description: Comorbid condition checklist and optional risk score, using Elixhauser comorbidity categories as defined by the Agency for Healthcare Research and Quality (AHRQ) Healthcare Cost and Utilization Project (H-CUP).
package_name: hl7.fhir.us.mcode.r4
derivation: constraint
name: ComorbiditiesElixhauser
type: Observation
elements:
  status: {mustSupport: true, index: 0}
  code:
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: comorbidities-elixhauser, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs', display: Elixhauser Comorbidity Panel}
    index: 1
  subject: {mustSupport: true, index: 2}
  focus:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition']
    index: 3
  effective:
    mustSupport: true
    choices: []
    index: 5
  value:
    mustSupport: true
    choices: [valueInteger]
    index: 7
  valueInteger: {type: integer, mustSupport: true, choiceOf: value, index: 8}
  component:
    mustSupport: true
    index: 9
    elements:
      value:
        choices: []
        index: 11
    slicing:
      rules: closed
      description: Slice based on the component.code pattern
      discriminator:
      - {path: code, type: pattern}
      min: null
      slices:
        peripheralVascularDisease:
          match:
            code:
              coding:
              - {code: PERIVASC, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Peripheral Vascular Disease
            mustSupport: true
            index: 264
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 266
                elements:
                  value:
                    choices: []
                    index: 268
              conditionReference: {url: null, mustSupport: true, index: 269}
            elements:
              extension:
                mustSupport: true
                index: 265
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 266
                        elements:
                          value:
                            choices: []
                            index: 268
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 269}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: PERIVASC, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 270
              value:
                mustSupport: true
                choices: []
                index: 272
        coagulopathy:
          match:
            code:
              coding:
              - {code: COAG, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Coagulation Deficiency
            mustSupport: true
            index: 120
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 122
                elements:
                  value:
                    choices: []
                    index: 124
              conditionReference: {url: null, mustSupport: true, index: 125}
            elements:
              extension:
                mustSupport: true
                index: 121
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 122
                        elements:
                          value:
                            choices: []
                            index: 124
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 125}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: COAG, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 126
              value:
                mustSupport: true
                choices: []
                index: 128
        liverDiseaseMild:
          match:
            code:
              coding:
              - {code: LIVER_MLD, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Mild Liver Disease
            mustSupport: true
            index: 192
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 194
                elements:
                  value:
                    choices: []
                    index: 196
              conditionReference: {url: null, mustSupport: true, index: 197}
            elements:
              extension:
                mustSupport: true
                index: 193
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 194
                        elements:
                          value:
                            choices: []
                            index: 196
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 197}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: LIVER_MLD, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 198
              value:
                mustSupport: true
                choices: []
                index: 200
        cerebrovascular:
          match:
            code:
              coding:
              - {code: CBVD, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Cerebrovascular disease
            mustSupport: true
            index: 102
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 104
                elements:
                  value:
                    choices: []
                    index: 106
              conditionReference: {url: null, mustSupport: true, index: 107}
            elements:
              extension:
                mustSupport: true
                index: 103
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 104
                        elements:
                          value:
                            choices: []
                            index: 106
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 107}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: CBVD, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 108
              value:
                mustSupport: true
                choices: []
                index: 110
        cancerLeukemia:
          match:
            code:
              coding:
              - {code: CANCER_LEUK, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Leukemia
            mustSupport: true
            index: 57
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 59
                elements:
                  value:
                    choices: []
                    index: 61
              conditionReference: {url: null, mustSupport: true, index: 62}
            elements:
              extension:
                mustSupport: true
                index: 58
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 59
                        elements:
                          value:
                            choices: []
                            index: 61
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 62}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: CANCER_LEUK, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 63
              value:
                mustSupport: true
                choices: []
                index: 65
        weightLoss:
          match:
            code:
              coding:
              - {code: WGHTLOSS, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Weight Loss
            mustSupport: true
            index: 345
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 347
                elements:
                  value:
                    choices: []
                    index: 349
              conditionReference: {url: null, mustSupport: true, index: 350}
            elements:
              extension:
                mustSupport: true
                index: 346
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 347
                        elements:
                          value:
                            choices: []
                            index: 349
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 350}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: WGHTLOSS, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 351
              value:
                mustSupport: true
                choices: []
                index: 353
        renalFailureSevere:
          match:
            code:
              coding:
              - {code: RENLFL_SEV, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Severe Renal Failure
            mustSupport: true
            index: 300
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 302
                elements:
                  value:
                    choices: []
                    index: 304
              conditionReference: {url: null, mustSupport: true, index: 305}
            elements:
              extension:
                mustSupport: true
                index: 301
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 302
                        elements:
                          value:
                            choices: []
                            index: 304
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 305}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: RENLFL_SEV, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 306
              value:
                mustSupport: true
                choices: []
                index: 308
        cancerSolidInSitu:
          match:
            code:
              coding:
              - {code: CANCER_NSITU, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Solid tumor without metastasis, in situ
            mustSupport: true
            index: 84
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 86
                elements:
                  value:
                    choices: []
                    index: 88
              conditionReference: {url: null, mustSupport: true, index: 89}
            elements:
              extension:
                mustSupport: true
                index: 85
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 86
                        elements:
                          value:
                            choices: []
                            index: 88
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 89}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: CANCER_NSITU, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 90
              value:
                mustSupport: true
                choices: []
                index: 92
        depression:
          match:
            code:
              coding:
              - {code: DEPRESS, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Depression
            mustSupport: true
            index: 138
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 140
                elements:
                  value:
                    choices: []
                    index: 142
              conditionReference: {url: null, mustSupport: true, index: 143}
            elements:
              extension:
                mustSupport: true
                index: 139
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 140
                        elements:
                          value:
                            choices: []
                            index: 142
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 143}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: DEPRESS, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 144
              value:
                mustSupport: true
                choices: []
                index: 146
        drugAbuse:
          match:
            code:
              coding:
              - {code: DRUG_ABUSE, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Drug Abuse
            mustSupport: true
            index: 165
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 167
                elements:
                  value:
                    choices: []
                    index: 169
              conditionReference: {url: null, mustSupport: true, index: 170}
            elements:
              extension:
                mustSupport: true
                index: 166
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 167
                        elements:
                          value:
                            choices: []
                            index: 169
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 170}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: DRUG_ABUSE, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 171
              value:
                mustSupport: true
                choices: []
                index: 173
        cancerLymphoma:
          match:
            code:
              coding:
              - {code: CANCER_LYMPH, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Lymphoma
            mustSupport: true
            index: 66
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 68
                elements:
                  value:
                    choices: []
                    index: 70
              conditionReference: {url: null, mustSupport: true, index: 71}
            elements:
              extension:
                mustSupport: true
                index: 67
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 68
                        elements:
                          value:
                            choices: []
                            index: 70
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 71}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: CANCER_LYMPH, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 72
              value:
                mustSupport: true
                choices: []
                index: 74
        thyroidOther:
          match:
            code:
              coding:
              - {code: THYROID_OTH, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Other Thyroid Disease
            mustSupport: true
            index: 318
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 320
                elements:
                  value:
                    choices: []
                    index: 322
              conditionReference: {url: null, mustSupport: true, index: 323}
            elements:
              extension:
                mustSupport: true
                index: 319
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 320
                        elements:
                          value:
                            choices: []
                            index: 322
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 323}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: THYROID_OTH, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 324
              value:
                mustSupport: true
                choices: []
                index: 326
        psychosis:
          match:
            code:
              coding:
              - {code: PSYCHOSIS, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Psychosis
            mustSupport: true
            index: 273
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 275
                elements:
                  value:
                    choices: []
                    index: 277
              conditionReference: {url: null, mustSupport: true, index: 278}
            elements:
              extension:
                mustSupport: true
                index: 274
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 275
                        elements:
                          value:
                            choices: []
                            index: 277
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 278}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: PSYCHOSIS, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 279
              value:
                mustSupport: true
                choices: []
                index: 281
        chronicPulmonaryDisease:
          match:
            code:
              coding:
              - {code: LUNG_CHRONIC, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Chronic pulmonary disease
            mustSupport: true
            index: 210
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 212
                elements:
                  value:
                    choices: []
                    index: 214
              conditionReference: {url: null, mustSupport: true, index: 215}
            elements:
              extension:
                mustSupport: true
                index: 211
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 212
                        elements:
                          value:
                            choices: []
                            index: 214
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 215}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: LUNG_CHRONIC, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 216
              value:
                mustSupport: true
                choices: []
                index: 218
        pulmonaryCirculationDisorder:
          match:
            code:
              coding:
              - {code: PULMCIRC, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Pulmonary Circulation Disorders
            mustSupport: true
            index: 282
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 284
                elements:
                  value:
                    choices: []
                    index: 286
              conditionReference: {url: null, mustSupport: true, index: 287}
            elements:
              extension:
                mustSupport: true
                index: 283
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 284
                        elements:
                          value:
                            choices: []
                            index: 286
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 287}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: PULMCIRC, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 288
              value:
                mustSupport: true
                choices: []
                index: 290
        hypothyroidism:
          match:
            code:
              coding:
              - {code: THYROID_HYPO, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Hypothyroidism
            mustSupport: true
            index: 309
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 311
                elements:
                  value:
                    choices: []
                    index: 313
              conditionReference: {url: null, mustSupport: true, index: 314}
            elements:
              extension:
                mustSupport: true
                index: 310
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 311
                        elements:
                          value:
                            choices: []
                            index: 313
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 314}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: THYROID_HYPO, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 315
              value:
                mustSupport: true
                choices: []
                index: 317
        hypertensionComplicated:
          match:
            code:
              coding:
              - {code: HTN_CX, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Hypertension, Complicated
            mustSupport: true
            index: 174
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 176
                elements:
                  value:
                    choices: []
                    index: 178
              conditionReference: {url: null, mustSupport: true, index: 179}
            elements:
              extension:
                mustSupport: true
                index: 175
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 176
                        elements:
                          value:
                            choices: []
                            index: 178
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 179}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: HTN_CX, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 180
              value:
                mustSupport: true
                choices: []
                index: 182
        congestiveHeartFailure:
          match:
            code:
              coding:
              - {code: CHF, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: CongestiveHeartFailure
            mustSupport: true
            index: 111
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 113
                elements:
                  value:
                    choices: []
                    index: 115
              conditionReference: {url: null, mustSupport: true, index: 116}
            elements:
              extension:
                mustSupport: true
                index: 112
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 113
                        elements:
                          value:
                            choices: []
                            index: 115
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 116}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: CHF, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 117
              value:
                mustSupport: true
                choices: []
                index: 119
        dementia:
          match:
            code:
              coding:
              - {code: DEMENTIA, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Dementia
            mustSupport: true
            index: 129
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 131
                elements:
                  value:
                    choices: []
                    index: 133
              conditionReference: {url: null, mustSupport: true, index: 134}
            elements:
              extension:
                mustSupport: true
                index: 130
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 131
                        elements:
                          value:
                            choices: []
                            index: 133
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 134}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: DEMENTIA, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 135
              value:
                mustSupport: true
                choices: []
                index: 137
        paralysis:
          match:
            code:
              coding:
              - {code: PARALYSIS, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Paralysis
            mustSupport: true
            index: 255
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 257
                elements:
                  value:
                    choices: []
                    index: 259
              conditionReference: {url: null, mustSupport: true, index: 260}
            elements:
              extension:
                mustSupport: true
                index: 256
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 257
                        elements:
                          value:
                            choices: []
                            index: 259
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 260}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: PARALYSIS, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 261
              value:
                mustSupport: true
                choices: []
                index: 263
        diabetesComplicated:
          match:
            code:
              coding:
              - {code: DIAB_CX, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Diabetes with chronic complications
            mustSupport: true
            index: 147
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 149
                elements:
                  value:
                    choices: []
                    index: 151
              conditionReference: {url: null, mustSupport: true, index: 152}
            elements:
              extension:
                mustSupport: true
                index: 148
                slicing:
                  slices:
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                      match: {}
                      schema:
                        mustSupport: true
                        index: 149
                        elements:
                          value:
                            choices: []
                            index: 151
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 152}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: DIAB_CX, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 153
              value:
                mustSupport: true
                choices: []
                index: 155
        cancerSolidMalignant:
          match:
            code:
              coding:
              - {code: CANCER_SOLID, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Solid tumor without metastasis, malignant
            mustSupport: true
            index: 93
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 95
                elements:
                  value:
                    choices: []
                    index: 97
              conditionReference: {url: null, mustSupport: true, index: 98}
            elements:
              extension:
                mustSupport: true
                index: 94
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 95
                        elements:
                          value:
                            choices: []
                            index: 97
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 98}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: CANCER_SOLID, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 99
              value:
                mustSupport: true
                choices: []
                index: 101
        liverDiseaseSevere:
          match:
            code:
              coding:
              - {code: LIVER_SEV, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Moderate to Severe Liver Disease
            mustSupport: true
            index: 201
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 203
                elements:
                  value:
                    choices: []
                    index: 205
              conditionReference: {url: null, mustSupport: true, index: 206}
            elements:
              extension:
                mustSupport: true
                index: 202
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 203
                        elements:
                          value:
                            choices: []
                            index: 205
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 206}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: LIVER_SEV, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 207
              value:
                mustSupport: true
                choices: []
                index: 209
        deficiencyAnemia:
          match:
            code:
              coding:
              - {code: ANEMDF, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: DeficiencyAnemia
            mustSupport: true
            index: 30
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 32
                elements:
                  value:
                    choices: []
                    index: 34
              conditionReference: {url: null, mustSupport: true, index: 35}
            elements:
              extension:
                mustSupport: true
                index: 31
                slicing:
                  slices:
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                      match: {}
                      schema:
                        mustSupport: true
                        index: 32
                        elements:
                          value:
                            choices: []
                            index: 34
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 35}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: ANEMDF, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 36
              value:
                mustSupport: true
                choices: []
                index: 38
        cancerMetastatic:
          match:
            code:
              coding:
              - {code: CANCER_METS, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Metastatic Cancer
            mustSupport: true
            index: 75
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 77
                elements:
                  value:
                    choices: []
                    index: 79
              conditionReference: {url: null, mustSupport: true, index: 80}
            elements:
              extension:
                mustSupport: true
                index: 76
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 77
                        elements:
                          value:
                            choices: []
                            index: 79
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 80}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: CANCER_METS, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 81
              value:
                mustSupport: true
                choices: []
                index: 83
        neurologicalOther:
          match:
            code:
              coding:
              - {code: NEURO_OTH, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Other neurological disorders
            mustSupport: true
            index: 228
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 230
                elements:
                  value:
                    choices: []
                    index: 232
              conditionReference: {url: null, mustSupport: true, index: 233}
            elements:
              extension:
                mustSupport: true
                index: 229
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 230
                        elements:
                          value:
                            choices: []
                            index: 232
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 233}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: NEURO_OTH, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 234
              value:
                mustSupport: true
                choices: []
                index: 236
        bloodLossAnemia:
          match:
            code:
              coding:
              - {code: BLDLOSS, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Chronic Blood Loss Anemia
            mustSupport: true
            index: 48
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 50
                elements:
                  value:
                    choices: []
                    index: 52
              conditionReference: {url: null, mustSupport: true, index: 53}
            elements:
              extension:
                mustSupport: true
                index: 49
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 50
                        elements:
                          value:
                            choices: []
                            index: 52
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 53}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: BLDLOSS, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 54
              value:
                mustSupport: true
                choices: []
                index: 56
        neurologicalSeizure:
          match:
            code:
              coding:
              - {code: NEURO_SEIZ, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Seizures and epilepsy
            mustSupport: true
            index: 237
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 239
                elements:
                  value:
                    choices: []
                    index: 241
              conditionReference: {url: null, mustSupport: true, index: 242}
            elements:
              extension:
                mustSupport: true
                index: 238
                slicing:
                  slices:
                    conditionCode:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 239
                        elements:
                          value:
                            choices: []
                            index: 241
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 242}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: NEURO_SEIZ, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 243
              value:
                mustSupport: true
                choices: []
                index: 245
        aids:
          match:
            code:
              coding:
              - {code: AIDS, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Acquired Immune Deficiency Syndrome
            mustSupport: true
            index: 12
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 14
                elements:
                  value:
                    choices: []
                    index: 16
              conditionReference: {url: null, mustSupport: true, index: 17}
            elements:
              extension:
                mustSupport: true
                index: 13
                slicing:
                  slices:
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                      match: {}
                      schema:
                        mustSupport: true
                        index: 14
                        elements:
                          value:
                            choices: []
                            index: 16
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 17}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: AIDS, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 18
              value:
                mustSupport: true
                choices: []
                index: 20
        obesity:
          match:
            code:
              coding:
              - {code: OBESE, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Obesity
            mustSupport: true
            index: 246
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 248
                elements:
                  value:
                    choices: []
                    index: 250
              conditionReference: {url: null, mustSupport: true, index: 251}
            elements:
              extension:
                mustSupport: true
                index: 247
                slicing:
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                      match: {}
                      schema:
                        mustSupport: true
                        index: 248
                        elements:
                          value:
                            choices: []
                            index: 250
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 251}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: OBESE, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 252
              value:
                mustSupport: true
                choices: []
                index: 254
        arthropathy:
          match:
            code:
              coding:
              - {code: ARTH, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Arthropathy
            mustSupport: true
            index: 39
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 41
                elements:
                  value:
                    choices: []
                    index: 43
              conditionReference: {url: null, mustSupport: true, index: 44}
            elements:
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                mustSupport: true
                index: 40
                slicing:
                  slices:
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                      match: {}
                      schema:
                        mustSupport: true
                        index: 41
                        elements:
                          value:
                            choices: []
                            index: 43
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 44}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: ARTH, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 45
              value:
                mustSupport: true
                choices: []
                index: 47
        valvularDisease:
          match:
            code:
              coding:
              - {code: VALVE, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Valvular Disease
            mustSupport: true
            index: 336
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 338
                elements:
                  value:
                    choices: []
                    index: 340
              conditionReference: {url: null, mustSupport: true, index: 341}
            elements:
              extension:
                mustSupport: true
                index: 337
                slicing:
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                      match: {}
                      schema:
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                        index: 338
                        elements:
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                            choices: []
                            index: 340
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 341}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: VALVE, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 342
              value:
                mustSupport: true
                choices: []
                index: 344
        neurologicalMovement:
          match:
            code:
              coding:
              - {code: NEURO_MOVT, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Neurological disorders affecting movement
            mustSupport: true
            index: 219
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 221
                elements:
                  value:
                    choices: []
                    index: 223
              conditionReference: {url: null, mustSupport: true, index: 224}
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                index: 220
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                        index: 221
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                            index: 223
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              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: NEURO_MOVT, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 225
              value:
                mustSupport: true
                choices: []
                index: 227
        renalFailureModerate:
          match:
            code:
              coding:
              - {code: RENLFL_MOD, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Moderate Renal Failure
            mustSupport: true
            index: 291
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 293
                elements:
                  value:
                    choices: []
                    index: 295
              conditionReference: {url: null, mustSupport: true, index: 296}
            elements:
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                index: 292
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                        index: 293
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                            index: 295
                    conditionReference:
                      match: {}
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              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: RENLFL_MOD, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 297
              value:
                mustSupport: true
                choices: []
                index: 299
        diabetesUncomplicated:
          match:
            code:
              coding:
              - {code: DIAB_UNCX, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Diabetes without chronic complications
            mustSupport: true
            index: 156
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 158
                elements:
                  value:
                    choices: []
                    index: 160
              conditionReference: {url: null, mustSupport: true, index: 161}
            elements:
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                index: 157
                slicing:
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                      match: {}
                      schema:
                        mustSupport: true
                        index: 158
                        elements:
                          value:
                            choices: []
                            index: 160
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 161}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: DIAB_UNCX, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 162
              value:
                mustSupport: true
                choices: []
                index: 164
        hypertensionUncomplicated:
          match:
            code:
              coding:
              - {code: HTN_UNCX, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Hypertension, Uncomplicated
            mustSupport: true
            index: 183
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 185
                elements:
                  value:
                    choices: []
                    index: 187
              conditionReference: {url: null, mustSupport: true, index: 188}
            elements:
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                mustSupport: true
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                        index: 185
                        elements:
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                            choices: []
                            index: 187
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 188}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: HTN_UNCX, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 189
              value:
                mustSupport: true
                choices: []
                index: 191
        alcoholAbuse:
          match:
            code:
              coding:
              - {code: ALCOHOL, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Alcohol Abuse
            mustSupport: true
            index: 21
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 23
                elements:
                  value:
                    choices: []
                    index: 25
              conditionReference: {url: null, mustSupport: true, index: 26}
            elements:
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                index: 22
                slicing:
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                        index: 23
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                            index: 25
                    conditionReference:
                      match: {}
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              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: ALCOHOL, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 27
              value:
                mustSupport: true
                choices: []
                index: 29
        ulcer:
          match:
            code:
              coding:
              - {code: ULCER_PEPTIC, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
          schema:
            short: Ulcer
            mustSupport: true
            index: 327
            extensions:
              conditionCode:
                url: null
                mustSupport: true
                index: 329
                elements:
                  value:
                    choices: []
                    index: 331
              conditionReference: {url: null, mustSupport: true, index: 332}
            elements:
              extension:
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                index: 328
                slicing:
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                      match: {}
                      schema:
                        mustSupport: true
                        index: 329
                        elements:
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                            choices: []
                            index: 331
                    conditionReference:
                      match: {}
                      schema: {mustSupport: true, index: 332}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: ULCER_PEPTIC, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs'}
                index: 333
              value:
                mustSupport: true
                choices: []
                index: 335
package_version: 2.1.0
class: profile
kind: resource
url: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities-elixhauser
base: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities-parent
version: 2.1.0