{
  "description": "A code from the SNOMED Clinical Terminology UK coding system that describes the outcome of the blood spot screening for medium-chain acyl-coenzyme A dehydrogenase deficiency.",
  "compose": {
    "include": [ {
      "system": "http://snomed.info/sct",
      "concept": [ {
        "code": "509581000000105",
        "display": "Newborn blood spot specimen received"
      }, {
        "code": "428042006",
        "display": "Medium-chain acyl-coenzyme A dehydrogenase deficiency screening test declined"
      }, {
        "code": "947751000000100",
        "display": "Medium-chain acyl-coenzyme A dehydrogenase deficiency screening declined, no history of being screened"
      }, {
        "code": "947771000000109",
        "display": "Medium-chain acyl-coenzyme A dehydrogenase deficiency screening declined, screened in UK (as reported by parents) with no evidence of result"
      }, {
        "code": "947791000000108",
        "display": "Medium-chain acyl-coenzyme A dehydrogenase deficiency screening declined, screened outside UK with evidence of result"
      }, {
        "code": "947811000000109",
        "display": "Medium-chain acyl-coenzyme A dehydrogenase deficiency screening declined, screened outside UK with no evidence of result"
      }, {
        "code": "384371000000101",
        "display": "Newborn blood spot screening programme, medium chain acyl-coenzyme A dehydrogenase deficiency repeat screening with further sample required"
      }, {
        "code": "948841000000109",
        "display": "Medium-chain acyl-coenzyme A dehydrogenase deficiency screening, too young for reliable screening"
      }, {
        "code": "948861000000105",
        "display": "Medium-chain acyl-coenzyme A dehydrogenase deficiency screening, sample taken too soon after blood transfusion (less than 72 hours)"
      }, {
        "code": "948881000000101",
        "display": "Medium-chain acyl-coenzyme A dehydrogenase deficiency screening, insufficient sample"
      }, {
        "code": "948901000000103",
        "display": "Medium-chain acyl-coenzyme A dehydrogenase deficiency screening, unsuitable sample (blood quality): incorrect blood application"
      }, {
        "code": "955991000000103",
        "display": "Medium-chain acyl-coenzyme A dehydrogenase deficiency screening, unsuitable sample (blood quality): compressed/damaged"
      }, {
        "code": "948941000000100",
        "display": "Medium-chain acyl-coenzyme A dehydrogenase deficiency screening, unsuitable sample: day 0 and day 5 on same card"
      }, {
        "code": "948981000000108",
        "display": "Medium-chain acyl-coenzyme A dehydrogenase deficiency screening, unsuitable sample: NHS number missing/not accurately recorded"
      }, {
        "code": "949001000000105",
        "display": "Medium-chain acyl-coenzyme A dehydrogenase deficiency screening, unsuitable sample: date of sample missing/not accurately recorded"
      }, {
        "code": "949021000000101",
        "display": "Medium-chain acyl-coenzyme A dehydrogenase deficiency screening, unsuitable sample: date of birth not accurately matched"
      }, {
        "code": "949041000000108",
        "display": "Medium-chain acyl-coenzyme A dehydrogenase deficiency screening, unsuitable sample: expired card used"
      }, {
        "code": "949081000000100",
        "display": "Medium-chain acyl-coenzyme A dehydrogenase deficiency screening, unsuitable sample: more than 14 days in transit, too old for analysis"
      }, {
        "code": "949101000000106",
        "display": "Medium-chain acyl-coenzyme A dehydrogenase deficiency screening, unsuitable sample: damaged in transit"
      }, {
        "code": "428279002",
        "display": "Medium-chain acyl-coenzyme A dehydrogenase deficiency not suspected"
      }, {
        "code": "822891000000105",
        "display": "Carrier of medium chain acyl-coenzyme A dehydrogenase deficiency gene mutation"
      }, {
        "code": "384421000000108",
        "display": "Newborn blood spot screening programme, medium chain acyl-coenzyme A dehydrogenase deficiency not suspected and other disorders follow up required"
      }, {
        "code": "429244009",
        "display": "Suspected medium-chain acyl-coenzyme A dehydrogenase deficiency"
      }, {
        "code": "302761000000102",
        "display": "Medium chain acyl-coenzyme A dehydrogenase deficiency not screened for or screening incomplete"
      }, {
        "code": "949121000000102",
        "display": "Medium-chain acyl-coenzyme A dehydrogenase deficiency not screened for or screening incomplete: over 1 year old, too old for screening"
      }, {
        "code": "949141000000109",
        "display": "Medium-chain acyl-coenzyme A dehydrogenase deficiency not screened for or screening incomplete, moved out of area"
      }, {
        "code": "949161000000105",
        "display": "Medium-chain acyl-coenzyme A dehydrogenase deficiency not screened for or screening incomplete, not contactable, reasonable efforts made"
      }, {
        "code": "949181000000101",
        "display": "Medium-chain acyl-coenzyme A dehydrogenase deficiency not screened for or screening incomplete, baby died"
      }, {
        "code": "949201000000102",
        "display": "Medium-chain acyl-coenzyme A dehydrogenase deficiency not screened for or screening incomplete, not required, previous valid result"
      } ]
    } ]
  },
  "_filename": "ValueSet-DCH-BloodSpotOutcomeMCADDSnCT-1.json",
  "package_name": "NHSD.Assets.STU3",
  "date": "2017-12-04T00:00:00+00:00",
  "publisher": "NHS Digital",
  "name": "DCH Blood Spot Outcome MCADD SnCT",
  "copyright": "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement.",
  "type": null,
  "experimental": null,
  "resourceType": "ValueSet",
  "title": null,
  "package_version": "1.1.0",
  "status": "draft",
  "id": "531ea7d3-6303-4fc2-8398-1a4f9775766a",
  "kind": null,
  "url": "https://fhir.nhs.uk/STU3/ValueSet/DCH-BloodSpotOutcomeMCADDSnCT-1",
  "version": "1.0.0",
  "contact": [ {
    "name": "Interoperability Team",
    "telecom": [ {
      "use": "work",
      "value": "interoperabilityteam@nhs.net",
      "system": "email"
    } ]
  } ]
}