Multiple Gestation

{
  "compose" : {
    "exclude" : [ ],
    "include" : [ {
      "valueSet" : [ "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.172" ]
    }, {
      "valueSet" : [ "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.104" ]
    } ]
  },
  "date" : "2017-05-23T01:00:04-04:00",
  "meta" : {
    "versionId" : "13",
    "lastUpdated" : "2023-12-21T17:43:03.000-05:00",
    "profile" : [ "http://hl7.org/fhir/StructureDefinition/shareablevalueset", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-valueset-cqfm", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-valueset-cqfm" ]
  },
  "publisher" : "TJC EH Steward",
  "jurisdiction" : [ {
    "coding" : [ {
      "system" : "urn:iso:std:iso:3166",
      "code" : "US"
    } ]
  } ],
  "purpose" : "(Clinical Focus: This grouping of value sets contains a diagnoses that represent the delivery of twins and higher order multiples.),(Data Element Scope: The intent of this data element is to identify patients who delivered twins or higher order of multiples. Using the Quality Data Model, this particular element will map to the Diagnosis category or the Diagnosis attribute for the Encounter category.),(Inclusion Criteria: Include ICD10CM and SNOMEDCT codes that identify a delivery of twins or higher order multiples.),(Exclusion Criteria: Exclude codes that do not meet the inclusion criteria.)",
  "name" : "MultipleGestation",
  "experimental" : false,
  "resourceType" : "ValueSet",
  "expansion" : {
    "contains" : [ {
      "system" : "http://snomed.info/sct",
      "code" : "169950007",
      "display" : "One of triplets (finding)",
      "version" : "http://snomed.info/sct/731000124108/version/20240301"
    }, {
      "system" : "http://snomed.info/sct",
      "code" : "2256007",
      "display" : "Monozygotic twins (finding)",
      "version" : "http://snomed.info/sct/731000124108/version/20240301"
    }, {
      "system" : "http://snomed.info/sct",
      "code" : "249110003",
      "display" : "Presentation in multiple pregnancy (finding)",
      "version" : "http://snomed.info/sct/731000124108/version/20240301"
    }, {
      "system" : "http://snomed.info/sct",
      "code" : "268478005",
      "display" : "One of twins (finding)",
      "version" : "http://snomed.info/sct/731000124108/version/20240301"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.001",
      "display" : "Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.002",
      "display" : "Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.003",
      "display" : "Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.011",
      "display" : "Twin pregnancy, monochorionic/monoamniotic, first trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.012",
      "display" : "Twin pregnancy, monochorionic/monoamniotic, second trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.013",
      "display" : "Twin pregnancy, monochorionic/monoamniotic, third trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.031",
      "display" : "Twin pregnancy, monochorionic/diamniotic, first trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.032",
      "display" : "Twin pregnancy, monochorionic/diamniotic, second trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.033",
      "display" : "Twin pregnancy, monochorionic/diamniotic, third trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.041",
      "display" : "Twin pregnancy, dichorionic/diamniotic, first trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.042",
      "display" : "Twin pregnancy, dichorionic/diamniotic, second trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.043",
      "display" : "Twin pregnancy, dichorionic/diamniotic, third trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.091",
      "display" : "Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, first trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.092",
      "display" : "Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, second trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.093",
      "display" : "Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, third trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.101",
      "display" : "Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.102",
      "display" : "Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.103",
      "display" : "Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.111",
      "display" : "Triplet pregnancy with two or more monochorionic fetuses, first trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.112",
      "display" : "Triplet pregnancy with two or more monochorionic fetuses, second trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.113",
      "display" : "Triplet pregnancy with two or more monochorionic fetuses, third trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.121",
      "display" : "Triplet pregnancy with two or more monoamniotic fetuses, first trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.122",
      "display" : "Triplet pregnancy with two or more monoamniotic fetuses, second trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.123",
      "display" : "Triplet pregnancy with two or more monoamniotic fetuses, third trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.191",
      "display" : "Triplet pregnancy, unable to determine number of placenta and number of amniotic sacs, first trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.192",
      "display" : "Triplet pregnancy, unable to determine number of placenta and number of amniotic sacs, second trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.193",
      "display" : "Triplet pregnancy, unable to determine number of placenta and number of amniotic sacs, third trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.201",
      "display" : "Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.202",
      "display" : "Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.203",
      "display" : "Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.211",
      "display" : "Quadruplet pregnancy with two or more monochorionic fetuses, first trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.212",
      "display" : "Quadruplet pregnancy with two or more monochorionic fetuses, second trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.213",
      "display" : "Quadruplet pregnancy with two or more monochorionic fetuses, third trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.221",
      "display" : "Quadruplet pregnancy with two or more monoamniotic fetuses, first trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.222",
      "display" : "Quadruplet pregnancy with two or more monoamniotic fetuses, second trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.223",
      "display" : "Quadruplet pregnancy with two or more monoamniotic fetuses, third trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.291",
      "display" : "Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs, first trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.292",
      "display" : "Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs, second trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.293",
      "display" : "Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs, third trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.801",
      "display" : "Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, first trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.802",
      "display" : "Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, second trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.803",
      "display" : "Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, third trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.811",
      "display" : "Other specified multiple gestation with two or more monochorionic fetuses, first trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.812",
      "display" : "Other specified multiple gestation with two or more monochorionic fetuses, second trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.813",
      "display" : "Other specified multiple gestation with two or more monochorionic fetuses, third trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.821",
      "display" : "Other specified multiple gestation with two or more monoamniotic fetuses, first trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.822",
      "display" : "Other specified multiple gestation with two or more monoamniotic fetuses, second trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.823",
      "display" : "Other specified multiple gestation with two or more monoamniotic fetuses, third trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.891",
      "display" : "Other specified multiple gestation, unable to determine number of placenta and number of amniotic sacs, first trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.892",
      "display" : "Other specified multiple gestation, unable to determine number of placenta and number of amniotic sacs, second trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.893",
      "display" : "Other specified multiple gestation, unable to determine number of placenta and number of amniotic sacs, third trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.91",
      "display" : "Multiple gestation, unspecified, first trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.92",
      "display" : "Multiple gestation, unspecified, second trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O30.93",
      "display" : "Multiple gestation, unspecified, third trimester",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.11X0",
      "display" : "Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, not applicable or unspecified",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.11X1",
      "display" : "Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 1",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.11X2",
      "display" : "Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 2",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.11X3",
      "display" : "Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 3",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.11X4",
      "display" : "Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 4",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.11X5",
      "display" : "Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 5",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.11X9",
      "display" : "Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, other fetus",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.12X0",
      "display" : "Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, not applicable or unspecified",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.12X1",
      "display" : "Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, fetus 1",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.12X2",
      "display" : "Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, fetus 2",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.12X3",
      "display" : "Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, fetus 3",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.12X4",
      "display" : "Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, fetus 4",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.12X5",
      "display" : "Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, fetus 5",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.12X9",
      "display" : "Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, other fetus",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.13X0",
      "display" : "Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, not applicable or unspecified",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.13X1",
      "display" : "Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, fetus 1",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.13X2",
      "display" : "Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, fetus 2",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.13X3",
      "display" : "Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, fetus 3",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.13X4",
      "display" : "Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, fetus 4",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.13X5",
      "display" : "Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, fetus 5",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.13X9",
      "display" : "Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, other fetus",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.21X0",
      "display" : "Continuing pregnancy after intrauterine death of one fetus or more, first trimester, not applicable or unspecified",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.21X1",
      "display" : "Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 1",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.21X2",
      "display" : "Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 2",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.21X3",
      "display" : "Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 3",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.21X4",
      "display" : "Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 4",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.21X5",
      "display" : "Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 5",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.21X9",
      "display" : "Continuing pregnancy after intrauterine death of one fetus or more, first trimester, other fetus",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.22X0",
      "display" : "Continuing pregnancy after intrauterine death of one fetus or more, second trimester, not applicable or unspecified",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.22X1",
      "display" : "Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 1",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.22X2",
      "display" : "Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 2",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.22X3",
      "display" : "Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 3",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
      "code" : "O31.22X4",
      "display" : "Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 4",
      "version" : "2024"
    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "display" : "Other complications specific to multiple gestation, first trimester, fetus 5",
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    }, {
      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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      "system" : "http://hl7.org/fhir/sid/icd-10-cm",
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