{
  "description": null,
  "compose": {
    "include": [ {
      "system": "http://snomed.info/sct",
      "concept": [ {
        "code": "16386004",
        "display": "Dry skin (finding)"
      }, {
        "code": "16514006",
        "display": "Moist skin (finding)"
      }, {
        "code": "17038008",
        "display": "Increased skin temperature (finding)"
      }, {
        "code": "19843006",
        "display": "Hypertrophic scar (disorder)"
      }, {
        "code": "201040000",
        "display": "Callosity (disorder)"
      }, {
        "code": "239163008",
        "display": "Wound erythema (finding)"
      }, {
        "code": "247427007",
        "display": "Fragile skin (finding)"
      }, {
        "code": "247444006",
        "display": "Excoriation of skin (disorder)"
      }, {
        "code": "271807003",
        "display": "Eruption of skin (disorder)"
      }, {
        "code": "274165007",
        "display": "Laceration of skin (disorder)"
      }, {
        "code": "275322007",
        "display": "Scar (disorder)"
      }, {
        "code": "302227002",
        "display": "Ecchymosis (finding)"
      }, {
        "code": "33659008",
        "display": "Keloid scar (disorder)"
      }, {
        "code": "3644009",
        "display": "Macerated skin (finding)"
      }, {
        "code": "417237009",
        "display": "Blister of skin AND/OR mucosa (disorder)"
      }, {
        "code": "420356000",
        "display": "Persistent erythema of skin (finding)"
      }, {
        "code": "423902002",
        "display": "Purpura (finding)"
      }, {
        "code": "444884003",
        "display": "Intact skin (finding)"
      }, {
        "code": "4470009",
        "display": "Blanching of skin (finding)"
      }, {
        "code": "449737008",
        "display": "Boggy periwound skin (finding)"
      }, {
        "code": "449738003",
        "display": "Inflammation of periwound skin (finding)"
      }, {
        "code": "449739006",
        "display": "Rupture of periwound skin (finding)"
      }, {
        "code": "449742000",
        "display": "Hemorrhage of periwound skin (finding)"
      }, {
        "code": "449744004",
        "display": "Induration of wound (finding)"
      }, {
        "code": "71200009",
        "display": "Decreased skin temperature (finding)"
      }, {
        "code": "95322002",
        "display": "Edematous skin (disorder)"
      } ]
    } ]
  },
  "_filename": "ValueSet-2.16.840.1.113762.1.4.1181.2.json",
  "package_name": "us.nlm.vsac",
  "date": "2018-05-25T01:00:04-04:00",
  "meta": {
    "profile": [ "http://hl7.org/fhir/StructureDefinition/shareablevalueset", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-valueset-cqfm" ],
    "versionId": "7",
    "lastUpdated": "2018-05-25T01:10:31.000-04:00"
  },
  "publisher": "HSPC Steward",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "purpose": "(Clinical Focus: Periwound condition value set as defined by the Clinical Information Modeling Initiative.),(Data Element Scope: This reference set contains values used to describe the to describe the skin surrounding a wound, resulting the LOINC concept Description of Periwound 72301-5.),(Inclusion Criteria: Surrounding tissue may present as (http://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Wound_care/):\n•Healthy\n•Macerated\n•Dry\n•Eczematous\n•Fragile\n•Edema\n•Erythema\n•Induration (hardening)\n•Cellulitis\n\nThis value set is missing 5 concepts from the HSPC extension namespace\t\t\t\nSCTID\t101000205109\tFSN\tIncreased pain (finding) \nSCTID\t451000205104\tFSN\tIntact blister (disorder) \nSCTID\t461000205101\tFSN\tRuptured blister (disorder) \nSCTID\t471000205109\tFSN\tDry desquamation (finding) \nSCTID\t481000205106\tFSN\tMoist desquamation (finding)),(Exclusion Criteria: Does not include assessment of the wound edge or bed. Periwound color is a different observation therefore, colors should not be in this refset.)",
  "name": "PeriwoundConditionValueSetFoundationMetadataConcept",
  "type": null,
  "experimental": "false",
  "resourceType": "ValueSet",
  "expansion": {
    "total": 24,
    "offset": 0,
    "contains": [ {
      "code": "16514006",
      "system": "http://snomed.info/sct",
      "display": "Moist skin (finding)",
      "version": "http://snomed.info/sct/731000124108/version/20230901"
    }, {
      "code": "17038008",
      "system": "http://snomed.info/sct",
      "display": "Increased skin temperature (finding)",
      "version": "http://snomed.info/sct/731000124108/version/20230901"
    }, {
      "code": "19843006",
      "system": "http://snomed.info/sct",
      "display": "Hypertrophic scar (disorder)",
      "version": "http://snomed.info/sct/731000124108/version/20230901"
    }, {
      "code": "201040000",
      "system": "http://snomed.info/sct",
      "display": "Callosity (disorder)",
      "version": "http://snomed.info/sct/731000124108/version/20230901"
    }, {
      "code": "239163008",
      "system": "http://snomed.info/sct",
      "display": "Wound erythema (disorder)",
      "version": "http://snomed.info/sct/731000124108/version/20230901"
    }, {
      "code": "247427007",
      "system": "http://snomed.info/sct",
      "display": "Fragile skin (finding)",
      "version": "http://snomed.info/sct/731000124108/version/20230901"
    }, {
      "code": "247444006",
      "system": "http://snomed.info/sct",
      "display": "Excoriation of skin (disorder)",
      "version": "http://snomed.info/sct/731000124108/version/20230901"
    }, {
      "code": "271807003",
      "system": "http://snomed.info/sct",
      "display": "Eruption of skin (disorder)",
      "version": "http://snomed.info/sct/731000124108/version/20230901"
    }, {
      "code": "274165007",
      "system": "http://snomed.info/sct",
      "display": "Laceration of skin (disorder)",
      "version": "http://snomed.info/sct/731000124108/version/20230901"
    }, {
      "code": "275322007",
      "system": "http://snomed.info/sct",
      "display": "Scar (disorder)",
      "version": "http://snomed.info/sct/731000124108/version/20230901"
    }, {
      "code": "302227002",
      "system": "http://snomed.info/sct",
      "display": "Ecchymosis (finding)",
      "version": "http://snomed.info/sct/731000124108/version/20230901"
    }, {
      "code": "33659008",
      "system": "http://snomed.info/sct",
      "display": "Keloid scar (disorder)",
      "version": "http://snomed.info/sct/731000124108/version/20230901"
    }, {
      "code": "3644009",
      "system": "http://snomed.info/sct",
      "display": "Macerated skin (finding)",
      "version": "http://snomed.info/sct/731000124108/version/20230901"
    }, {
      "code": "417237009",
      "system": "http://snomed.info/sct",
      "display": "Blister of skin AND/OR mucosa (disorder)",
      "version": "http://snomed.info/sct/731000124108/version/20230901"
    }, {
      "code": "420356000",
      "system": "http://snomed.info/sct",
      "display": "Persistent erythema of skin (disorder)",
      "version": "http://snomed.info/sct/731000124108/version/20230901"
    }, {
      "code": "444884003",
      "system": "http://snomed.info/sct",
      "display": "Intact skin (finding)",
      "version": "http://snomed.info/sct/731000124108/version/20230901"
    }, {
      "code": "4470009",
      "system": "http://snomed.info/sct",
      "display": "Blanching of skin (finding)",
      "version": "http://snomed.info/sct/731000124108/version/20230901"
    }, {
      "code": "449737008",
      "system": "http://snomed.info/sct",
      "display": "Boggy periwound skin (finding)",
      "version": "http://snomed.info/sct/731000124108/version/20230901"
    }, {
      "code": "449738003",
      "system": "http://snomed.info/sct",
      "display": "Inflammation of periwound skin (finding)",
      "version": "http://snomed.info/sct/731000124108/version/20230901"
    }, {
      "code": "449739006",
      "system": "http://snomed.info/sct",
      "display": "Rupture of periwound skin (disorder)",
      "version": "http://snomed.info/sct/731000124108/version/20230901"
    }, {
      "code": "449742000",
      "system": "http://snomed.info/sct",
      "display": "Hemorrhage of periwound skin (finding)",
      "version": "http://snomed.info/sct/731000124108/version/20230901"
    }, {
      "code": "449744004",
      "system": "http://snomed.info/sct",
      "display": "Induration of wound (finding)",
      "version": "http://snomed.info/sct/731000124108/version/20230901"
    }, {
      "code": "71200009",
      "system": "http://snomed.info/sct",
      "display": "Decreased skin temperature (finding)",
      "version": "http://snomed.info/sct/731000124108/version/20230901"
    }, {
      "code": "95322002",
      "system": "http://snomed.info/sct",
      "display": "Edematous skin (disorder)",
      "version": "http://snomed.info/sct/731000124108/version/20230901"
    } ],
    "parameter": [ {
      "name": "count",
      "valueInteger": 1000
    }, {
      "name": "offset",
      "valueInteger": 0
    } ],
    "timestamp": "2023-11-05T20:28:18-05:00",
    "identifier": "urn:uuid:c7c4d715-e87e-422b-8180-fba06c3a9c0d"
  },
  "title": "Periwound condition value set (foundation metadata concept)",
  "package_version": "0.14.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/valueset-author",
    "valueString": "HSPC Author"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate",
    "valueDate": "2022-12-15"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate",
    "valueDate": "2018-05-25"
  } ],
  "status": "active",
  "id": "55970fca-4321-42ab-a118-3bf507aa1326",
  "kind": null,
  "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1181.2",
  "identifier": [ {
    "value": "urn:oid:2.16.840.1.113762.1.4.1181.2",
    "system": "urn:ietf:rfc:3986"
  } ],
  "version": "20180525"
}