhir:CodeSystem.concept.code [ fhir:value "10051472" ];
       fhir:CodeSystem.concept.display [ fhir:value "Periorbital infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the orbit of the eye." ]     ], [
       fhir:index 540;
       fhir:CodeSystem.concept.code [ fhir:value "10051592" ];
       fhir:CodeSystem.concept.display [ fhir:value "Acute coronary syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by signs and symptoms related to acute ischemia of the myocardium secondary to coronary artery disease. The clinical presentation covers a spectrum of heart diseases from unstable angina to myocardial infarction." ]     ], [
       fhir:index 541;
       fhir:CodeSystem.concept.code [ fhir:value "10051741" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pancreas infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the pancreas." ]     ], [
       fhir:index 542;
       fhir:CodeSystem.concept.code [ fhir:value "10051746" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lower gastrointestinal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the lower gastrointestinal tract (small intestine, large intestine, and anus)." ]     ], [
       fhir:index 543;
       fhir:CodeSystem.concept.code [ fhir:value "10051792" ];
       fhir:CodeSystem.concept.display [ fhir:value "Infusion related reaction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by adverse reaction to the infusion of pharmacological or biological substances." ]     ], [
       fhir:index 544;
       fhir:CodeSystem.concept.code [ fhir:value "10051837" ];
       fhir:CodeSystem.concept.display [ fhir:value "Skin induration" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an area of hardness in the skin." ]     ], [
       fhir:index 545;
       fhir:CodeSystem.concept.code [ fhir:value "10051886" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastric necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the gastric wall." ]     ], [
       fhir:index 546;
       fhir:CodeSystem.concept.code [ fhir:value "10052015" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cytokine release syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by nausea, headache, tachycardia, hypotension, rash, and shortness of breath; it is caused by the release of cytokines from the cells." ]     ], [
       fhir:index 547;
       fhir:CodeSystem.concept.code [ fhir:value "10052298" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urethral infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the urethra." ]     ], [
       fhir:index 548;
       fhir:CodeSystem.concept.code [ fhir:value "10052426" ];
       fhir:CodeSystem.concept.display [ fhir:value "Glucose intolerance" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an inability to properly metabolize glucose." ]     ], [
       fhir:index 549;
       fhir:CodeSystem.concept.code [ fhir:value "10053481" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bronchopleural fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between a bronchus and the pleural cavity." ]     ], [
       fhir:index 550;
       fhir:CodeSystem.concept.code [ fhir:value "10053496" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginal stricture" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the vaginal canal." ]     ], [
       fhir:index 551;
       fhir:CodeSystem.concept.code [ fhir:value "10053565" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pericardial tamponade" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an increase in intrapericardial pressure due to the collection of blood or fluid in the pericardium." ]     ], [
       fhir:index 552;
       fhir:CodeSystem.concept.code [ fhir:value "10053661" ];
       fhir:CodeSystem.concept.display [ fhir:value "Oculomotor nerve disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the oculomotor nerve (third cranial nerve)." ]     ], [
       fhir:index 553;
       fhir:CodeSystem.concept.code [ fhir:value "10053662" ];
       fhir:CodeSystem.concept.display [ fhir:value "Abducens nerve disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the abducens nerve (sixth cranial nerve)." ]     ], [
       fhir:index 554;
       fhir:CodeSystem.concept.code [ fhir:value "10053692" ];
       fhir:CodeSystem.concept.display [ fhir:value "Wound complication" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of development of a new problem at the site of an existing wound." ]     ], [
       fhir:index 555;
       fhir:CodeSystem.concept.code [ fhir:value "10054382" ];
       fhir:CodeSystem.concept.display [ fhir:value "Feminization acquired" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the development of secondary female sex characteristics in males due to extrinsic factors." ]     ], [
       fhir:index 556;
       fhir:CodeSystem.concept.code [ fhir:value "10054482" ];
       fhir:CodeSystem.concept.display [ fhir:value "Neck edema" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by swelling due to an accumulation of excessive fluid in the neck." ]     ], [
       fhir:index 557;
       fhir:CodeSystem.concept.code [ fhir:value "10054520" ];
       fhir:CodeSystem.concept.display [ fhir:value "Oral dysesthesia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a burning or tingling sensation on the lips, tongue or entire mouth." ]     ], [
       fhir:index 558;
       fhir:CodeSystem.concept.code [ fhir:value "10054524" ];
       fhir:CodeSystem.concept.display [ fhir:value "Palmar-plantar erythrodysesthesia syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by redness, marked discomfort, swelling, and tingling in the palms of the hands or the soles of the feet." ]     ], [
       fhir:index 559;
       fhir:CodeSystem.concept.code [ fhir:value "10054541" ];
       fhir:CodeSystem.concept.display [ fhir:value "Periorbital edema" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by swelling due to an excessive accumulation of fluid around the orbits of the face." ]     ], [
       fhir:index 560;
       fhir:CodeSystem.concept.code [ fhir:value "10054692" ];
       fhir:CodeSystem.concept.display [ fhir:value "Visceral arterial ischemia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in blood supply due to narrowing or blockage of a visceral (mesenteric) artery." ]     ], [
       fhir:index 561;
       fhir:CodeSystem.concept.code [ fhir:value "10054746" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fetal growth retardation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inhibition of fetal growth resulting in the inability of the fetus to achieve its potential weight." ]     ], [
       fhir:index 562;
       fhir:CodeSystem.concept.code [ fhir:value "10055005" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ovarian infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the ovary." ]     ], [
       fhir:index 563;
       fhir:CodeSystem.concept.code [ fhir:value "10055026" ];
       fhir:CodeSystem.concept.display [ fhir:value "Prostatic obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by compression of the urethra secondary to enlargement of the prostate gland. This results in voiding difficulties (straining to void, slow urine stream, and incomplete emptying of the bladder)." ]     ], [
       fhir:index 564;
       fhir:CodeSystem.concept.code [ fhir:value "10055078" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bronchial infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the bronchi." ]     ], [
       fhir:index 565;
       fhir:CodeSystem.concept.code [ fhir:value "10055226" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the anal region." ]     ], [
       fhir:index 566;
       fhir:CodeSystem.concept.code [ fhir:value "10055242" ];
       fhir:CodeSystem.concept.display [ fhir:value "Duodenal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the duodenum." ]     ], [
       fhir:index 567;
       fhir:CodeSystem.concept.code [ fhir:value "10055287" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ileal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the ileal wall." ]     ], [
       fhir:index 568;
       fhir:CodeSystem.concept.code [ fhir:value "10055291" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intra-abdominal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding in the abdominal cavity." ]     ], [
       fhir:index 569;
       fhir:CodeSystem.concept.code [ fhir:value "10055298" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of uncontrolled bleeding during a surgical procedure." ]     ], [
       fhir:index 570;
       fhir:CodeSystem.concept.code [ fhir:value "10055300" ];
       fhir:CodeSystem.concept.display [ fhir:value "Jejunal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the jejunal wall." ]     ], [
       fhir:index 571;
       fhir:CodeSystem.concept.code [ fhir:value "10055315" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pharyngeal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the pharynx." ]     ], [
       fhir:index 572;
       fhir:CodeSystem.concept.code [ fhir:value "10055319" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pleural hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the pleural cavity." ]     ], [
       fhir:index 573;
       fhir:CodeSystem.concept.code [ fhir:value "10055322" ];
       fhir:CodeSystem.concept.display [ fhir:value "Postoperative hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of bleeding occurring after a surgical procedure." ]     ], [
       fhir:index 574;
       fhir:CodeSystem.concept.code [ fhir:value "10055325" ];
       fhir:CodeSystem.concept.display [ fhir:value "Prostatic hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the prostate gland." ]     ], [
       fhir:index 575;
       fhir:CodeSystem.concept.code [ fhir:value "10055347" ];
       fhir:CodeSystem.concept.display [ fhir:value "Testicular hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the testis." ]     ], [
       fhir:index 576;
       fhir:CodeSystem.concept.code [ fhir:value "10055356" ];
       fhir:CodeSystem.concept.display [ fhir:value "Upper gastrointestinal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the upper gastrointestinal tract (oral cavity, pharynx, esophagus, and stomach)." ]     ], [
       fhir:index 577;
       fhir:CodeSystem.concept.code [ fhir:value "10055472" ];
       fhir:CodeSystem.concept.display [ fhir:value "Esophageal perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the wall of the esophagus." ]     ], [
       fhir:index 578;
       fhir:CodeSystem.concept.code [ fhir:value "10055599" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hemoglobin increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate increased levels of hemoglobin in a biological specimen." ]     ], [
       fhir:index 579;
       fhir:CodeSystem.concept.code [ fhir:value "10056238" ];
       fhir:CodeSystem.concept.display [ fhir:value "Phantom pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by marked discomfort related to a limb or an organ that is removed from or is not physically part of the body." ]     ], [
       fhir:index 580;
       fhir:CodeSystem.concept.code [ fhir:value "10056356" ];
       fhir:CodeSystem.concept.display [ fhir:value "Mediastinal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the mediastinum." ]     ], [
       fhir:index 581;
       fhir:CodeSystem.concept.code [ fhir:value "10056388" ];
       fhir:CodeSystem.concept.display [ fhir:value "Olfactory nerve disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the olfactory nerve (first cranial nerve)." ]     ], [
       fhir:index 582;
       fhir:CodeSystem.concept.code [ fhir:value "10056519" ];
       fhir:CodeSystem.concept.display [ fhir:value "Abdominal infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the abdominal cavity." ]     ], [
       fhir:index 583;
       fhir:CodeSystem.concept.code [ fhir:value "10056522" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hepatic infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the liver." ]     ], [
       fhir:index 584;
       fhir:CodeSystem.concept.code [ fhir:value "10056627" ];
       fhir:CodeSystem.concept.display [ fhir:value "Phlebitis infective" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the vein. Clinical manifestations include erythema, marked discomfort, swelling, and induration along the course of the infected vein." ]     ], [
       fhir:index 585;
       fhir:CodeSystem.concept.code [ fhir:value "10056681" ];
       fhir:CodeSystem.concept.display [ fhir:value "Salivary duct inflammation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the salivary duct." ]     ], [
       fhir:index 586;
       fhir:CodeSystem.concept.code [ fhir:value "10056745" ];
       fhir:CodeSystem.concept.display [ fhir:value "Postoperative thoracic procedure complication" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of a previously undocumented problem that occurs after a thoracic procedure." ]     ], [
       fhir:index 587;
       fhir:CodeSystem.concept.code [ fhir:value "10056910" ];
       fhir:CodeSystem.concept.display [ fhir:value "GGT increased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate higher than normal levels of the enzyme gamma-glutamyltransferase in the blood specimen. GGT (gamma-glutamyltransferase ) catalyzes the transfer of a gamma glutamyl group from a gamma glutamyl peptide to another peptide, amino acids or water." ]     ], [
       fhir:index 588;
       fhir:CodeSystem.concept.code [ fhir:value "10057066" ];
       fhir:CodeSystem.concept.display [ fhir:value "Delayed orgasm" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by sexual dysfunction characterized by a delay in climax." ]     ], [
       fhir:index 589;
       fhir:CodeSystem.concept.code [ fhir:value "10057262" ];
       fhir:CodeSystem.concept.display [ fhir:value "Peritoneal infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the peritoneum." ]     ], [
       fhir:index 590;
       fhir:CodeSystem.concept.code [ fhir:value "10057483" ];
       fhir:CodeSystem.concept.display [ fhir:value "Mediastinal infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the mediastinum." ]     ], [
       fhir:index 591;
       fhir:CodeSystem.concept.code [ fhir:value "10058084" ];
       fhir:CodeSystem.concept.display [ fhir:value "Precocious puberty" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by unusually early development of secondary sexual features; the onset of sexual maturation begins usually before age 8 for girls and before age 9 for boys." ]     ], [
       fhir:index 592;
       fhir:CodeSystem.concept.code [ fhir:value "10058096" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pancreatic necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the pancreas." ]     ], [
       fhir:index 593;
       fhir:CodeSystem.concept.code [ fhir:value "10058597" ];
       fhir:CodeSystem.concept.display [ fhir:value "Right ventricular dysfunction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by impairment of right ventricular function associated with low ejection fraction and a decrease in motility of the right ventricular wall." ]     ], [
       fhir:index 594;
       fhir:CodeSystem.concept.code [ fhir:value "10058674" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pelvic infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the pelvic cavity." ]     ], [
       fhir:index 595;
       fhir:CodeSystem.concept.code [ fhir:value "10058720" ];
       fhir:CodeSystem.concept.display [ fhir:value "Edema trunk" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by swelling due to excessive fluid accumulation in the trunk area." ]     ], [
       fhir:index 596;
       fhir:CodeSystem.concept.code [ fhir:value "10058804" ];
       fhir:CodeSystem.concept.display [ fhir:value "Esophageal infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the esophagus." ]     ], [
       fhir:index 597;
       fhir:CodeSystem.concept.code [ fhir:value "10058838" ];
       fhir:CodeSystem.concept.display [ fhir:value "Enterocolitis infectious" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the small and large intestines." ]     ], [
       fhir:index 598;
       fhir:CodeSystem.concept.code [ fhir:value "10059094" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intestinal stoma obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of blockage of the normal flow of the contents of the intestinal stoma." ]     ], [
       fhir:index 599;
       fhir:CodeSystem.concept.code [ fhir:value "10059095" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intestinal stoma leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage of contents from an intestinal stoma (surgically created opening on the surface of the body)." ]     ], [
       fhir:index 600;
       fhir:CodeSystem.concept.code [ fhir:value "10059446" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gallbladder necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the gallbladder." ]     ], [
       fhir:index 601;
       fhir:CodeSystem.concept.code [ fhir:value "10059639" ];
       fhir:CodeSystem.concept.display [ fhir:value "Laryngeal obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the laryngeal airway." ]     ], [
       fhir:index 602;
       fhir:CodeSystem.concept.code [ fhir:value "10059827" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rhinitis infective" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the nasal mucosal." ]     ], [
       fhir:index 603;
       fhir:CodeSystem.concept.code [ fhir:value "10059895" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urine output decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on test results that indicate urine production is less relative to previous output." ]     ], [
       fhir:index 604;
       fhir:CodeSystem.concept.code [ fhir:value "10060602" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hematosalpinx" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the presence of blood in a fallopian tube." ]     ], [
       fhir:index 605;
       fhir:CodeSystem.concept.code [ fhir:value "10060640" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hemorrhoidal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the hemorrhoids." ]     ], [
       fhir:index 606;
       fhir:CodeSystem.concept.code [ fhir:value "10060890" ];
       fhir:CodeSystem.concept.display [ fhir:value "Trigeminal nerve disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the trigeminal nerve (fifth cranial nerve)." ]     ], [
       fhir:index 607;
       fhir:CodeSystem.concept.code [ fhir:value "10060929" ];
       fhir:CodeSystem.concept.display [ fhir:value "Accessory nerve disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the accessory nerve (eleventh cranial nerve)." ]     ], [
       fhir:index 608;
       fhir:CodeSystem.concept.code [ fhir:value "10061017" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bone infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the bones." ]     ], [
       fhir:index 609;
       fhir:CodeSystem.concept.code [ fhir:value "10061103" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dermatitis radiation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of cutaneous inflammatory reaction occurring as a result of exposure to biologically effective levels of ionizing radiation." ]     ], [
       fhir:index 610;
       fhir:CodeSystem.concept.code [ fhir:value "10061145" ];
       fhir:CodeSystem.concept.display [ fhir:value "Eyelid function disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by impaired eyelid function." ]     ], [
       fhir:index 611;
       fhir:CodeSystem.concept.code [ fhir:value "10061149" ];
       fhir:CodeSystem.concept.display [ fhir:value "Female genital tract fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between a female reproductive system organ and another organ or anatomic site." ]     ], [
       fhir:index 612;
       fhir:CodeSystem.concept.code [ fhir:value "10061185" ];
       fhir:CodeSystem.concept.display [ fhir:value "Glossopharyngeal nerve disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the glossopharyngeal nerve (ninth cranial nerve)." ]     ], [
       fhir:index 613;
       fhir:CodeSystem.concept.code [ fhir:value "10061212" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hypoglossal nerve disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the hypoglossal nerve (twelfth cranial nerve)." ]     ], [
       fhir:index 614;
       fhir:CodeSystem.concept.code [ fhir:value "10061229" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lung infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the lungs." ]     ], [
       fhir:index 615;
       fhir:CodeSystem.concept.code [ fhir:value "10061261" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lactation disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by disturbances of milk secretion. It is not necessarily related to pregnancy that is observed in females and can be observed in males." ]     ], [
       fhir:index 616;
       fhir:CodeSystem.concept.code [ fhir:value "10061304" ];
       fhir:CodeSystem.concept.display [ fhir:value "Nail infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the nail." ]     ], [
       fhir:index 617;
       fhir:CodeSystem.concept.code [ fhir:value "10061322" ];
       fhir:CodeSystem.concept.display [ fhir:value "Optic nerve disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the optic nerve (second cranial nerve)." ]     ], [
       fhir:index 618;
       fhir:CodeSystem.concept.code [ fhir:value "10061339" ];
       fhir:CodeSystem.concept.display [ fhir:value "Perineal pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the area between the genital organs and the anus." ]     ], [
       fhir:index 619;
       fhir:CodeSystem.concept.code [ fhir:value "10061351" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pleural infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the pleura." ]     ], [
       fhir:index 620;
       fhir:CodeSystem.concept.code [ fhir:value "10061389" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tricuspid valve disease" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a defect in tricuspid valve function or structure." ]     ], [
       fhir:index 621;
       fhir:CodeSystem.concept.code [ fhir:value "10061403" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vagus nerve disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the vagus nerve (tenth cranial nerve)." ]     ], [
       fhir:index 622;
       fhir:CodeSystem.concept.code [ fhir:value "10061457" ];
       fhir:CodeSystem.concept.display [ fhir:value "Facial nerve disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the facial nerve (seventh cranial nerve)." ]     ], [
       fhir:index 623;
       fhir:CodeSystem.concept.code [ fhir:value "10061461" ];
       fhir:CodeSystem.concept.display [ fhir:value "Erectile dysfunction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the persistent or recurrent inability to achieve or to maintain an erection during sexual activity." ]     ], [
       fhir:index 624;
       fhir:CodeSystem.concept.code [ fhir:value "10061510" ];
       fhir:CodeSystem.concept.display [ fhir:value "Scleral disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the sclera of the eye." ]     ], [
       fhir:index 625;
       fhir:CodeSystem.concept.code [ fhir:value "10061532" ];
       fhir:CodeSystem.concept.display [ fhir:value "Mitral valve disease" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a defect in mitral valve function or structure." ]     ], [
       fhir:index 626;
       fhir:CodeSystem.concept.code [ fhir:value "10061541" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pulmonary valve disease" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a defect in pulmonary valve function or structure." ]     ], [
       fhir:index 627;
       fhir:CodeSystem.concept.code [ fhir:value "10061574" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urinary tract obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the normal flow of contents of the urinary tract." ]     ], [
       fhir:index 628;
       fhir:CodeSystem.concept.code [ fhir:value "10061589" ];
       fhir:CodeSystem.concept.display [ fhir:value "Aortic valve disease" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a defect in aortic valve function or structure." ]     ], [
       fhir:index 629;
       fhir:CodeSystem.concept.code [ fhir:value "10061640" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anorectal infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the anal area and the rectum." ]     ], [
       fhir:index 630;
       fhir:CodeSystem.concept.code [ fhir:value "10061664" ];
       fhir:CodeSystem.concept.display [ fhir:value "Autoimmune disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder resulting from loss of function or tissue destruction of an organ or multiple organs, arising from humoral or cellular immune responses of the individual to his own tissue constituents." ]     ], [
       fhir:index 631;
       fhir:CodeSystem.concept.code [ fhir:value "10061695" ];
       fhir:CodeSystem.concept.display [ fhir:value "Biliary tract infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the biliary tract." ]     ], [
       fhir:index 632;
       fhir:CodeSystem.concept.code [ fhir:value "10061788" ];
       fhir:CodeSystem.concept.display [ fhir:value "Corneal infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the cornea." ]     ], [
       fhir:index 633;
       fhir:CodeSystem.concept.code [ fhir:value "10061912" ];
       fhir:CodeSystem.concept.display [ fhir:value "Penile infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the penis." ]     ], [
       fhir:index 634;
       fhir:CodeSystem.concept.code [ fhir:value "10061928" ];
       fhir:CodeSystem.concept.display [ fhir:value "Radiculitis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation involving a nerve root. Patients experience marked discomfort radiating along a nerve path because of spinal pressure on the connecting nerve root." ]     ], [
       fhir:index 635;
       fhir:CodeSystem.concept.code [ fhir:value "10061970" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastric stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the lumen of the stomach." ]     ], [
       fhir:index 636;
       fhir:CodeSystem.concept.code [ fhir:value "10062112" ];
       fhir:CodeSystem.concept.display [ fhir:value "Splenic infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the spleen." ]     ], [
       fhir:index 637;
       fhir:CodeSystem.concept.code [ fhir:value "10062156" ];
       fhir:CodeSystem.concept.display [ fhir:value "Scrotal infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the scrotum." ]     ], [
       fhir:index 638;
       fhir:CodeSystem.concept.code [ fhir:value "10062169" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vascular access complication" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of a previously undocumented problem related to the vascular access site." ]     ], [
       fhir:index 639;
       fhir:CodeSystem.concept.code [ fhir:value "10062225" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urinary tract pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the urinary tract." ]     ], [
       fhir:index 640;
       fhir:CodeSystem.concept.code [ fhir:value "10062233" ];
       fhir:CodeSystem.concept.display [ fhir:value "Uterine infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the endometrium. It may extend to the myometrium and parametrial tissues." ]     ], [
       fhir:index 641;
       fhir:CodeSystem.concept.code [ fhir:value "10062244" ];
       fhir:CodeSystem.concept.display [ fhir:value "Sinus disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the paranasal sinuses." ]     ], [
       fhir:index 642;
       fhir:CodeSystem.concept.code [ fhir:value "10062255" ];
       fhir:CodeSystem.concept.display [ fhir:value "Soft tissue infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving soft tissues." ]     ], [
       fhir:index 643;
       fhir:CodeSystem.concept.code [ fhir:value "10062263" ];
       fhir:CodeSystem.concept.display [ fhir:value "Small intestinal stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the lumen of the small intestine." ]     ], [
       fhir:index 644;
       fhir:CodeSystem.concept.code [ fhir:value "10062283" ];
       fhir:CodeSystem.concept.display [ fhir:value "Nail ridging" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by vertical or horizontal ridges on the nails." ]     ], [
       fhir:index 645;
       fhir:CodeSystem.concept.code [ fhir:value "10062315" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lipohypertrophy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by hypertrophy of the subcutaneous adipose tissue at the site of multiple subcutaneous injections of insulin." ]     ], [
       fhir:index 646;
       fhir:CodeSystem.concept.code [ fhir:value "10062466" ];
       fhir:CodeSystem.concept.display [ fhir:value "Localized edema" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by swelling due to excessive fluid accumulation at a specific anatomic site." ]     ], [
       fhir:index 647;
       fhir:CodeSystem.concept.code [ fhir:value "10062501" ];
       fhir:CodeSystem.concept.display [ fhir:value "Non-cardiac chest pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by discomfort in the chest unrelated to a heart disorder." ]     ], [
       fhir:index 648;
       fhir:CodeSystem.concept.code [ fhir:value "10062548" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tracheal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of bleeding from the trachea." ]     ], [
       fhir:index 649;
       fhir:CodeSystem.concept.code [ fhir:value "10062570" ];
       fhir:CodeSystem.concept.display [ fhir:value "Enterovesical fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the urinary bladder and the intestine." ]     ], [
       fhir:index 650;
       fhir:CodeSystem.concept.code [ fhir:value "10062572" ];
       fhir:CodeSystem.concept.display [ fhir:value "Generalized muscle weakness" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a reduction in the strength of muscles in multiple anatomic sites." ]     ], [
       fhir:index 651;
       fhir:CodeSystem.concept.code [ fhir:value "10062632" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gallbladder infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the gallbladder." ]     ], [
       fhir:index 652;
       fhir:CodeSystem.concept.code [ fhir:value "10062646" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pancreatic enzymes decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on laboratory test results that indicate an decrease in levels of pancreatic enzymes in a biological specimen." ]     ], [
       fhir:index 653;
       fhir:CodeSystem.concept.code [ fhir:value "10062667" ];
       fhir:CodeSystem.concept.display [ fhir:value "Laryngopharyngeal dysesthesia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an uncomfortable persistent sensation in the area of the laryngopharynx." ]     ], [
       fhir:index 654;
       fhir:CodeSystem.concept.code [ fhir:value "10062872" ];
       fhir:CodeSystem.concept.display [ fhir:value "Dysesthesia" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by distortion of sensory perception, resulting in an abnormal and unpleasant sensation." ]     ], [
       fhir:index 655;
       fhir:CodeSystem.concept.code [ fhir:value "10063057" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cystitis noninfective" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the bladder which is not caused by an infection of the urinary tract." ]     ], [
       fhir:index 656;
       fhir:CodeSystem.concept.code [ fhir:value "10063190" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rectal mucositis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the mucous membrane of the rectum." ]     ], [
       fhir:index 657;
       fhir:CodeSystem.concept.code [ fhir:value "10063524" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bronchial stricture" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the bronchial tube." ]     ], [
       fhir:index 658;
       fhir:CodeSystem.concept.code [ fhir:value "10063575" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bladder perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the bladder wall." ]     ], [
       fhir:index 659;
       fhir:CodeSystem.concept.code [ fhir:value "10063636" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pyramidal tract syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by dysfunction of the corticospinal (pyramidal) tracts of the spinal cord. Symptoms include an increase in the muscle tone in the lower extremities, hyperreflexia, positive Babinski and a decrease in fine motor coordination." ]     ], [
       fhir:index 660;
       fhir:CodeSystem.concept.code [ fhir:value "10063761" ];
       fhir:CodeSystem.concept.display [ fhir:value "Reversible posterior leukoencephalopathy syndrome" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by headaches, mental status changes, visual disturbances, and seizures associated with imaging findings of posterior leukoencephalopathy. It has been observed in association with hypertensive encephalopathy, eclampsia, and immunosuppressive and cytotoxic drug treatment. It is an acute or subacute reversible condition." ]     ], [
       fhir:index 661;
       fhir:CodeSystem.concept.code [ fhir:value "10064026" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pelvic floor muscle weakness" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a reduction in the strength of the muscles of the pelvic floor." ]     ], [
       fhir:index 662;
       fhir:CodeSystem.concept.code [ fhir:value "10064505" ];
       fhir:CodeSystem.concept.display [ fhir:value "Stoma site infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving a stoma (surgically created opening on the surface of the body)." ]     ], [
       fhir:index 663;
       fhir:CodeSystem.concept.code [ fhir:value "10064658" ];
       fhir:CodeSystem.concept.display [ fhir:value "Osteonecrosis of jaw" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the bone of the mandible." ]     ], [
       fhir:index 664;
       fhir:CodeSystem.concept.code [ fhir:value "10064687" ];
       fhir:CodeSystem.concept.display [ fhir:value "Device related infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the use of a medical device." ]     ], [
       fhir:index 665;
       fhir:CodeSystem.concept.code [ fhir:value "10064774" ];
       fhir:CodeSystem.concept.display [ fhir:value "Infusion site extravasation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by leakage of a pharmacologic or a biologic substance from the infusion site into the surrounding tissue. Signs and symptoms include induration, erythema, swelling, burning sensation and marked discomfort at the infusion site." ]     ], [
       fhir:index 666;
       fhir:CodeSystem.concept.code [ fhir:value "10064848" ];
       fhir:CodeSystem.concept.display [ fhir:value "Chronic kidney disease" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by gradual and usually permanent loss of kidney function resulting in renal failure." ]     ], [
       fhir:index 667;
       fhir:CodeSystem.concept.code [ fhir:value "10065368" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urinary fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between any part of the urinary system and another organ or anatomic site." ]     ], [
       fhir:index 668;
       fhir:CodeSystem.concept.code [ fhir:value "10065417" ];
       fhir:CodeSystem.concept.display [ fhir:value "Brachial plexopathy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by regional paresthesia of the brachial plexus, marked discomfort and muscle weakness, and limited movement in the arm or hand." ]     ], [
       fhir:index 669;
       fhir:CodeSystem.concept.code [ fhir:value "10065703" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pancreatic duct stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the lumen of the pancreatic duct." ]     ], [
       fhir:index 670;
       fhir:CodeSystem.concept.code [ fhir:value "10065704" ];
       fhir:CodeSystem.concept.display [ fhir:value "Peritoneal necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the peritoneum." ]     ], [
       fhir:index 671;
       fhir:CodeSystem.concept.code [ fhir:value "10065705" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pharyngeal anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of a pharyngeal anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 672;
       fhir:CodeSystem.concept.code [ fhir:value "10065706" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pharyngeal necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the pharynx." ]     ], [
       fhir:index 673;
       fhir:CodeSystem.concept.code [ fhir:value "10065707" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rectal obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the normal flow of the intestinal contents in the rectum." ]     ], [
       fhir:index 674;
       fhir:CodeSystem.concept.code [ fhir:value "10065709" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rectal necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the rectal wall." ]     ], [
       fhir:index 675;
       fhir:CodeSystem.concept.code [ fhir:value "10065710" ];
       fhir:CodeSystem.concept.display [ fhir:value "Small intestinal mucositis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the mucous membrane of the small intestine." ]     ], [
       fhir:index 676;
       fhir:CodeSystem.concept.code [ fhir:value "10065712" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastrointestinal stoma necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of a necrotic process occurring in the gastrointestinal tract stoma." ]     ], [
       fhir:index 677;
       fhir:CodeSystem.concept.code [ fhir:value "10065713" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastric fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the stomach and another organ or anatomic site." ]     ], [
       fhir:index 678;
       fhir:CodeSystem.concept.code [ fhir:value "10065719" ];
       fhir:CodeSystem.concept.display [ fhir:value "Jejunal fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the jejunum and another organ or anatomic site." ]     ], [
       fhir:index 679;
       fhir:CodeSystem.concept.code [ fhir:value "10065720" ];
       fhir:CodeSystem.concept.display [ fhir:value "Oral cavity fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the oral cavity and another organ or anatomic site." ]     ], [
       fhir:index 680;
       fhir:CodeSystem.concept.code [ fhir:value "10065721" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anal mucositis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation of the mucous membrane of the anus." ]     ], [
       fhir:index 681;
       fhir:CodeSystem.concept.code [ fhir:value "10065722" ];
       fhir:CodeSystem.concept.display [ fhir:value "Anal necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the anal region." ]     ], [
       fhir:index 682;
       fhir:CodeSystem.concept.code [ fhir:value "10065727" ];
       fhir:CodeSystem.concept.display [ fhir:value "Esophageal necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the esophageal wall." ]     ], [
       fhir:index 683;
       fhir:CodeSystem.concept.code [ fhir:value "10065728" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ileal fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the ileum and another organ or anatomic site." ]     ], [
       fhir:index 684;
       fhir:CodeSystem.concept.code [ fhir:value "10065730" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ileal obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the normal flow of the intestinal contents in the ileum." ]     ], [
       fhir:index 685;
       fhir:CodeSystem.concept.code [ fhir:value "10065732" ];
       fhir:CodeSystem.concept.display [ fhir:value "Jejunal obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the normal flow of the intestinal contents in the jejunum." ]     ], [
       fhir:index 686;
       fhir:CodeSystem.concept.code [ fhir:value "10065735" ];
       fhir:CodeSystem.concept.display [ fhir:value "Laryngeal inflammation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an inflammation involving the larynx." ]     ], [
       fhir:index 687;
       fhir:CodeSystem.concept.code [ fhir:value "10065738" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unequal limb length" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by of a discrepancy between the lengths of the lower or upper extremities." ]     ], [
       fhir:index 688;
       fhir:CodeSystem.concept.code [ fhir:value "10065744" ];
       fhir:CodeSystem.concept.display [ fhir:value "Arteritis infective" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving an artery." ]     ], [
       fhir:index 689;
       fhir:CodeSystem.concept.code [ fhir:value "10065745" ];
       fhir:CodeSystem.concept.display [ fhir:value "Prolapse of intestinal stoma" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of protrusion of the intestinal stoma (surgically created opening on the surface of the body) above the abdominal surface." ]     ], [
       fhir:index 690;
       fhir:CodeSystem.concept.code [ fhir:value "10065746" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bronchopulmonary hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the bronchial wall and/or lung parenchyma." ]     ], [
       fhir:index 691;
       fhir:CodeSystem.concept.code [ fhir:value "10065747" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cecal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the cecum." ]     ], [
       fhir:index 692;
       fhir:CodeSystem.concept.code [ fhir:value "10065748" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urostomy site bleeding" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of bleeding from the urostomy site." ]     ], [
       fhir:index 693;
       fhir:CodeSystem.concept.code [ fhir:value "10065749" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tracheostomy site bleeding" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of blood leakage from the tracheostomy site." ]     ], [
       fhir:index 694;
       fhir:CodeSystem.concept.code [ fhir:value "10065752" ];
       fhir:CodeSystem.concept.display [ fhir:value "Duodenal infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the duodenum." ]     ], [
       fhir:index 695;
       fhir:CodeSystem.concept.code [ fhir:value "10065755" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lip infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the lips." ]     ], [
       fhir:index 696;
       fhir:CodeSystem.concept.code [ fhir:value "10065759" ];
       fhir:CodeSystem.concept.display [ fhir:value "Laryngeal hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the larynx." ]     ], [
       fhir:index 697;
       fhir:CodeSystem.concept.code [ fhir:value "10065761" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cecal infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the cecum." ]     ], [
       fhir:index 698;
       fhir:CodeSystem.concept.code [ fhir:value "10065762" ];
       fhir:CodeSystem.concept.display [ fhir:value "Spermatic cord hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the spermatic cord." ]     ], [
       fhir:index 699;
       fhir:CodeSystem.concept.code [ fhir:value "10065763" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ovarian hemorrhage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by bleeding from the ovary." ]     ], [
       fhir:index 700;
       fhir:CodeSystem.concept.code [ fhir:value "10065764" ];
       fhir:CodeSystem.concept.display [ fhir:value "Mucosal infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving a mucosal surface." ]     ], [
       fhir:index 701;
       fhir:CodeSystem.concept.code [ fhir:value "10065765" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cranial nerve infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving a cranial nerve." ]     ], [
       fhir:index 702;
       fhir:CodeSystem.concept.code [ fhir:value "10065766" ];
       fhir:CodeSystem.concept.display [ fhir:value "Peripheral nerve infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the peripheral nerves." ]     ], [
       fhir:index 703;
       fhir:CodeSystem.concept.code [ fhir:value "10065771" ];
       fhir:CodeSystem.concept.display [ fhir:value "Small intestine infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the small intestine." ]     ], [
       fhir:index 704;
       fhir:CodeSystem.concept.code [ fhir:value "10065772" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vulval infection" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an infectious process involving the vulva." ]     ], [
       fhir:index 705;
       fhir:CodeSystem.concept.code [ fhir:value "10065773" ];
       fhir:CodeSystem.concept.display [ fhir:value "Lymph leakage" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the loss of lymph fluid into the surrounding tissue or body cavity." ]     ], [
       fhir:index 706;
       fhir:CodeSystem.concept.code [ fhir:value "10065775" ];
       fhir:CodeSystem.concept.display [ fhir:value "Abdominal soft tissue necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the soft tissues of the abdominal wall." ]     ], [
       fhir:index 707;
       fhir:CodeSystem.concept.code [ fhir:value "10065776" ];
       fhir:CodeSystem.concept.display [ fhir:value "Muscle weakness lower limb" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a reduction in the strength of the lower limb muscles." ]     ], [
       fhir:index 708;
       fhir:CodeSystem.concept.code [ fhir:value "10065777" ];
       fhir:CodeSystem.concept.display [ fhir:value "Soft tissue necrosis lower limb" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the soft tissues of the lower extremity." ]     ], [
       fhir:index 709;
       fhir:CodeSystem.concept.code [ fhir:value "10065778" ];
       fhir:CodeSystem.concept.display [ fhir:value "Soft tissue necrosis upper limb" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the soft tissues of the upper extremity." ]     ], [
       fhir:index 710;
       fhir:CodeSystem.concept.code [ fhir:value "10065779" ];
       fhir:CodeSystem.concept.display [ fhir:value "Head soft tissue necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the soft tissues of the head." ]     ], [
       fhir:index 711;
       fhir:CodeSystem.concept.code [ fhir:value "10065780" ];
       fhir:CodeSystem.concept.display [ fhir:value "Muscle weakness left-sided" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a reduction in the strength of the muscles on the left side of the body." ]     ], [
       fhir:index 712;
       fhir:CodeSystem.concept.code [ fhir:value "10065781" ];
       fhir:CodeSystem.concept.display [ fhir:value "Neck soft tissue necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the soft tissues of the neck." ]     ], [
       fhir:index 713;
       fhir:CodeSystem.concept.code [ fhir:value "10065783" ];
       fhir:CodeSystem.concept.display [ fhir:value "Musculoskeletal deformity" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by of a malformation of the musculoskeletal system." ]     ], [
       fhir:index 714;
       fhir:CodeSystem.concept.code [ fhir:value "10065784" ];
       fhir:CodeSystem.concept.display [ fhir:value "Central nervous system necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the brain and/or spinal cord." ]     ], [
       fhir:index 715;
       fhir:CodeSystem.concept.code [ fhir:value "10065785" ];
       fhir:CodeSystem.concept.display [ fhir:value "External ear pain" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a sensation of marked discomfort in the external ear region." ]     ], [
       fhir:index 716;
       fhir:CodeSystem.concept.code [ fhir:value "10065786" ];
       fhir:CodeSystem.concept.display [ fhir:value "Laryngeal fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the larynx and another organ or anatomic site." ]     ], [
       fhir:index 717;
       fhir:CodeSystem.concept.code [ fhir:value "10065787" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tracheal fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the trachea and another organ or anatomic site." ]     ], [
       fhir:index 718;
       fhir:CodeSystem.concept.code [ fhir:value "10065788" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fallopian tube anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of a fallopian tube anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 719;
       fhir:CodeSystem.concept.code [ fhir:value "10065789" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fallopian tube obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the normal flow of the contents in the fallopian tube." ]     ], [
       fhir:index 720;
       fhir:CodeSystem.concept.code [ fhir:value "10065790" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fallopian tube perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of rupture of the fallopian tube wall." ]     ], [
       fhir:index 721;
       fhir:CodeSystem.concept.code [ fhir:value "10065791" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fallopian tube stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a narrowing of the fallopian tube lumen." ]     ], [
       fhir:index 722;
       fhir:CodeSystem.concept.code [ fhir:value "10065793" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pelvic soft tissue necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a necrotic process occurring in the soft tissues of the pelvis." ]     ], [
       fhir:index 723;
       fhir:CodeSystem.concept.code [ fhir:value "10065794" ];
       fhir:CodeSystem.concept.display [ fhir:value "Muscle weakness right-sided" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a reduction in the strength of the muscles on the right side of the body." ]     ], [
       fhir:index 724;
       fhir:CodeSystem.concept.code [ fhir:value "10065795" ];
       fhir:CodeSystem.concept.display [ fhir:value "Muscle weakness trunk" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a reduction in the strength of the trunk muscles." ]     ], [
       fhir:index 725;
       fhir:CodeSystem.concept.code [ fhir:value "10065796" ];
       fhir:CodeSystem.concept.display [ fhir:value "Joint range of motion decreased cervical spine" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in flexibility of a cervical spine joint." ]     ], [
       fhir:index 726;
       fhir:CodeSystem.concept.code [ fhir:value "10065798" ];
       fhir:CodeSystem.concept.display [ fhir:value "Superficial soft tissue fibrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by fibrotic degeneration of the superficial soft tissues." ]     ], [
       fhir:index 727;
       fhir:CodeSystem.concept.code [ fhir:value "10065799" ];
       fhir:CodeSystem.concept.display [ fhir:value "Fibrosis deep connective tissue" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by fibrotic degeneration of the deep connective tissues." ]     ], [
       fhir:index 728;
       fhir:CodeSystem.concept.code [ fhir:value "10065800" ];
       fhir:CodeSystem.concept.display [ fhir:value "Joint range of motion decreased lumbar spine" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a decrease in flexibility of a lumbar spine joint." ]     ], [
       fhir:index 729;
       fhir:CodeSystem.concept.code [ fhir:value "10065802" ];
       fhir:CodeSystem.concept.display [ fhir:value "Bladder anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage of urine due to breakdown of a bladder anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 730;
       fhir:CodeSystem.concept.code [ fhir:value "10065803" ];
       fhir:CodeSystem.concept.display [ fhir:value "Kidney anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage of urine due to breakdown of a kidney anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 731;
       fhir:CodeSystem.concept.code [ fhir:value "10065805" ];
       fhir:CodeSystem.concept.display [ fhir:value "Spermatic cord obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the normal flow of the contents of the spermatic cord." ]     ], [
       fhir:index 732;
       fhir:CodeSystem.concept.code [ fhir:value "10065811" ];
       fhir:CodeSystem.concept.display [ fhir:value "Uterine fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the uterus and another organ or anatomic site." ]     ], [
       fhir:index 733;
       fhir:CodeSystem.concept.code [ fhir:value "10065813" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginal fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the vagina and another organ or anatomic site." ]     ], [
       fhir:index 734;
       fhir:CodeSystem.concept.code [ fhir:value "10065814" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ureteric anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of a ureteral anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 735;
       fhir:CodeSystem.concept.code [ fhir:value "10065815" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urethral anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of a urethral anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 736;
       fhir:CodeSystem.concept.code [ fhir:value "10065817" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginal obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of vaginal canal." ]     ], [
       fhir:index 737;
       fhir:CodeSystem.concept.code [ fhir:value "10065818" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginal perforation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a rupture in the vaginal wall." ]     ], [
       fhir:index 738;
       fhir:CodeSystem.concept.code [ fhir:value "10065822" ];
       fhir:CodeSystem.concept.display [ fhir:value "Prolapse of urostomy" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of displacement of the urostomy." ]     ], [
       fhir:index 739;
       fhir:CodeSystem.concept.code [ fhir:value "10065823" ];
       fhir:CodeSystem.concept.display [ fhir:value "Nipple deformity" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a malformation of the nipple." ]     ], [
       fhir:index 740;
       fhir:CodeSystem.concept.code [ fhir:value "10065825" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative gastrointestinal injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the gastrointestinal system during a surgical procedure." ]     ], [
       fhir:index 741;
       fhir:CodeSystem.concept.code [ fhir:value "10065826" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative arterial injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to an artery during a surgical procedure." ]     ], [
       fhir:index 742;
       fhir:CodeSystem.concept.code [ fhir:value "10065827" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative hepatobiliary injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the hepatic parenchyma and/or biliary tract during a surgical procedure." ]     ], [
       fhir:index 743;
       fhir:CodeSystem.concept.code [ fhir:value "10065828" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative urinary injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the urinary system during a surgical procedure." ]     ], [
       fhir:index 744;
       fhir:CodeSystem.concept.code [ fhir:value "10065829" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative musculoskeletal injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the musculoskeletal system during a surgical procedure." ]     ], [
       fhir:index 745;
       fhir:CodeSystem.concept.code [ fhir:value "10065830" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative neurological injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the nervous system during a surgical procedure." ]     ], [
       fhir:index 746;
       fhir:CodeSystem.concept.code [ fhir:value "10065831" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative breast injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the breast parenchyma during a surgical procedure." ]     ], [
       fhir:index 747;
       fhir:CodeSystem.concept.code [ fhir:value "10065832" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative respiratory injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the respiratory system during a surgical procedure." ]     ], [
       fhir:index 748;
       fhir:CodeSystem.concept.code [ fhir:value "10065834" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative endocrine injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the endocrine gland during a surgical procedure." ]     ], [
       fhir:index 749;
       fhir:CodeSystem.concept.code [ fhir:value "10065836" ];
       fhir:CodeSystem.concept.display [ fhir:value "IVth nerve disorder" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by involvement of the trochlear nerve (fourth cranial nerve)." ]     ], [
       fhir:index 750;
       fhir:CodeSystem.concept.code [ fhir:value "10065837" ];
       fhir:CodeSystem.concept.display [ fhir:value "External ear inflammation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation, swelling and redness to the outer ear and ear canal." ]     ], [
       fhir:index 751;
       fhir:CodeSystem.concept.code [ fhir:value "10065838" ];
       fhir:CodeSystem.concept.display [ fhir:value "Middle ear inflammation" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by inflammation (physiologic response to irritation), swelling and redness to the middle ear." ]     ], [
       fhir:index 752;
       fhir:CodeSystem.concept.code [ fhir:value "10065840" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative reproductive tract injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the reproductive organs during a surgical procedure." ]     ], [
       fhir:index 753;
       fhir:CodeSystem.concept.code [ fhir:value "10065841" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative ocular injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the eye during a surgical procedure." ]     ], [
       fhir:index 754;
       fhir:CodeSystem.concept.code [ fhir:value "10065842" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative head and neck injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the head and neck during a surgical procedure." ]     ], [
       fhir:index 755;
       fhir:CodeSystem.concept.code [ fhir:value "10065843" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative cardiac injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the heart during a surgical procedure." ]     ], [
       fhir:index 756;
       fhir:CodeSystem.concept.code [ fhir:value "10065844" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative ear injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the ear during a surgical procedure." ]     ], [
       fhir:index 757;
       fhir:CodeSystem.concept.code [ fhir:value "10065845" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative renal injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the kidney during a surgical procedure." ]     ], [
       fhir:index 758;
       fhir:CodeSystem.concept.code [ fhir:value "10065846" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative skin injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the skin during a surgical procedure." ]     ], [
       fhir:index 759;
       fhir:CodeSystem.concept.code [ fhir:value "10065847" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative splenic injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the spleen during a surgical procedure." ]     ], [
       fhir:index 760;
       fhir:CodeSystem.concept.code [ fhir:value "10065848" ];
       fhir:CodeSystem.concept.display [ fhir:value "Intraoperative venous injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to a vein during a surgical procedure." ]     ], [
       fhir:index 761;
       fhir:CodeSystem.concept.code [ fhir:value "10065849" ];
       fhir:CodeSystem.concept.display [ fhir:value "Injury to jugular vein" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of damage to the jugular vein." ]     ], [
       fhir:index 762;
       fhir:CodeSystem.concept.code [ fhir:value "10065851" ];
       fhir:CodeSystem.concept.display [ fhir:value "Esophageal fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the esophagus and another organ or anatomic site." ]     ], [
       fhir:index 763;
       fhir:CodeSystem.concept.code [ fhir:value "10065873" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pulmonary fistula" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an abnormal communication between the lung and another organ or anatomic site." ]     ], [
       fhir:index 764;
       fhir:CodeSystem.concept.code [ fhir:value "10065879" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastrointestinal anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of a gastrointestinal anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 765;
       fhir:CodeSystem.concept.code [ fhir:value "10065880" ];
       fhir:CodeSystem.concept.display [ fhir:value "Laryngeal mucositis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an inflammation involving the mucous membrane of the larynx." ]     ], [
       fhir:index 766;
       fhir:CodeSystem.concept.code [ fhir:value "10065881" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pharyngeal mucositis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an inflammation involving the mucous membrane of the pharynx." ]     ], [
       fhir:index 767;
       fhir:CodeSystem.concept.code [ fhir:value "10065882" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urostomy leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage of contents from a urostomy." ]     ], [
       fhir:index 768;
       fhir:CodeSystem.concept.code [ fhir:value "10065883" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urostomy obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of blockage of the urostomy." ]     ], [
       fhir:index 769;
       fhir:CodeSystem.concept.code [ fhir:value "10065885" ];
       fhir:CodeSystem.concept.display [ fhir:value "Urostomy stenosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of narrowing of the opening of a urostomy." ]     ], [
       fhir:index 770;
       fhir:CodeSystem.concept.code [ fhir:value "10065886" ];
       fhir:CodeSystem.concept.display [ fhir:value "Uterine anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of a uterine anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 771;
       fhir:CodeSystem.concept.code [ fhir:value "10065887" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vaginal anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of a vaginal anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 772;
       fhir:CodeSystem.concept.code [ fhir:value "10065888" ];
       fhir:CodeSystem.concept.display [ fhir:value "Vas deferens anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of a vas deferens anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 773;
       fhir:CodeSystem.concept.code [ fhir:value "10065891" ];
       fhir:CodeSystem.concept.display [ fhir:value "Large intestinal anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of an anastomosis (surgical connection of two separate anatomic structures) in the large intestine." ]     ], [
       fhir:index 774;
       fhir:CodeSystem.concept.code [ fhir:value "10065892" ];
       fhir:CodeSystem.concept.display [ fhir:value "Small intestinal anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of an anastomosis (surgical connection of two separate anatomic structures) in the small bowel." ]     ], [
       fhir:index 775;
       fhir:CodeSystem.concept.code [ fhir:value "10065893" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastric anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of a gastric anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 776;
       fhir:CodeSystem.concept.code [ fhir:value "10065894" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rectal anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of a rectal anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 777;
       fhir:CodeSystem.concept.code [ fhir:value "10065895" ];
       fhir:CodeSystem.concept.display [ fhir:value "Muscle weakness upper limb" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by a reduction in the strength of the upper limb muscles." ]     ], [
       fhir:index 778;
       fhir:CodeSystem.concept.code [ fhir:value "10065897" ];
       fhir:CodeSystem.concept.display [ fhir:value "Spermatic cord anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of a spermatic cord anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 779;
       fhir:CodeSystem.concept.code [ fhir:value "10065898" ];
       fhir:CodeSystem.concept.display [ fhir:value "Stenosis of gastrointestinal stoma" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of narrowing of the gastrointestinal stoma (surgically created opening on the surface of the body)." ]     ], [
       fhir:index 780;
       fhir:CodeSystem.concept.code [ fhir:value "10065900" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tracheal mucositis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an inflammation involving the mucous membrane of the trachea." ]     ], [
       fhir:index 781;
       fhir:CodeSystem.concept.code [ fhir:value "10065906" ];
       fhir:CodeSystem.concept.display [ fhir:value "Carbon monoxide diffusing capacity decreased" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding based on lung function test results that indicate a decrease in the lung capacity to absorb carbon monoxide." ]     ], [
       fhir:index 782;
       fhir:CodeSystem.concept.code [ fhir:value "10065928" ];
       fhir:CodeSystem.concept.display [ fhir:value "Uterine obstruction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by blockage of the uterine outlet." ]     ], [
       fhir:index 783;
       fhir:CodeSystem.concept.code [ fhir:value "10065961" ];
       fhir:CodeSystem.concept.display [ fhir:value "Esophageal anastomotic leak" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A finding of leakage due to breakdown of an esophageal anastomosis (surgical connection of two separate anatomic structures)." ]     ], [
       fhir:index 784;
       fhir:CodeSystem.concept.code [ fhir:value "10065973" ];
       fhir:CodeSystem.concept.display [ fhir:value "Iron overload" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by accumulation of iron in the tissues." ]     ], [
       fhir:index 785;
       fhir:CodeSystem.concept.code [ fhir:value "10066480" ];
       fhir:CodeSystem.concept.display [ fhir:value "Avascular necrosis" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by necrotic changes in the bone tissue due to interruption of blood supply. Most often affecting the epiphysis of the long bones, the necrotic changes result in the collapse and the destruction of the bone structure." ]     ], [
       fhir:index 786;
       fhir:CodeSystem.concept.code [ fhir:value "10066874" ];
       fhir:CodeSystem.concept.display [ fhir:value "Gastroesophageal reflux disease" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by reflux of the gastric and/or duodenal contents into the distal esophagus. It is chronic in nature and usually caused by incompetence of the lower esophageal sphincter, and may result in injury to the esophageal mucosal. Symptoms include heartburn and acid indigestion." ]     ], [
       fhir:index 787;
       fhir:CodeSystem.concept.code [ fhir:value "10069138" ];
       fhir:CodeSystem.concept.display [ fhir:value "Papulopustular rash" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by an eruption consisting of papules (a small, raised pimple) and pustules (a small pus filled blister), typically appearing in face, scalp, and upper chest and back Unlike acne, this rash does not present with whiteheads or blackheads, and can be symptomatic, with itchy or tender lesions." ]     ], [
       fhir:index 788;
       fhir:CodeSystem.concept.code [ fhir:value "10069339" ];
       fhir:CodeSystem.concept.display [ fhir:value "Acute kidney injury" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by the acute loss of renal function and is traditionally classified as pre-renal (low blood flow into kidney), renal (kidney damage) and post-renal causes (ureteral or bladder outflow obstruction)." ]     ], [
       fhir:index 789;
       fhir:CodeSystem.concept.code [ fhir:value "10069501" ];
       fhir:CodeSystem.concept.display [ fhir:value "Left ventricular systolic dysfunction" ];
       fhir:CodeSystem.concept.definition [ fhir:value "A disorder characterized by failure of the left ventricle to produce adequate output despite an increase in distending pressure and in end-diastolic volume. Clinical manifestations mayinclude dyspnea, orthopnea, and other signs and symptoms of pulmonary congestion and edema." ]     ]
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     a fhir:ValueSet;
     fhir:index 11;
     fhir:Resource.id [ fhir:value "d1e57358-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
     fhir:ValueSet.compose [
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         fhir:ValueSet.compose.include.system [
           fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/3265657v2.0/question_identifier#3557050v2.0-cs";
           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e57358-cs" ]             ]           ]         ]       ]     ]
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     a fhir:CodeSystem;
     fhir:index 12;
     fhir:Resource.id [ fhir:value "d1e97042-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/3265657v2.0/question_identifier#3557842v2.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "Definite" ];
       fhir:CodeSystem.concept.display [ fhir:value "DEFINITE" ];
       fhir:CodeSystem.concept.definition [ fhir:value "No Value Exists" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "Possible" ];
       fhir:CodeSystem.concept.display [ fhir:value "POSSIBLE" ];
       fhir:CodeSystem.concept.definition [ fhir:value "POSSIBLE" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "Probable" ];
       fhir:CodeSystem.concept.display [ fhir:value "PROBABLE" ];
       fhir:CodeSystem.concept.definition [ fhir:value "PROBABLE" ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "Unlikely" ];
       fhir:CodeSystem.concept.display [ fhir:value "UNLIKELY" ];
       fhir:CodeSystem.concept.definition [ fhir:value "UNLIKELY" ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "Unrelated" ];
       fhir:CodeSystem.concept.display [ fhir:value "UNRELATED" ];
       fhir:CodeSystem.concept.definition [ fhir:value "UNRELATED" ]     ]
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     a fhir:ValueSet;
     fhir:index 13;
     fhir:Resource.id [ fhir:value "d1e97042-vs" ];
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         fhir:ValueSet.compose.include.system [
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             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
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     a fhir:CodeSystem;
     fhir:index 14;
     fhir:Resource.id [ fhir:value "d1e97392-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/3265657v2.0/question_identifier#3557851v2.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "Yes" ];
       fhir:CodeSystem.concept.display [ fhir:value "Yes" ];
       fhir:CodeSystem.concept.definition [ fhir:value "The affirmative response to a question or activity." ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "No" ];
       fhir:CodeSystem.concept.display [ fhir:value "No" ];
       fhir:CodeSystem.concept.definition [ fhir:value "The non-affirmative response to a question." ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "Unknown" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unknown" ];
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     fhir:ValueSet.status [ fhir:value "active" ];
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             fhir:index 0;
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             fhir:Extension.valueReference [
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     fhir:index 16;
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     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "Yes" ];
       fhir:CodeSystem.concept.display [ fhir:value "Yes" ];
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       fhir:CodeSystem.concept.display [ fhir:value "No" ];
       fhir:CodeSystem.concept.definition [ fhir:value "The non-affirmative response to a question." ]     ]
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     fhir:index 17;
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     fhir:ValueSet.status [ fhir:value "active" ];
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             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
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     fhir:index 18;
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     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
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       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "Yes" ];
       fhir:CodeSystem.concept.display [ fhir:value "Yes" ];
       fhir:CodeSystem.concept.definition [ fhir:value "The affirmative response to a question or activity." ]     ], [
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       fhir:CodeSystem.concept.code [ fhir:value "No" ];
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       fhir:CodeSystem.concept.definition [ fhir:value "The non-affirmative response to a question." ]     ]
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     fhir:index 19;
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     fhir:ValueSet.status [ fhir:value "active" ];
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         fhir:ValueSet.compose.include.system [
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           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
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     fhir:index 20;
     fhir:Resource.id [ fhir:value "d1e98036-cs" ];
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     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "Yes" ];
       fhir:CodeSystem.concept.display [ fhir:value "Yes" ];
       fhir:CodeSystem.concept.definition [ fhir:value "The affirmative response to a question or activity." ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "No" ];
       fhir:CodeSystem.concept.display [ fhir:value "No" ];
       fhir:CodeSystem.concept.definition [ fhir:value "The non-affirmative response to a question." ]     ]
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     fhir:index 21;
     fhir:Resource.id [ fhir:value "d1e98036-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
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         fhir:ValueSet.compose.include.system [
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           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e98036-cs" ]             ]           ]         ]       ]     ]
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     a fhir:CodeSystem;
     fhir:index 22;
     fhir:Resource.id [ fhir:value "d1e98234-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/3265657v2.0/question_identifier#3557028v2.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "Yes" ];
       fhir:CodeSystem.concept.display [ fhir:value "Yes" ];
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       fhir:CodeSystem.concept.code [ fhir:value "No" ];
       fhir:CodeSystem.concept.display [ fhir:value "No" ];
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     a fhir:ValueSet;
     fhir:index 23;
     fhir:Resource.id [ fhir:value "d1e98234-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
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           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
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  ], [
     a fhir:CodeSystem;
     fhir:index 24;
     fhir:Resource.id [ fhir:value "d1e98385-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/3265657v2.0/question_identifier#3557896v2.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "Fatal" ];
       fhir:CodeSystem.concept.display [ fhir:value "Death" ];
       fhir:CodeSystem.concept.definition [ fhir:value "The absence of life or state of being dead." ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "Not Recovered/Not Resolved" ];
       fhir:CodeSystem.concept.display [ fhir:value "NOT RECOVERED OR NOT RESOLVED" ];
       fhir:CodeSystem.concept.definition [ fhir:value "One of the possible results of an adverse event outcome that indicates that the event has not improved or recuperated." ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "Recovered/Resolved" ];
       fhir:CodeSystem.concept.display [ fhir:value "Recovered or Resolved" ];
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       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "Recovered/Resolved with Sequelae" ];
       fhir:CodeSystem.concept.display [ fhir:value "RECOVERED OR RESOLVED WITH SEQUELAE" ];
       fhir:CodeSystem.concept.definition [ fhir:value "One of the possible results of an adverse event outcome where the subject recuperated but retained pathological conditions resulting from the prior disease or injury." ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "Recovering/Resolving" ];
       fhir:CodeSystem.concept.display [ fhir:value "RECOVERING OR RESOLVING" ];
       fhir:CodeSystem.concept.definition [ fhir:value "One of the possible results of an adverse event outcome that indicates that the event is improving." ]     ], [
       fhir:index 5;
       fhir:CodeSystem.concept.code [ fhir:value "Unknown" ];
       fhir:CodeSystem.concept.display [ fhir:value "Unknown" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Not known, not observed, not recorded, or refused." ]     ]
  ], [
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     fhir:index 25;
     fhir:Resource.id [ fhir:value "d1e98385-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
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         fhir:ValueSet.compose.include.system [
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           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e98385-cs" ]             ]           ]         ]       ]     ]
  ], [
     a fhir:CodeSystem;
     fhir:index 26;
     fhir:Resource.id [ fhir:value "d1e98732-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/3265657v2.0/question_identifier#3557906v2.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "1" ];
       fhir:CodeSystem.concept.display [ fhir:value "single episode" ];
       fhir:CodeSystem.concept.definition [ fhir:value "single episode" ]     ], [
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       fhir:CodeSystem.concept.code [ fhir:value "2" ];
       fhir:CodeSystem.concept.display [ fhir:value "intermittent" ];
       fhir:CodeSystem.concept.definition [ fhir:value "intermittent" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "3" ];
       fhir:CodeSystem.concept.display [ fhir:value "CONTINUOUS" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Existing in time or space without stop or interruption." ]     ]
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     a fhir:ValueSet;
     fhir:index 27;
     fhir:Resource.id [ fhir:value "d1e98732-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
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           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
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  ], [
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     fhir:index 28;
     fhir:Resource.id [ fhir:value "d1e98928-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/3265657v2.0/question_identifier#3557917v2.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
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       fhir:CodeSystem.concept.code [ fhir:value "Yes" ];
       fhir:CodeSystem.concept.display [ fhir:value "Yes" ];
       fhir:CodeSystem.concept.definition [ fhir:value "The affirmative response to a question or activity." ]     ], [
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       fhir:CodeSystem.concept.code [ fhir:value "No" ];
       fhir:CodeSystem.concept.display [ fhir:value "No" ];
       fhir:CodeSystem.concept.definition [ fhir:value "The non-affirmative response to a question." ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "N/A" ];
       fhir:CodeSystem.concept.display [ fhir:value "Not Applicable" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Determination of a value is not relevant in the current context." ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 29;
     fhir:Resource.id [ fhir:value "d1e98928-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
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           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
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     fhir:index 30;
     fhir:Resource.id [ fhir:value "d1e99214-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/3265657v2.0/question_identifier#3556199v2.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
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       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "1" ];
       fhir:CodeSystem.concept.display [ fhir:value "Results in Death" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Results in Death" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "2" ];
       fhir:CodeSystem.concept.display [ fhir:value "Is life-threatening" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Is life-threatening" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "3" ];
       fhir:CodeSystem.concept.display [ fhir:value "Requires inpatient hospitalization or prolongation of existing hospitalization" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Requires inpatient hospitalization or prolongation of existing hospitalization" ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "4" ];
       fhir:CodeSystem.concept.display [ fhir:value "Results in persistent or significant disability/incapacity" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Results in persistent or significant disability/incapacity" ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "5" ];
       fhir:CodeSystem.concept.display [ fhir:value "Is a congenital anomaly/birth defect" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Is a congenital anomaly/birth defect" ]     ], [
       fhir:index 5;
       fhir:CodeSystem.concept.code [ fhir:value "6" ];
       fhir:CodeSystem.concept.display [ fhir:value "In the medical judgment of the treating physician and/or investigator, it may jeopardize the participant or require intervention to prevent one of these outcomes" ];
       fhir:CodeSystem.concept.definition [ fhir:value "In the medical judgment of the treating physician and/or investigator, it may jeopardize the participant or require intervention to prevent one of these outcomes" ]     ], [
       fhir:index 6;
       fhir:CodeSystem.concept.code [ fhir:value "7" ];
       fhir:CodeSystem.concept.display [ fhir:value "Other, specify" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Other, specify" ]     ], [
       fhir:index 7;
       fhir:CodeSystem.concept.code [ fhir:value "8" ];
       fhir:CodeSystem.concept.display [ fhir:value "Meets criteria per protocol but does not meet other criterion (above)" ];
       fhir:CodeSystem.concept.definition [ fhir:value "Meets criteria per protocol but does not meet other criterion (above)" ]     ]
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     fhir:index 31;
     fhir:Resource.id [ fhir:value "d1e99214-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
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         fhir:ValueSet.compose.include.system [
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           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e99214-cs" ]             ]           ]         ]       ]     ]
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     a fhir:CodeSystem;
     fhir:index 32;
     fhir:Resource.id [ fhir:value "d1e99668-cs" ];
     fhir:CodeSystem.url [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier/3265657v2.0/question_identifier#3556209v2.0-cs" ];
     fhir:CodeSystem.status [ fhir:value "active" ];
     fhir:CodeSystem.content [ fhir:value "complete" ];
     fhir:CodeSystem.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "N" ];
       fhir:CodeSystem.concept.display [ fhir:value "No" ];
       fhir:CodeSystem.concept.definition [ fhir:value "The non-affirmative response to a question." ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "Y" ];
       fhir:CodeSystem.concept.display [ fhir:value "Yes" ];
       fhir:CodeSystem.concept.definition [ fhir:value "The affirmative response to a question or activity." ]     ]
  ], [
     a fhir:ValueSet;
     fhir:index 33;
     fhir:Resource.id [ fhir:value "d1e99668-vs" ];
     fhir:ValueSet.status [ fhir:value "active" ];
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         fhir:ValueSet.compose.include.system [
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           fhir:extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/valueset-system" ];
             fhir:Extension.valueReference [
               fhir:Reference.reference [ fhir:value "#d1e99668-cs" ]             ]           ]         ]       ]     ]
  ];
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  fhir:Questionnaire.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/form/form_design_identifier" ];
     fhir:Identifier.value [ fhir:value "3265657v2.0/" ]
  ];
  fhir:Questionnaire.status [ fhir:value "published"];
  fhir:Questionnaire.date [ fhir:value "2012-08-15"^^xsd:date];
  fhir:Questionnaire.publisher [ fhir:value "National Cancer Institute (NCI)"];
  fhir:Questionnaire.useContext [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.code [ fhir:value "CRF" ]     ]
  ];
  fhir:Questionnaire.title [ fhir:value "Adverse Event/Serious Adverse Event CTCAE v4 NCI Standard Template"];
  fhir:Questionnaire.item [
     fhir:index 0;
     fhir:Questionnaire.item.linkId [ fhir:value "3556213v2.0" ];
     fhir:Questionnaire.item.text [ fhir:value "Mandatory Adverse Event Questions" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.text [ fhir:value "Must be included when this data is collected for reporting." ];
       fhir:Questionnaire.item.type [ fhir:value "display" ]     ], [
       fhir:index 1;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#3125302v1.1>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#3125302v1.1" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3556214v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Adverse Event Term (v4.0)" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e14927-vs" ]       ]     ], [
       fhir:index 2;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2188132v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2188132v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557006v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Describe 'Other' Adverse Event" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 3;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
         fhir:Extension.valueInteger [ fhir:value "1"^^xsd:int ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2944515v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2944515v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557008v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Adverse Event Grade" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e54652-vs" ]       ]     ]
  ], [
     fhir:index 1;
     fhir:Questionnaire.item.linkId [ fhir:value "3557016v2.0" ];
     fhir:Questionnaire.item.text [ fhir:value "Conditional Adverse Event Questions" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.text [ fhir:value "There are business rules to indicate situations under which this data element should be used in a CRF." ];
       fhir:Questionnaire.item.type [ fhir:value "display" ]     ], [
       fhir:index 1;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
         fhir:Extension.valueInteger [ fhir:value "4"^^xsd:int ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/entryFormat" ];
         fhir:Extension.valueString [ fhir:value "MM/DD/YYYY" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2744993v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2744993v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557017v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "AE Start Date" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 2;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
         fhir:Extension.valueInteger [ fhir:value "2"^^xsd:int ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2552398v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2552398v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557021v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Was patient hospitalized for toxicity?" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e55041-vs" ]       ]     ], [
       fhir:index 3;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2744948v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2744948v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557025v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Cycle #" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ]
  ], [
     fhir:index 2;
     fhir:Questionnaire.item.linkId [ fhir:value "3557027v2.0" ];
     fhir:Questionnaire.item.text [ fhir:value "Optional Adverse Event Questions" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.text [ fhir:value "No requirement for inclusion of this element on the CRF; if the design and scientific questions posed in the study dictate the need to collect this type of data, this is the element to include on the CRF." ];
       fhir:Questionnaire.item.type [ fhir:value "display" ]     ], [
       fhir:index 1;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2179892v2.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2179892v2.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557032v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "To what is the AE attributed?" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e55265-vs" ]       ]     ], [
       fhir:index 2;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2201348v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2201348v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557863v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Other Attribution, Specify" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 3;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/entryFormat" ];
         fhir:Extension.valueString [ fhir:value "DD/MON/YYYY" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2189843v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2189843v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557046v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "AE Stop Date" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 4;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2943864v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2943864v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557869v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "MedDRA System Organ Class (SOC)" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e56008-vs" ]       ]     ], [
       fhir:index 5;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
         fhir:Extension.valueInteger [ fhir:value "8"^^xsd:int ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#3133353v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#3133353v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557050v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "MedDRA AE Code (CTCAE v4.0)" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e57358-vs" ]       ]     ], [
       fhir:index 6;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
         fhir:Extension.valueInteger [ fhir:value "1"^^xsd:int ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#1285v3.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#1285v3.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557842v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "AE Attribution" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e97042-vs" ]       ]     ], [
       fhir:index 7;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2006851v4.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2006851v4.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557849v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Reporting Period End Date" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 8;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
         fhir:Extension.valueInteger [ fhir:value "2"^^xsd:int ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2179971v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2179971v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557851v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Were adverse events assessed during most recent period" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e97392-vs" ]       ]     ], [
       fhir:index 9;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
         fhir:Extension.valueInteger [ fhir:value "2"^^xsd:int ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2183619v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2183619v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557856v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Expected? (Yes/No)" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e97594-vs" ]       ]     ], [
       fhir:index 10;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
         fhir:Extension.valueInteger [ fhir:value "2"^^xsd:int ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2199908v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2199908v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557859v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Serious?" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e97746-vs" ]       ]     ], [
       fhir:index 11;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2585234v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2585234v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557911v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Event Onset Time" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 12;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2732184v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2732184v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557865v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Course" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 13;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2744943v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2744943v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557867v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "AE Evaluation Period Start Date" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 14;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
         fhir:Extension.valueInteger [ fhir:value "2"^^xsd:int ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2746280v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2746280v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557913v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Pre-existing AE?" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e98036-vs" ]       ]     ], [
       fhir:index 15;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2746301v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2746301v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557904v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "AE Resolved Time" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ], [
       fhir:index 16;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
         fhir:Extension.valueInteger [ fhir:value "2"^^xsd:int ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2746311v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2746311v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557028v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "AE Ongoing?" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e98234-vs" ]       ]     ], [
       fhir:index 17;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2746517v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2746517v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557896v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Participant Status/Outcome" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e98385-vs" ]       ]     ], [
       fhir:index 18;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2008418v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2008418v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557906v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Adverse Event Condition Pattern" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e98732-vs" ]       ]     ], [
       fhir:index 19;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
         fhir:Extension.valueInteger [ fhir:value "2"^^xsd:int ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2179615v1.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2179615v1.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557917v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Did event reappear after study agent was reintroduced?" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e98928-vs" ]       ]     ], [
       fhir:index 20;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
         fhir:Extension.valueInteger [ fhir:value "1"^^xsd:int ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#797v5.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#797v5.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3557922v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Comments" ];
       fhir:Questionnaire.item.type [ fhir:value "string" ]     ]
  ], [
     fhir:index 3;
     fhir:Questionnaire.item.linkId [ fhir:value "3556197v2.0" ];
     fhir:Questionnaire.item.text [ fhir:value "Optional Serious Adverse Event Questions" ];
     fhir:Questionnaire.item.type [ fhir:value "group" ];
     fhir:Questionnaire.item.item [
       fhir:index 0;
       fhir:Questionnaire.item.text [ fhir:value "The following additional elements are optional on a SAE form." ];
       fhir:Questionnaire.item.type [ fhir:value "display" ]     ], [
       fhir:index 1;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
         fhir:Extension.valueInteger [ fhir:value "1"^^xsd:int ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2179679v3.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2179679v3.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3556199v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Why serious?" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e99214-vs" ]       ]     ], [
       fhir:index 2;
       fhir:extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ];
         fhir:Extension.valueInteger [ fhir:value "1"^^xsd:int ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-deReference" ];
         fhir:Extension.valueReference [
           fhir:link <http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2004106v3.0>;
           fhir:Reference.reference [ fhir:value "http://nci.nih.gov/xml/owl/cadsr/data_element_scoped_identifier#2004106v3.0" ]         ]       ];
       fhir:Questionnaire.item.linkId [ fhir:value "3556209v2.0" ];
       fhir:Questionnaire.item.text [ fhir:value "Dose-Limiting Toxicity?" ];
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ];
       fhir:Questionnaire.item.options [
         fhir:Reference.reference [ fhir:value "#d1e99668-vs" ]       ]     ]
  ].