International Patient Summary Implementation Guide
1.1.0 - STU 1 Update 1 International flag

This page is part of the International Patient Summary Implementation Guide (v1.1.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Medical Devices - SNOMED CT IPS Free Set - TTL Representation

Page standards status: Trial-use Maturity Level: 2

Raw ttl | Download


@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:ValueSet;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "medical-devices-snomed-ct-ips-free-set"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This value set contains 72 concepts</p><p style=\"border: black 1px dotted; background-color: #EEEEEE; padding: 8px; margin-bottom: 8px\">Expansion based on SNOMED CT International edition 31-Jul 2022</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>System</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-705991002\"> </a>  <a href=\"http://snomed.info/id/705991002\">705991002</a></td><td>http://snomed.info/sct</td><td>Mechanical cardiac valve prosthesis</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-705865004\"> </a>  <a href=\"http://snomed.info/id/705865004\">705865004</a></td><td>http://snomed.info/sct</td><td>Implantable ankle prosthesis</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-469997005\"> </a>  <a href=\"http://snomed.info/id/469997005\">469997005</a></td><td>http://snomed.info/sct</td><td>Maxillofacial prosthesis</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-429798007\"> </a>  <a href=\"http://snomed.info/id/429798007\">429798007</a></td><td>http://snomed.info/sct</td><td>Artificial vertebral disc</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-424921004\"> </a>  <a href=\"http://snomed.info/id/424921004\">424921004</a></td><td>http://snomed.info/sct</td><td>Permanent cardiac pacemaker, device</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-423449009\"> </a>  <a href=\"http://snomed.info/id/423449009\">423449009</a></td><td>http://snomed.info/sct</td><td>Pulmonary valve prosthesis</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-421168009\"> </a>  <a href=\"http://snomed.info/id/421168009\">421168009</a></td><td>http://snomed.info/sct</td><td>Eye sphere implant</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-414580007\"> </a>  <a href=\"http://snomed.info/id/414580007\">414580007</a></td><td>http://snomed.info/sct</td><td>Laryngeal keel</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-413766009\"> </a>  <a href=\"http://snomed.info/id/413766009\">413766009</a></td><td>http://snomed.info/sct</td><td>Carotid artery stent</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-408099007\"> </a>  <a href=\"http://snomed.info/id/408099007\">408099007</a></td><td>http://snomed.info/sct</td><td>Suture</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-360329004\"> </a>  <a href=\"http://snomed.info/id/360329004\">360329004</a></td><td>http://snomed.info/sct</td><td>Dacron graft</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-360145006\"> </a>  <a href=\"http://snomed.info/id/360145006\">360145006</a></td><td>http://snomed.info/sct</td><td>Bone prosthesis</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-360123005\"> </a>  <a href=\"http://snomed.info/id/360123005\">360123005</a></td><td>http://snomed.info/sct</td><td>Biliary stent</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-360100007\"> </a>  <a href=\"http://snomed.info/id/360100007\">360100007</a></td><td>http://snomed.info/sct</td><td>Tracheal stent</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-360070009\"> </a>  <a href=\"http://snomed.info/id/360070009\">360070009</a></td><td>http://snomed.info/sct</td><td>Laryngeal implant</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-360058005\"> </a>  <a href=\"http://snomed.info/id/360058005\">360058005</a></td><td>http://snomed.info/sct</td><td>Intraventricular pump</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-360046005\"> </a>  <a href=\"http://snomed.info/id/360046005\">360046005</a></td><td>http://snomed.info/sct</td><td>Arterial stent</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-360041000\"> </a>  <a href=\"http://snomed.info/id/360041000\">360041000</a></td><td>http://snomed.info/sct</td><td>Implanted drug delivery system</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-314523008\"> </a>  <a href=\"http://snomed.info/id/314523008\">314523008</a></td><td>http://snomed.info/sct</td><td>Joint implant</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-304186003\"> </a>  <a href=\"http://snomed.info/id/304186003\">304186003</a></td><td>http://snomed.info/sct</td><td>Hand joint implant</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-304185004\"> </a>  <a href=\"http://snomed.info/id/304185004\">304185004</a></td><td>http://snomed.info/sct</td><td>Foot joint implant</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-304124003\"> </a>  <a href=\"http://snomed.info/id/304124003\">304124003</a></td><td>http://snomed.info/sct</td><td>Shoulder joint implant</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-304121006\"> </a>  <a href=\"http://snomed.info/id/304121006\">304121006</a></td><td>http://snomed.info/sct</td><td>Femoral head prosthesis</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-304120007\"> </a>  <a href=\"http://snomed.info/id/304120007\">304120007</a></td><td>http://snomed.info/sct</td><td>Total hip replacement prosthesis</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-304070008\"> </a>  <a href=\"http://snomed.info/id/304070008\">304070008</a></td><td>http://snomed.info/sct</td><td>Body wall implant</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-303947005\"> </a>  <a href=\"http://snomed.info/id/303947005\">303947005</a></td><td>http://snomed.info/sct</td><td>Rod fixation system</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-303726000\"> </a>  <a href=\"http://snomed.info/id/303726000\">303726000</a></td><td>http://snomed.info/sct</td><td>Shoulder joint prosthesis</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-303619008\"> </a>  <a href=\"http://snomed.info/id/303619008\">303619008</a></td><td>http://snomed.info/sct</td><td>Cardiac implant</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-303618000\"> </a>  <a href=\"http://snomed.info/id/303618000\">303618000</a></td><td>http://snomed.info/sct</td><td>Nervous system implant</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-303617005\"> </a>  <a href=\"http://snomed.info/id/303617005\">303617005</a></td><td>http://snomed.info/sct</td><td>Vascular implant</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-303608005\"> </a>  <a href=\"http://snomed.info/id/303608005\">303608005</a></td><td>http://snomed.info/sct</td><td>Ophthalmological implant</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-303533002\"> </a>  <a href=\"http://snomed.info/id/303533002\">303533002</a></td><td>http://snomed.info/sct</td><td>Hip joint implant</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-303515008\"> </a>  <a href=\"http://snomed.info/id/303515008\">303515008</a></td><td>http://snomed.info/sct</td><td>Orbital implant</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-303503009\"> </a>  <a href=\"http://snomed.info/id/303503009\">303503009</a></td><td>http://snomed.info/sct</td><td>Musculoskeletal implant</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-303500007\"> </a>  <a href=\"http://snomed.info/id/303500007\">303500007</a></td><td>http://snomed.info/sct</td><td>Auditory implant</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-303499003\"> </a>  <a href=\"http://snomed.info/id/303499003\">303499003</a></td><td>http://snomed.info/sct</td><td>Gastrointestinal implant</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-303497001\"> </a>  <a href=\"http://snomed.info/id/303497001\">303497001</a></td><td>http://snomed.info/sct</td><td>Urogenital implant</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-303490004\"> </a>  <a href=\"http://snomed.info/id/303490004\">303490004</a></td><td>http://snomed.info/sct</td><td>Cardiovascular implant</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-303277008\"> </a>  <a href=\"http://snomed.info/id/303277008\">303277008</a></td><td>http://snomed.info/sct</td><td>Fallopian tube prosthesis</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-286576009\"> </a>  <a href=\"http://snomed.info/id/286576009\">286576009</a></td><td>http://snomed.info/sct</td><td>Urethral stent</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-286558002\"> </a>  <a href=\"http://snomed.info/id/286558002\">286558002</a></td><td>http://snomed.info/sct</td><td>Ureteric stent</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-268460000\"> </a>  <a href=\"http://snomed.info/id/268460000\">268460000</a></td><td>http://snomed.info/sct</td><td>Intrauterine contraceptive device</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-264824009\"> </a>  <a href=\"http://snomed.info/id/264824009\">264824009</a></td><td>http://snomed.info/sct</td><td>Cardiac conduit</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-258593008\"> </a>  <a href=\"http://snomed.info/id/258593008\">258593008</a></td><td>http://snomed.info/sct</td><td>Ventricular shunt</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-257366006\"> </a>  <a href=\"http://snomed.info/id/257366006\">257366006</a></td><td>http://snomed.info/sct</td><td>JJ stent</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-257343005\"> </a>  <a href=\"http://snomed.info/id/257343005\">257343005</a></td><td>http://snomed.info/sct</td><td>Xenograft cardiac valve</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-257283004\"> </a>  <a href=\"http://snomed.info/id/257283004\">257283004</a></td><td>http://snomed.info/sct</td><td>Valved cardiac conduit</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-257282009\"> </a>  <a href=\"http://snomed.info/id/257282009\">257282009</a></td><td>http://snomed.info/sct</td><td>Non-valved conduit</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-257275005\"> </a>  <a href=\"http://snomed.info/id/257275005\">257275005</a></td><td>http://snomed.info/sct</td><td>Spinal cage</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-118425005\"> </a>  <a href=\"http://snomed.info/id/118425005\">118425005</a></td><td>http://snomed.info/sct</td><td>Ventricular reservoir</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-118374007\"> </a>  <a href=\"http://snomed.info/id/118374007\">118374007</a></td><td>http://snomed.info/sct</td><td>Silicone implant</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-102314001\"> </a>  <a href=\"http://snomed.info/id/102314001\">102314001</a></td><td>http://snomed.info/sct</td><td>Embolization coil</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-102303004\"> </a>  <a href=\"http://snomed.info/id/102303004\">102303004</a></td><td>http://snomed.info/sct</td><td>Vascular prosthesis</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-90134004\"> </a>  <a href=\"http://snomed.info/id/90134004\">90134004</a></td><td>http://snomed.info/sct</td><td>Metal periosteal implant</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-84683006\"> </a>  <a href=\"http://snomed.info/id/84683006\">84683006</a></td><td>http://snomed.info/sct</td><td>Aortic valve prosthesis</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-77777004\"> </a>  <a href=\"http://snomed.info/id/77777004\">77777004</a></td><td>http://snomed.info/sct</td><td>Bone staple</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-77444004\"> </a>  <a href=\"http://snomed.info/id/77444004\">77444004</a></td><td>http://snomed.info/sct</td><td>Bone pin</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-74444006\"> </a>  <a href=\"http://snomed.info/id/74444006\">74444006</a></td><td>http://snomed.info/sct</td><td>Limb prosthesis</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-72506001\"> </a>  <a href=\"http://snomed.info/id/72506001\">72506001</a></td><td>http://snomed.info/sct</td><td>Implantable defibrillator</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-68183006\"> </a>  <a href=\"http://snomed.info/id/68183006\">68183006</a></td><td>http://snomed.info/sct</td><td>Bone screw</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-67270000\"> </a>  <a href=\"http://snomed.info/id/67270000\">67270000</a></td><td>http://snomed.info/sct</td><td>Hip prosthesis</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-63289001\"> </a>  <a href=\"http://snomed.info/id/63289001\">63289001</a></td><td>http://snomed.info/sct</td><td>Surgical metal nail, device</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-63112008\"> </a>  <a href=\"http://snomed.info/id/63112008\">63112008</a></td><td>http://snomed.info/sct</td><td>Bone wire</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-53671008\"> </a>  <a href=\"http://snomed.info/id/53671008\">53671008</a></td><td>http://snomed.info/sct</td><td>Gastric balloon</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-45633005\"> </a>  <a href=\"http://snomed.info/id/45633005\">45633005</a></td><td>http://snomed.info/sct</td><td>Peritoneal dialyzer</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-43252007\"> </a>  <a href=\"http://snomed.info/id/43252007\">43252007</a></td><td>http://snomed.info/sct</td><td>Cochlear prosthesis</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-31031000\"> </a>  <a href=\"http://snomed.info/id/31031000\">31031000</a></td><td>http://snomed.info/sct</td><td>Orthopedic internal fixation system</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-25937001\"> </a>  <a href=\"http://snomed.info/id/25937001\">25937001</a></td><td>http://snomed.info/sct</td><td>Neurostimulator</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-17107009\"> </a>  <a href=\"http://snomed.info/id/17107009\">17107009</a></td><td>http://snomed.info/sct</td><td>Mitral valve prosthesis</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-14423008\"> </a>  <a href=\"http://snomed.info/id/14423008\">14423008</a></td><td>http://snomed.info/sct</td><td>Adhesive bandage</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-2282003\"> </a>  <a href=\"http://snomed.info/id/2282003\">2282003</a></td><td>http://snomed.info/sct</td><td>Breast implant</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---snomed.info-sct-271003\"> </a>  <a href=\"http://snomed.info/id/271003\">271003</a></td><td>http://snomed.info/sct</td><td>Bone plate</td></tr></table></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ];
     fhir:Extension.valueInteger [
       fhir:value "2"^^xsd:integer;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ];
         fhir:Extension.valueCanonical [
           fhir:value "http://hl7.org/fhir/uv/ips/ImplementationGuide/ig-uv-ips";
           fhir:link <http://hl7.org/fhir/uv/ips/ImplementationGuide/ig-uv-ips>         ]       ]     ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ];
     fhir:Extension.valueCode [
       fhir:value "trial-use";
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ];
         fhir:Extension.valueCanonical [
           fhir:value "http://hl7.org/fhir/uv/ips/ImplementationGuide/ig-uv-ips";
           fhir:link <http://hl7.org/fhir/uv/ips/ImplementationGuide/ig-uv-ips>         ]       ]     ]
  ];
  fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/uv/ips/ValueSet/medical-devices-snomed-ct-ips-free-set"];
  fhir:ValueSet.version [ fhir:value "1.1.0"];
  fhir:ValueSet.name [ fhir:value "MedicalDevicesSnomedCtIpsFreeSet"];
  fhir:ValueSet.title [ fhir:value "Medical Devices - SNOMED CT IPS Free Set"];
  fhir:ValueSet.status [ fhir:value "active"];
  fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean];
  fhir:ValueSet.date [ fhir:value "2022-08-31T10:12:47+00:00"^^xsd:dateTime];
  fhir:ValueSet.publisher [ fhir:value "Health Level Seven International - Patient Care Work Group"];
  fhir:ValueSet.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/patientcare" ]     ]
  ];
  fhir:ValueSet.description [ fhir:value "This value set includes the codes from the SNOMED International Patient Set (IPS) subset of SNOMED CT (IPS Free Set) that are included in: descendants of 49062001 \\|Device (physical object)\\|."];
  fhir:ValueSet.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ];
       fhir:Coding.code [ fhir:value "001" ]     ]
  ];
  fhir:ValueSet.immutable [ fhir:value "false"^^xsd:boolean];
  fhir:ValueSet.copyright [ fhir:value "The SNOMED International IPS Terminology is distributed by International Health Terminology Standards Development Organisation, trading as SNOMED International, and is subject the terms of the [Creative Commons Attribution 4.0 International Public License](https://creativecommons.org/licenses/by/4.0/). For more information, see [SNOMED IPS Terminology](https://www.snomed.org/snomed-ct/Other-SNOMED-products/international-patient-summary-terminology)"];
  fhir:ValueSet.compose [
     fhir:ValueSet.compose.include [
       fhir:index 0;
       fhir:ValueSet.compose.include.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.compose.include.version [ fhir:value "http://snomed.info/sct/900000000000207008" ];
       fhir:ValueSet.compose.include.filter [
         fhir:index 0;
         fhir:ValueSet.compose.include.filter.property [ fhir:value "constraint" ];
         fhir:ValueSet.compose.include.filter.op [ fhir:value "=" ];
         fhir:ValueSet.compose.include.filter.value [ fhir:value "< 49062001 | Device (physical object)| AND ^ 816080008 |International Patient Summary (foundation metadata concept)|" ]       ]     ]
  ];
  fhir:ValueSet.expansion [
     fhir:ValueSet.expansion.timestamp [ fhir:value "2022-08-31T10:12:47+00:00"^^xsd:dateTime ];
     fhir:ValueSet.expansion.total [ fhir:value "72"^^xsd:integer ];
     fhir:ValueSet.expansion.offset [ fhir:value "0"^^xsd:integer ];
     fhir:ValueSet.expansion.parameter [
       fhir:index 0;
       fhir:ValueSet.expansion.parameter.name [ fhir:value "version" ];
       fhir:ValueSet.expansion.parameter.valueUri [ fhir:value "http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20220731" ]     ];
     fhir:ValueSet.expansion.contains [
       fhir:index 0;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "705991002" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Mechanical cardiac valve prosthesis" ]     ], [
       fhir:index 1;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "705865004" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Implantable ankle prosthesis" ]     ], [
       fhir:index 2;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "469997005" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Maxillofacial prosthesis" ]     ], [
       fhir:index 3;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "429798007" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Artificial vertebral disc" ]     ], [
       fhir:index 4;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "424921004" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Permanent cardiac pacemaker, device" ]     ], [
       fhir:index 5;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "423449009" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Pulmonary valve prosthesis" ]     ], [
       fhir:index 6;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "421168009" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Eye sphere implant" ]     ], [
       fhir:index 7;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "414580007" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Laryngeal keel" ]     ], [
       fhir:index 8;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "413766009" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Carotid artery stent" ]     ], [
       fhir:index 9;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "408099007" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Suture" ]     ], [
       fhir:index 10;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "360329004" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Dacron graft" ]     ], [
       fhir:index 11;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "360145006" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Bone prosthesis" ]     ], [
       fhir:index 12;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "360123005" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Biliary stent" ]     ], [
       fhir:index 13;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "360100007" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Tracheal stent" ]     ], [
       fhir:index 14;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "360070009" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Laryngeal implant" ]     ], [
       fhir:index 15;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "360058005" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Intraventricular pump" ]     ], [
       fhir:index 16;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "360046005" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Arterial stent" ]     ], [
       fhir:index 17;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "360041000" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Implanted drug delivery system" ]     ], [
       fhir:index 18;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "314523008" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Joint implant" ]     ], [
       fhir:index 19;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "304186003" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Hand joint implant" ]     ], [
       fhir:index 20;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "304185004" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Foot joint implant" ]     ], [
       fhir:index 21;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "304124003" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Shoulder joint implant" ]     ], [
       fhir:index 22;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "304121006" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Femoral head prosthesis" ]     ], [
       fhir:index 23;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "304120007" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Total hip replacement prosthesis" ]     ], [
       fhir:index 24;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "304070008" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Body wall implant" ]     ], [
       fhir:index 25;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "303947005" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Rod fixation system" ]     ], [
       fhir:index 26;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "303726000" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Shoulder joint prosthesis" ]     ], [
       fhir:index 27;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "303619008" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Cardiac implant" ]     ], [
       fhir:index 28;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "303618000" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Nervous system implant" ]     ], [
       fhir:index 29;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "303617005" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Vascular implant" ]     ], [
       fhir:index 30;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "303608005" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Ophthalmological implant" ]     ], [
       fhir:index 31;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "303533002" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Hip joint implant" ]     ], [
       fhir:index 32;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "303515008" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Orbital implant" ]     ], [
       fhir:index 33;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "303503009" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Musculoskeletal implant" ]     ], [
       fhir:index 34;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "303500007" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Auditory implant" ]     ], [
       fhir:index 35;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "303499003" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Gastrointestinal implant" ]     ], [
       fhir:index 36;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "303497001" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Urogenital implant" ]     ], [
       fhir:index 37;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "303490004" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Cardiovascular implant" ]     ], [
       fhir:index 38;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "303277008" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Fallopian tube prosthesis" ]     ], [
       fhir:index 39;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "286576009" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Urethral stent" ]     ], [
       fhir:index 40;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "286558002" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Ureteric stent" ]     ], [
       fhir:index 41;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "268460000" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Intrauterine contraceptive device" ]     ], [
       fhir:index 42;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "264824009" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Cardiac conduit" ]     ], [
       fhir:index 43;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "258593008" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Ventricular shunt" ]     ], [
       fhir:index 44;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "257366006" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "JJ stent" ]     ], [
       fhir:index 45;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "257343005" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Xenograft cardiac valve" ]     ], [
       fhir:index 46;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "257283004" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Valved cardiac conduit" ]     ], [
       fhir:index 47;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "257282009" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Non-valved conduit" ]     ], [
       fhir:index 48;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "257275005" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Spinal cage" ]     ], [
       fhir:index 49;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "118425005" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Ventricular reservoir" ]     ], [
       fhir:index 50;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "118374007" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Silicone implant" ]     ], [
       fhir:index 51;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "102314001" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Embolization coil" ]     ], [
       fhir:index 52;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "102303004" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Vascular prosthesis" ]     ], [
       fhir:index 53;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "90134004" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Metal periosteal implant" ]     ], [
       fhir:index 54;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "84683006" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Aortic valve prosthesis" ]     ], [
       fhir:index 55;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "77777004" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Bone staple" ]     ], [
       fhir:index 56;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "77444004" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Bone pin" ]     ], [
       fhir:index 57;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "74444006" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Limb prosthesis" ]     ], [
       fhir:index 58;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "72506001" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Implantable defibrillator" ]     ], [
       fhir:index 59;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "68183006" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Bone screw" ]     ], [
       fhir:index 60;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "67270000" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Hip prosthesis" ]     ], [
       fhir:index 61;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "63289001" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Surgical metal nail, device" ]     ], [
       fhir:index 62;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "63112008" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Bone wire" ]     ], [
       fhir:index 63;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "53671008" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Gastric balloon" ]     ], [
       fhir:index 64;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "45633005" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Peritoneal dialyzer" ]     ], [
       fhir:index 65;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "43252007" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Cochlear prosthesis" ]     ], [
       fhir:index 66;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "31031000" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Orthopedic internal fixation system" ]     ], [
       fhir:index 67;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "25937001" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Neurostimulator" ]     ], [
       fhir:index 68;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "17107009" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Mitral valve prosthesis" ]     ], [
       fhir:index 69;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "14423008" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Adhesive bandage" ]     ], [
       fhir:index 70;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "2282003" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Breast implant" ]     ], [
       fhir:index 71;
       fhir:ValueSet.expansion.contains.system [ fhir:value "http://snomed.info/sct" ];
       fhir:ValueSet.expansion.contains.code [ fhir:value "271003" ];
       fhir:ValueSet.expansion.contains.display [ fhir:value "Bone plate" ]     ]
  ].

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

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