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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="1896831" />
  <meta>
    <versionId value="2" />
    <lastUpdated value="2019-05-02T20:05:53.642+00:00" />
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset" />
  </meta>
  <text>
    <status value="additional" />
    <div xmlns="http://www.w3.org/1999/xhtml">This ValueSet implements the options how to document the location of a ulcus cruris as suggested by the German National Consensus Ulcus Cruris, an initative to standardize documention for Ulcus Cruris.

Note, that the used codes are not validated by the community but rather represent my indivudual choice of the mapping between proposed locations and SNOMED CT.

German code:

1. Oberschenkel (Thigh)
2. Knie (Knee)
3. Unterschenkel (Lower Leg)
4.Sprunggelenk (Ankle)
5. Fußrücken (Dorsum of Foot)
6. Ferse (Heel)
7. Fußsole (Sole of Foot)
8. Zehen (Toes)

Furthermore, please note, that the original aggreement was to encode the laterality of ulcer location was included in the single options. 
However, I propose to encode the laterality of an ulcer seperatly using the FHIR Core ValueSet Laterality (http://hl7.org/fhir/ValueSet/bodysite-laterality).
In this context, it may be a good idea to restrict the above mentioned ValueSet Laterality to left and right while excluding bilateral.</div>
  </text>
  <url value="https://sciphy-stats.de/topography-lower-leg" />
  <identifier>
    <value value="localisation-ulcer" />
  </identifier>
  <version value="20190417" />
  <name value="TopographyLowerExtremity" />
  <title value="Location of Ulcer" />
  <status value="draft" />
  <experimental value="true" />
  <date value="2019-04-17" />
  <publisher value="Forschungsgruppe Informatik im Gesundheitswesen Hochschule Osnabrück" />
  <contact>
    <name value="Jens Hüsers" />
    <telecom>
      <system value="email" />
      <value value="j.huesers@hs-osnabrueck.de" />
    </telecom>
  </contact>
  <description value="This ValueSet is an example of how to use filters along with ValueSets.&#xA;&#xA;I created this ValueSet for illustration purposes only. &#xA;&#xA;We plan to develop this ValueSet further in future projects." />
  <compose>
    <include>
      <system value="http://snomed.info/sct" />
      <concept>
        <code value="68367000" />
        <display value="Thigh structure" />
      </concept>
      <concept>
        <code value="72696002" />
        <display value="Knee region structure" />
      </concept>
      <concept>
        <code value="30021000" />
        <display value="Lower leg structure" />
      </concept>
      <concept>
        <code value="344001" />
        <display value="Ankle region structure" />
      </concept>
      <concept>
        <code value="2402003" />
        <display value="Structure of dorsum of foot" />
      </concept>
      <concept>
        <code value="76853006" />
        <display value="Heel structure" />
      </concept>
      <concept>
        <code value="57999000" />
        <display value="Structure of sole of foot" />
      </concept>
      <concept>
        <code value="29707007" />
        <display value="Toe structure" />
      </concept>
    </include>
  </compose>
</ValueSet>

name : TopographyLowerExtremity

{

}