{
  "description": "Example of SNOMED CT Change Set including an update to the 413839001 Chronic lung disease (Disorder) concept",
  "_filename": "CodeSystem-snomedct413839001ChangeSet.json",
  "package_name": "hl7.fhir.uv.termchangeset",
  "date": "2024-08-14T14:53:44+00:00",
  "versionNeeded": false,
  "meta": {
    "profile": [ "http://hl7.org/fhir/uv/termchangeset/StructureDefinition/snomed-changeset-profile" ]
  },
  "publisher": "HL7 International / Terminology Infrastructure",
  "jurisdiction": [ {
    "coding": [ {
      "code": "001",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm"
    } ]
  } ],
  "content": "fragment",
  "property": [ {
    "uri": "http://snomed.info/field/Concept.active",
    "code": "inactive",
    "type": "boolean",
    "description": "Whether the code is active or not (defaults to false). Not the same as deprecated"
  }, {
    "uri": "http://snomed.info/field/Concept.definitionStatusId",
    "code": "definitionStatusId",
    "type": "Coding",
    "description": "Either of the codes that are descendants of 900000000000444006"
  }, {
    "uri": "http://.........?",
    "code": "parent",
    "type": "Coding",
    "description": "A SNOMED CT concept id that has the target of a direct is-a relationship from the concept"
  }, {
    "uri": "http://snomed.info/field/Concept.moduleId",
    "code": "moduleId",
    "type": "Coding",
    "description": "The SNOMED CT concept id of the module that the concept belongs to."
  }, {
    "uri": "http://snomed.info/id/42752001",
    "code": "Due to",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/47429007",
    "code": "Associated with",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/116676008",
    "code": "Associated morphology",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/116686009",
    "code": "Has specimen",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/118168003",
    "code": "Specimen source morphology",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/118169006",
    "code": "Specimen source topography",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/118170007",
    "code": "Specimen source identity",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/118171006",
    "code": "Specimen procedure",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/123005000",
    "code": "Part of",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/127489000",
    "code": "Has active ingredient",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/131195008",
    "code": "Subject of information",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/246075003",
    "code": "Causative agent",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/246090004",
    "code": "Associated finding",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/246093002",
    "code": "Component",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/246112005",
    "code": "Severity",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/246454002",
    "code": "Occurrence",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/246456000",
    "code": "Episodicity",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/246501002",
    "code": "Technique",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/246513007",
    "code": "Revision status",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/246514001",
    "code": "Units",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/255234002",
    "code": "After",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/260507000",
    "code": "Access",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/260686004",
    "code": "Method",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/260870009",
    "code": "Priority",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/263502005",
    "code": "Clinical course",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/272741003",
    "code": "Laterality",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/363589002",
    "code": "Associated procedure",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/363698007",
    "code": "Finding site",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/363700003",
    "code": "Direct morphology",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/363701004",
    "code": "Direct substance",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/363702006",
    "code": "Has focus",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/363703001",
    "code": "Has intent",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/363704007",
    "code": "Procedure site",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/363705008",
    "code": "Has definitional manifestation",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/363709002",
    "code": "Indirect morphology",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/363710007",
    "code": "Indirect device",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/363713009",
    "code": "Has interpretation",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/363714003",
    "code": "Interprets",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/370129005",
    "code": "Measurement method",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/370130000",
    "code": "Property",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/370131001",
    "code": "Recipient category",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/370132008",
    "code": "Scale type",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/370133003",
    "code": "Specimen substance",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/370134009",
    "code": "Time aspect",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/370135005",
    "code": "Pathological process",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/405813007",
    "code": "Procedure site - Direct",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/405814001",
    "code": "Procedure site - Indirect",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/405815000",
    "code": "Procedure device",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/405816004",
    "code": "Procedure morphology",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/408729009",
    "code": "Finding context",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/408731000",
    "code": "Temporal context",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/408732007",
    "code": "Subject relationship context",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/410675002",
    "code": "Route of administration",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/411116001",
    "code": "Has dose form",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/418775008",
    "code": "Finding method",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/419066007",
    "code": "Finding informer",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/424226004",
    "code": "Using device",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/424244007",
    "code": "Using energy",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/424361007",
    "code": "Using substance",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/424876005",
    "code": "Surgical approach",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/425391005",
    "code": "Using access device",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/704318007",
    "code": "Property type",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/704319004",
    "code": "Inheres in",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/704320005",
    "code": "Towards",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/704321009",
    "code": "Characterizes",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/704322002",
    "code": "Process agent",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/704323007",
    "code": "Process duration",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/704324001",
    "code": "Process output",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/704325000",
    "code": "Relative to",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/704326004",
    "code": "Precondition",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/704327008",
    "code": "Direct site",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/704346009",
    "code": "Specified by",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/704347000",
    "code": "Observes",
    "type": "Coding"
  }, {
    "uri": "http://snomed.info/id/704647008",
    "code": "Is about",
    "type": "Coding"
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    "uri": "http://snomed.info/id/900000000000073002",
    "code": "Defined",
    "type": "boolean"
  } ],
  "name": "SNOMEDCT_413839001_ChronicLungDisease_ChangeSet_46dc8ea230544ceba51145f774fe9fdd",
  "copyright": "Copyright-free government work developed using SNOMED CT content under affiliate license agreement. © 2002-2016 International Health Terminology Standards Development Organisation (IHTSDO). All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. \"SNOMED\" and \"SNOMED CT\" are registered trademarks of the IHTSDO http://www.ihtsdo.org/snomed-ct/get-snomed-ct",
  "type": null,
  "experimental": "false",
  "resourceType": "CodeSystem",
  "title": "SNOMED CT 413839001 Chronic lung disease (Disorder) Change Set 46dc8ea230544ceba51145f774fe9fdd",
  "package_version": "1.0.0-ballot",
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    "description": "Filter that includes concepts based on their logical definition. e.g. [concept] [is-a] [x] - include all concepts with an is-a relationship to concept x, or [concept] [in] [x]- include all concepts in the reference set identified by concept x"
  }, {
    "code": "expression",
    "value": "A SNOMED CT ECL expression (see http://snomed.org/ecl)",
    "operator": [ "=" ],
    "description": "The result of the filter is the result of executing the given SNOMED CT Expression Constraint"
  }, {
    "code": "expressions",
    "value": "true or false",
    "operator": [ "=" ],
    "description": "Whether post-coordinated expressions are included in the value set"
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  "compositional": true,
  "status": "active",
  "hierarchyMeaning": "is-a",
  "id": "a72e3eae-fe29-4b17-94f7-3b84d6b76378",
  "kind": null,
  "url": "http://ikm.dev/changesets/CodeSystem/SNOMEDCT_413839001_ChronicLungDisease_ChangeSet",
  "identifier": [ {
    "value": "urn:oid:2.16.840.1.113883.6.96",
    "system": "urn:ietf:rfc:3986"
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  "concept": [ {
    "id": "61da7e50-f606-5ba0-a0df-83fd524951e7",
    "code": "413839001",
    "display": "Chronic lung disease (Disorder)",
    "property": [ {
      "code": "Finding site",
      "extension": [ {
        "url": "http://hl7.org/fhir/uv/termchangeset/StructureDefinition/defining-relationship-type",
        "valueCodeableConcept": {
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      }, {
        "url": "http://hl7.org/fhir/uv/termchangeset/StructureDefinition/el-profile-set-operator",
        "valueCodeableConcept": {
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            "system": "http://snomed.info/sct",
            "display": "Sufficiently defined by necessary conditions definition status (core metadata concept)"
          } ]
        }
      }, {
        "url": "http://hl7.org/fhir/uv/termchangeset/StructureDefinition/role-group",
        "valueInteger": 1
      } ],
      "valueCoding": {
        "code": "39607008",
        "system": "http://snomed.info/sct",
        "display": "Lung Structure"
      }
    }, {
      "code": "Clinical course",
      "extension": [ {
        "url": "http://hl7.org/fhir/uv/termchangeset/StructureDefinition/defining-relationship-type",
        "valueCodeableConcept": {
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            "display": "Stated relationship (core metadata concept)"
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      }, {
        "url": "http://hl7.org/fhir/uv/termchangeset/StructureDefinition/el-profile-set-operator",
        "valueCodeableConcept": {
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            "system": "http://snomed.info/sct",
            "display": "Sufficiently defined by necessary conditions definition status (core metadata concept)"
          } ]
        }
      }, {
        "url": "http://hl7.org/fhir/uv/termchangeset/StructureDefinition/role-group",
        "valueInteger": 2
      } ],
      "valueCoding": {
        "code": "90734009",
        "system": "http://snomed.info/sct",
        "display": "Chronic"
      }
    }, {
      "code": "parent",
      "extension": [ {
        "url": "http://hl7.org/fhir/uv/termchangeset/StructureDefinition/defining-relationship-type",
        "valueCodeableConcept": {
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            "display": "Stated relationship (core metadata concept)"
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        }
      }, {
        "url": "http://hl7.org/fhir/uv/termchangeset/StructureDefinition/el-profile-set-operator",
        "valueCodeableConcept": {
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            "display": "Sufficiently defined by necessary conditions definition status (core metadata concept)"
          } ]
        }
      } ],
      "valueCoding": {
        "code": "19829001",
        "system": "http://snomed.info/sct",
        "display": "Disorder of lung (disorder)"
      }
    }, {
      "code": "inactive",
      "extension": [ {
        "url": "http://hl7.org/fhir/uv/termchangeset/StructureDefinition/defining-relationship-type",
        "valueCodeableConcept": {
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            "display": "Stated relationship (core metadata concept)"
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        }
      }, {
        "url": "http://hl7.org/fhir/uv/termchangeset/StructureDefinition/el-profile-set-operator",
        "valueCodeableConcept": {
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            "display": "Sufficiently defined by necessary conditions definition status (core metadata concept)"
          } ]
        }
      } ],
      "valueBoolean": false
    }, {
      "code": "Defined",
      "extension": [ {
        "url": "http://hl7.org/fhir/uv/termchangeset/StructureDefinition/defining-relationship-type",
        "valueCodeableConcept": {
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            "display": "Stated relationship (core metadata concept)"
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        }
      }, {
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        "valueCodeableConcept": {
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            "display": "Sufficiently defined by necessary conditions definition status (core metadata concept)"
          } ]
        }
      } ],
      "valueBoolean": false
    } ],
    "definition": "Chronic lung disease (Disorder)",
    "designation": [ {
      "use": {
        "code": "900000000000013009",
        "system": "http://snomed.info/sct",
        "display": "Synonym"
      },
      "value": "Chronic lung disease",
      "language": "en-US",
      "extension": [ {
        "url": "http://hl7.org/fhir/uv/termchangeset/StructureDefinition/description-case-sensitivity",
        "valueCodeableConcept": {
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            "code": "900000000000020002",
            "system": "http://snomed.info/sct",
            "display": "Only initial character case insensitive (core metadata concept)"
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        }
      }, {
        "url": "http://hl7.org/fhir/uv/termchangeset/StructureDefinition/description-acceptability",
        "valueCodeableConcept": {
          "coding": [ {
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            "system": "http://snomed.info/sct",
            "display": "Preferred (foundation metadata concept)"
          } ]
        }
      }, {
        "url": "http://hl7.org/fhir/uv/termchangeset/StructureDefinition/description-dialect",
        "valueCodeableConcept": {
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            "system": "http://snomed.info/sct",
            "display": "United States of America English language reference set"
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        }
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    } ]
  } ],
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  "version": "1.0.0-ballot",
  "contact": [ {
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/Vocab",
      "system": "url"
    } ]
  } ]
}