IDEA4RC FHIR Implementation Guide
1.0.0 - release 150

IDEA4RC FHIR Implementation Guide - Downloaded Version 1.0.0 See the Directory of published versions

: Surgical Procedure Type - TTL Representation

Active as of 2026-09-17

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/ValueSet/vs-surgicalProcedureType-eu-i4rc> a fhir:ValueSet ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "vs-surgicalProcedureType-eu-i4rc"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet vs-surgicalProcedureType-eu-i4rc</b></p><a name=\"vs-surgicalProcedureType-eu-i4rc\"> </a><a name=\"hcvs-surgicalProcedureType-eu-i4rc\"> </a><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <code>http://fhir.ohdsi.org/CodeSystem/concepts</code><span title=\"Version is not explicitly stated. No matching Code System found\"> version Not Stated (use latest from terminology server)</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>4019656</td><td>Isolated limb perfusion</td></tr><tr><td>4003059</td><td>Shoulder reconstruction</td></tr><tr><td>37394766</td><td>Primary open reduction rhinoplasty involving cartilage</td></tr><tr><td>4333006</td><td>Correction of rotational orbital dystopia</td></tr><tr><td>46272956</td><td>Dega osteotomy of pelvic bone</td></tr><tr><td>4204599</td><td>Reconstruction of lateral collateral ligament of elbow using tendon graft</td></tr><tr><td>4051629</td><td>Reconstruction of trunk using fasciocutaneous flap</td></tr><tr><td>42537247</td><td>Reconstruction of hypopharynx</td></tr><tr><td>42709805</td><td>Reconstruction of upper limb</td></tr><tr><td>4080089</td><td>Extra-articular plastic replacement of intra-articular ligament</td></tr><tr><td>4003550</td><td>Obstetrics reconstruction</td></tr><tr><td>4003564</td><td>Thorax reconstruction</td></tr><tr><td>4034457</td><td>Eminence augmentation temporomandibular joint</td></tr><tr><td>42539315</td><td>Plastic operation of external ear</td></tr><tr><td>4203605</td><td>Repair of corneal laceration with conjunctival flap</td></tr><tr><td>4090512</td><td>Repair of cleft palate using pharyngeal flap</td></tr><tr><td>4002364</td><td>Trunk reconstruction</td></tr><tr><td>4189676</td><td>Osteoclasis of clavicle</td></tr><tr><td>4048629</td><td>Reconstruction of maxillary antrum</td></tr><tr><td>4331816</td><td>Cementoplasty using fluoroscopic guidance</td></tr><tr><td>4142501</td><td>Refracture of nasal bones</td></tr><tr><td>4078089</td><td>Primary intra-articular autograft augmentation intra-articular ligament</td></tr><tr><td>4142079</td><td>Conversion from uncemented hemiarthroplasty of hip</td></tr><tr><td>4208618</td><td>Refashioning of arteriovenous fistula</td></tr><tr><td>4309273</td><td>Plastic repair with lengthening</td></tr><tr><td>4065708</td><td>Repair of canthus with local skin flap</td></tr><tr><td>37157471</td><td>Total replacement of hip joint using metal augmentation</td></tr><tr><td>4271046</td><td>Reconstructive orthopedic procedure</td></tr><tr><td>4066082</td><td>Reduction rhinoplasty</td></tr><tr><td>4101560</td><td>Functional reconstruction of internal nose</td></tr><tr><td>4197307</td><td>Augmentation of tibia</td></tr><tr><td>4322461</td><td>Treatment of nasomaxillary complex fracture, Lefort II type</td></tr><tr><td>4029419</td><td>Reconstruction of abdominal wall using flap</td></tr><tr><td>4194057</td><td>Excision of lesion of palate with local flap closure</td></tr><tr><td>4107577</td><td>Reduction of gigantism of hand</td></tr><tr><td>44783283</td><td>Local flap of skin to neck</td></tr><tr><td>4003903</td><td>Nerve reconstruction</td></tr><tr><td>4166279</td><td>Zancolli reconstruction stage 2</td></tr><tr><td>4167829</td><td>Reconstruction of diaphragm</td></tr><tr><td>4232347</td><td>Pharyngeal reconstruction by direct closure</td></tr><tr><td>37152351</td><td>Reconstruction of articular cartilage of knee joint</td></tr><tr><td>4073105</td><td>Distant microvascular transferred flap, axial pattern</td></tr><tr><td>4003889</td><td>Testis reconstruction</td></tr><tr><td>44790033</td><td>Graft of fascia to eyelid</td></tr><tr><td>35610630</td><td>Superior capsular reconstruction of shoulder joint</td></tr><tr><td>4142230</td><td>Repair of cleft hard palate with posteriorly based axial transposition flap</td></tr><tr><td>40493419</td><td>Primary extraarticular prosthetic augmentation of intraarticular ligament</td></tr><tr><td>4104832</td><td>Pemberton osteotomy operation of ilium</td></tr><tr><td>4070619</td><td>Repair of anterior cleft palate with local flap</td></tr><tr><td>37165150</td><td>Excision of pressure injury of lower limb with local flap reconstruction using skin flap</td></tr><tr><td>4137375</td><td>Prosthetic replacement of lumbar intervertebral disc</td></tr><tr><td>4097143</td><td>Pharyngoplasty for cleft palate</td></tr><tr><td>4267431</td><td>Osteoclasis of femur</td></tr><tr><td>44807545</td><td>Scapholunate ligament reconstruction</td></tr><tr><td>4003234</td><td>Scrotum reconstruction</td></tr><tr><td>4221558</td><td>Primary rhinoplasty with elevation of nasal tip</td></tr><tr><td>44809224</td><td>CT and fluoroscopy guided cementoplasty</td></tr><tr><td>4107112</td><td>Primary allograft augmentation extra-articular ligament</td></tr><tr><td>44813882</td><td>Revision of breast reduction</td></tr><tr><td>4066079</td><td>Total reconstruction of nose</td></tr><tr><td>4004034</td><td>Posterior segment of eye reconstruction</td></tr><tr><td>37310508</td><td>Thyroplasty</td></tr><tr><td>4333018</td><td>Posterior lamellar reconstruction of eyelid</td></tr><tr><td>40483135</td><td>Revisional laminoplasty of cervical spine</td></tr><tr><td>37157145</td><td>Revision of total replacement of knee joint with bone autograft</td></tr><tr><td>4121436</td><td>Bone reconstruction</td></tr><tr><td>4235352</td><td>Reconstruction of forehead using autograft</td></tr><tr><td>4000743</td><td>Pelvis reconstruction</td></tr><tr><td>40483153</td><td>Reconstruction of oral cavity</td></tr><tr><td>42537125</td><td>Transfer of distant skin flap to neck</td></tr><tr><td>4002540</td><td>Integumentary system reconstruction</td></tr><tr><td>4012929</td><td>Surgical closure of tracheal fistula with plastic repair</td></tr><tr><td>4296539</td><td>Middle ear reconstruction</td></tr><tr><td>42539076</td><td>Reconstruction using skin flap</td></tr><tr><td>4147194</td><td>Grafting of bone of clavicle</td></tr><tr><td>42709788</td><td>Reconstruction of lower limb</td></tr><tr><td>4003560</td><td>External ear reconstruction</td></tr><tr><td>4003200</td><td>Accessory sinus reconstruction</td></tr><tr><td>4048315</td><td>Occlusion of nostril</td></tr><tr><td>4140871</td><td>Repair of cleft hard palate with bipedicled flaps</td></tr><tr><td>4140106</td><td>Plastic repair of tricuspid valve</td></tr><tr><td>4081414</td><td>Reconstruction with distant flap</td></tr><tr><td>44810515</td><td>Fluoroscopy guided recanalisation of vein</td></tr><tr><td>4140285</td><td>Reconstruction of radial club hand</td></tr><tr><td>46271054</td><td>Reconstruction of floor of mouth</td></tr><tr><td>44806754</td><td>Closed rhinoplasty</td></tr><tr><td>40492355</td><td>Repositioning of corneal flap</td></tr><tr><td>4335300</td><td>Anterior lamellar reconstruction of eyelid</td></tr><tr><td>4203994</td><td>Cervical laminoplasty with decompression of spinal cord</td></tr><tr><td>4061557</td><td>Reconstruction of eye socket</td></tr><tr><td>4002402</td><td>Cardiovascular system reconstruction</td></tr><tr><td>37394749</td><td>Primary open modification rhinoplasty involving cartilage</td></tr><tr><td>4065699</td><td>Correction of vertical orbital dystopia with orbital osteotomies</td></tr><tr><td>4049671</td><td>Reconstruction of suprarenal artery</td></tr><tr><td>4076601</td><td>Conversion from uncemented unicompartmental knee replacement</td></tr><tr><td>4166278</td><td>Zancolli reconstruction stage 1</td></tr><tr><td>4140813</td><td>Plastic operation on muscle</td></tr><tr><td>44782856</td><td>Plastic operation on pharynx</td></tr><tr><td>4144856</td><td>Plastic repair of pulmonary valve</td></tr><tr><td>37152798</td><td>Revision of total replacement of knee joint using modular metal augmentation</td></tr><tr><td>4212092</td><td>Periprosthetic capsulotomy of breast</td></tr><tr><td>4220514</td><td>Augmentation osteoplasty of facial bones</td></tr><tr><td>4169916</td><td>Augmentation of bladder</td></tr><tr><td>4121899</td><td>Adipose tissue reduction operation</td></tr><tr><td>4197308</td><td>Augmentation of talus</td></tr><tr><td>4241100</td><td>Reduction mammoplasty</td></tr><tr><td>4002398</td><td>Trachea reconstruction</td></tr><tr><td>4002208</td><td>Adenoid reconstruction</td></tr><tr><td>4002551</td><td>Mouth reconstruction</td></tr><tr><td>4137885</td><td>Alar reconstruction with cartilage graft</td></tr><tr><td>4048431</td><td>Rhinoseptoplasty</td></tr><tr><td>4313292</td><td>Bronchoplasty</td></tr><tr><td>37156121</td><td>Reconstruction using latissimus dorsi flap</td></tr><tr><td>4019026</td><td>Plastic repair of aorta</td></tr><tr><td>4130390</td><td>Refashioning urinary stoma</td></tr><tr><td>4085126</td><td>Reconstruction with fascial graft</td></tr><tr><td>4083672</td><td>Arthroscopic chondroplasty of shoulder joint</td></tr><tr><td>4019423</td><td>Profundoplasty of femoral artery and patch repair of deep femoral artery</td></tr><tr><td>4343908</td><td>Ligament reconstruction</td></tr><tr><td>4001544</td><td>Ovary reconstruction</td></tr><tr><td>4048640</td><td>Posterior pharyngeal flap pharyngoplasty</td></tr><tr><td>4262815</td><td>Primary repair of torn ligament and capsule of knee, collateral</td></tr><tr><td>4004035</td><td>Extraocular muscles reconstruction</td></tr><tr><td>46273050</td><td>Reconstruction with supercharged free flap</td></tr><tr><td>4237771</td><td>Restoration of eyebrow with graft</td></tr><tr><td>44782858</td><td>Plastic operation on salivary duct</td></tr><tr><td>4329163</td><td>Reconstruction of subcutaneous tissue without skin graft</td></tr><tr><td>4122104</td><td>Reconstruction of mouth defect using graft</td></tr><tr><td>4118961</td><td>Pharyngeal reconstruction with distant flap</td></tr><tr><td>37157470</td><td>Revision of total replacement of hip joint using metal augmentation</td></tr><tr><td>4169902</td><td>Reconstruction of eyelid with tarsoconjunctival flap</td></tr><tr><td>4338040</td><td>Reconstruction of orbital cavity with conjunctival flap</td></tr><tr><td>4073709</td><td>Pedicle flap urethroplasty</td></tr><tr><td>4004057</td><td>Construction in forearm</td></tr><tr><td>4261527</td><td>Reconstruction of below-elbow amputation</td></tr><tr><td>4004031</td><td>Anterior segment of eye reconstruction</td></tr><tr><td>4224970</td><td>Arthroscopically aided posterior cruciate ligament augmentation</td></tr><tr><td>4027668</td><td>Reconstruction of eyebrow</td></tr><tr><td>4283380</td><td>Plastic repair with prosthetic implant</td></tr><tr><td>44807383</td><td>Reconstruction of posterolateral corner of knee</td></tr><tr><td>44807403</td><td>Ligament reconstruction of carpometacarpal joint of thumb</td></tr><tr><td>45766810</td><td>Closed rhinoplasty</td></tr><tr><td>4213796</td><td>Rhinoplasty of nasal deformity</td></tr><tr><td>4073099</td><td>Reconstruction using distant free osteofasciocutaneous flap with microvascular anastomosis</td></tr><tr><td>44783706</td><td>Radial forearm free flap</td></tr><tr><td>4306567</td><td>Reconstruction of pharynx</td></tr><tr><td>4286488</td><td>Reconstruction of eyelid with graft</td></tr><tr><td>4259418</td><td>Reconstruction of medial collateral ligament of elbow using tendon graft</td></tr><tr><td>44782962</td><td>Local fasciocutaneous flap to neck</td></tr><tr><td>36674357</td><td>Laparoscopic augmentation of lower esophageal sphincter using magnetic titanium ring</td></tr><tr><td>4152497</td><td>Reconstruction of nose with bone graft and skin flap</td></tr><tr><td>4078254</td><td>Primary arthroscopic prosthetic ligament augmentation</td></tr><tr><td>4193059</td><td>Plastic operations on nipple</td></tr><tr><td>42872685</td><td>Reconstruction of intraarticular ligament</td></tr><tr><td>4001367</td><td>Anus reconstruction</td></tr><tr><td>4137609</td><td>Reconstruction of penis</td></tr><tr><td>4321095</td><td>Reconstruction of joint</td></tr><tr><td>4142883</td><td>Grafting of skin and fat to eyelid</td></tr><tr><td>35621837</td><td>Repair of epispadias urethroplasty using glanular flap</td></tr><tr><td>4073098</td><td>Distant microvascular transferred flap, fasciocutaneous</td></tr><tr><td>4052244</td><td>Reconstruction of axillary artery</td></tr><tr><td>4071370</td><td>Plastic repair of tendon</td></tr><tr><td>4047346</td><td>Augmentation procedure</td></tr><tr><td>4173484</td><td>Reconstruction of femoral artery</td></tr><tr><td>4002394</td><td>Larynx reconstruction</td></tr><tr><td>4259405</td><td>Reconstruction of forehead using allograft</td></tr><tr><td>4181413</td><td>Limited rhinoplasty</td></tr><tr><td>4236837</td><td>Tendon pulley reconstruction</td></tr><tr><td>4003054</td><td>Hip joint reconstruction</td></tr><tr><td>4023618</td><td>Reconstruction of head and neck using muscle flap</td></tr><tr><td>4048622</td><td>Reconstruction of nose</td></tr><tr><td>4146450</td><td>Extraarticular scapular resection with reconstruction of shoulder</td></tr><tr><td>4072138</td><td>Plastic repair of radial insertion of biceps brachii</td></tr><tr><td>42709789</td><td>Reconstruction of lower leg</td></tr><tr><td>4034441</td><td>Resurfacing of the patella</td></tr><tr><td>37152834</td><td>Reconstruction using bipedicled flap</td></tr><tr><td>4297300</td><td>Ligamentous reconstruction of knee, intra-articular and extra-articular</td></tr><tr><td>4078578</td><td>Reduction of macrodactyly of hand</td></tr><tr><td>4001363</td><td>Small intestine reconstruction</td></tr><tr><td>4117208</td><td>Hand plastic operation with implant</td></tr><tr><td>4204902</td><td>Grafting of bone to iliac crest with microvascular anastomosis</td></tr><tr><td>4330850</td><td>Reconstruction of eyelid</td></tr><tr><td>4180122</td><td>Uvulopalatoplasty</td></tr><tr><td>37152862</td><td>Reconstruction using mucosal flap</td></tr><tr><td>37152465</td><td>Pedicle myocutaneous flap to eyelid</td></tr><tr><td>44782960</td><td>Local myocutaneous flap to neck</td></tr><tr><td>42537372</td><td>Reconstruction using forehead flap graft</td></tr><tr><td>761060</td><td>Plastic repair of thigh</td></tr><tr><td>37162960</td><td>Reconstruction using flap from forehead</td></tr><tr><td>4072579</td><td>Reconstruction of vagina</td></tr><tr><td>4067249</td><td>Reconstruction of nose with skin graft</td></tr><tr><td>4049381</td><td>Pharyngeal reconstruction using prosthesis</td></tr><tr><td>4081413</td><td>Reconstruction with skin graft</td></tr><tr><td>4013058</td><td>Conjunctival flap, partial</td></tr><tr><td>4067246</td><td>Augmentation rhinoplasty</td></tr><tr><td>4168538</td><td>Reconstruction of popliteal artery</td></tr><tr><td>4135728</td><td>Reconstruction of angular deformity of toe by soft tissue procedure</td></tr><tr><td>4069606</td><td>Chondroplasty of larynx</td></tr><tr><td>40480565</td><td>Ablative resurfacing of skin of eyelid using laser</td></tr><tr><td>4075460</td><td>Grafting of mucosa to head or neck</td></tr><tr><td>4306447</td><td>Repair of postcataract wound dehiscence with conjunctival flap</td></tr><tr><td>4065700</td><td>Correction of rotational orbital dystopia with orbital osteotomies</td></tr><tr><td>4123243</td><td>Reduction of maxillary tuberosity</td></tr><tr><td>4107105</td><td>Primary autograft replacement extra-articular ligament</td></tr><tr><td>4167163</td><td>Reconstruction of head and neck using fasciocutaneous flap</td></tr><tr><td>4311042</td><td>Reconstruction of artery</td></tr><tr><td>4199737</td><td>Plastic repair with excision of tissue</td></tr><tr><td>4343674</td><td>Reconstruction of anterior cruciate ligament of knee joint</td></tr><tr><td>37157102</td><td>Anterior palatoplasty</td></tr><tr><td>42537375</td><td>Reconstruction using deltopectoral pedicle flap</td></tr><tr><td>37394753</td><td>Primary closed modification rhinoplasty involving cartilage</td></tr><tr><td>37163220</td><td>Reconstruction using posterior tibial artery fasciocutaneous flap</td></tr><tr><td>4001359</td><td>Esophagus reconstruction</td></tr><tr><td>4029134</td><td>Augmentation of buttock</td></tr><tr><td>4078258</td><td>Arthroscopic acromioplasty</td></tr><tr><td>4201285</td><td>Bone graft of femur</td></tr><tr><td>4000895</td><td>Aorta reconstruction</td></tr><tr><td>4070231</td><td>Plastic excision of skin of abdominal wall</td></tr><tr><td>4068549</td><td>Overlay scleroplasty</td></tr><tr><td>4077322</td><td>Primary reattachment extra-articular ligament</td></tr><tr><td>4132460</td><td>Repair of spinal meningocele using local flap</td></tr><tr><td>4231058</td><td>Reconstruction of collateral ligament of interphalangeal joint using graft</td></tr><tr><td>42709806</td><td>Reconstruction of upper arm</td></tr><tr><td>4002055</td><td>Skin of trunk reconstruction</td></tr><tr><td>4144883</td><td>Prosthetic replacement of cervical intervertebral disc</td></tr><tr><td>4068912</td><td>Repair of anterior cleft palate with vomerine flap</td></tr><tr><td>44808441</td><td>Endoscopic augmentation of lower oesophageal sphincter using hydrogel implant</td></tr><tr><td>4000754</td><td>Thigh reconstruction</td></tr><tr><td>37394757</td><td>Primary open augmentation rhinoplasty involving cartilage</td></tr><tr><td>4180999</td><td>Microvascular free tissue transfer of flap of muscle</td></tr><tr><td>4068916</td><td>Laser uvulectomy and palatal scarring</td></tr><tr><td>4229990</td><td>Reconstruction of vena cava</td></tr><tr><td>4003045</td><td>Neck reconstruction</td></tr><tr><td>44806205</td><td>Reconstruction of intra-articular ligament</td></tr><tr><td>4210771</td><td>Reconstruction of eyelid, full-thickness</td></tr><tr><td>4183405</td><td>Conjunctival flap, total</td></tr><tr><td>4065574</td><td>Hair bearing skin flap to eyebrow</td></tr><tr><td>4280367</td><td>Conjunctival flap, bridge</td></tr><tr><td>4085260</td><td>Reduction of batwing arms</td></tr><tr><td>4237750</td><td>Surgical closure of tracheostomy with plastic repair</td></tr><tr><td>4186462</td><td>Plastic repair with augmentation</td></tr><tr><td>4329457</td><td>Bone graft to nose</td></tr><tr><td>4035766</td><td>Complex reconstruction operations on wrist and hand(excluding arthroplasty)</td></tr><tr><td>37158483</td><td>Reconstruction of pressure injury stage II</td></tr><tr><td>4115486</td><td>Reconstruction artificial larynx</td></tr><tr><td>4003551</td><td>Brain reconstruction</td></tr><tr><td>4001885</td><td>Ankle reconstruction</td></tr><tr><td>37157387</td><td>Reconstruction of mandible using bone flap</td></tr><tr><td>37157264</td><td>Reconstruction of extremity using flap</td></tr><tr><td>4089967</td><td>Filleting of toe flap including preparation of recipient site</td></tr><tr><td>44783703</td><td>Laminoplasty at C3 and C4 vertebra</td></tr><tr><td>4333697</td><td>Repair of spinal cord meninges for cerebrospinal fluid fistula using distal tissue flap</td></tr><tr><td>37152854</td><td>Reconstruction using flap</td></tr><tr><td>37157171</td><td>Total replacement of knee with impaction bone graft</td></tr><tr><td>4041981</td><td>Gastrointestinal tract reconstruction</td></tr><tr><td>40479267</td><td>Transplantation of muscle flap to upper extremity</td></tr><tr><td>44806206</td><td>Reconstruction of extra-articular ligament</td></tr><tr><td>4067091</td><td>Conversion from previous direct anastomosis of esophagus</td></tr><tr><td>4001020</td><td>Lip reconstruction</td></tr><tr><td>4036944</td><td>Plastic repair with shortening</td></tr><tr><td>4077325</td><td>Primary open reattachment intra-articular ligament</td></tr><tr><td>4267730</td><td>Excision of ischial pressure injury with skin flap reconstruction</td></tr><tr><td>4074406</td><td>Complex reconstruction operations on hand and foot</td></tr><tr><td>4139425</td><td>Bone graft of patella</td></tr><tr><td>4076602</td><td>Conversion from hybrid unicompartmental knee replacement</td></tr><tr><td>4107589</td><td>Reduction of gigantism of foot</td></tr><tr><td>4106756</td><td>Primary extra-articular autograft augmentation intra-articular ligament</td></tr><tr><td>4076600</td><td>Conversion from cemented unicompartmental knee replacement</td></tr><tr><td>4075317</td><td>Reconstruction with mucosal graft</td></tr><tr><td>4071518</td><td>Abdominoplasty</td></tr><tr><td>4333005</td><td>Correction of vertical orbital dystopia</td></tr><tr><td>37158484</td><td>Reconstruction of pressure injury stage III</td></tr><tr><td>4071286</td><td>Reconstruction of gastrostomy</td></tr><tr><td>4002213</td><td>Thymus reconstruction</td></tr><tr><td>4232236</td><td>Reconstruction of volar plate of interphalangeal joint of finger</td></tr><tr><td>40479737</td><td>Augmentation of pectoral region</td></tr><tr><td>37157144</td><td>Revision of total replacement of knee joint with bone allograft</td></tr><tr><td>36676206</td><td>Plastic operation on palatopharyngeal sphincter with reconstruction using pharyngeal flap</td></tr><tr><td>4048313</td><td>Open rhinoplasty</td></tr><tr><td>4330505</td><td>Cementoplasty of glenoid using fluoroscopic guidance</td></tr><tr><td>4070620</td><td>Repair of cleft soft palate with intra-velar veloplasty</td></tr><tr><td>4081734</td><td>Reconstruction with local flap</td></tr><tr><td>42537263</td><td>Reconstruction of ear</td></tr><tr><td>4240016</td><td>Surgical fracture of nasal turbinates</td></tr><tr><td>4127436</td><td>Augmentation of periarticular bone</td></tr><tr><td>4080101</td><td>Reduction of macrodactyly of toe</td></tr><tr><td>4081735</td><td>Reconstruction with free flap</td></tr><tr><td>4201943</td><td>Reconstruction of vagina with flap</td></tr><tr><td>4001552</td><td>Eye reconstruction</td></tr><tr><td>4170547</td><td>Reconstruction of lateral canthus</td></tr><tr><td>4032007</td><td>Reconstruction of eyelid with mucous membrane flap</td></tr><tr><td>4245403</td><td>Osteoclasis of scapula</td></tr><tr><td>4134852</td><td>Lingual frenoplasty</td></tr><tr><td>4100203</td><td>Suture of thoracic duct by abdominal approach</td></tr><tr><td>4001871</td><td>Wrist reconstruction</td></tr><tr><td>4003571</td><td>Abdomen reconstruction</td></tr><tr><td>4032137</td><td>Previous chest wall incision - repair with flap</td></tr><tr><td>44807384</td><td>Reconstruction of medial patellofemoral ligament</td></tr><tr><td>4065698</td><td>Correction of hypotelorism with orbital osteotomies</td></tr><tr><td>4254212</td><td>Plastic operation on hand with implant</td></tr><tr><td>4263264</td><td>Repair of ectropion by blepharoplasty</td></tr><tr><td>4260966</td><td>Resection of pharyngeal wall with closure using myocutaneous flap</td></tr><tr><td>37152911</td><td>Robot assisted laparoscopic ureteroplasty with oral mucosal graft</td></tr><tr><td>4210326</td><td>Reconstruction of frontonasal duct</td></tr><tr><td>4073975</td><td>Plastic repair of urethrocele in female</td></tr><tr><td>4093294</td><td>Plastic operation on fascia</td></tr><tr><td>37017415</td><td>Reconstruction of joint of knee with external fixation</td></tr><tr><td>4069045</td><td>Repair of anterior palatal fistula with gingival flap</td></tr><tr><td>4002695</td><td>Lymphatic system reconstruction</td></tr><tr><td>4339302</td><td>Reconstruction of trunk using myocutaneous flap</td></tr><tr><td>4107273</td><td>Primary arthroscopic autograft ligament augmentation</td></tr><tr><td>4004053</td><td>Perineum reconstruction</td></tr><tr><td>4146614</td><td>Reconstruction of nose with flap</td></tr><tr><td>4210148</td><td>Augmentation of femur</td></tr><tr><td>764574</td><td>Reconstruction of conjunctival fornix</td></tr><tr><td>4208343</td><td>Augmentation of glenoid</td></tr><tr><td>4132461</td><td>Repair of spinal meningocele using distant flap</td></tr><tr><td>4205235</td><td>Thompson hemiarthroplasty of hip joint using cement</td></tr><tr><td>4161778</td><td>Guide wire recanalization of central venous catheter using fluoroscopic guidance with contrast</td></tr><tr><td>4124340</td><td>Reconstruction of mouth using flap</td></tr><tr><td>4071774</td><td>Reconstruction using distant osteomyocutaneous flap with microvascular anastomosis</td></tr><tr><td>4002405</td><td>Heart reconstruction</td></tr><tr><td>4335524</td><td>Cementoplasty of acetabulum using fluoroscopic guidance</td></tr><tr><td>4206405</td><td>Excision of coccygeal pressure injury with coccygectomy and flap reconstruction</td></tr><tr><td>4002209</td><td>Tonsil reconstruction</td></tr><tr><td>37157146</td><td>Revision of total replacement of knee joint with impaction bone grafting</td></tr><tr><td>44809351</td><td>Revision of reduction mastopexy</td></tr><tr><td>4247598</td><td>Reconstruction of trunk using muscle flap</td></tr><tr><td>4071131</td><td>Repair of defect of palate with mucosal flap</td></tr><tr><td>4032786</td><td>Rhytidectomy of subcutaneous and musculoaponeurotic system</td></tr><tr><td>4332314</td><td>Repair of spinal cord meninges for cerebrospinal fluid fistula using local tissue flap</td></tr><tr><td>4041631</td><td>Enlargement procedure</td></tr><tr><td>4185047</td><td>Arthroscopically aided anterior cruciate ligament augmentation</td></tr><tr><td>37158485</td><td>Reconstruction of pressure injury stage IV</td></tr><tr><td>4172453</td><td>Osteoplasty of cranium with flap of bone</td></tr><tr><td>4173515</td><td>MUA - Manipulation under anesthetic of fractured nasal bones</td></tr><tr><td>4337598</td><td>Tracheal reconstruction with patch</td></tr><tr><td>4003533</td><td>Epididymis reconstruction</td></tr><tr><td>4002555</td><td>Stomach reconstruction</td></tr><tr><td>4220482</td><td>Tracheoplasty by intrathoracic approach</td></tr><tr><td>44809637</td><td>Fluoroscopy guided recanalisation of tunnelled central venous catheter using guide wire</td></tr><tr><td>4117066</td><td>Reconstruction of urethra</td></tr><tr><td>4122290</td><td>Plastic operation on spinal cord/meninges</td></tr><tr><td>4001884</td><td>Foot reconstruction</td></tr><tr><td>44782859</td><td>Plastic operation on salivary gland</td></tr><tr><td>44783700</td><td>Reconstruction of skin</td></tr><tr><td>4184586</td><td>Plastic repair with reduction</td></tr><tr><td>4230793</td><td>Repair of cisterna chyli</td></tr><tr><td>4335301</td><td>Reconstruction of eyelid with skin flap</td></tr><tr><td>4310613</td><td>Excision of trochanteric pressure injury with skin flap reconstruction</td></tr><tr><td>4244731</td><td>Augmentation of outflow tract of pulmonary valve</td></tr><tr><td>4075122</td><td>Plastic repair of rotator cuff of shoulder</td></tr><tr><td>37311672</td><td>Pedicle vascularized bone graft to iliac crest</td></tr><tr><td>4337469</td><td>Laryngotracheoplasty</td></tr><tr><td>4048638</td><td>Reconstruction of defect of nasal sinus</td></tr><tr><td>4338529</td><td>Hysterotracheloplasty</td></tr><tr><td>4001561</td><td>Inner ear reconstruction</td></tr><tr><td>4071129</td><td>Repair of defect of palate with skin flap</td></tr><tr><td>4070512</td><td>Watson-Jones operation for reconstruction of lateral ligaments of ankle</td></tr><tr><td>4002691</td><td>Endocrine gland reconstruction</td></tr><tr><td>4049435</td><td>Intermediate transfer of pedicle flap</td></tr><tr><td>4205774</td><td>Reconstruction of dislocating patella with patellectomy</td></tr><tr><td>4282469</td><td>Tracheoplasty by cervical approach</td></tr><tr><td>4002558</td><td>Large intestine reconstruction</td></tr><tr><td>4051618</td><td>External rhinoplasty</td></tr><tr><td>4056776</td><td>Plastic repair and transfer of tissue</td></tr><tr><td>4312953</td><td>Gastroplasty</td></tr><tr><td>4217826</td><td>Revision rhinoplasty</td></tr><tr><td>4197306</td><td>Augmentation of humerus</td></tr><tr><td>4199945</td><td>Reconstruction of maxilla with flap</td></tr><tr><td>4333152</td><td>Iridoplasty</td></tr><tr><td>4071128</td><td>Repair of defect of palate with flap of palate</td></tr><tr><td>4335178</td><td>Correction of hypotelorism</td></tr><tr><td>37394770</td><td>Primary closed reduction rhinoplasty involving cartilage</td></tr><tr><td>4162104</td><td>Frenoplasty</td></tr><tr><td>4144871</td><td>Reconstruction of femoral artery or popliteal artery</td></tr><tr><td>4215635</td><td>Repair of entropion with lid reconstruction</td></tr><tr><td>4003719</td><td>Neck artery reconstruction</td></tr><tr><td>4116621</td><td>Hair bearing graft of skin to skin</td></tr><tr><td>4123634</td><td>Reconstruction of breast with flap</td></tr><tr><td>4241567</td><td>Plastic repair with radial incision</td></tr><tr><td>4069043</td><td>Repair of defect of palate with tongue flap</td></tr><tr><td>4072048</td><td>Reconstruction of tendon sheath</td></tr><tr><td>4078088</td><td>Primary autograft augmentation extra-articular ligament</td></tr><tr><td>40480417</td><td>Primary reconstruction of lamina of cervical spine</td></tr><tr><td>4048336</td><td>Pharyngeal reconstruction with local flap</td></tr><tr><td>4201581</td><td>Primary rhinoplasty of alar cartilages</td></tr><tr><td>4339606</td><td>Tracheal reconstruction with flap</td></tr><tr><td>4336297</td><td>Repair of spinal myelomeningocele using local flap</td></tr><tr><td>37164591</td><td>Reconstruction of nasopharynx using pedicle nasoseptal flap</td></tr><tr><td>4042311</td><td>Plastic repair procedure</td></tr><tr><td>4144604</td><td>Complex reconstruction of shoulder</td></tr><tr><td>4123868</td><td>Reconstruction of palate</td></tr><tr><td>4297366</td><td>Plastic repair of mouth</td></tr><tr><td>4279760</td><td>Reconstruction of head and neck using myocutaneous flap</td></tr><tr><td>4070229</td><td>Facelift and tightening of platysma</td></tr><tr><td>40479712</td><td>Transplantation of muscle flap to lower extremity</td></tr><tr><td>4208344</td><td>Augmentation of ulna</td></tr><tr><td>4286791</td><td>Arthroscopically aided posterior cruciate ligament reconstruction</td></tr><tr><td>4285601</td><td>Wardill operation, cleft palate repair</td></tr><tr><td>4307240</td><td>Uvulopalatopharyngoplasty</td></tr><tr><td>4239567</td><td>Grafting of bone of scapula</td></tr><tr><td>4165736</td><td>Pharyngolaryngectomy with radical neck dissection and reconstruction</td></tr><tr><td>37157072</td><td>Local fascial flap to eyelid</td></tr><tr><td>4138869</td><td>Conversion from cemented hemiarthroplasty of hip</td></tr><tr><td>36676205</td><td>Reconstruction of mandible using osteocutaneous flap</td></tr><tr><td>44784395</td><td>Resurfacing hemiarthroplasty of head of humerus</td></tr><tr><td>4281095</td><td>Reconstruction of eyelid, partial-thickness</td></tr><tr><td>4003725</td><td>Vein reconstruction</td></tr><tr><td>4002538</td><td>Pericardium reconstruction</td></tr><tr><td>4088219</td><td>Osteoclasis of carpal and/or metacarpal bone</td></tr><tr><td>764450</td><td>Circumferential body lift</td></tr><tr><td>4003065</td><td>Hand reconstruction</td></tr><tr><td>4041967</td><td>Reconstruction for recurrent dislocating patella with extensor realignment</td></tr><tr><td>37398848</td><td>Primary closed augmentation rhinoplasty involving cartilage</td></tr><tr><td>4201600</td><td>Filleting of finger flap including preparation of recipient site</td></tr><tr><td>4285274</td><td>Formation of free flap graft by microvascular technique</td></tr><tr><td>4003552</td><td>Spinal cord reconstruction</td></tr><tr><td>44782860</td><td>Plastic operation on tongue</td></tr><tr><td>37152785</td><td>Reconstruction using pedicle fascial flap</td></tr><tr><td>4107235</td><td>Plastic repair and revision of injury</td></tr><tr><td>764404</td><td>Augmentation of maxillary sinus</td></tr><tr><td>4270512</td><td>Osteoclasis of patella</td></tr><tr><td>4324447</td><td>CT guided cementoplasty of glenoid</td></tr><tr><td>45773109</td><td>Plastic operation on trachea</td></tr><tr><td>4048337</td><td>Pharyngeal reconstruction with gastrointestinal anastomosis</td></tr><tr><td>40482475</td><td>Resurfacing of head of femur</td></tr><tr><td>4002203</td><td>Thyroid gland reconstruction</td></tr><tr><td>4214889</td><td>Carinal reconstruction</td></tr><tr><td>4141236</td><td>Reconstruction of external ear with flap</td></tr><tr><td>37153594</td><td>Total replacement of knee joint using modular metal augmentation</td></tr><tr><td>4149336</td><td>Plastic repair and revision with revascularization</td></tr><tr><td>40479973</td><td>Reconstruction of extra-articular ligament for stabilization of joint</td></tr><tr><td>4001891</td><td>Nasopharynx reconstruction</td></tr><tr><td>4169832</td><td>Reconstruction of superficial femoral artery</td></tr><tr><td>40479754</td><td>Augmentation of soft tissue of face using expanded polytetrafluoroethylene implant</td></tr><tr><td>4003395</td><td>Inguinal region reconstruction</td></tr><tr><td>4003233</td><td>Vas deferens reconstruction</td></tr><tr><td>4335461</td><td>Reduction of Reinke's edema</td></tr><tr><td>4194745</td><td>Excision of anal fissure and island flap closure</td></tr><tr><td>4002200</td><td>Pancreas reconstruction</td></tr></table></li><li>Import all the codes that are contained in <a href=\"http://tx.hl7europe.eu/r4/ValueSet/absent-or-unknown-procedures-uv-ips\">Absent or Unknown Procedures - IPS</a></li></ul></div>"
  ] ;
  fhir:ValueSet.url [ fhir:value "http://hl7.eu/fhir/ig/idea4rc/ValueSet/vs-surgicalProcedureType-eu-i4rc"] ;
  fhir:ValueSet.version [ fhir:value "1.0.0"] ;
  fhir:ValueSet.name [ fhir:value "SurgicalProcedureTypeVs"] ;
  fhir:ValueSet.title [ fhir:value "Surgical Procedure Type"] ;
  fhir:ValueSet.status [ fhir:value "active"] ;
  fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:ValueSet.date [ fhir:value "2026-09-17T14:38:18+02:00"^^xsd:dateTime] ;
  fhir:ValueSet.publisher [ fhir:value "IDEA4RC Project"] ;
  fhir:ValueSet.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "IDEA4RC Project" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://www.idea4rc.eu/" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:ContactDetail.name [ fhir:value "IDEA4RC Project" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://www.idea4rc.eu/" ]
     ]
  ] ;
  fhir:ValueSet.description [ fhir:value "Types of surgical procedure this resource is referring to (to be updated)"] ;
  fhir:ValueSet.jurisdiction [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
       fhir:Coding.code [ fhir:value "150" ] ;
       fhir:Coding.display [ fhir:value "Europe" ]
     ]
  ] ;
  fhir:ValueSet.copyright [ fhir:value "Copyright 2018 Odysseus Data Services, inc.\nLicensed under the Apache License, Version 2.0 (the \"License\") you may not use this file except in compliance with the License.\nYou may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0\nUnless required by applicable law or agreed to in writing, software distributed under the License is distributed on an 'AS IS' BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.\nSee the License for the specific language governing permissions and limitations under the License.   Company: Odysseus Data Services, Inc. Product Owner/Architecture: Gregory Klebanov Authors: Anastasiia Klochkova"] ;
  fhir:ValueSet.compose [
     fhir:ValueSet.compose.include [
       fhir:index 0 ;
       fhir:ValueSet.compose.include.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
       fhir:ValueSet.compose.include.concept [
         fhir:index 0 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4019656" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Isolated limb perfusion" ]
       ], [
         fhir:index 1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4003059" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Shoulder reconstruction" ]
       ], [
         fhir:index 2 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "37394766" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Primary open reduction rhinoplasty involving cartilage" ]
       ], [
         fhir:index 3 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4333006" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Correction of rotational orbital dystopia" ]
       ], [
         fhir:index 4 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "46272956" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Dega osteotomy of pelvic bone" ]
       ], [
         fhir:index 5 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4204599" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstruction of lateral collateral ligament of elbow using tendon graft" ]
       ], [
         fhir:index 6 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4051629" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstruction of trunk using fasciocutaneous flap" ]
       ], [
         fhir:index 7 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "42537247" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstruction of hypopharynx" ]
       ], [
         fhir:index 8 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "42709805" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstruction of upper limb" ]
       ], [
         fhir:index 9 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4080089" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Extra-articular plastic replacement of intra-articular ligament" ]
       ], [
         fhir:index 10 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4003550" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Obstetrics reconstruction" ]
       ], [
         fhir:index 11 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4003564" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Thorax reconstruction" ]
       ], [
         fhir:index 12 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4034457" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Eminence augmentation temporomandibular joint" ]
       ], [
         fhir:index 13 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "42539315" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Plastic operation of external ear" ]
       ], [
         fhir:index 14 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4203605" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Repair of corneal laceration with conjunctival flap" ]
       ], [
         fhir:index 15 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4090512" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Repair of cleft palate using pharyngeal flap" ]
       ], [
         fhir:index 16 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4002364" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Trunk reconstruction" ]
       ], [
         fhir:index 17 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4189676" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Osteoclasis of clavicle" ]
       ], [
         fhir:index 18 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4048629" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstruction of maxillary antrum" ]
       ], [
         fhir:index 19 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4331816" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Cementoplasty using fluoroscopic guidance" ]
       ], [
         fhir:index 20 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4142501" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Refracture of nasal bones" ]
       ], [
         fhir:index 21 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4078089" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Primary intra-articular autograft augmentation intra-articular ligament" ]
       ], [
         fhir:index 22 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4142079" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Conversion from uncemented hemiarthroplasty of hip" ]
       ], [
         fhir:index 23 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4208618" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Refashioning of arteriovenous fistula" ]
       ], [
         fhir:index 24 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4309273" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Plastic repair with lengthening" ]
       ], [
         fhir:index 25 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4065708" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Repair of canthus with local skin flap" ]
       ], [
         fhir:index 26 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "37157471" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total replacement of hip joint using metal augmentation" ]
       ], [
         fhir:index 27 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4271046" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstructive orthopedic procedure" ]
       ], [
         fhir:index 28 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4066082" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reduction rhinoplasty" ]
       ], [
         fhir:index 29 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4101560" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Functional reconstruction of internal nose" ]
       ], [
         fhir:index 30 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4197307" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Augmentation of tibia" ]
       ], [
         fhir:index 31 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4322461" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Treatment of nasomaxillary complex fracture, Lefort II type" ]
       ], [
         fhir:index 32 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4029419" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstruction of abdominal wall using flap" ]
       ], [
         fhir:index 33 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4194057" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of lesion of palate with local flap closure" ]
       ], [
         fhir:index 34 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4107577" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reduction of gigantism of hand" ]
       ], [
         fhir:index 35 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "44783283" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Local flap of skin to neck" ]
       ], [
         fhir:index 36 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4003903" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nerve reconstruction" ]
       ], [
         fhir:index 37 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4166279" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Zancolli reconstruction stage 2" ]
       ], [
         fhir:index 38 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4167829" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstruction of diaphragm" ]
       ], [
         fhir:index 39 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4232347" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Pharyngeal reconstruction by direct closure" ]
       ], [
         fhir:index 40 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "37152351" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstruction of articular cartilage of knee joint" ]
       ], [
         fhir:index 41 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4073105" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Distant microvascular transferred flap, axial pattern" ]
       ], [
         fhir:index 42 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4003889" ] ;
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       ], [
         fhir:index 366 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4312953" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Gastroplasty" ]
       ], [
         fhir:index 367 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4217826" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Revision rhinoplasty" ]
       ], [
         fhir:index 368 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4197306" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Augmentation of humerus" ]
       ], [
         fhir:index 369 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4199945" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstruction of maxilla with flap" ]
       ], [
         fhir:index 370 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4333152" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Iridoplasty" ]
       ], [
         fhir:index 371 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4071128" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Repair of defect of palate with flap of palate" ]
       ], [
         fhir:index 372 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4335178" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Correction of hypotelorism" ]
       ], [
         fhir:index 373 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "37394770" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Primary closed reduction rhinoplasty involving cartilage" ]
       ], [
         fhir:index 374 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4162104" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Frenoplasty" ]
       ], [
         fhir:index 375 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4144871" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstruction of femoral artery or popliteal artery" ]
       ], [
         fhir:index 376 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4215635" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Repair of entropion with lid reconstruction" ]
       ], [
         fhir:index 377 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4003719" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Neck artery reconstruction" ]
       ], [
         fhir:index 378 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4116621" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Hair bearing graft of skin to skin" ]
       ], [
         fhir:index 379 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4123634" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstruction of breast with flap" ]
       ], [
         fhir:index 380 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4241567" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Plastic repair with radial incision" ]
       ], [
         fhir:index 381 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4069043" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Repair of defect of palate with tongue flap" ]
       ], [
         fhir:index 382 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4072048" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstruction of tendon sheath" ]
       ], [
         fhir:index 383 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4078088" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Primary autograft augmentation extra-articular ligament" ]
       ], [
         fhir:index 384 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "40480417" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Primary reconstruction of lamina of cervical spine" ]
       ], [
         fhir:index 385 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4048336" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Pharyngeal reconstruction with local flap" ]
       ], [
         fhir:index 386 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4201581" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Primary rhinoplasty of alar cartilages" ]
       ], [
         fhir:index 387 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4339606" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Tracheal reconstruction with flap" ]
       ], [
         fhir:index 388 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4336297" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Repair of spinal myelomeningocele using local flap" ]
       ], [
         fhir:index 389 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "37164591" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstruction of nasopharynx using pedicle nasoseptal flap" ]
       ], [
         fhir:index 390 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4042311" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Plastic repair procedure" ]
       ], [
         fhir:index 391 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4144604" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Complex reconstruction of shoulder" ]
       ], [
         fhir:index 392 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4123868" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstruction of palate" ]
       ], [
         fhir:index 393 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4297366" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Plastic repair of mouth" ]
       ], [
         fhir:index 394 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4279760" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstruction of head and neck using myocutaneous flap" ]
       ], [
         fhir:index 395 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4070229" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Facelift and tightening of platysma" ]
       ], [
         fhir:index 396 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "40479712" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Transplantation of muscle flap to lower extremity" ]
       ], [
         fhir:index 397 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4208344" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Augmentation of ulna" ]
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         fhir:index 398 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4286791" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Arthroscopically aided posterior cruciate ligament reconstruction" ]
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         fhir:index 399 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4285601" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Wardill operation, cleft palate repair" ]
       ], [
         fhir:index 400 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4307240" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Uvulopalatopharyngoplasty" ]
       ], [
         fhir:index 401 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4239567" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Grafting of bone of scapula" ]
       ], [
         fhir:index 402 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4165736" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Pharyngolaryngectomy with radical neck dissection and reconstruction" ]
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         fhir:index 403 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "37157072" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Local fascial flap to eyelid" ]
       ], [
         fhir:index 404 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4138869" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Conversion from cemented hemiarthroplasty of hip" ]
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         fhir:index 405 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "36676205" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstruction of mandible using osteocutaneous flap" ]
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         fhir:index 406 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "44784395" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Resurfacing hemiarthroplasty of head of humerus" ]
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         fhir:ValueSet.compose.include.concept.code [ fhir:value "4281095" ] ;
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         fhir:index 408 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4003725" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Vein reconstruction" ]
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         fhir:index 409 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4002538" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Pericardium reconstruction" ]
       ], [
         fhir:index 410 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4088219" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Osteoclasis of carpal and/or metacarpal bone" ]
       ], [
         fhir:index 411 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "764450" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Circumferential body lift" ]
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         fhir:index 412 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4003065" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Hand reconstruction" ]
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         fhir:index 413 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4041967" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstruction for recurrent dislocating patella with extensor realignment" ]
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         fhir:index 415 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4201600" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Filleting of finger flap including preparation of recipient site" ]
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         fhir:index 416 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4285274" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Formation of free flap graft by microvascular technique" ]
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         fhir:index 417 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4003552" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Spinal cord reconstruction" ]
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         fhir:index 418 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "44782860" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Plastic operation on tongue" ]
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         fhir:index 419 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "37152785" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstruction using pedicle fascial flap" ]
       ], [
         fhir:index 420 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4107235" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Plastic repair and revision of injury" ]
       ], [
         fhir:index 421 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "764404" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Augmentation of maxillary sinus" ]
       ], [
         fhir:index 422 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4270512" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Osteoclasis of patella" ]
       ], [
         fhir:index 423 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4324447" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "CT guided cementoplasty of glenoid" ]
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         fhir:index 424 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "45773109" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Plastic operation on trachea" ]
       ], [
         fhir:index 425 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4048337" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Pharyngeal reconstruction with gastrointestinal anastomosis" ]
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         fhir:index 426 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "40482475" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Resurfacing of head of femur" ]
       ], [
         fhir:index 427 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4002203" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Thyroid gland reconstruction" ]
       ], [
         fhir:index 428 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4214889" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Carinal reconstruction" ]
       ], [
         fhir:index 429 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4141236" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstruction of external ear with flap" ]
       ], [
         fhir:index 430 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "37153594" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Total replacement of knee joint using modular metal augmentation" ]
       ], [
         fhir:index 431 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4149336" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Plastic repair and revision with revascularization" ]
       ], [
         fhir:index 432 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "40479973" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstruction of extra-articular ligament for stabilization of joint" ]
       ], [
         fhir:index 433 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4001891" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nasopharynx reconstruction" ]
       ], [
         fhir:index 434 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4169832" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstruction of superficial femoral artery" ]
       ], [
         fhir:index 435 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "40479754" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Augmentation of soft tissue of face using expanded polytetrafluoroethylene implant" ]
       ], [
         fhir:index 436 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4003395" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Inguinal region reconstruction" ]
       ], [
         fhir:index 437 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4003233" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Vas deferens reconstruction" ]
       ], [
         fhir:index 438 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4335461" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reduction of Reinke's edema" ]
       ], [
         fhir:index 439 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4194745" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of anal fissure and island flap closure" ]
       ], [
         fhir:index 440 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "4002200" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Pancreas reconstruction" ]
       ]
     ], [
       fhir:index 1 ;
       fhir:ValueSet.compose.include.valueSet [
         fhir:value "http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-procedures-uv-ips" ;
         fhir:index 0 ;
         fhir:link <http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-procedures-uv-ips>
       ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/ValueSet/vs-surgicalProcedureType-eu-i4rc.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ValueSet/vs-surgicalProcedureType-eu-i4rc.ttl> .